Chapter 9-10 Study Guide Midterm

Question 1

Why it is important for mental health professionals to be involved in relapse prevention

Answer 1

It is important for mental health professionals to understand the specifics of relapse preventions to assist clients so they can remain abstinent.

Question 2

Difference between slips and relapse

Answer 2

A slip is an episode of AOD use following a period of abstinence, while relapse is the return to uncontrolled AOD use following a period of abstinence. Usually a slip(s) precedes a relapse…

Question 3

What to do if client slips

Answer 3

Although we believe abstinence is the safest and healthiest level of use we also believe it is foolish to ignore the reality and it is poor practice to leave Ct’s unprepared to prevent a slip from escalating to relapse

Question 4

Importance of teaching clients to prevent slips from escalating

Answer 4

There is no reason to treat a slip as a catastrophe, and every reason to view it as a signal to Ct and treatment providers/mental health professional to reexamine aftercare plan in order from it happening again in the future or to stop it from progressing.

Question 5

CENAPS Model: what is it, how relapse occurs, difference between CENAPS and cognitive-social learning models

Answer 5

What It Is:
Integrates the fundamentals of AA and Minnesota Model Treatment, to meet the needs of relapse prone patients- requires Cts to complete primary goals of Tx which include acceptance of the disease model of addiction.

Chemical dependency is viewed as a biopsychosocial disease.

Total abstinence is necessary. Personality, lifestyle, and family functioning are also areas that require change for biopsychosocial health.

How Relapse Occurs:

There are 6 steps on pg 172….

Relapse happens at step 6

Relapse prevention includes- client self assessment of problems of problems that may resukt to relapse, education about relapse, identification of signs, strategies to manage signs, involvement of others. Eclectic use of tx strategies are used including

Question 6

Difference Between CENAPS and Cognitive Social Learning Model

Answer 6

In contrast to CENAPS model, there is no pre-requisite requirement that Ct must achieve primary goals. Model can be used with any client who wants to maintain a behavior change including abstinence from AOD or moderation of use. Steps of recovery and relapse are different that CENAPS.

Question 7

According to a cognitive-social learning model, why is there covert planning of high risk situations?

Answer 7

High risk situations are unexpected situations… that may occur. Individuals that plan may have a better idea of what to do to prevent relapse and to promote self efficacy. Steps to take in unexpected situations are key.

Question 8

Marlatt: what does relapse prevention require?

Answer 8

Relapse prevention similar to CENAPS. Assessment of high risk situations, coping with high risk situations, support systems, lifestyle change, support systems, social and communication skills, self care, educational/vocational guidance, financial planning, relationships, balance of should and wants, preventing slips, and recovery.

Question 9

Relationship between self-efficacy and relapse prevention

Answer 9

Greater the self efficacy the greater relapse prevention efforts

Question 10

Assessment of high risk situations

Answer 10

High risk situations= high probablility of use based on past. Risk varies from Ct to Ct.

CENAPS- self assessment, exam history and slips

Cognitive social model- 100 item self report that assists in identifying high risks

Question 11

Definition of recovery

Answer 11

Continuous life long process.

Question 12

Recovery Support Services

Answer 12

Non clinical services that assist individuals and families to recover from alcohol or drug problems.

Question 13

Twelve Steps

Answer 13

Group of principals, spiritual in nature, if practiced as a way of life can expel obsession and enable sufferer to be whole.

Highlight gratitude, humility, and tolerance

Question 14

Why cross talk is not allowed at AA meetings

Answer 14

AA meetings are for support in maintaining sobriety not designed to provide therapy. If Cross talk were allowed there would be a tendency for non professionals to provide therapy. Cross talking is not permitted.

Question 15

Effectiveness of AA

Answer 15

Longitudinal studies show 12 step= reduced substance use improved psychosocial functioning. Good for cont. care, AA+tx= better then AA alone, abstinence rates for attendees are 2x as high then those that don’t.

Question 16

AA position on controversial Issues

Answer 16

7 positions that AA does not assert
1)More then one form of alcohol probs. 2)moderate drinking is impossible for everyone W/ a. problems, 3) a. should be confronted aggressively and coerced into tx 4) a. are in denial and defensive, 5) a.ism is purely physical, 6) a. is hereditary, 7) only 1 way to recover. These assertions involve outside economic, political, social, moral, legal, disciplinary issues that AA takes no stand.

Question 17

Advantages of Twelve-Step Groups

Answer 17

Free resource, regular attendance= addict is always focused on recovery, way to socialize with non users, social network, available at flexible times and places, ritual and spiritual connection is helpful

Question 18

Disadvantages of Twelve-Step Groups

Answer 18

Lack of differentiation between religion and spirituality, implies Christianity orientation due to prayers even though they are suppose to be nondenominational, may alienate atheists who do not believe in a higher power, or other non Christians, stats show most member are middle age white males, may alienate, women, ethnic diverse people and young people.

Question 19

Distinction between Many Roads, One Journey and Twelve-Step Groups

Answer 19

Many Roads, One Journey- Creator Kasl argues that issues such as child abuse, sexism, racism, poverty, and homophobia are in opposition to 12 step concepts such as conformity, humility, personal failings, and powerlessness. Kasl suggests Many Roads, One Journey focuses on discovery and empowerment through 16 steps and alternatives to God is more clearly specified, there is also more emphasis on powerfulness of choice, relationship and behavior to culture.

Question 20

Distinction between Women for Sobriety and Twelve-Step groups

Answer 20

Kirkpatrick Found AA to be rigid, dogmatic, and chauvinistic she also believed it increased her desire to drink and saw heavy use of tobacco and caffeine, so she founded The Women for Sobriety Program as an alternative program. Program is specific for women, applies a holistic approach of nutrition, meditation and cessation of smoking. She believes women drink due to frustration, loneliness, harassment, and emotional deprivation. Goals are to find autonomy, positive power of mind, healing, etc.

Question 21

Distinction between SMART Recovery and AA

Answer 21

Self-Management And Recovery Training-Alternative support group system that claims to have a scientific approach rather than spiritual. Teaches self-reliance, rather than powerlessness, meetings are discussion where individuals talk with one another, attendance is encouraged for months to years, but probably not a lifetime, No sponsors, discourages labels such as alcoholic etc.

Question 22

Who is moderation management appropriate for?

Answer 22

Behavioral change program, for people who are concerned about their drinking and want to cut back or quit drinking before serious problems develop. Not designed for those who have been diagnosed with an Alcohol Dependence Disorder.