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The four column diagram

by Dovetail

In this video, Cassie from Dovetail describes a brief, AOD practice tool called the ‘four-column diagram.’ The four-column diagram is a brief intervention tool developed by Marina Birmingham, which combines some principles of motivational interviewing with a decisional balance- which involves weighing up the pros and cons of change. The aim of the tool is to help the person identify the reasons behind their substance use in a non-threatening way and to encourage them to consider making changes to their AOD use. 

Birmingham, M. S. (1986).  An out-patient treatment programme for adolescent substance abusers.  Journal of Adolescence, 9, 123-33.