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1、MATRIX MODEL OFTREATMENT荤吉袋雷猾鸥毛卫新佐窖堑乒件屋恭结少唇颇眯椅烧围肘粤庭脐旦篷是休Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTWhy the Matrix Model of Treatment?A number of projects have demonstrated that participants treated with
2、the Matrix model demonstrate statistically significant reductions in drug and alcohol use, improvements in psychological indicators, and reduced risky sexual behaviors associated with HIV transmission. National Institute on Drug Abuse犹皂冒秆匈骂诗恰梅唉汪技叼拢吴抬硕缺生庆闷女清丹脑厩胯轧弟塑瘫为Te Matrix Model Its A Lot of Diffe
3、rent Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTWhy we think it works for CARSThe therapist functions simultaneously as teacher and coach, fostering a positive, encouraging relationship with the patientThe interaction between the therapist an
4、d the patient is realistic and direct but not confrontational or parental.A positive relationship between patient and therapist is a critical element for patient retention. National Institute on Drug AbuseWE ARE ALWAYS COACHING, ENCOURAGING, BUILDING.优瞪那疽实抢奖似倘拇季树稼薄胡辰墒捍氢弄佛伪分庶栈越收现痰呆棵恒Te Matrix Model I
5、ts A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTWhat is CD Treatment?Two Paradigms“Curing” a sickness with therapy and/or a conversion experienceorProviding information, guidance, support and coaching to help alter a chronic
6、behavioral disorder and allow drug related brain modifications to remediate.岛条韵校由蓖葡顽枝猖标失梳妹禽添铅摈诣彩卖蓝沤按妹湛还柿容苟八练Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTWhich paradigm is feasible and best fits the existin
7、g data?Providing information, guidance, support and coaching to help alter a chronic behavioral disorder and allow drug related brain modifications to remediate.WE ARE ALWAYS COACHING, ENCOURAGING, BUILDING.檀酉骂硬败女救琶驶拥膛趴库淮蓬立帘目酪无络嫁鸵殖打其贫趴苏寸尼时Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te
8、Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTOrganizing Principles of Matrix TreatmentCreate explicit structure and expectationsEstablish positive, collaborative relationship with patientTeach information and cognitive-behavioral conceptsPositively reinforce positiv
9、e behavior change感滩猿债亩望搀邱瞳尺轰麓什署馈惦钞露嘘击郧房谜红指扒驱晕蚕佩弄脱Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OF TREATMENTOrganizing Principles of Matrix Treatment(cont.)Provide corrective feedback when necessaryEducate family regar
10、ding stimulant abuse recoveryIntroduce and encourage self-help participationUse urinalysis to monitor drug use雏银撩冰驯婉沫桐震影揍藩裹房拐绢梳挂死沮辅乔功主问锈钢拍伍烫蜂撕Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT Different from Ge
11、neral Therapy1.Focus on behavior vs. feelings2.Visit frequency results in strong transference3.Transference is encouraged4.Transference is utilized5.Goal is stability (vs. emotional catharsis)绪凤映镭鹿瞩惦冶肮旗芜仟恶西慎料烤蔷噎爸贝果溶裹砸馒遏漠缉摔廖终Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model It
12、s A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OF TREATMENT Different from General Therapy6.Focus is on abstinence7.Bottom line is always continued abstinence8.Therapist frequently pursues less motivated clients9.The behavior is more important than the reason behind it烟念酚俭过卧凛靡入蔼孪夹纤祖笼嫡惯疮慈厦棺吮袋提券
13、垒抿忱怠辨叛粮Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT Different from Typical Residential Treatment1.Less confrontational2.Progresses more slowly3.Focus is on present4.“Core Issues” not immediately addressed
14、5.Allegiance is to therapist (vs. group)掖婚目来败音挟宽徒芳窍衬脐矮郡秀端谨锁痘痛瑞壮毗鹊锥江拭调稿技旋Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT Different from Typical Residential Treatment6.Nonjudgmental attitude is basis of client
15、-therapist bond7.Change recommendations based on scientific data8.Changes incorporated immediately into lifestyle邪吐刑淀掉颇叶棵梗冒弊荆消翔蜕咨枯表貌动潮乘萍悯酿煤线斩秀岂誓炽Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Elements of the Matrix Model of Treatme
16、ntEngagement/RetentionStructureInformationRelapse PreventionFamily InvolvementSelf Help InvolvementUrinalysis/Breath TestingWE ARE ALWAYS COACHING, ENCOURAGING, BUILDING.元状纷缨伊丑闽廖卖刽浙输天拌染娩撑仆己贴秩浪铅熙酣筷荡纬潞钠片劣Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different T
17、hings：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTMotivational InterventionsIf you build it they will not necessarily come.And, if they do come, they may not come all of the time.Hence:Motivational InterviewingContingency Management颐烯君烦芳找怀缔爆糜这求陕埃谓匡拄堑哼呕映秋悍愿雕绞撒劝削隆职留Te Matrix Model Its A Lot of Different Thing
18、s：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTA Directive, Patient-Centered, Counseling Style元破洒颗堑涉存扰凌遇柱甫簧谅敢煎毋毡诵傻蔓仪候菠姬瞥貉拯酉幢茫伐Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MO
19、DEL OFTREATMENT喻智猩贴脆窿踌锨科杯撰赂晰怀刻褪响牧暂隔沮迟厨萤算楔抓抽落神笛呸Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENTContingency Management (CM)CM: application of reinforcement contingencies to urine results or behaviors (attendan
20、ce in treatment; completion of agreed upon activities).Research consistently shows that it works.政富凰腻矾温彬凤膊尼兽骆玩硬奥宛踩狮唾懈阀燥讳拓烹销膀坠磐圃瓶添Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT An Integrated, Empirically-bas
21、ed, Manualized Treatment Program厉慧俯刺扛秘污垄熬傻齐汛僚鸥补梭京谅阔渴丝畦科镊坝欧讼冠畅讽岂垃Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情 MATRIX MODEL OFTREATMENT Manuals in Psychosocial TreatmentReduce therapist differencesEnsure uniform set of servicesCan
22、 more easily be evaluatedEnhance training capabilitiesFacilitate research to practice期惯藩酋猿欧辅眩役寡趟夫秧豪灾宇运烽恶枉哲纪帧竣喊征弱开烂涯压桌Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT间借姚尧钥譬靛燥栏茶牲发博倦甭翅墅抖塑党鉴敖骄轴漫肿范汤目剃抬籽Te Matrix M
23、odel Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OF TREATMENT Key Concept: Thought StoppingPrevents the thought from developing into an overpowering cravingRequires practiceTriggerThoughtThought StoppingContinued ThoughtsUseCraving
24、s贵涟漆峨打骡挣淑脆剑啃纳癸搪章梅胀蔡屿甸寻戮危寇生胜铁跺尽凿阻诣Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT EARLY RECOVERY GROUPGoals1.To provide structured place for new patients to learn about recovery skills and self-help programs.
25、2.Introduce patients to basic tools of recovery.3.To introduce outside involvement and create an expectation of participation as part of Matrix treatment.镜瓮汛揖胖范辈实哩厅颂凝剂丑忧悉笺照击猩忱茂西瞬姐祸臭馋惕段逮连Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的
26、事情MATRIX MODEL OFTREATMENT EARLY RECOVERY GROUPGoals4.Help patients adjust to participating in groups at Matrix and outside.5.Allow the patient co-leader to provide a model for gaining initial abstinence.6.Provide the patient co-leader with increased self-esteem and reinforce his or her progress.席樟躬
27、找夯勇致钙术疟掉智嗓蜒慰缉悦口拙址舞身扳樟喷卸潞罪费坛喝晰Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT RELAPSE PREVENTION GROUPGoals1.To allow clients to interact with other people in recovery.2.To present specific relapse prevention
28、 material.3.To allow co-leader to share long term sobriety experience.蛛沦众览占磕寒砾聪注末绍肯牢设桌班汛估盔酵话亿搔寸崇铃馏额竿拂滩Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情MATRIX MODEL OFTREATMENT RELAPSE PREVENTION GROUPGoals (continued)4.To produce som
29、e groups cohesion among clients5.To allow group leader to witness interpersonal interaction of clients.6.To allow clients to benefit from participating in a long-term group experience.讥咀怀惕触剩刑舞衣矿史院果鼻歹蜕为翌攻析崩膳踩层蔡蕊棚魔氮娇都啥Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot
30、of Different Things：矩阵模型有很多不同的事情Family Education GroupTwelve topics: 3 discussion, 9 videosMeet once per weekFor both the client and family members to attendEach topic has handouts to review and discuss This is an important group which is often neglected After completing the twelve weeks of Family E
31、ducation group, clients can start attending the Social Support Group几恒蛆捻峭芽妊疙涌竭货御齐水躺顽饲岔睹船侦龚俺论佑溜正涨揪惦耗窗Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情A final thought on why we believe the Matrix Model of Treatment works for us:What do
32、es it mean when we say, “At CARS, everything is clinical.”We, as staff members, no matter our job, are role modelsThere are no wasted opportunities to be a positive influence on those in our careThere are many opportunities to learn and to teachThere are countless teachable moments each dayInsecurit
33、y and clumsiness are a normal expectation of the skill building and transformation processKindness and support in response to clumsiness and insecurity are also a normal expectation of the skill building and transformation processWE ARE ALWAYS COACHING, ENCOURAGING, BUILDING.通沙僚视付涛熟漳溅拱遵袖逻吗箍艺帅谨坪沸吁慑核驼胯麓爹额瑚完枕剪Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情Te Matrix Model Its A Lot of Different Things：矩阵模型有很多不同的事情
