Solution Focused Brief Therapy (SFBT) is also referred to as Solution Focused Therapy (SFT). The process was introduced by Insoo Kim Berg, Steve de Shazer, and their team starting from the late 1970s across Milwaukee in Wisconsin (Grant & O’Connor, 2010). SFBT has been developed as a future-oriented, solution-focused, and goal-oriented system instead of being developed on the basis of the problems that mostly provoke people to enquire for therapy. Those involved in developing the system spent many hours observing several therapy sessions and noting the questions posed by therapists, emotions as well as behaviors that emerged in those sessions along with the activities of the therapists and the way that they influenced the outcomes of the whole sessions. Drug and alcohol abuse has become a rampant issue across society in both young and elderly individuals (Klimas et al., 2012). In that case, SFBT can be applied effectively in order to bring solutions to drug and alcohol abuse among clients across the world. The current paper presents the efficiency and the efficacy of SFBT in solving the problem of drug and alcohol abuse. It will be based on the fact that SFBT relies heavily on assessment, rapid implementation alongside client engagement in change strategies.
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It has become evident that SFBT can influence vital changes in the behaviors of clients in a short period. Most importantly SFBT is reported to last from a period of one session to forty sessions and with a typical therapy taking a period of six to twenty sessions. In the recent times, research has proved that the relative effectiveness of SFBT is mixed. In some studies, planned and short-term therapies remain as effective as the unlimited therapies. However, other studies have stipulated that long-lasting treatments can lead to the increased outcomes (Resko et al., 2012). Therefore, it is clear that much relies on modality that is being evaluated along with the goals of treatment. Promising evidence has provided that brief therapies in treatment of drug and alcohol abuse are efficient and effective just like the lengthier therapies. It is only that such studies remain positive, though they are limited to effectiveness of programs having smaller sample sizes. In other words, it is crucial that future research replicates past works and uses rigorous designs including experimental systems under randomization (Grant & O’Connor, 2010). In most cases, drug and alcohol abuse counselors need to meet their clients for a limited period. Nevertheless, the counselors can apply brief therapy sessions despite the fact that they may be designed for handling diverse types of problems. Therefore, brief therapy can benefit a diverse range of clients in the waiting list due to its effectiveness and efficiency and in this case, drug and alcohol abuse clients.
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Planed SFBT can be used as part of the course under serial or intermittent treatment of clients suffering from drug and alcohol abuse. The therapist is supposed to conceive a long-lasting therapy when doing that since shorter treatments that require addressing of the client’s problems would be serial instead of concurrent. It has become clear that most therapists have opted for billing by episodes as well as treating each problem on its own time due to the insurance constraints (Kvarme et al., 2010). Furthermore, SFBT has proved to be an efficient and useful tool in re-conceiving the manner in which therapy of drug and alcohol abuse is done. Therefore, for the treatment therapist working with individuals affected by drug and alcohol abuse, it means that a certain category of therapy can be used towards solving a particular problem linked with the abuse of drug and alcohol (Rojas et al., 2011). The efficiency of SFBT will depend on the counselor’s awareness of the knowledge that is compatible with the person’s phase of readiness for the therapy as well as activities that are required to move ahead across the change process. Therefore, the counselor needs to give a general understanding of the whole course of change. Any clinical interventions need to be focused on the stage of readiness of the client towards change in order to increase the change motivation and the sense of recovery empowerment. In therapies concerning drug and alcohol abuse, SFBT is vital in understanding and predicting the transition from the point of transition and preparation to actions and from the actions to maintenance (Klimas et al., 2012). SFBT has proved to be efficient since it has the contemplation stage where the client can be provided with the necessary information concerning his or her addiction. It is also at the contemplation stage that a client struggling with drug and alcohol abuse can confront with both long and short-term impacts of their continuous use.
SFBT has also proved to be an effective and efficient method of treatment of substance abuse in the sense that its content is highly dependent on the type of substance used, severity of the abuse, and the desired results. SFBT is a less expensive process since it has become a system of filling the gap between prevention efforts and extensive treatments for those with critical disorders connected with drug and alcohol abuse (Kvarme et al., 2010). In that case, SFBT can be applied in effecting notable changes in behaviors and knowledge of the clients about the drugs and alcohol abuse. SFBT is also an efficient method in its own way since after negotiation of a goal in therapy the model can specify the way in which to utilize the unique resource available for the client along with their strengths in order to achieve the goals. In most cases, two of the available resources of the client can be described as both instances and exceptions. In that case, exceptions have been described as times when a person fails to experience a problem or complaint for which he/she is seeking therapy. On the other hand, instances are times when the person experiences a problem in whole or in parts (Grant & O’Connor, 2010). Therefore, SFBT enhances interviewing methods that are applied in order to elicit information regarding the occurrence of instances and exceptions in order to ensure that they are repeated in the future.
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Moreover, the efficacy of SFBT is based on the premises that it proposes that solutions to difficulties experienced by a client and in which he or she seeks therapy may have nothing or little regarding the problems. It has become clear in treating clients with problems of drug and alcohol abuse where each life experience on the client’s side that has little to do with their alcohol abuse results in resolutions of their problems. Most importantly, whilst the level of solutions can be limitless, SFBT has proved that a person undergoing drug and alcohol abuse can stop using them in a problematic manner only if he or she obtains employment, acquires new friends, relocates from his/her place and ends or begins relationships (Kvarme et al., 2010). In that case, therapies focused on such people do not need to take alcohol as the main focus in resolving the problem of drinking alcohol. However, such therapies should be focused on assisting the clients to reach their personal goals. There is also no single agent of transformation that is generally responsible for positive outcomes. In fact the biggest question to an agent of such transformation can be perceived as obscuring instead of clarifying the nature of the most successful therapy contacts. A counselor using the SFBT can assume that transformation is constant as well as inevitable and can indicate that a successful counselor needs to tap and use the available change instead of creating or causing change (Klimas et al., 2012). Therefore, the counselor can use the solutions available to the client abusing alcohol and drugs rather than providing new solutions to the client since such solutions might not work well.
In conclusion, the efficacy and efficiency of SFBT is evident especially in solving the problems faced by those who abuse drugs and alcohol. SFBT is usually goal and future-oriented and lasts for one to forty sessions. It has become clear that drug and alcohol abuse is affecting generations across the world and therapists have decided to use the less expensive method of treatment that gives a chance to the clients to express their goals and the ways that they think can best assist them stop substance abuse. Brief and lengthy sessions have proved to have almost similar outcomes in their effectiveness. However, the effectiveness depends on the ability of the counselor to recognize the level of substance abuse and the readiness of the client to change his or her habits. The contemplation stage is also vital in SFBT in the sense that it assists the clients to understand their problems and provides them with solutions to the problems. It is also at that stage that they are able to interpret their problems and know where and when to apply the solutions to their problems. SFBT also enhances negotiation of resources to be applied including exceptions and instances. The two types of resources are vital in solving any problem that seeks therapy and in this case, drug, and alcohol abuse. Therefore, SFBT has become a widely used technique of settling problems across the world and uses different range of sessions in order to accomplish its goals.