" The problems and needs of rural substance abusers vary from
those of abusers in urban areas. Accordingly, the means of
treatment must acknowledge and address these differences. Despite
this call for specialized care, no theoretically grounded therapy
has yet been made available to rural patients. Behavioral Therapy
for Rural Substance Abusers, developed and piloted over three years
by University of Kentucky faculty and staff and substance abuse
counselors in rural eastern Kentucky, provides a model for
effective treatment for this segment of the population. A two-phase
outpatient treatment, this approach combines group and individual
sessions in an environment that is both comfortable and useful for
the client. The success of this method lies in its regional
approach to therapy. Rather than using role-playing techniques to
examine old behaviors, therapy is designed around storytelling
activities. Rural patients respond more positively to such
time-honored traditions and thus become active participants in
their own treatment. This manual offers a clear and
well-constructed guide through the strategies of Structured
Behavioral Outpatient Rural Therapy (SBORT). Supplemented with
illustrations, sample exercises, and case studies, Behavioral
Therapy for Rural Substance Abusers is a vital tool in meeting the
treatment needs of an otherwise ignored rural population.
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