Total Time: 1 hour
Delivery Method: MET-focused individual therapy with case conference elements
Materials (all forms except the PFR are at the end of this section):
• Copy of client’s PFR (form AS8)
• Learning New Coping Strategies (form 1A)
• Blank copy of the Quit Agreement (form 1C)
• Supporter Strategies (form 2A)
• Two blank copies of Supporter Agreement (form 2B)
Goals for This Session:
• To specify how a supporter can help the client achieve and maintain change
• To help the client develop a change plan with coping strategies for high-risk situations
Session Outline:
1. Assess client’s progress and readiness to proceed
• Ask client how he or she feels about continuing therapy
• Address client comments and questions about session 1 handouts
• Review the client’s Quit Agreement
2. Welcome supporter
• Stress importance of supporter’s participation
• Provide basic information about intervention
• Answer questions
3. Examine client’s recent experiences
• Did client make an effort to stop? Cut down?
• Did he or she experience any high-risk or tempting situations?
• Did the client use any strategies from Learning New Coping Strategies?
• Were the strategies successful?
4. Examine client’s experience with supportive and nonsupportive relationships
5. Discuss ambivalence
6. Establish a change plan
• Suggest interim goals if client is not ready for abstinence
• Encourage client to set general and specific goals
7. Involve supporter and review Supporter Strategies and Supporter Agreement
• Elicit supporter’s concerns and hopes for the client
• Give supporter Supporter Strategies (form 2A)
• Complete Supporter Agreement (form 2B)
• Review Supporter Agreement
• Help client and supporter decide which items they can agree to
• Review Supporter Agreement with client, even if no supporter attends, and role play asking for support
8. Assign between-session exercises
9. Review and conclude session