# Presentation: 517102

## Module 5B

**Strategies for Working with Clients with Co-Occurring Disorders:**
***Techniques for a Working with Clients with COD***

## In This Module . . .

- Module 5A
- Guidelines for a successful Therapeutic Relationship with a Client who has COD
**Module 5B **
- Techniques for Working with Clients with COD

## Key Techniques for Working With Clients Who Have COD

**Motivational enhancement consistent with the client’s stage of change.**
- Contingency management techniques to address specific target behaviors.
- Cognitive-behavioral therapeutic techniques.
- Relapse prevention techniques.
- Repetition and skills-building to address deficits in functioning.
- Facilitate client participation in mutual self-help groups.

## Motivational Interviewing (MI)

- Motivational Interviewing (MI) is a
*“**client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.”*
*	**	**	**	**	**	*

*Source: *Miller and Rollnick 2002, p. 25.

## Key Techniques for Working With Clients Who Have COD

- Motivational enhancement consistent with the client’s stage of change.
**Contingency management techniques to address specific target behaviors.**
- Cognitive-behavioral therapeutic techniques.
- Relapse prevention techniques.
- Repetition and skills-building to address deficits in functioning.
- Facilitate client participation in mutual self-help groups.

## Key Techniques for Working With Clients Who Have COD

- Motivational enhancement consistent with the client’s stage of change.
- Contingency management techniques to address specific target behaviors.
**Cognitive-behavioral therapeutic techniques.**
- Relapse prevention techniques.
- Repetition and skills-building to address deficits in functioning.
- Facilitate client participation in mutual self-help groups.

## Key Techniques for Working With Clients Who Have COD

- Motivational enhancement consistent with the client’s stage of change.
- Contingency management techniques to address specific target behaviors.
- Cognitive-behavioral therapeutic techniques.
**Relapse prevention techniques.**
- Repetition and skills-building to address deficits in functioning.
- Facilitate client participation in mutual self-help groups.

## Relapse Prevention

*	**“**. . . a central element of all clinical approaches to relapse prevention is *_*anticipating problems*_* that are likely to arise in maintaining change and *_*labeling them as high-risk*_* situations for resumed substance use, then *_*helping clients to develop effective strategies*_* to cope with those high-risk situations without having a lapse.” **	**	**	**	**	*
*TIP 42, p. 128*

## Key Techniques for Working With Clients Who Have COD

- Motivational enhancement consistent with the client’s stage of change.
- Contingency management techniques to address specific target behaviors.
- Cognitive-behavioral therapeutic techniques.
- Relapse prevention techniques.
**Repetition and skills-building to address deficits in functioning.**
- Facilitate client participation in mutual self-help groups.

## Key Techniques for Working With Clients Who Have COD

- Motivational enhancement consistent with the client’s stage of change.
- Contingency management techniques to address specific target behaviors.
- Cognitive-behavioral therapeutic techniques.
- Relapse prevention techniques.
- Repetition and skills-building to address deficits in functioning.
**Facilitate client participation in mutual self-help groups.**