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Home > Publications > A Cognitive-Behavioral Approach: Treating Cocaine Addiction

A Cognitive-Behavioral Approach: Treating Cocaine Addiction



Exhibit 13: CBT Therapist Checklist

Study Subject Date
     

Site Therapist Week Session
       

Please complete the following based on this session:

  1. What session topic(s) was covered this week?

    Introduction to treatment and CBT
    Coping with craving
    Shoring up motivation and commitment to stop
    Refusal skills/assertiveness
    Seemingly irrelevant decisions
    All-purpose coping skills
    problem solving skills
    Case management
    HIV risk reduction
    Spouse/significant other session
    Termination

  2. Did a significant other attend the session?

    Yes [Circle: spouse/partner, parent, sibling, friend, other]
    No

    Key Items: Circle number that applies

  3. To what extent did you discuss any high-risk situations the patient encountered since the last session and explore and coping skills used?

    1
    2
    3
    4
    5
    6
    7
    no
    discussion
    a little
    discussion
    some
    discussion
    considerable
    discussion
    extensive
    discussion

  4. To what extent did you attempt to teach, model, rehearse, review, or discuss specific skills (e.g. drug refusal, coping with craving, problem solving skills)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

    4A. Approximately how many minutes of this session were devoted to discussion of the scheduled manual topic? _____ minutes

  5. To what extent did you encourage the patient to anticipate any high-risk situations that might be encountered before the next session and formulate appropriate coping strategies for such situations?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  6. To what extent did you assess the patient's use of cocaine or other substances since the last session?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  7. Asessment of general functioning: To what extent did you assess the patient's general level of functioning in major life spheres (e.g. work, intimate relationships, family life, social life)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  8. Task assignment: Did you develop one or more specific assignments for the patient to engage in between sessions?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  9. To what extent did you review the patient's reactions to the last session's assignment, explore or address any difficulties encountered in carrying out the assignment, or provide a rationale for homework, or reinforce the importance of extra-session practice of skills?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  10. Did the patient do the last session's homework?

    No, no attempt made
    Some attempt made
    Practice exercise completed adequately
    N/A, not assigned
  11. Structure of session: To what extent did you follow the 20/20/20 rule?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  12. To what extent did you discuss or address the patient's current commitment to abstinence?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  13. To what extent did you discuss, review, or reformulate the patient's goals for treatment?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  14. To what extent did you encourage the patient to make a commitment to change cocaine use?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  15. Eliciting patient concerns about cocaine use: To what extent did you encourage the patient to explore the positive and negative consequences of cocaine use?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  16. Ambivalence: To what extent did you attempt to focus on the patient's ambivalence about changing the level of cocaine use?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  17. To what extent did you ask the patient to monitor, report, or evaluate specific cognitions associated with cocaine use or related problems?

    1
    2
    3
    4
    5
    6
    7
    no
    discussion
    a little
    discussion
    some
    discussion
    considerable
    discussion
    extensive
    discussion

  18. To what extent did you apply problem solving strategy to a problem/issue raised during the session (this can include psychosocial problems other than cocaine use, as in the case management module)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  19. Did you role-play during this session?

    No
    Yes
  20. To what extent did you attempt to identify, assess, or prioritize psychosocial problems other than cocaine and other substance abuse?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  21. To what extent did you attempt to develop a support plan with the patient?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  22. Consistency of problem focus: To what extent did you attempt to keep the session focused on prescribed activities (e.g., by redirecting dialog when it strayed off tasks, by organizing the session so defined tasks were covered)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  23. Agenda setting: To what extent did you articulate and maintain an explicit agenda for the session?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  24. Continuity/reference to past sessions: To what extent did you refer to material discussed or experiences of past sessions as a means of building continuity across sessions (e.g., by stressing rehearsal and repetition as a means of mastering problems, buiding on past lessons)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  25. Reflective listening: To what extent did you communicate understanding of the patient's comments and concerns?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  26. Empathy: To what degree did you respond empathically to the patient (e.g., through a non-judgmental stance, showing genuine warmth and concern, helping the patient feel accepted in the relationship)?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  27. Family support: To what extent did you inquire about or discuss the availability and nature of family or social support for the patient's involvement in treatment or efforts to become abstinent?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

  28. Termination: To what extent did you discuss the termination of the therapy (e.g., encourage the patient to discuss feelings or thoughts about termination, discuss plans for further treatment?

    1
    2
    3
    4
    5
    6
    7
    not at all a little somewhat considerably extensively

Copyright Carroll 1997.

 

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