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

by Bellack, Alan S.; Mueser, Kim T.; Gingerich, Susan; Agresta, Julie

• ISBN13: 9781572301771
• ISBN10: 1572301775
• Edition: 1st
• Format: Hardcover
• Copyright: 1997-06-20
• Publisher: The Guilford Press

Summary

This popular manual presents 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. Each sheet--essentially a complete lesson plan--explains the rationale for the skill at hand, breaks it down into smaller steps, suggests role-play scenarios, and highlights special considerations. Of special value for practitioners, the 8 1/2" x 11" format makes it easy to reproduce and use the practical materials in the book.

Author Biography

Alan S. Bellack, PhD ,University of Maryland School of Medicine
Kim T. Muessere , PhD ,Dartmouth Medical School
Susan Gingerich , MSW , Delaware Psychiatric Center
Julie Agresta ,MSS , Allegheny University of Health Sciences.

Table of Contents

1. PRINCIPLES, FORMAT, AND TECHNIQUES FOR SOCIAL SKILLS TRAINING OF CLIENTS WITH SCHIZOPHRENIA	3	(170)
1. Schizophrenia and Social Skills	3	(18)
The Behavioral Model of Social Skills	4	(16)
Summary	20	(1)
2. Assessment of Social Skills	21	(23)
General Issues	22	(2)
Interviewing Techniques	24	(2)
Behavioral Observation of Role Playing	26	(4)
Social Problem-Solving Battery	30	(13)
Summary	43	(1)
3. Techniques for Introducing Social Skills	44	(23)
Social Learning Theory	44	(3)
Steps of Social Skills Training	47	(19)
Summary	66	(1)
4. Techniques for Consolidating Social Skills	67	(13)
Homework	67	(5)
Pacing of Social Skills Training	72	(1)
Additional Teaching Strategies	72	(6)
Different Training Modalities	78	(1)
Summary	79	(1)
5. Starting a Skills Group	80	(13)
Practical Considerations When Planning a Group	80	(5)
Selecting Group Leaders	85	(2)
Selecting Clients for Group	87	(1)
Preparing Clients for Participation in Group	87	(2)
Working with Other Mental Health Professionals to Generalize Skills	89	(3)
Summary	92	(1)
6. Using Curricula for Social Skills Training Groups	93	(15)
Using an Existing Curriculum	93	(10)
Developing a New Curriculum	103	(2)
Special Considerations	105	(2)
Summary	107	(1)
7. Tailoring Skills for Individual Needs	108	(15)
The Role of Assessment in Setting Individual Client Goals	108	(2)
Using Client Goals to Design Social Skills Training Groups	110	(6)
Managing the Range of Skill Levels	116	(1)
Keeping All Members Involved in the Group Process	117	(2)
Ongoing Assessment of Progress Made in Group	119	(3)
Summary	122	(1)
8. Troubleshooting I: Common Problems and Problems with Highly Symptomatic Clients	123	(16)
Common Problems in Conducting Social Skills Training Groups	123	(7)
Problems Related to Highly Symptomatic Clients	130	(8)
Summary	138	(1)
9. Troubleshooting II: Problems with High-Functioning Clients and Dually Diagnosed Clients	139	(13)
Problems Related to Higher-Functioning Clients	139	(3)
Problems Related to Clients Who Abuse Drugs or Alcohol	142	(8)
Summary	150	(2)
10. Reducing Relapse by Creating a Supportive Environment	152	(21)
Recognizing a Stressful Environment	152	(2)
The Importance of Family Members and Staff Members in Creating a Supportive Environment	154	(1)
Characteristics of Supportive Staff Members and Family Members	154	(4)
Characteristics of a Supportive Living Situation	158	(1)
Improving Stress Management in the Client's Environment	159	(4)
Developing a Social Learning Milieu in a Residential or Impatient Program	163	(4)
Special Considerations for Family Members	167	(1)
Summary	168	(5)
II. STEPS FOR TEACHING 48 SPECIFIC SOCIAL SKILLS: CURRICULAR SKILL SHEETS	173	(68)
Introduction	173	(4)
Conversation Skills	177	(12)
Listening to Others	179	(1)
Starting Conversations	180	(1)
Maintaining Conversations by Asking Questions	181	(1)
Maintaining Conversations by Giving Factual Information	182	(1)
Maintaining Conversations by Expressing Feelings	183	(1)
Ending Conversations	184	(1)
Staying on the Topic Set by Another Person	185	(1)
What to Do When Someone Goes Off the Topic	186	(1)
Getting Your Point Across	187	(2)
Conflict Management Skills	189	(6)
Compromise and Negotiation	191	(1)
Disagreeing with Another's Opinion without Arguing	192	(1)
Responding to Untrue Accusations	193	(1)
Leaving Stressful Situations	194	(1)
Assertiveness Skills	195	(12)
Making Requests	197	(1)
Refusing Requests	198	(1)
Making Complaints	199	(1)
Responding to Complaints	200	(1)
Expressing Unpleasant Feelings	201	(1)
Expressing Angry Feelings	202	(1)
Asking for Information	203	(1)
Making Apologies	204	(1)
Letting Someone Know That You Are Afraid	205	(1)
Refusing Alcohol or Street Drugs	206	(1)
Community Living Skills	207	(8)
Locating Your Missing Belongings	209	(1)
What to Do If You Think Somebody Has Something of Yours	210	(1)
What to Do When You Do Not Understand What a Person Is Saying	211	(1)
Checking Out Your Beliefs	212	(1)
Reminding Someone Not to Spread Germs	213	(1)
Eating and Drinking Politely	214	(1)
Friendship and Dating Skills	215	(12)
Expressing Positive Feelings	217	(1)
Giving Compliments	218	(1)
Accepting Compliments	219	(1)
Finding Common Interests	220	(1)
Asking Someone for a Date	221	(1)
Ending a Date	222	(1)
Expressing Affection	223	(1)
Refusing Unwanted Sexual Advances	224	(1)
Requesting That Your Partner Use a Condom	225	(1)
Refusing Pressure to Engage in High-Risk Sexual Behavior	226	(1)
Medication Management Skills	227	(6)
Making a Doctor's Appointment on the Phone	229	(1)
Asking Questions about Medications	230	(1)
Asking Questions about Health-Related Concerns	231	(2)
Vocational/Work Skills	233	(8)
Interviewing for a Job	235	(1)
Asking for Feedback about Job Performance	236	(1)
Responding to Criticism	237	(1)
Following Verbal Instructions	238	(1)
Solving Problems	239	(1)
Joining Ongoing Conversations at Work	240	(1)
Epilogue: Tips for Effective Social Skills Training	241	(8)
APPENDICES	249	(30)
Appendix A: Materials Useful to Group Leaders	249	(16)
Appendix B: Materials Related to Assessment	265	(14)
References	279	(4)
Index	283