Mindfulness-Based Substance Abuse Treatment for Adolescents: A 12-Session Curriculum PDF
Preview Mindfulness-Based Substance Abuse Treatment for Adolescents: A 12-Session Curriculum
MINDFULNESS-BASED SUBSTANCE ABUSE TREATMENT FOR ADOLESCENTS Mindfulness-Based Substance Abuse Treatment for Adolescents is a group-based curriculum incorporating mindfulness, self-awareness, and substance-abuse treatment strategies for use with adolescents deal- ing with substance use. The evidence-based, how-to format provides a curriculum for professionals to implement either partially, by picking and choosing sections that seem relevant, or in full over a number of weeks. Each session comes equipped with clear session agendas, example scripts and talking points, what-if scenarios that address common forms of resistance, and optional handouts for each ses- sion. Sections cover the major principles of working with adolescents—relationship building, working with resistance, and more—along with a full curriculum. The book is a natural fit for psychotherapists, but addiction counselors, school counselors, researchers, mentors, and even teachers will find that Mindfulness-Based Substance Abuse Treatment for Adolescents changes the way they work with young people. Sam Himelstein, PhD, is a licensed psychologist in the state of California and a Behavioral Health Cli- nician at the Alameda County Juvenile Justice Center. He is also the author of A Mindfulness-Based Approach to Working with High-Risk Adolescents. Stephen Saul, MS, is a mental health clinician who works with addiction and marginalized populations via individual, group, and family therapy. He focuses primarily on serving incarcerated and underprivi- leged adolescents and young adults in San Mateo County, California. “Himelstein and Saul offer a rich and highly practical guide while providing much more than a how-to book. Clearly based in research, personal mindfulness practice, and years of clinical experience, here is a raw, honest, fearless program that promises to engage adolescents from all backgrounds. Deeply rooted in both mindfulness practice and science, the program skillfully integrates meditation, skits, role-plays, psycho-education, metaphors, acronyms, stories, poems, and even formal debates, while offering clini- cians a reliable structure and guidance balanced with trust in one’s own clinical expertise and personal mindfulness practice. This is the resource so many of us have been seeking, and this is a program that will undoubtedly change the course of countless young lives. A deep bow to my colleagues.” —Sarah Bowen, PhD, assistant professor of psychology at Pacific University in Portland, Oregon, and author of Mindfulness-Based Relapse Prevention: A Clinician’s Guide “Imagine taking the extensive experience of someone who has helped a range of high-risk youth, com- bining this with the ancient practice of mindfulness training, and then weaving these together beauti- fully with steps proven by science to help enhance emotional well-being and reduce self-destructive behaviors. This is the magnificent mixture you have in your hands in Himelstein and Saul’s important guide, which offers step-by-step group lessons to support the healthy development of a resilient and insightful mind.” —Daniel J. Siegel, MD, author of Brainstorm: The Power and Purpose of the Teenage Brain and The Mindful Therapist: A Clinician’s Guide to Mindsight and Neural Integration “If you are working with adolescents suffering from addiction, this is the book you need. Himelstein and Saul have done a stellar job of gathering and imparting the mindfulness-based treatment method- ology. Read this book, be mindful, and serve the truth.” —Noah Levine, author of Dharma Punx and Refuge Recovery: A Buddhist Path to Recovering from Addiction “A truly authentic, sensitive, savvy, and invaluable curriculum for transforming young lives and the lives of those who are drawn to offer it to them.” —Jon Kabat-Zinn, author of Full Catastrophe Living: Using the Wisdom of the Body and Mind to Face Stress, Pain, and Illness “Based on years of experience working with and listening to young people, Himelstein and Saul present a curriculum that is well-designed and user friendly, respectful of young people, and effective in build- ing self-awareness, self-control, and community connection. An important resource for every profes- sional in the substance abuse field. Highly recommended!” —Paul Kivel, educator, activist, and coauthor of Helping Teens Stop Violence, Build Community, and Stand for Justice “Mindfulness-Based Substance Abuse Treatment for Adolescents is a pioneering manual that weaves together science and clinical wisdom from the fields of mindfulness, psychotherapy, and addiction treatment. It is an invaluable resource for mental health professionals and teachers, and offers a unique and highly effective approach to treatment of substance abuse. I highly recommend this book.” —Shauna Shapiro, PhD, professor at Santa Clara University and author of Mindful Discipline and The Art and Science of Mindfulness “Among the ever-growing number of resources for those privileged to share mindfulness with youth, this book stands out as an absolutely exquisitely crafted resource! The authors are extremely generous— sharing their wisdom, acknowledging the wisdom of the reader, and, most importantly, acknowledging the wisdom of the youth we serve. The book is grounded in research and provides nuanced guidance. Every chapter supports the reader in creating authentic connections with substance-using teens and sharing potent skills that they will actually use. The detailed notes to the facilitator and ‘what if’ sce- narios are invaluable resources for readers committed to inspiring youth to choose to make meaningful changes in their lives.” —Amy Saltzman, MD, author of A Still Quiet Place: A Mindfulness Program for Teaching Children and Youth to Ease Stress and Difficult Emotions and director of the Association for Mindfulness in Education “Himelstein and Saul have created a thoroughly detailed and researched compendium of how to apply mindfulness effectively in working with young people grappling with the complex issues of substance use and abuse. Their curricula beautifully weave experiential exercises, didactic information, and pro- cess-oriented techniques from multiple forms of learning, both through relationship building between adults and adolescents and among the adolescents themselves. In the spirit of the best pedagogy, the authors are able to train the trainers with the skill and finesse grounded in the solid foundation of their own clinical, teaching, and mindfulness practice and experience. —Larry Yang, Buddhist meditation teacher This page intentionally left blank MINDFULNESS-BASED SUBSTANCE ABUSE TREATMENT FOR ADOLESCENTS A 12-Session Curriculum by Sam Himelstein and Stephen Saul First published 2016 by Routledge 711 Third Avenue, New York, NY 10017 and by Routledge 27 Church Road, Hove, East Sussex BN3 2FA Routledge is an imprint of the Taylor & Francis Group, an informa business © 2016 Taylor & Francis The right of Sam Himelstein and Stephen Saul to be identified as authors of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. The purchase of this copyright material confers the right on the purchasing institution to photocopy pages which bear the photocopy icon and copyright line at the bottom of the page. No other parts of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Himelstein, Sam. Mindfulness-based substance abuse treatment for adolescents : a 12-session curriculum / by Sam Himelstein and Stephen Saul. pages cm Includes bibliographical references and index. 1. Teenagers—Substance use. 2. Substance abuse—Treatment. 3. Mindfulness- based cognitive therapy. I. Saul, Stephen. II. Title. RJ506.D78H56 2015 616.86 00835—dc23 2015002930 ISBN: 978-1-138-81252-9 (hbk) ISBN: 978-1-138-81254-3 (pbk) ISBN: 978-1-317-60705-2 (ebk) Typeset in Stones Sans and Stones Serif by Apex CoVantage, LLC I, SH, dedicate this book to the many people who have supported me in my personal and spiritual journeys, from my parents and ancestors, to my clients and colleagues, to my wife Alicia and sons Solomon and Malakai. This book would not be possible without all of you. Your teachings and grace shine through me in this work. I, SS, dedicate this book to my supportive family, my devoted wife Jennifer, and most cherished daughter, Avery. With love. This page intentionally left blank CONTENTS Training and Resources Information x Introduction 1 Curriculum Development and Researched Outcomes 11 Using This Curriculum 21 12-SESSION CURRICULUM SESSION 1 Introduction to the Program 30 SESSION 2 Mindfulness of Drugs and Their Health Effects 49 SESSION 3 Reacting vs. Responding 60 SESSION 4 Mindfulness of Delusion 75 SESSION 5 Emotional Awareness 91 SESSION 6 The Brain and Drugs 111 SESSION 7 Mindfulness of Craving 130 SESSION 8 Mindfulness of Triggers 144 SESSION 9 The Family System and Drugs 161 SESSION 10 Mindfulness of the Peer System 178 SESSION 11 Mindfulness of the External Environment 193 SESSION 12 Closing Ceremony 207 Index 219
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