Solution Focused Brief Therapy

Question 1

What is SFBT

Answer 1

• Goal driven approach
• Focus on clients health and well being and their strengths rather than the problem.
• Nothing happens 24/7 focus on the exceptions

Question 2

What can SFBT be used for ?

Answer 2

• long term health conditions
• Pain management
• Family dysfunction
• weight management
• self esteem problems
• stopping smoking
• drug and alcohol abuse

Question 3

What are the elements of SFBT

Answer 3

• people are free to make choices
• they have the resources to solve their problem
• they have copped with other problems in the past
• the client is the expert

Question 4

What did de shazer and berg find with their clients ?

Answer 4

Clients felt empowered as they described what they wanted in their lives.

Clients are encouraged to develop a vision of an alternative future and believe that change is always possible.

Question 5

What are the 5 steps of SFBT

Answer 5

2 - separating the person from the problem 
3- miracle question 
4- exceptions 
5- scaling questions 
6- goals/feedback

Question 6

Rules of SBFT

Answer 6

1 - If it isn’t broken don’t fix it.
2- If it works, do more of it.
3- If its not working do something different

Question 7

Role of the nurse

Answer 7

• be curious
• ask questions as part of a conversation not as a tick list
• constructive questions to determine clients own strengths and capabilities.
• generate problem free talk - helps to develop the relationship and focus on the positives

Question 8

Name an example of a positive solution focused question.

Answer 8

• what would you be doing if you did not have this problem ?

- Are there times where the problem seems less ? Tell me about them

Question 9

How should goals be set (SMART)

Answer 9

Specific
Measurable - help you evaluate achievement and progress
Attainable - The goal should be challenging but still reasonable to achieve.
Relevant - ensure what you are trying to achieve is worth while to you
Time bound - every goal needs a target date to motivate the person

Question 10

Explain the miracle question

Answer 10

• suppose you went to bed tonight, a miracle happens and your problem is solved but you don’t know it because you were asleep. What will the following day be like when the problem is solved ?
• Allows patients to think about what will be present in their life when the problem is solved.
• People get stuck in their life, the miracle question let’s the person experience what their life COULD be like.

Question 11

Explain the exception process

Answer 11

• There are always exceptions to any problem it’s never 24/7
• when doesn’t the problem happen ?
• what’s different about them times ?
• What are you doing differently during good times ?

Question 12

What are some coping questions for the current problem ?

Answer 12

• how do you cope with this ?
• what keeps you going ?
• who is your greatest support, what do they do that is helpful ?
• sometimes problems get worse, what do you do to stop it getting worse?

Question 13

What are some coping questions for a past problem ?

Answer 13

• how did you get through this ?
• who was your greatest support ?
• how did they help ?
• how did you manage to solve that problem in the past ?

Question 14

Explain scaling questions

Answer 14

• scale (1-10) 10 being the worst pain
• if the patient says 5 ask what would you be doing differently if it was 4 ?
• what have you done to get to 4 ?
• who would be the first person to notice you get to 3 ?

Question 15

What is the suggested time scale for SFBT?

Answer 15

4-5