Goal-Setting
for Recovery
This Node-Link-Mapping workbook will
help you to prioritise and plan goals to
work on, to break them down to small
steps and review your progress with a
keyworker or sponsor.
Workshop Timetable
• Introduction [5 mins]
• Node-link mapping as an engagement tool
[10 mins]
• NLM exercise [10 mins]
• Goal setting and the Recovery Plan [15 mins]
• Exercise [10 mins]
• Summary [5 mins]
Empowerment
of service users
Establishing
recovery
partnerships
Involving family
and social
networks
SUPPORT, STRUCTURE & GOAL
DIRECTION
REWARDS & REWARDING ACTIVITES
•Quality of client-therapist alliance consistently
associated with outcome
•Therapists who stick more closely to an underlying
theory of treatment experience better outcomes
•Setting goals + greater clarity and organization are
associated with more positive reactions to treatment
and better outcomes
•
•
Rewards during treatment for remaining
substance-free [CM, CRA]
Planning for a generally more rewarding
lifestyle [TSF, CBT, BFC]
Common
Components of
Effective
Treatment
ABSTINENCE-ORIENTED NORMS
•
Accepting abstinence-oriented norms
and learning from abstinent role models
[TSF, CRA]
•
Use role models who monitor sobriety
[CBT, BFC}
•
Normative feedback about substance
use and consequences [MET]
SELF-EFFICACY & COPING SKILLS
•
•
Focus on building self-efficacy and skills
to manage high-risk situations and life
stressors + obtain rewards that are an
alternative to substance use [CBT, CRA]
Use group interactions to provide
opportunities for sober behaviour leading
to improvements in coping and selfefficacy [TSF]
Moos R. Theory-Based Processes That Promote The Remission of Substance Use Disorders. Clin Psychol Rev (2007) 27(5): 537-551
NODE-LINK MAPPING
Main “Parts” of Node-Link Maps
• A node, which is just an idea captured in a box, circle,
or other shape
For Example:
Premier League
football teams
• Links (named or not) show the relationship between
nodes
For Example:
Premier League
football teams
WBA
“An Example of a Premier League football team is WBA”
6
Node-Link
Mapping
Knowledge Maps
Worker
Produced
Structured
Convey
Information
Free Mapping
Jointly
Produced
Spontaneous
Represent & Explore
Personal Issues
Over 50 publications have
shown its effectiveness
Guide Maps
Framework
Provided by
Worker
Structured/
Free
Represent & Explore
Personal Issues
7
An example of a
‘Free Map’ produced
during a counselling
session
8
Node-Link
Mapping
Knowledge Maps
Worker
Produced
Structured
Convey
Information
Free Mapping
Jointly
Produced
Spontaneous
Represent & Explore
Personal Issues
Over 50 publications have
shown its effectiveness
Guide Maps
Framework
Provided by
Worker
Structured/
Free
Represent & Explore
Personal Issues
9
An example
of a
‘Knowledge’
Map
H
I
R
V
R
R
ImmunoDeficiency
Human
C
Virus
C
People Only
Can not be
spread by animals,
plants, or insects
C
Smallest living
microbe (germ)
Survives by invading
cells and destroying
them
A major problem
with the Immune
System that fights
disease
HIV is a human virus that invades and destroys the cells of the immune
system.
A
I
R
D
R
Acquired
C
Can be acquired.
In other words,
it can be spread
S
R
Immune
C
Refers to the
immune system.
White blood cells
that fight disease
R
Deficiency
C
Not working.
Deficient.
Unable to fight
germs
Syndrome
C
A group of illnesses
or symptoms related
to a specific cause
(HIV)
10
AIDS is the late stage of HIV infection, resulting in illnesses and cancers the body can no
longer fight off.
Node-Link
Mapping
Knowledge Maps
Worker
Produced
Structured
Convey
Information
Free Mapping
Jointly
Produced
Spontaneous
Represent & Explore
Personal Issues
Over 50 publications have
shown its effectiveness
Guide Maps
Framework
Provided by
Worker
Structured/
Free
Represent & Explore
Personal Issues
12
Exploring Self
Strengths
Health
Social Relationships
I have a couple of friends
and I get along pretty
well with my
daughter.
I’m pretty good looking;
tall; mostly healthy
Emotions/Temperament
I really want to
change my life! I
do know what it’s
like to be happy.
Problem Solving
When I’m clear
headed I make
pretty good decisions.
I can also talk well.
Beliefs and Values
What are your
strengths?
Job/Career?
I try hard to do the right
thing.
I love my daughter.
I have computer skills
I have had three jobs
in the last 12 years
I take work seriously
An example of
a ‘Guide Map’
(filled in)
How can you use your strengths to improve your life?
Once I get control of my drug habit, maybe I can use my skills to go into
secretarial work
How useful was this map and discussion?
Not useful 1---2---3---4---5---6---7---8---9---10 Very useful
Comments:
13
Free-Mapping
Exercise
• Interview the person next to you for 5
minutes
• Ask about
– education history and career to date
– hobbies and interests
– family
• Use a free map to record the
conversation
Ed
Senior Lecturer
Addiction Psychiatry
Born in
Bedford
Teaches:
• MSc
• Medical
students
Enjoys:
• Spending time with his
kids
• Running
• WBA / Warwickshire
Slade Road
CDT
University
Medical School
Birmingham Psychiatry
Training Scheme
University of Birmingham
?
BA/MA
BM BCh, and later
DM
MRCPsych
Focused on
addictions
Provide a
workspace for
exploring problems
and solutions
Train clearer and
more systematic
thinking
Create memory aids
for client and
keyworker
Improve therapeutic
alliance
BENEFITS
OF MAPS
Provide a method
for getting “unstuck”
by providing new
ideas
Focus attention on
the topic at hand
Provide easy
reference to earlier
discussions
Useful structure for
clinical supervision
GOAL SETTING
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
• Use scales and summarise client’s issues
• Decide on first issue to tackle (then 2nd & 3rd)
• Break issue down to the smallest possible steps
• Set SMART goals
• Monitor progress and repeat stages 3-5
19
Goalsetting Recovery planner
Life Area
Drug and/ or
Alcohol use
Mental Health
Anxiety, Mood,
Stress, Relaxation
Physical Health,
Diet & Exercise
Relationships
(Partner or family)
Social life &
peer support
Housing
Job/
Education
Money/ Debt
Legal & crime
Satisfaction
out of 10
Name:
Worker:
What would have to change to increase my score out
of 10?
Date: __/__/__
Priority
1 2 3 4 5 6 7 8 9 10
It can’t get any worse…………………...............….…It can’t get any better
Goal Planner Rating Sheet
Give each area of the Goal Planner map a score between 1 and 10 to show
how happy you are now with this area of your life
1 = it can’t get any worse
5 = not unhappy, but not happy either
10 = it can’t get any better
Name:
My GOALS
Worker:
Date: _ _ / _ _ / _ _
What I am AIMING to achieve?
Small SMART goals and when
I will achieve them










How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10
Signatures:
Goalsetting Recovery plan





Name:
Worker:
Date: _ _ / _ _ / _ _
Specific Actions (3 – 5 small SMART steps)
Helpful people and useful thoughts
My Goal
Possible problems and solutions
How will we know this has happened, what will be different?
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10
Comments:
Goalsetting The SMART Goal Getter
Strengths you have or need
By When
Collaborative Goalsetting - (Insoo Kim Berg, 1999)
•
1. What and Who is important to the client.
•
2. Use this information to engage with the client.
•
3. What the client might want.
•
4. Is the client able and willing to do what it takes?
•
5. Negotiate small, simple, easy steps that client knows how to do. (S.M.A.R.T.)
•
6. The client actually carries out according to his/her plan.
•
7. Review and reassess what is the next small step.
•
8. This gets repeated until the client reasons the level where it is “better enough”
to stop.
•
9. All the credit for successes goes to the client.
Name:
My GOALS
Worker:
Date: _ _ / _ _ / _ _
Progress I have made in tackling them
Signatures:
Goalsetting Recovery plan review
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10
What is left to do and who
will help to do it?
Name:
Target
Worker:
Date: _ _ / _ _ / _ _
What are we currently
AIMING to achieve?
SMART TASKS
Freedom from
dependency
on drugs or
alcohol
Health and
well being
Citizenship &
employability
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10
Comments:
Goalsetting Targets and Tasks
Quality
of life and
freedom from
offending
What did you do to make
it happen?
What did you learn about
yourself?
Goalsetting Your Achievement
What was your success?
How did you
make it happen?
How did you decide what
might work?
Worker:
Comments:
Date: _ _ / _ _ / _ _
How can you use what you learned from this experience in the future?
Name:
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10
What did you do?
Goalsetting The Brick Wall
What were you feeling?
Date: _ _ / _ _ / _ _
Comments:
What made it unsuccessful?
What was going through
your mind?
What have you learned from this experience?
Worker:
How will you do it differently next time?
Name:
How useful was this map and discussion? 1 2 3 4 5 6 7 8 9 10