Social Skills Training for Schizophrenia A

Incorporating the most up-to-date concepts and clinical tools, the newly revised and expanded second edition of this popular manual is even more user-friendly than its predecessor. Presented are an empirically tested format and ready-made curricula for skills training groups in a range of settings. Part I takes therapists and counselors step by step through assessing clients' existing skills, teaching new skills, and managing common treatment challenges. Part II comprises over 60 ready-to-photocopy skill sheets (15 more than the previous edition), each one a complete lesson plan in itself. Other features of the second edition include an important new chapter on working with dually diagnosed clients; an overview of the empirical support for the approach; and additional assessment forms. Of special value for practitioners, the new 8.5" x 11" format makes it easier than ever to reproduce and use the practical materials in the book.

Full author listing:
Alan S. Bellack, PhD, ABPP, Mental Illness Research Education Clinical Center (MIRECC), VA Maryland Health Care System, and Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD; Kim T. Mueser, PhD, Departments of Psychiatry and Community and Family Medicine, Dartmouth Medical School, Hanover, NH; Susan Gingerich, MSW, independent consultant and trainer, Narberth, PA; and Julie Agresta, MSS, MEd, LSW, PhD candidate, private practice, Philadelphia, and Temple University, Philadelphia, PA

About the Authors
Alan S. Bellack, PhD, ABPP, is Professor of Psychiatry and Director of the Division of Psychology at the University of Maryland School of Medicine and Director of the VA Capitol Health Care Network Mental Illness Research, Education, and Clinical Center (MIRECC).

Kim T. Mueser, PhD, is a licensed clinical psychologist and a Professor in the Departments of Psychiatry and Community and Family Medicine at the Dartmouth Medical School in Hanover, New Hampshire.

Susan Gingerich, MSW, is a full-time trainer and consultant based in Narberth, Pennsylvania.

Julie Agresta, MSS, MEd, is a licensed social worker in private practice in Cheltenham, Pennsylvania.

Part I Principles, Format, and Techniques for Social Skills Training of Clients with Schizophrenia

Schizophrenia and Social Skills

3

(15)

The Behavioral Model of Social Skills

4

(13)

Summary

17

(1)

Social Skills Training as an Evidence-Based Practice

18

(12)

Evidence-Based Practices

18

(1)

Research on the Effectiveness of Social Skills Training

19

(4)

Recent Research on Social Skills Training

23

(4)

Future Directions for Social Skills Training

27

(2)

Summary and Conclusions

29

(1)

Assessment of Social Skills

30

(16)

General Issues

31

(2)

Assessing Social Skills and Social Functioning

33

(7)

Identifying and Measuring Progress toward Social Skills Goals

40

(3)

Assessing Progress in Social Skills Training Groups

43

(1)

Monitoring Homework

44

(1)

Evaluating Effectiveness at Using Specific Social Skills

44

(1)

Summary

45

(1)

Teaching Social Skills

46

(32)

Social Learning Theory

46

(2)

Steps of Social Skills Training

48

(21)

Pacing of Social Skills Training

69

(1)

Systematically Following the Model of Social Skills Training

69

(1)

Additional Teaching Strategies

70

(5)

Different Training Modalities

75

(1)

Summary

76

(2)

Starting a Skills Group

78

(11)

Practical Considerations When Planning a Group

78

(1)

Group Composition

79

(2)

Logistics

81

(1)

Incentives for Participation

81

(1)

Selecting Group Leaders

82

(1)

Co-Leading Groups

83

(1)

Leader Training

83

(1)

Selecting Clients for Group

84

(1)

Preparing Clients for Participation in Group

84

(2)

Working with Other Mental Health Professionals to Generalize Skills

86

(2)

Summary

88

(1)

Using Curricula for Social Skills Training Groups

89

(12)

Using an Existing Curriculum

89

(1)

Guidelines for Using Skill Sheets

90

(2)

Developing Curriculum Menus and Lesson Plans

92

(2)

Adding Skills to Existing Lesson Plans

94

(2)

Problem-Solving Training

96

(1)

Developing a New Curriculum

97

(1)

Special Considerations

98

(2)

Summary

100

(1)

Tailoring Skills for Individual Needs

101

(13)

The Role of Assessment in Setting Individual Client Goals

101

(2)

Using Client Goals to Design Social Skills Training Groups

103

(4)

Managing the Range of Skill Levels

107

(2)

Keeping All Members Involved in the Group Process

109

(1)

Ongoing Assessment of Progress Made in Group

110

(2)

Summary

112

(2)

Troubleshooting: Common Problems and Challenging Clients

114

(31)

General Issues

114

(1)

Common Problems in Conducting Social Skills Training Groups

115

(5)

Problems Related to Clients Who Experience Severe Symptoms

120

(7)

Problems Related to Clients Who Have Less Social Impairment

127

(4)

Problems Related to Older Clients

131

(3)

Problems Related to Clients Who Have Mild Mental Retardation

134

(4)

Problems Related to Clients Who Have Criminal Justice Involvement

138

(3)

Problems Related to Young Clients

141

(3)

Summary

144

(1)

Working with Clients Who Abuse Drugs and Alcohol

145

(25)

Reasons for Substance Abuse in Schizophrenia

145

(1)

Factors Complicating Behavior Change

146

(1)

Treatment of Substance Abuse in Schizophrenia

147

(1)

Behavioral Treatment for Substance Abuse in Schizophrenia

148

(16)

Strategies for Special Problems

164

(5)

Summary

169

(1)

Reducing Relapse by Creating a Supportive Environment

170

(16)

Recognizing a Stressful Environment

170

(2)

The Importance of Family Members and Staff Members in Creating a Supportive Environment

172

(1)

Characteristics of Supportive Staff Members and Family Members

172

(4)

Characteristics of a Supportive Living Situation

176

(1)

Improving Stress Management in the Client's Environment

177

(3)

Developing a Social Learning Milieu in a Residential or Inpatient Program

180

(3)

Special Considerations for Family Members

183

(1)

Summary

184

(2)

Parting Tips for Social Skills Training

186

(89)

Part II Steps for Teaching Specific Social Skills: Curricular Skill Sheets

Four Basic Social Skills

195

(6)

Conversation Skills

201

(12)

Assertiveness Skills

213

(10)

Conflict Management Skills

223

(8)

Communal Living Skills

231

(8)

Friendship and Dating Skills

239

(12)

Health Maintenance Skills

251

(10)

Vocational/Work Skills

261

(8)

Coping Skills for Drug and Alcohol Use

269

(6)

Appendix A. Materials Useful to Group Leaders

275

(18)

Appendix B. Materials Related to Assessment

293

(30)

References

323

(6)

Index

329

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Social Skills Training for Schizophrenia A Step-by-Step Guide

Summary

Author Biography

Table of Contents

Supplemental Materials