Group Treatment for Substance Abuse: Addressing Motivation ...
Group Treatment for Substance Abuse: Addressing Motivation
and Processes of Change
Carlo C. DiClemente, Ph.D. ABPP University of Maryland Baltimore County
umbc.edu/psyc/habits
Disclosures
? Dr. DiClemente has royalty arrangements with the Prevention Research Institute's Solutions Program
? He is a co-author on the Group Therapy Manual with royalty arrangements from Guilford Press
? He is on an advisory board member for Westbridge Dual Diagnosis Program
Group Therapy? What are they doing?
The Treatment Dilemma
? Most treatments have been developed focusing on the individual and techniques to help this individual to change
? Most providers deliver the bulk of treatment in a group format
? Group Therapy is not a treatment; usually just denotes number of people in the room not what specific type of treatment is being done
Differences and Similarities
Individual treatment
? Individual ? Tailored focus ? Lots of talk time ? Difficult to come and not
participate ? Easier to explore historical
issues ? Lack of peer modeling ? Single support person
Group Treatment
? Multiple individuals ? Communality focus ? Limited talk time ? Can avoid active
participation ? Group leader has multiple
histories in room ? More modeling possible ? More support potential
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