Balancing INSIDE and OUTSIDE change work

29th July 2011

Practitioners' responsibility


It is the Worker who takes responsibility for maintaining a BALANCE...

Between "Inside" change work, and "Outside" change work.

In keeping with the Multiple interacting aetiologies in adolescent Substance Use Disorder, interventions that focus on either internal (cognitive or motivational) factors, or external (family or social-ecological) factors are immediately at a disadvantage.

Recognising that individual practitioners will have "favourite practices" and blind spots (losses of Mentalization) they sustain this balance via regular use of the SupervisoryStructures within the team.

'"Inside" change work


Motivational Work
CognitiveBehavioural for SUD-Rx

"Outside" change work


FamilyWork for SUD-Rx
Social-Ecological Work