Illness Management and Recovery / IMR-A15-3
Problem-Solving One Barrier — Clinician dialogue
Guide a collaborative conversation about problem-solving one barrier while checking fit and participant choice.
15 minutes · Clinician script · Mental health professionals
Fictional example: Casey wants to attend a group but finds the route confusing.
Use within your training and assessment of readiness. Structured problem-solving can turn a broad difficulty into a workable task.
Invite and obtain permission
Offer: "Would it be useful to explore problem-solving one barrier using an ordinary or fictional example? We can adapt it, observe, or stop." Ask what the person wants from the conversation.
Elicit before teaching
Ask: "How does this show up, if at all, in your own words?" Offer this idea tentatively: Structured problem-solving can turn a broad difficulty into a workable task. Ask what fits and what does not.
Guide the task
Define one barrier, list options, compare access and consequences, and choose a small trial. Ask for permission before giving an example. Use this fictional illustration if useful: Casey wants to attend a group but finds the route confusing.
Reflect and check accuracy
Reflect only what was offered: "I heard you describe ___. What did I miss?" Ask: Which option is both useful and available? Avoid assigning motives or interpreting silence as agreement.
Respond to a mismatch
If the person rejects the frame, say: "Thank you for correcting it. What would be more useful?" Return to their language or choose a different approach.
Close with agency
Ask which observation, question, or support request the person wants to keep. Confirm a manageable ending and appropriate follow-up; do not turn a tentative possibility into a homework obligation.
Prompts for this resource
- Readiness, permission, cultural context, and access needs to check:
- Which option is both useful and available?
- What would tell me to adapt, stop, or seek supervision?
Conceptual background
Illness Management and Recovery Evidence-Based Practices KIT — SAMHSA
Background on the approach only. Original exercises and wording are by More Than Therapy with AI assistance; the source does not validate or endorse these materials.