Proximal Vs. Distal
Barriers to success
Psychosocial Stability
Remission
Famous People in Recovery
100

Goals attainable in a short period of time, although they may not want to or may not be accustomed to doing so. 

What is proximal

100

A participant misses treatment because  they have no way to get there.

What is transportation

100

Participant is living in safe, secure environment and is likely to remain in this environment for the foreseeable future.

What is stable housing

100

When distal goals become proximal goals

What is early remission

100

Artist with albums titled Recovery and Relapse

Who is Eminem


200

Participants are not yet capable to achieve or can only do so intermittently or for a limited time. 

What is distal goals

200

A participant cannot attend treatment because they must care for their children.

What is lack of childcare

200

Participant has demonstrated the ability to attend services including court hearings, treatment and drug testing

What is reliable attendance

200

When proximal treatment goals become managed

What is sustained remission

200

She was a child actress that acted in ET as a child. As an adult she was in Never Been Kissed and has her own talk show

Who is Drew Barrymore?

300

Attending all scheduled treatment sessions this week

What is a proximal goal

300

Participants waiting weeks for treatment placement experience this common barrier.

What is delayed access to services

300

Research consistently identifies this relationship as one of the strongest predictors of treatment engagement and completion

What is the therapeutic alliance (or positive participant-provider relationship).

300

One-time or short-period, isolated event of substance use, not indicating a pattern

What is episode of use

300

This famous actor starred in The Hangover and A Star is Born. He struggled with alcohol abuse that worsened with his rise in fame.

Who is Bradley Cooper?

400

Reunification with children after meeting program requirements

What is a distal goal

400

This basic need often determines whether participants can focus on recovery.

What is stable housing

400

When the participant is no longer experiencing persistent substance cravings, withdrawal symptoms, anhedonia, executive dysfunction, acute mental health symptoms or cognitive impairments. 

What is clinical stability

400

A return to substance use after a period of abstinence, often indicating a pattern over time.

What is recurrence of use

400

This Marvel Superhero once said "I am allergic to narcotics, I break out in handcuffs."

Who is Robert Downey Jr?

500

Building a stable, healthy lifestyle that supports long-term recovery.

What is a distal goal

500

Research suggests that recovery is strengthened by supportive _______.

What are relationships?

500

The HAQ-II and the WAI are validated instruments that treatment providers can use to assess what?

What is therapeutic alliance

500

Reduce drug and alcohol testing when this is achieved

What is early remission

500

This famous actress and musician, known for their roles on Disney. They entered rehab for the first time at seventeen due to substance abuse struggles.

Who is Demi Lovato?