Substance Use Disorder Evidence-Based Practice (EBP)
Video Demonstration Series
This six-part Substance Use Disorder Evidence-Based Practice (EBP) Video Demonstration Series was developed in 2022 by the Pacific Southwest ATTC (SAMHSA Grant No. TI080211), in partnership with the UCLA Integrated Substance Abuse Programs Training Department. We thank the Northwest ATTC for conceptual contributions to the development of the video demonstration series (you can access additional Telehealth Video Demonstrations at: https://attcnetwork.org/centers/northwest-attc/telehealth-video-demonstrations), and James Peck, PsyD, Grant Hovik, MA, Andrew Kurtz, MA, LMFT, Victoria Norith, Ken Booker, Lenwood Patterson, LCSW, Eric Borja, and Jaysa Jones, LCSW, for their contributions to the production of this series.
The EBP Video Demonstration Series intends to show how a clinical providers can utilize several different evidence-based practices (e.g., cognitive behavioral therapy, motivational interviewing, and trauma-informed care) in a virtual counseling environment. The videos can be viewed as stand-alone resources or in sequence. Viewers are welcome to use the videos as a personal resource, or as a teaching or clinical supervision tool in clinic practice. We ask that you give proper attribution to the Pacific Southwest ATTC and UCLA ISAP when using any portion of the video demonstrations.
Cognitive Behavioral Therapy - Relapse Analysis from UCLA ISAP on Vimeo.
The evidence-based practice being demonstrated in this video clip is Cognitive-Behavioral Therapy for substance use disorders. The specific technique being demonstrated is a relapse analysis. The client has done well in outpatient treatment but had a slip recently. The video highlights the importance of maintaining a positive, supportive attitude and of treating the event as a learning opportunity when a client has had a slip. The counselor is played by Lenwood Patterson, LCSW, and the client is played by James Peck, PsyD.
Trauma-Informed Care - Adverse Childhood Experiences from UCLA ISAP on Vimeo.
This video clip demonstrates a Trauma-Informed Care approach to treatment. The client is attending his second virtual session with his counselor. The session presented is the second part of an intake that is specifically assessing for Adverse Childhood Experiences (ACEs). ACEs are common among clients in substance use disorder treatment programs and often clients are not aware that their ACEs underlie their substance use. The video demonstrates the importance of assessing for ACEs in substance use disorder treatment and of beginning to help the client make the connection between their ACE’s and their substance use. The counselor is played by James Peck, PsyD, and the client is played by Lenwood Patterson, LCSW.
Motivational Interviewing - Working with Ambivalence to Change from UCLA ISAP on Vimeo.
This video demonstrates the use of Motivational Interviewing skills with a client who is ambivalent about the need to change their substance use. In the video, the client is not motivated to change his alcohol use, but he’s willing to have a conversation with the counselor if he can get help with housing. Although he’s experienced some negative consequences related to his drinking, he doesn’t believe it’s a big concern. The counselor demonstrates the Decisional Balance and the MI core skills to raise awareness and highlight motivation to change. The counselor’s goal is to try to connect the client’s current challenges with housing to a potential substance use goal. The counselor also demonstrates the importance of the MI Spirit to engage the client in a nonjudgmental manner. The counselor is played by Eric Borja, and the client is played by Grant Hovik, MA.
Motivational Interviewing - Evoking Motivation to Change from UCLA ISAP on Vimeo.
This video demonstrates the use of Motivational Interviewing skills with a client who knows they need to make a change, but they’re not sure how to do it. In the video, the client has been participating in virtual sessions for a couple weeks. His goals for treatment are maintain his housing and improve his mental health symptoms. The counselors have been successful at helping the client to see the connection between his substance use and these goals. In the session, the counselor’s goal is to evoke motivation for change (“change talk”). He uses open questions and reflections to evoke the desire to change, reasons to change, and the need to make a change. The video illustrates the use of the “Readiness Ruler” and the MI core skills to evoke motivation for change. The counselor also demonstrates the importance of the MI Spirit to engage the client in a nonjudgmental manner. The counselor is played by Eric Borja, and the client is played by Grant Hovik, MA.
Trauma Informed Care - Initiating a Safe Conversation from UCLA ISAP on Vimeo.
This video clip demonstrates a Trauma-Informed Care approach to treatment. The client is attending an initial virtual session with his counselor. The session presented is part of an intake that identifies trauma experiences and how they might be connected to substance use issues. Experiences of trauma are common among clients in substance use disorder treatment programs, and clients are often unaware that trauma experiences can underlie substance use. The video demonstrates the importance of the counselor’s ability to identify trauma connections in substance use disorder treatment and support the client to feel safe enough in the interaction to initiate a conversation about ways to address trauma experiences. The counselor is played by Jaysa Jones, LCSW, and the client is played by Andrew Kurtz, LMFT.
Motivational Interviewing - OARS from UCLA ISAP on Vimeo.
This video demonstrates the use of the Motivational Interviewing micro-skills of Open-Ended Questions, Affirmations, Reflections, and Summaries – the “OARS.” The session is a follow-up to an intake in which the individual disclosed wanting to receive support related to alcohol use and discloses potential co-occurring mental health symptoms. In the video, the counselor utilizes the OARS in order to initiate and continue a conversation about alcohol use while maintaining the MI Spirit in order to continue building rapport with the new client. In using the OARS, the counselor is able to evoke information about the client’s experience of alcohol and “feeling down” while also providing empathetic feedback through reflection. The counselor is played by Jaysa Jones, LCSW and the client is played by Andrew Kurtz, LMFT.