The counselling approach used within the framework of Pathways For All People leans towards the Cognitive-Behavioural Integrated Treatment Approach. Known as the CBIT approach.
- Cognitive approaches
- Motivational approaches
- Relapse prevention.
Within a counselling session, a counsellor looks at the resident as a unique individual and uses patterns or episodes to identify what influences or creates a need to use substances.
The CBIT approach works on the principle of identifying the problematic use of the resident and then uses realistic goals within a structure to show they can be achieved.
Throughout the CBIT framework there is no threat that by not achieving their goals leads to withdrawal of treatment. Instead an opportunity is offered to look at situations through various flexible view points, which may be expressed through art, writing ‘no send’ letters and collage.
The treatment style is non-confrontational with the hope of leading to positive change.
The CBIT approach can be used in several ways to increase social support for change in all aspects of life including those suffering with dual diagnosis.
Resistance is dealt with by reflecting on the resident’s ambivalence by taking on a long-term optimistic perspective. This directly addresses the reasons for resistance, recognising the need to re-evaluate the beliefs that prevent residents from wanting to change.
This allows us to Identify and set achievable, harm reduction goals, using small steps to overcome obstacles that may prevent goal attainment.
The philosophy behind the CBIT approach is that standard cognitive therapy techniques can be used to modify positive beliefs about the impact of substance misuse.