Misc 1
Have a broad repertoire of cognitive and behavioral coping strategies to draw upon for identifying and managing high-risk situations and warning signs.
Make lifestyle changes to decrease the need for addictive
substances or maladaptive patterns of behavior.
Increase healthy activities and pleasure.
Prepare for interrupting lapses to minimize damage and prevent these from becoming full-blown relapses and to learn to intervene quickly should a relapse occur.
What are some common elements of relapse prevention?
To help the client initiate change, improve functioning, and prevent or reduce the risk of relapse.
What is the goal of Relapse Prevention?
The desire to use substances is common when a
a person stops using alcohol or other drugs
What are urges?
Observe peer body language
Look for signs of ambivalence
Learn from peer’s reaction to the roles play activity
What is Role Play?
1. Providing educational information.
2. Facilitating groups discussion and interaction between clients.
3. Helping members related to the concept of R/P.
4. Monitoring urges or cravings, and lapse and relapse experiences.
5. Validating issues or struggles contributing to lapse or relapse.
What are Group Interventions?
1. Making a commitment to change
2. Stopping maladaptive patterns of substance use
3. Maintainance
What are the phases of recovery?
The initial episode of substance use or
return to previous behavior (prior to change) following a period of recovery.
What is a Lapse?
1) A specific program or intervention
that focuses primarily on the relapse
issues and the maintenance stage of
treatment.
2) Any individual or group psychosocial
treatment that aims to help clients
reduce or stop maladaptive patterns
of substance use, prepare for
recovery and cope with high-risk relapse
factors and reduce the likelihood of relapse.
3) Medication-assisted treatment that helps clients
with the physical aspects of the use of specific substances.
What are Clinical Interventions?
Techniques for counseling sessions plus
reading and writing tasks assigned to clients.
What are counseling aids?
Consequences of Using Substances/Decision Matrix
Control-o-log
Daily R/P Inventory
Meditation
Mindfulness
Mood Thermometer
Monitoring Persistent Symptoms of Psychiatric Illness
Relapse Autobiography
Relapse Debrief
Role Plays
What are Counseling Aids?
1. Severity
2. Demographics
3. Magnitude of damage
4. Perception of problem
5. Motivation
6. Social support
7. Resources
What are factors affecting recovery?
Therapeutic and Fatal
What are the types of Relapse?
Hope
Self-directed
Empowerment
Respect
Responsibility
Individualized Plan
Strength Based Non-linear
Holistic
Peer Support
Non-linear
Holistic
Peer Support
What are the components of recovery?
Express empathy and concern, convey helpfulness in your attitudes and behaviors, and encourage the client to discuss the counseling process and the client-
counselor relationship
What is a Therapeutic Relationship?
Black and white thinking.
Making things worse than they really are or
‘awfulizing’.
Over-generalizing.
Selective abstraction.
Catastrophizing or magnification.
‘Should’ statements.
Labeling and mislabeling.
Personalization or self-reference.
Absolute willpower breakdown.
Body over mind.
Jumping to conclusions.
Emotional responses.
‘Should’ statements.
Labeling and mislabeling.
Personalization or self-reference.
Absolute willpower breakdown.
Body over mind.
Jumping to conclusions.
Emotional responses.
What are Cognitive Distortions?
The process of change through which
individuals improve their health
and wellness, live a self-directed
life and strive to reach their full
potential
What is recovery?
The actual event of substance use, or, the
process of falling back to unhealthy behaviors.
What is relapse?
Managing emotions or moods.
Family and social relationships.
People, places, and events.
Lifestyle issues.
Thinking.
What are some challenges reported by co-occurring clients?
Emphasize that the power to
change rests with the client.
Review goals regularly.
Celebrate progress
consistently.
Discuss the pros and cons of
making the change(s) that
the client has identified.
Since no one type of
treatment is appropriate for
all clients, provide options
What is developing an ISP?
1. Welcoming clients
2. Member introduction & check in
3. Substance use lapses or relapses
4. Handouts or assignments
5. R/P group topic introduction
6. Review of homework
7. Group ending
8. Assignment of next task/homework
What is the format for outpatient?
(1) Becoming educated about the
disorder(s): signs, symptoms,
causes, effects, treatments, etc.
(2) Developing a desire to change
and improve oneself.
(3) Setting goals to change.
(4) Following a change plan.
What are strategies that can aid recovery?
Affective (feelings/emotions)
Behavioral
Cognitive
Environment and relationships
Physiological
Psychological
Spiritual
Treatment and recovery related
Physiological
Psychological
Spiritual
Treatment and recovery related
What are the causes of relapse?
Cognitive-Behavioral or Coping Skills Therapies Recovery Management
Checkups
Community Reinforcement Approach Relapse Prevention
Contingency Management (Motivational Incentives) Twelve-Step Facilitation
Therapy
Motivational Interviewing Medication Assisted
Treatment
Marital and Family Therapies
Group Counseling
Individual Counseling
Matrix Model
What are evidence-based Relapse Prevention Interventions?
(1) Relapse can’t happen to me.
(2) I’ll ‘never’ use alcohol or other drugs again.
(3) I can ‘control’ my use of alcohol or other drugs.
(4) A few drinks, tokes, pills, lines, etc. won’t hurt.
(5) Recovery isn’t happening fast enough.
(6) I ‘need’ alcohol or other drugs to have fun.
(7) My problem is ‘cured’.
What are challenging thoughts leading to relapse?
1. Group format depends on group size.
2. Larger groups more likely to use a lecture format.
3. Focus on what clients are learning about R/P.
4. More time for homework and related tasks due to the nature of setting.
5. Group endings can focus on something learned about R/P group session or a goal that the client will work on between group sessions.
What is the format for Residential/Inpatient?