Relapse Prevention Flashcards
What are the seven relapse prevention strategies
- Motivation
- Community
- Honesty
- Accountability
- Routine
- Spirituality
- Hobbies
What is addiction?
Multifaceted illness or disease involving physiological, psychological, and social or cultural factors
Usually a combination of factors rather than just one that leads to an addiction or the continuation of it
Chronic disease for many people
What are defense mechanisms addicts use?
The lie to themselves, allowing for refusal/denial of addiction
What are the evidence based treatments (EBTs) or practices (EBPs) used for addiction? - What is the point of treatment?
Behavioral treatments
Medication-assisted treatments
Combined treatments
- Reduce or stop use
- Make positive changes in lifestyle
What are the evidence based treatments (EBTs) or practices (EBPs) used for addiction? - What is the point of treatment?
Behavioral treatments
Medication-assisted treatments
Combined treatments
- Reduce or stop use
- Make positive changes in lifestyle
What are the phases of recovery? Are they linear?
Phase one – making a commitment to change
Phase two – stopping drug and alcohol use
Phase three – maintenance or relapse prevention
- Maintenance – maintaining behavior change over time
- Relapse prevention – coping strategies to help clients identify warning signs of relapse
No this is not linear, it is a process not an event.
What is a lapse?
initial episode of substance use following a period of recovery
“Slip up”
May or may not end in relapse
What is a relapse?
Actual event of substance use
Process of falling back to unhealthy habits leading to use
What is a major factor in relapse?
Adherence to treatment services or recovery activities
Good adherence increases the odds of recovery
How can you improve your clients adherence to treatment? (7 ways)
- Motivation
- Therapeutic relationship
- Treatment preparation
- Treatment plan development
- Treatment process
- System strategies
- Use motivational incentives to reward adherence
What are some Motivation strategies to improve adherence?
Accept your clients indecisiveness regarding change
Appreciate small changes your client makes
Accept non-adherence
Discuss motivational struggles immediately
Use Motivational interviewing techniques to help enhance client’s motivation to change
What are Therapeutic relationship strategies to improve adherence?
Understand the importance of your relationship with your client
Express empathy and concern
Convey helpfulness in your attitudes and behaviors
Encourage your client to discuss the counseling process and client-counselor relationship
Periodically ask group members how the group is doing, what they find helpful, and what changes they would like to see in the group
What are some treatment preparation strategies you can use to improve treatment adherence?
Explore your client’s hopes and expectations for treatment
Explore your client’s resistance or barriers to treatment
Discuss pros and cons of treatment from your client’s perspective
What are some treatment plan development strategies that can improve adherence?
Negotiate the treatment plan with client instead of dictate
Emphasize it is the client’s responsibility to change
Review goals and progress regularly
Discuss pros and cons of abstinence as a goal
Provide options regarding treatment (one size does not fit all)
What are some treatment process adherence strategies?
Use evidence-based practices
Change treatment frequency or intensity as needed
Give your client feedback regarding problems and progress
Discuss your client’s reactions to your feedback
Address social anxiety regarding your client’s group participation
What are some adherence system strategies that can be implemented
Develop program philosophy on adherence
Provide easy access to treatment for your clients
Provide your clients with flexible appointment times
Reach out to your poorly adherent clients
How do motivational incentives improve adherence to treatment?
Clients really appreciate incentives
Incentives are usually used to reward abstinences from substance use
Can also be used to reward adherence
Birthday chips, celebrations.
What are some ways to help clients manage cravings?
You can provide information about cues and how they trigger cravings for drugs and alcohol
Teach your clients how to monitor and record cravings (in early recovery), associated thoughts, and behavioral outcomes
You can have your clients journal this information in a daily log
What does journaling cravings in a daily log do for your clients?
Helps them become more vigilant and prepared to cope with cravings
It helps them identify patterns to their cravings and how they respond to them
What are some cognitive interventions to improve cravings and urges?
Teach your clients to change their thoughts about the craving, urge, or desire to use
Euphoric recall – challenge them to think past how good it felt to get high
Walk them through the steps of identifying negative consequences of using again (immediate and delayed)
Have them list the positive benefits of not using
What are some behavioral interventions to improve cravings and urges?
Work with your clients by talking to them about avoiding or leaving a situation or event that might lead to lapse or relapse (i.e., high-risk situations)
Your clients need to change a situation that triggers a craving
Have your clients get involved in positive activities
Have your clients talk about their cravings with others and listen to others talk about how they overcame their cravings
