HALT BASICS
What is H.A.L.T.?
This acronym stands for Hungry, Angry, Lonely, and Tired.
A client is banging on the Nursing Station window because they decided to do a meal replacement for a later time. However, the client never showed up to get their replacement. What H.A.L.T. state is being triggered?
The client's trigger is being -> HUNGRY & ANGRY
Eating regular meals helps prevent this H.A.L.T. trigger.
HUNGRY
One goal of H.A.L.T. is preventing this.
RELAPSE
You leave treatment and realize you haven't eaten all day. You become irritable and start thinking about using.
Which H.A.L.T. trigger is affecting you?
HUNRGY
What are relapse triggers or vulnerability states?
H.A.L.T. helps people recognize these before they become bigger problems.
A staff member prompts a client to wake up for their scheduled medical appointment. But the client is coherent, yet they toss & turn in their bed. Deciding to refuse by not getting dressed up & ready. What H.A.L.T. state is being activated right now?
The client is -> TIRED
Calling a sponsor, friend, or family member can help with this H.A.L.T. state.
LONELY
Monitoring your emotions helps build this important recovery skill.
SELF-AWARENESS
After discharge, you're frustrated because your housing application is delayed. You want to isolate instead of asking for help.
Which H.A.L.T. trigger is strongest?
ANGRY
True or False: Checking your H.A.L.T. status regularly can help prevent relapse.
TRUE
There was a client who was active with group participation & being social with their peers. Eventually, they became a level 5 but one day randomly they stopped leaving their bedroom due to breaking news of an update regarding their discharge planning. The client only shows up for meal times. What H.A.L.T. state is being triggered?
The client is isolating & being ->LONELY
Taking a break or expressing feelings safely are healthy ways to manage this emotion.
ANGER
A written H.A.L.T. plan should include your warning signs and your ______.
COPING SKILLS
It's your first weekend home. Your friends are busy, you're alone in your apartment, and cravings begin.
Which H.A.L.T. trigger is most likely affecting you, and what is one healthy coping strategy?
Examples: Call a sponsor, attend a meeting, reach out to family, or go to a sober activity.
Why is H.A.L.T. important after discharge?
It helps identify vulnerability, prevent relapse, and maintain stability.
During dinner time a client noticed that their meal ticket is not accurate. Instead of talking to a staff member they start immediately yelling, throwing chairs, & punching hole in the wall. What H.A.L.T. state is being activated?
The client is being triggered & behaving -> ANGRY & HUNGRY so.... HANGRY :0
Getting enough sleep improves coping with which H.A.L.T. trigger?
TIRED
Who are two people you could include in your support plan?
Sponsor, counselor, family member, sober friend, therapist, peer support.
You've been working long shifts after discharge and only sleep four hours each night. You're becoming impatient with everyone and missing recovery meetings.
Which H.A.L.T. trigger is creating the biggest barrier to recovery?
TIRED
Bonus: Get more sleep, adjust your schedule if possible, and prioritize recovery meetings.
Are you aware of HALT signs when you are triggered?
IF yes, provide an example of a sign you have recognized when it comes to HALT
There is a client with a Self-Care Deficit Discharge Barrier. They are always being prompted to shower & do their laundry, but they refuse because they want to be in bed all day. What H.A.L.T. trigger is being activated?
Additionally, what are the consequences of the client refusing?
H.A.L.T. response -> the client being TIRED
The consequences of the client refusing to upkeep with laundry are:
Being exposed & potentially exposing others to foul body odor, infections, diseases, & having their discharge delayed due to not meeting their DB barrier.
Name three healthy coping strategies for H.A.L.T.
Examples: eat healthy meals, sleep, call support, exercise, journal, deep breathing, attend a meeting.
Name all four parts of a H.A.L.T. recovery plan.
Vulnerable area, early warning signs, coping strategy, support/resource.
CeCe was discharged 2 weeks ago. She skipped breakfast, argued with her sister, hasn't spoken to anyone from recovery in several days, and stayed up most of the night watching TV. She says, "I'm starting to think using again would solve my problems."
Identify all of CeCe's H.A.L.T. triggers and name 1 coping strategy for each.