Instructions for Creating the Personal Feedback Report continued

Your Problems Related to Marijuana For these items, use Marijuana Problem Scale (form AS5). You indicated that your marijuana use causes a number of problems for you, including On the Personal Feedback Report, check off the items indicated as a minor or serious problem. You identified ____ problems caused by your marijuana use. This places you in the ____th percentile relative to other adults seeking marijuana treatment. This means that you experience more problems than ____ percent of...

Marijuana Use Self Awareness Record

As a way to increase awareness about your patterns of use, we'll use this form to identify the kinds of situations, thoughts, feelings, and consequences that are associated with your marijuana use. It may be difficult initially, but once you get accustomed to paying more attention, you will become skilled at discovering the ways in which you typically use marijuana. Trigger (What types of events tend to make you want to use For example, an argument, disappointment, loss, or frustration spending...

Timeline Follow Back Marijuana Use Summary Sheet

(To be completed after the calendar data have been collected.) I would like to ask you a few more questions about your marijuana and alcohol use. 1. During the past month, from_to_, on average, how much marijuana per week do you think you used in ounces Probe by asking the participant how many ounces of marijuana he or she buys (or receives) per week. If the client seems uncertain about level of use, the counselor helps him or her approximate by using the following types of probes Would you say...

Review the PFR

The PFR review takes approximately 30 minutes. The counselor explains that by reviewing the PFR (form AS8), the client will understand reasons for and against changing and what and when problems might arise. The counselor leads the client through a systematic review of the PFR, giving the client an opportunity to explore each point. The counselor avoids simply verifying the information obtained during the assessment session. The counselor periodically seeks the client's thoughts and feelings...

Urge Surfing

Many people try to cope with their urges by gritting their teeth and toughing it out. Some urges, especially when you first return to your old using environment, are too strong to ignore. When this happens, it can be useful to stay with your urge to use until it passes. This technique is called urge surfing. Urges are like ocean waves. They are small when they start, grow in size, and then break up and dissipate. You can imagine yourself as a surfer who will ride the wave, staying on top of it...

Coping With a Slip

A slip is marijuana use that occurs after a period of abstinence. A slip doesn't mean a person will return to regular marijuana use. That would be a relapse. Slips occur when motivation is lagging or when a high-risk situation occurs unexpectedly. Slips do not mean that all the success and progress to date have been lost. How your partner or friend responds to a slip can mean the difference between returning to abstinence or going into a relapse. Here are some...

Provide Information on the Effects of Seemingly Irrelevant Decisions

The counselor helps the client understand that apparently irrelevant decisions can have major repercussions (see Marlatt and Gordon 1985) Counselor (C) Many ordinary choices seem to have nothing to do with using. Although they may not involve choosing directly whether to use, they move you closer to making that choice. Through a series of minor decisions, you come to a point where using becomes likely. These seemingly unimportant decisions that put you on a path to resuming marijuana use are...

Identifying the Individuals Stage of Change

The stages-of-change model (Prochaska and DiClemente 1982) describes a sequence of stages through which individuals progress as they think about and change their behaviors. It gives the counselor insight into the client's thinking so that the counselor can select strategies specific to the client's stage. This model was adapted for the Marijuana Treatment Project and assumes Progress in overcoming marijuana dependence (e.g., getting ready for the first day of abstinence, getting through the...

Managing Thoughts About Marijuana5

Here are several ways of managing thoughts about marijuana Challenge your thought Do you really need to use Think of the benefits of not using (see Creating Your List below). Remember the unpleasant drug experiences and aftereffects (read list on card see below ). Find distractions Think of something unrelated to marijuana use. Think positively Remind yourself of your successes so far. Leave or change the situation. Call your supporter or a friend and try to talk it out. Use images of riding...

Structured Clinical Interview for DSMIV continued

(Non-Alcohol Substance Use Disorders Module Modified for Marijuana Use, Past Month) Now I am going to ask you a few more questions about your marijuana use for the past month, Current marijuana abuse is characterized by a maladaptive pattern of marijuana use leading to clinically significant impairment or distress, as manifested by one or more of the following occurring during the assessment period. 8. In the past month, have you missed work or school because you were high or hung over Have you...

Reasons for Quitting Questionnaire

People who want to stop smoking marijuana may have several reasons for quitting. I am interested in finding out your reasons for wanting to quit. There are no right or wrong reasons. Any reason is a good one. Below is a list of reasons that a person may have. Please read each statement and circle the number that best describes how much this reason applies to you at this time. I want to quit smoking marijuana at this time 1. To show myself that I can quit if I want to 2. Because I will like...

Brief Counseling for Marijuana Dependence

DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857 Numerous people contributed to this document, which is part of the Marijuana Treatment Project (MTP) Cooperative Agreement. The document was written by Karen L. Steinberg, Ph.D., Roger A. Roffman, D.S.W., Kathleen M. Carroll, Ph.D., Bonnie McRee, M.PH., Thomas F Babor, Ph.D., M.PH., Michael Miller, Ph.D., Ronald...

Exhibit IV2 Dsmiv Substance Abuse Criteria

Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home 2. Recurrent substance use in situations in which it is physically hazardous 3. Recurrent substance-related legal problems 4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused by the effects of the substance Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Copyright 1994. American Psychiatric...

Target Population

BMDC is for people seeking treatment to stop their marijuana use. People with a pattern of long-term marijuana use may have chronic symptoms of physiological and psychological dependence as well as impairments in other life areas, such as family relationships, intrapersonal and interpersonal capabilities, work, and educational achievement. BMDC has been effective with clients who participate voluntarily, but whether it would be effective with individuals who are mandated to treatment is not...

Use the Problem Checklist To Identify and Prioritize Psychosocial Problems Other Than Substance

Problems unrelated to marijuana use that may be a hindrance to the client's abstinence efforts include Lack of housing or financial support Chronic or acute medical conditions Family or parental pressures Need for transportation and child care. By reviewing the client's intake or initial session assessments, including the measures of motivation and marijuana-related problems identified on the Personal Feedback Report PFR form AS8 , the counselor develops a sense of the type and severity of the...