A private space to be completely honest

Our approach

The CBIT approach

The counselling approach used within Pathways For All People leans towards the Cognitive-Behavioural Integrated Treatment approach — known as CBIT. This includes:

• Cognitive approaches
• Motivational approaches
• Relapse prevention

Within a counselling session, a counsellor looks at the resident as a unique individual, using patterns or episodes to identify what influences or creates the need to use substances. CBIT works on the principle of identifying problematic use, then using realistic goals within a structure to show they can be achieved.

There is never a threat that failing to achieve a goal leads to withdrawal of treatment. Instead, an opportunity is offered to look at situations through various flexible viewpoints — 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 for those living with dual diagnosis. Resistance is met by reflecting on the resident's ambivalence and taking a long-term, optimistic perspective — directly addressing the reasons for resistance and re-evaluating 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 the obstacles that stand between a person and their potential. The philosophy behind CBIT is that standard cognitive therapy techniques can be used to modify positive beliefs about the impact of substance misuse.