University of Arkansas at Little Rock School of Social Work Graduate Social Work Program Course Outline Number and Title of the Course: 7392 Special Topics in Clinical Social Work Practice, Acceptance and Commitment Therapy Semester Credits: 3 Prerequisite: Concentration year standing Instructor: Matthew S. Boone, matthewsboone@gmail.com I. COURSE DESCRIPTION Acceptance and Commitment Therapy (ACT, said as a single word) is a mindfulness- and acceptancebased cognitive behavioral therapy which has shown promise for a wide variety of problems. Over 80 randomized controlled trials have demonstrated ACT's efficacy with mental health problems such as depression, anxiety, OCD, trichotillomania, body image dissatisfaction, addictions, and psychosis; health problems such as chronic pain, obesity, diabetes, epilepsy, cancer, smoking, and tinnitus distress; and nonclinical problems such as stigma and worksite stress. ACT is different from traditional CBT in that it forgoes attempts to change painful thoughts and feelings. Instead, ACT seeks to increase psychological flexibility, or the ability to mindfully encounter thoughts and feelings without needless struggle (i.e. acceptance) and act effectively in the service of what matters (i.e. commitment). This class will provide an introduction to ACT which is both intellectual and experiential. Experiential learning is important because talking about psychological flexibility is very different from being psychologically flexible. The class will include exercises which incorporate both mindfulness and metaphor to help participants experience – in the moment – the six components of psychological flexibility: acceptance (willingly encountering all thoughts and feelings, whether painful or pleasant), defusion (treating thoughts as simply thoughts, nothing more), contact with the present moment (mindfully observing all experience as it happens), self as context (making a distinction between the self and the thoughts and feelings the self experiences), values (identifying what matters), and commitment (acting in the service of what matters). Thus, this class will be highly interactive, and students will be expected to participate fully in discussions, role-plays, demonstrations of clinical techniques, and experiential exercises. II. STUDENT OUTCOMES By the completion of the course, students will demonstrate: Skills in accessing the professional literature that supports the efficacy of ACT Knowledge of the theoretical underpinnings of ACT Knowledge of the population intended for ACT Knowledge of the central interventions informed by ACT Skills in identifying and utilizing the best available assessment methods to evaluate target outcomes when using ACT. Skills in re-assessing relevant outcomes after interventions have been implemented. Skills in adjusting clinical practice interventions as needed depending upon issues of race, ethnicity, sexual orientation, age, and/or socioeconomic status. 1 III. READINGS The primary text for this course will be ACT Made Simple, by Russ Harris. The schedule of readings below is tentative; what we read each week will be determined by how the class develops. Notice that some of the readings are not actually readings, but rather podcasts to which you should listen. URLs for accessing them are listed immediately below the schedule. I will provide the PDF articles and chapters to you. Also, the library has streaming access, through psychotherapy.net, to ACT in Action, a six DVD series which shows what ACT can look like in practice. I encourage you to watch these videos throughout the semester. Date January 15 Reading (subject to revision) First day of class January 22 Getting Started with ACT: ACT Made Simple, Chapters 1-5 Invisibilia podcast: "The Secret History of Thoughts" January 29 Creative Hopelessness, Willingness, & Defusion: ACT Made Simple, Chapter 6-8 Reply All podcast: "Anxiety Box" February 5 No class February 12 Contact with the Present Moment, Self-As-Context, & Values: ACT Made Simple, Chapters 9-10 February 19 Committed Action and the Therapeutic Relationship: Chapters 11-15 February 26 The Therapeutic Relationship: PDF: "Finding My Way to Mindfulness for Two," Mindfulness for Two March 5 Special Populations – ACT for Anxiety Disorders: PDF: Acceptance and Commitment Therapy for Anxiety Disorders, Chapters 10 & 11 2 Assignment Due Assignment #1: Case Description and Functional Assessment sections from the Final Paper to be reviewed in class March 12 Special Populations – ACT With Children and Adolescents: PDF: "Acceptance and commitment therapy for pediatric chronic pain," Acceptance and Mindfulness Treatments for Children & Adolescents March 19 Special Populations – ACT for Psychosis: PDF: "Brief acceptance and commitment therapy for the acute treatment of hospitalized patients with psychosis," Cognitive Behaviour Therapy for Schizophrenia March 26 Spring Break: No Class April 2 Final class, Final Papers due Assignment #2: Intervention Part 1 to be reviewed in class Assignment #3: Final Paper Invisibilia podcast: http://www.npr.org/programs/invisibilia/ Reply All podcast: http://gimletmedia.com/show/reply-all/ IV. TECHNIQUES OF INSTRUCTION This course will utilize the following instructional techniques: V. Lecture Discussion Case presentation Video Role-play Experiential Exercises Mindfulness Practice EXPECTATIONS Getting in touch with me: E-mail is always the best way to reach me, and I can always be reached most quickly at my Gmail account: matthewsboone@gmail.com. I will rarely be checking my UALR e-mail. Please allow at least 48 hours for me to respond. Food and drinks are welcome. We are meeting when most of us would otherwise be eating dinner, so feel free to bring something to eat. However, please eat during the breaks and not during our class time. Cell phones should be turned off. 3 Personal growth is a natural byproduct of ACT training. We learn ACT – in part – by doing ACT. Anything we ask our clients to do we need to be willing to do ourselves. Therefore, this course will ask you to be open to learning more about yourself – what thoughts and stories you get wrapped up in, what internal experiences you most want to control and avoid, and what matters to you most in life. This course will also ask you to challenge yourself to do things that are important to you, even things that may bring you in contact with discomfort. The good news is that the course will teach you a set of skills and an approach to thoughts and feelings that will hopefully make this more possible for you. That being said, this is a graduate class, and not a psychosocial intervention, so you are welcome to only go as deep as you feel comfortable. VI. ASSIGNMENTS I will e-mail you electronic versions of all the assignments. For your final assignment, you will write a case-based paper, which will be due on the last day of class. Rough drafts of portions of the paper will be due earlier in the semester. The paper will require you to apply ACT with a client with whom you are currently working. Further instructions will be given in class. There will also be brief homework assignments, both written and experiential, to help you apply ACT to your life as a way to better understand the treatment model. Finally, you will be asked to practice mindfulness regularly and discuss your experience with the class. VII. METHOD OF EVALUATION Paper assignment: 70% Class participation (including attendance, engagement, and homework assignments): 30% VIII. GRADING SCALE The grading scale is as follows: 92-100 82-91 72-81 0-71 A B C F You will be given a numerical grade for their paper and a numerical grade for your participation. These two grades will be weighted as described in the "Method of Evaluation" section above to create your final grade. IX: CLASS ATTENDANCE POLICY Learning in a professional program is based in large part on the interaction that occurs between the instructor and students in the classroom. Therefore, regular attendance is an expected professional responsibility of the student. Attendance includes not only your physical presence, but also your careful, consistent preparation for our discussions. You may miss one class for any reason. Two absences will reduce your final grade by one letter grade (“B” becomes “C”). Absences of greater than 20 percent of the total class time (i.e., more than two absences) may constitute grounds for failure. 4 X. HONOR CODE All students registered for courses in the School of Social Work are expected to adhere to the rights, responsibilities, and behavior articulated in both the UALR Student Handbook and the NASW (National Association of Social Workers) Code of Ethics. An essential feature of these codes is a commitment to maintaining intellectual integrity and academic honesty. This commitment insures that a student of the School of Social Work will neither knowingly give nor receive any inappropriate assistance in academic work, thereby affirming personal honor and integrity. Furthermore, I expect that all of the work you submit in this course will be your own. If you make use of anyone else’s thoughts or words in any way, you should include a citation. If you have any questions about when to cite or how, don’t hesitate to contact me. XI. DISABILITY SUPPORT SERVICES If you have a physical, mental health, or learning disability that affects your ability to access course materials or complete coursework, please let me know early in the semester. I'm committed to making this course fully accessible to all its members. If any barriers to your participation in this course arise, please contact me as soon as possible so that we can speak with the Disability Resource Center (DRC) about how to meet your specific needs. The DRC offers resources and coordinates reasonable accommodations for students with disabilities. The DRC can be contacted at 501-569-3143 (V/TTY) or 501-683-7629 (VP). For more information, please visit the DRC website at www.ualr.edu/disability. 5