4. Ein integriertes Modell für die Soziale Arbeit

(Ergebnisse eines Pilottestes)

Das Modell in der Zusammenschau

(The new model / combined model)

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Goal - Product

Motivational Interviewing

(Style)

Task- centered model

(Structure)

1) combined model

2) adapted to use in methadone maintenance

Dimension TCM MI

1 model building Empirical orientation builds on empirical research

2 Integrative stance abundance of adaptationsbuilt on work of others

3 form Planned brevity brief treatment

4 model emphasis Structure Style

5 central concept Task Motivation

6 perspective Systems and contexts Intrinsic

7 intervention focus client acknowledged problems

target behavior while respecting client autonomy

8 relationship Collaboration CollaborationRoll with resistance

9 strategies problem solving evocation

10 addressing motivation

develop rationale,explicit commitment

assess readiness,develop discrepancy

11 orientation action (task accomplishment) linguistic (change talk)

12 general goals enhance self-efficacy support self-efficacy

theory of change task accomplishment alleviates problem

resolve ambivalence (get ready for action)

13 therapist stance empathy empathy

Table 1. Concordance of Principles (p138)

Phase 1 Preparation

Phase 2taking action

Termination - recontracting

session

session #1 and up to #3

at session #6 - max #10

3-8 sessions

Assess Readiness

Enhance motivation

overall

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Problem specificationassess

readiness

task 1 reviewassess

readiness

task 2 reviewAssess Problem change

decision

Termination

Problem changed

sufficiently. Continue with

Problem 2

Problem needs more work:

Continue with problem 1 and

more tasks

monitormotivation

enhance motivation

strengthencommitment

monitormotivation

strengthencommitment

enhance motivation

Overall model flow chart

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Praxisforschung

Interventionstreue (fidelity) Wirkungen

content analysis

model guidelinesfidelity

checklist

data analysiscategories

-10123456789

10111213

11/14/2006 1/3/2007 2/22/2007 4/13/2007

Methadone dosage in mg

CM sessions accumulated

Task review ratings

UDS

Problem change ratings

Problem change line

Linear Trendline (Problemchange)

Ergebnisse ein Beispiel

Implementation: Watch the issues Fidelity enhancing features

Training Prepare practitioners for research Supervision Use of forms

Structure vs. flexibility Time-limited treatment vs. prolonged

treatment Consider non-voluntary treatment goals Assessment connects with measurement

Positive experiences from implementation of practice research Assists in agency policy development

(organizational development) :assessment, contracting, describing available services

Client motivation through research and more structure

Improving social work practice skills More effective through task focus and

observing client readiness

It’s only research: Just do it!(Bob Green, VCU)

Dare to do it, don’t restrict yourself with too much rigor.

Materialien

The task-centered model (TCM)

www.task-centered.com

Motivational interviewing (MI)

www.motivationalinterview.org

Manuale von der Heroinstudie

www.heroinstudie.de