5/19/15

Evidenced-Based Solution-Focused Brief

Therapy: Its Effective Use with the Most
Challenging Clients

Misti Storie, MS, NCC, APC

Director of Training & Professional Development

Presented by Teri Pichot, LCSW, MAC, LAC

NAADAC, the Association for Addiction Professionals

www.naadac.org
misti@naadac.org

May 21, 2015

www.naadac.org/webinars

Produced By
NAADAC, the Association for Addiction Professionals
www.naadac.org/webinars

www.naadac.org/solutionfocusedbrieftherapy

Cost to Watch:
Free
CE Hours
Available:
1.5 CEs
CE Certificate for
NAADAC
Members:
Free
CE Certificate for
Non-members:
$20

CE Certificate
To obtain a CE Certificate for the time you spent
watching this webinar:
1. Watch this entire webinar.
2. Pass the online CE quiz, which is posted at
www.naadac.org/solutionfocusedbrieftherapy
3. If applicable, submit payment for CE certificate
or join NAADAC.
4. A CE certificate will be emailed to you within 21
days of submitting the quiz.

5/19/15

Webinar Learning Objectives

Using GoToWebinar (Live Participants Only)

Control Panel

Understand what the

research tells us about
what causes change for
clients

Identify three skills that

they can immediately
begin using with clients

Asking Questions
Understand the
difference between
problem-solving and
solution-building

Audio (phone preferred)

Polling Questions

Webinar Presenter
Teri Pichot, LCSW, MAC, LAC
www.denversolutions.com
tpichot@denversolutions.com

Audience Polling Question #1

The word Brief in Solution-Focused Brief Therapy is defined as:

What Causes Change??

Latest on What Causes Change

Extratherapeutic Factors 40%

87% Client/extra-therapeutic factors

13% Effect of the service delivered

Therapy Relationship Factors 30%

Therapeutic Technique 15%
Expectancy, Hope, Placebo 15%

Miller, S. D., Duncan, B. L., & Hubble, M. A. (1997). Escape from babel.
New York, NY: Norton.

From 13% effect of the service (appearing as partially overlapping

factors):
1% (8% from 13%) is for the specific model/technique used.
4% (30%- +) for the Model/Technique delivered (meaning with the
power of allegiance and placebo added to the specific model).
5-7% (38-54%) for the Therapeutic Alliance
5-9% (46-69%) for Therapist Effect
Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (2010). The heart & soul of
change: Delivering what works in therapy, 2nd edition. Washington, DC: APA.

5/19/15

Audience Polling Question #2

Audience Polling Question #3

Solution-Focused Brief Therapy was created by:

The primary motivation for creating Solution-Focused Brief Therapy

was:

Problem Solving

Problem Solving

Evaluate the problem

Diagnose the problem
Utilize known information about the diagnosed
problem
Evaluate client resources/strengths
Determine the best course of treatment

Problem

Implement the treatment

www.denversolutions.com

Solution Building

Solution Building

Determine the desired goal

Assist the client in creating a detailed description of the goal
Assist the client in evaluating where he/she is in relation to the
desired goal
Assist the client in evaluating times in which he/she was
successful in moving toward the desired goal
Work backward to discover keys to success

Problem
www.denversolutions.com

5/19/15

Definition of a Client in SFBT

LEGAL SYSTEM/

COMMUNITY

SOCIAL SERVICES

IDENTIFIED
CLIENT

Audience Polling Question #4

FAMILY

Solution-Focused Brief Therapy is basically the same as Motivational

Interviewing.

REGULATION

www.denversolutions.com

What We Do with Client Words

What People Bring to the Conversation

Keep

Problems

Delete

Outcome

Change

Process

Give vs. Discover

Curiosity

Time for both

Cant be curious and know at the same time
SF approach holds back suggestions
More likely to do things client identified as helpful
Less pressure on professional to fix it
Resolves yes buts

5/19/15

Helpful Questions

When to Use

How will you know I gave you the right resource?

Any time you are tempted to give concrete

resources that arent urgent

What will you have done to better the odds of this

resource working for you?
What will be different afterward that will let you
know this was a good choice for you?

Any time a client wants you to fix it and it isnt

urgent

What will you have done to keep this resource

working for you?

Any time you are frustrated by the client not

following through with previous referrals/
suggestions

Working from the Solution-Side

When to Use

Identifying a quality, skill, or trait the client will have

Any time you are stuck

Working in past-tense

Any time you need direction

Asking how life is different, how they did it, etc.

Empowers

Any time you need to increase client hope

Helps to determine whats needed (support, meds,

therapy)

Verbal Paths

When to Use

Do we explore the problem? (i.e., the cause, the

outcome of bad decisions, the whys of bad
choices)

Its a way of working with clients

Specifically helpful when you are becoming

overwhelmed and feeling hopeless about the clients
problems

Do we explore what is important to the client or what

is helping the client get closer to what he/she
wants? (i.e., successes, good decisions, the whys
of good choices)

Any time other professionals are becoming negative

about the client

Any time the client is becoming discouraged during a

conversation

5/19/15

Fast Forwarding

When to Use

Designed around a specific event

Any time a specific event is resulting in stress or a

mental health symptom (or exacerbating it)

Working in past-tense
Imagine that it is just past the event
Keep the outcome vague
Imagine that you feel proud of how you handled it despite the
outcome

Any time client is having a difficult time seeing past

the event
Any time you need to increase client hope that
they can get through an event

What did you do, what did you say, how did you do it, etc.

Scales
Make concepts measurable
Provide assessment information
Provide the tool to measure change
Neutral tool to explore exceptions and highlight change

When to Use
Any time clients are thinking black/white
Any time clients arent giving themselves credit
Any time hope is needed

Use 0-10 or 1-10 scales

Any time perspective is needed

The 10 equals the desired goal

Any time you need to understand a concept better

The 1 must be defined

Relationship Questions

When to Use

Assist the client in exploring how the changes

impact all elements of his/her system

Any time you need to increase meaning

Assist the client in keeping the plan realistic and

inclusive of all factors
Increase the clients ability to step into someone
elses shoes
(Increases empathy)

Any time you need the client to become more

empathic about how her decision might impact
others
Any time you want to increase critical thinking
Any time you want to increase motivation for
change

5/19/15

THANK YOU

References

Teri PIchot, LCSW, MAC, LAC

www.denversolutions.com
tpichot@denversolutions.com

Pichot, T. (2012). Animal-assisted brief Therapy: A solutionfocused approach (2nd ed). New York, NY: Routledge.
Pichot, T., with Smock, S. A. (2009). Solution-focused
substance abuse treatment. New York, NY: Routledge.
Pichot, T., & Dolan, Y. (2003). Solution-focused brief therapy:
Its effective use in agency settings. Binghamton, NY: Haworth.

www.naadac.org/solutionfocusedbrieftherapy

Cost to Watch:
Free
CE Hours
Available:
1.5 CEs
CE Certificate for
NAADAC
Members:
Free
CE Certificate for
Non-members:
$20

Upcoming Webinars

CE Certificate
To obtain a CE Certificate for the time you spent
watching this webinar:
1. Watch this entire webinar.
2. Pass the online CE quiz, which is posted at
www.naadac.org/solutionfocusedbrieftherapy
3. If applicable, submit payment for CE certificate
or join NAADAC.
4. A CE certificate will be emailed to you within 21
days of submitting the quiz.

www.naadac.org/webinars

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5/19/15

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