COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
How did we assess understanding of Informed
Consent? The Informed Consent Comprehension
Interview
(ICCI)
• Assessed after consent obtained and prior to
therapy.
• Misunderstandings clarified.
• Assess:
• Expressing choice.
• Understanding relevant information and significance.
• Appreciation of significance and consequences of
alternatives.
• Reasoning with relevant information.
In this vulnerable population can we enhance
comprehension of informed consent?
• Can we enhance
comprehension of informed
consent?
• Intervention: Series of cards
with answers to FAQs.
• Four groups:
I. Consent-ICCI-Cards-ICCI
II. Consent Cards-ICCI
III. Consent-ICCI ICCI
IV. Consent-ICCI
• Improved understanding but
not reasoning.
2.5
2
1.5
1
0.5
0
I II III IV
Groups
Understanding
Appreciation
Reasoning
What was Treatment-as-Usual?
• Conducted by Unit Staff.
• Group treatments now in place on the unit.
• Group treatments
• Relapse prevention
• Denial & Acceptance
• Coping with addiction
• Anger & Stress Management
What is Functional Analytic Structured & Systemic
Therapy (FASST)…
• Theoretically-based behavioral treatment.
• Conducted by supervised graduate student
assistants.
• Combines principles and techniques of a
Functional Analysis of Behavior, Motivational
Interviewing Techniques and Community
Reinforcement.
• Five 45 minute sessions.
• Sessions 2 per day.
What are the characteristics of Functional Analytic
Structured & Systemic Therapy?
Phases
• Engagement.
• Assessment.
• Motivation.
• Behavioral Change.
• Generalization.
Characteristics
• Functional analysis
• Structured
• Systemic
What is the rationale for Functional Analytic
Structured & Systemic Therapy?
• Allocation Principle: All behavior is choice behavior and is
allocated to alternatives of greatest benefit.
– B = R 1 /(R 1 +R O )
• Mediation Principle: Other persons and social institutions
mediate the occurrence of benefits and costs important to the
patient.
• Economic Principle: Price is an important determinant of
consumption of goods and services.
– C = LP b e -aP where C is consumption and P price.
• Discounting Principle: Within a limited time horizons patients
weigh costs and benefits.
– V = A/(1+kD) V is reinforcer value, A dollar amount, D is delay and k
discounting rate.
• Preference Principle: We do not always know the patients
utility curve.
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