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The following forms include handouts, exercises and additional resources that are used at the Healthy Lifestyles Guided Self-Change clinic. The Guided Self-Change (GSC) treatment has been accepted for inclusion on the American Psychological Association (APA) Division 12 (Society of Clinical Psychology) Empirically Supported Treatments (EST) website.

Any items with this symbol (†) also appear in the book, Group Therapy for Substance Use Disorders: A Motivational Cognitive-Behavioral Approach,” by Linda and Mark Sobell. In the book you will find detailed discussion of how to use these items.

• Summary of Outcome Studies using the Guided Self-Change Treatment Model (PDF) †
• Table 4.1 - Personalized feedback materials given to clients during  Session 1-4 (PDF) †
• Therapist Handout 3.1 - Assessment Session for GSC Group and Individual Therapy (PDF) †
• Therapist Handout 3.2 - Timeline Followback Instructions, Standard Drink Chart, and Sample Calendar for Alcohol Use (PDF) †
• Therapist Handout 3.3 - Timeline Followback Instructions and Sample Calendar for Drug Use (PDF) †
• Client Handout 4.5 - Reading on Identifying Triggers Individual and Group Session 2 (PDF) †
• Client Handout 3.1 - Decisional Balance Exercise (PDF) †
• Client Handout 4.6 - Exercise on Identifying Triggers (PDF) †
• Client Handout 4.6 - Exercise on Identifying Triggers (PDF) (double side printing)
• Client Handout 4.8 - Exercise on Developing New Options and Plans (PDF) †
• Client Handout 4.8 - Exercise on Developing New Options and Plans (PDF) (double side printing)
• Mt. Change (PDF)
• DAST10 Form Scoring Feedback (PDF)
• AUDIT Form Scoring Feedback (PDF)
• Decisional Balance Eating.pdf (PDF)
• Client Handout 3.6 - Where Are You Now Scale (PDF) †
• Client Handout 4.1 - Personalized Feedback Where Does Your Alcohol Use Fit In - Individual and Group Session 1 (PDF) †
• Client Handout 3.4 - Abstinence Goal Evaluation for Alcohol or Drugs (PDF) †
• Appendix C. Drug Use History Questionnaire (DUHQ) (PDF) †
• Client Handout 3.5 - Goal Choice Evaluation for Alcohol Use (PDF) †
• Client Handout 4.2 - Personalized Feedback Where Does Your Drug Use Fit In - Individual and Group Session 1 (PDF) †
• Client Handout 4.3 - Example of Personalized Alcohol Use Feedback Pretreatment to Session 4 (PDF) †
• Use this program to create Client Handout 4.3 which is the Personalized Alcohol Use Feedback of the client’s drinking from Pretreatment to Session 4 (XLS) †
• Client Handout 4.4 - Example of Personalized Drug Use Feedback Pretreatment to Session 4 (PDF) †
• Use this program to create Client Handout 4.4 - Example of Personalized Drug Use Feedback Pretreatment to Session 4 (XLS) †
• Table 4.1 - Personalized feedback materials given to clients during Session 1-4 (PDF) †
• Therapist Handout 4.1 - Individual Session 1 (PDF) †
• Therapist Handout 4.2 - Individual Session 2 (PDF) †
• Therapist Handout 4.3 - Individual Session 3 (PDF) †
• Therapist Handout 4.4 - Individual Session 4 (PDF) †

Motivational Interviewing Materials

• Client Handout 3.1 - Decisional Balance Exercise (PDF) †
• Weighted Decisional Balance Exercise (DOC)
• Motivational Techniques and Skills (PDF)
• Aids For Changing Your Drinking On Your Own (PDF)

Self-Monitoring Logs

• Client Handout 3.2 - Self-Monitoring Logs for Alcohol Use (PDF) †
• Client Handout 3.3 - Self-Monitoring Logs for Drug Use (PDF)†

Brief Situational Confidence Questionnaire (BSCQ)

• Appendix D. Brief Situational Confidence Questionnaire - Alcohol & Drug Use (PDF)
• BSCQ General Form (PDF)
• BSCQ Blank (PDF)
• Client Handout 4.9 - Sample BSCQ Alcohol or Drug Use Profile from the Assessment and Session 3 - Individual and Group Session 4 (PDF) †
• BSCQ Instructions (PDF)
• Client Handout 4.7 - Sample BSCQ Alcohol or Drug Use Profile from the Assessment Session 2 (PDF) †
• Table 4.2 - BSCQ eight categories of high-risk situations and shorthand names of profiles (PDF) †
• BSCQ All Graphs (PDF)
• BSCQ Color Graphing Program v6 (XLS)
• BSCQ Graphing Program v6 (XLS)
• BSCQ Profiles (PDF)
• BSCQ Drugs Translated Traditional Chinese (PDF)

Healthy Lifestyles Handouts

• Healthy Lifestyles - Path to Healthy Living Manual (PDF)
• Drug Interactions - NIAAA - Publications (PDF)
• Rethink Your Drink flyer (PDF)
• Rethink Your Drink - Poster (PDF)
• Rethink Your Drink - How Much Sugar - Poster (PDF)
• Rethink Your Drink - Sodas: Are You Pouring on the Pounds (PDF)
• Rethink Your Drink - Water Recipes (PDF)