ENHANCING RECOVERY: A Multi-Dimensional Sobriety Education Program

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Combined Behavioral Intervention Manual

A Clinical Research Guide for Therapists Treating People with Alcohol Abuse and Dependence

COMBINE Monograph Series Volume 1

Published by the U.S. Department of Health and Human Services National Institutes of Health

August 2004



"Combined Behavioral Intervention (CBI) was designed to be a state-of-the-art individual outpatient psychotherapy for alcohol dependence. It merges a variety of well-supported treatment methods into an integrated approach. A manual-guided therapy, CBI builds upon features in the manualized therapies of Project MATCH (Kadden et al. 1995; Miller et al. 1992; Nowinski et al. 1995; Project MATCH Research Group 1993) and provides skills training and support-system involvement modeled on a community reinforcement approach to treatment (Azrin et al. 1982; Meyers and Smith 1995)."


"Phase 1 emphasizes building motivation for change."

"Phase 2 includes a functional analysis of the client's drinking."

"Phase 3 draws upon a menu of nine cognitive-behavioral skill-training modules chosen on the basis of the client's needs identified during Phase 2 (cf. Kadden et al. 1995). The modules include (1) assertiveness skills, (2) communication skills, (3) coping with cravings and urges, (4) drink refusal and social pressure, (5) job finding, (6) mood management, (7) mutual-help group facilitation, (8) social and recreational counseling, and (9) social support for sobriety."

Information from this manual has been adapted for use in a small group format.



CLEO

The Comprehensive Labor and Employment Opportunities Program

Instructor's Manual Phase 1

Participant's Manual Phase 1

Instructor's Manual Phase 2

Participant's Manual Phase 2

Jodi L. Saunders and Lynn Brown

Copyright 1998 Jodi L. Saunders and Lynn Brown


Communication Skills (Part I)

Decision-Making

Values

Self-Determination

Employment vs. Livelihood: Determining Goals

What Employers Want

Identity/Recognition

Purpose/Service

Integrity

Communication Skills (Part 2)

Problem Solving Skills

Conflict Resolution

Social Skills

Job Seeking Skills

Interview Skills

Information from this program has been adapted for use by those dealing with alcohol dependency.




LET'S TALK WEIGHT LOSS!



A Comprehensive Weight Management Program

Text and Workbook

Lynn Brown, Ed.D.

First Edition Copyright 1996 Dr. Lynn Brown

Second Edition Copyright 2010 Dr. Lynn Brown

Short-Term and Long-Term Thinking

Perfectionism

Motivation

The Stress In Your Life and What to do About It

How Does Your Family Fit into the Picture?

Overcoming the Barriers and Enjoying the
Benefits of Exercise

Lapses and Relapses

Achieving Psychological Wellness

Discovering Your Past and Changing Your Future

Determining What You Believe About Your Thin Future

Shedding Your Secrets

Forgiving Others, Forgiving Yourself

Self-Awareness

Self-Growth

Four Areas of Modification

Self-Defeating Weight Management Behaviors

Becoming a Positive Person

Becoming an Assertive Person

Information from this program has been adapted for use by those dealing with alcohol dependency.




An overview of the results of the research done that was based on the CLEO Program

"Improving the Employment Self-Concept of Persons with Disabilities: A Field-Based Experiment" by Jodi L. Saunders

Published in 1998.

18-hour program.

Pre and post tests using the Tennessee Self-Concept Scale (Second Edition). Statistically significant positive difference (p .001) in the area of Total self-concept.

Self-concept - more inclusive that self-esteem and contains cognitive and behavioral components as well as affective ones.


Self-esteem is the overall affective evaluation of one's own value, worth, or importance.

Communication Skills - 100% of the participants indicated they felt that learning about communication skills was useful. 97% indicated their communication skills had improved. 100% felt at least somewhat confident about their communication skills. And, 100% indicated that their level of confidence was at least somewhat of an improvement from when they started the program. 33.3% felt they level was very much improved from when they started the program.

Problem Solving Skills - 100% indicated that the topic area was useful or better and that their skills in this area had improved. 100% stated they felt at least somewhat confident in their problem solving skills and that this level of confidence was an improvement from when they started the program.

Social Skills - 100% felt that the topic of social skills was useful to learn about and 96.3% felt that their skills had improved at least somewhat. 100% felt at least somewhat confident regarding these skills and believed that this level of confidence was an improvement from when they started the program.

Job Seeking Skills - 100% indicated that learning about job seeking skills was useful and that their skills in this area had improved, and that they were at least somewhat confident about their skills in this area. 100% felt their level of confidence regarding their job seeking skills was an improvement from when they started the program.

Interview Skills - 100% indicated that learning about interview skills was useful. 96.7% felt it was at least somewhat helpful or better. 100% felt their interview skills had improved and they were at least somewhat confident in their interviewing skills. 100% believed their level of confidence in the interview skills was an improvement from when they started the program.

100% of the respondents felt the instructor was knowledgeable about every topic area.

The findings suggest that individuals with lower levels of education may be able to benefit more from the program than those with higher amounts of education in the area of family self-concept and personal self-concept.

The findings suggest that older individuals benefit more from participating in the program than younger individuals in the area of social self-concept. The social self-concept score is a measure of how the individual perceived their social skills (or lack of social skills), and how they self is perceived in relation to others.