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Addictions > SRPP (Structured Relapse Prevention Planning) > Flashcards

SRPP (Structured Relapse Prevention Planning) Flashcards

1
Q

Gorski Model - 9 Steps/Principles to Facilitate Relapse Prevention (STEIFAISF)

A
  1. Stabilize client (assist developing daily structure)
  2. Teach client continual self-assessment
  3. Educational info., give it ( disease/biopsychosocial)
  4. Identify warning signs of relapse
  5. Facilitate ability to manage warning signs
  6. Create set of activities to use when relapse signs present
  7. Interrupt relapse dynamic
  8. Significant others become involved in relapse planning
  9. Follow-up consistently (min. 2 yrs)
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2
Q

PAWS

A

post-acute withdrawal syndrome
-set of symptoms occur after detox(last from wks-months)
-mood changes, social difficulties, sleep changes, cognitive problems

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3
Q

4 D’s (simple/classic relapse prevention strategy/technique)

A
  1. Delay (delay relapse decision by 20min., generally dissipate)
  2. Distract (craving time passes quicker when engaged in distracting behaviour
  3. De-Stress (deep breathing, maintain calm & purpose to stop rash decisions)
  4. De-Catastophize (don’t let inaccurate catastrophic thoughts guide actions, reframe instead into reality)
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4
Q

4 Stages of Change

A
  1. Pre-Contemplation (don’t recognize need for change/not actively considering)
  2. Contemplation (recognize problems/considering change)
  3. Preparation/Action (has initiated change)
  4. Maintenance (adjusting to change, practising new skills/behaviours to sustain)
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5
Q

Relapse Progression (11) (AAOLLBBPDSC)

A
  1. addictive use
  2. acute degeneration (life falls apart)
  3. option reduction (no other options)
  4. loss of behavioural control
  5. loss of control of judgement (life unmanageable)
  6. breakdown in social structure
  7. behaviour change (act different/interaction)
  8. P.A.W. (post-acute withdrawal)
  9. denial (I can handle it)
  10. stress (overreaction/low tolerance)
  11. change (external event/thinking)
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6
Q

A.V.E.

A

Abstinence Violation Effect
-refers to guilt/perceived loss of control when slip; find themselves return to S.U. after extended abstinence.

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7
Q

3 Categories (what most need to change) (NAI)

A
  1. Change neg. thinking patterns (mental re-training)
  2. Avoid ppl., places, things assoc. w/S.U. (healthy fear)
  3. Incorporate 5 rules of recovery
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8
Q

5 Rules of Recovery (CHHSR)

A
  1. change your life
  2. be completely honest
  3. ask for help
  4. practice self-care
  5. don’t bend the rules
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9
Q

A.A. Model

A

-founded by Bill Wilson & Dr.Bob (1935)
-1939 1st edition Big Book

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10
Q

MMT

A

Methadone Maintenance Therapy
-reduce cravings, blocks euphoric effects, eliminates rapid mood swings

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11
Q

Golden Slipper Meeting

A

relapse prevention self-help groups incorporated into AA meetings, for relapse-prone alcoholics

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12
Q

Detoxification

A

process of removing toxins from body; medical management of patient’s withdrawal from substances
-prelude to rehab

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13
Q

Treatments for Chemical Dependency (9) (AABDFGHSV)

A
  1. Acupuncture
  2. Assertiveness/Social Skills training
  3. Biofeedback training
  4. Detoxification programs
  5. Family & Marital therapy
  6. Group therapy approaches
  7. Harm Reduction model
  8. Self-Help groups
  9. Videotape/Self-Confrontation
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14
Q

Family Relapse Prevention Planning (3)

A
  1. discuss warning signs
  2. identify future encounters
  3. strategies-more effective management of warning signs (role-playing/problem-solving)
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15
Q

5 Components of R.P.P. (AMIIM)

A
  1. Assessment
  2. MI-Motivational Interviewing
  3. Individualized Treatment Plan (one of most Important)
  4. Initiation Counselling
  5. Maintenance Counselling
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16
Q

Relapse Syndrome

A

-period of out-of-control behaviour
-sobriety-based disease of addiction
-can destroy everything
-symptoms can look like other disorders

17
Q

Phases of Relapse (10) (IDACICDBRO)

A
  1. Internal Change
  2. Denial
  3. Avoidance/Defensiveness
  4. Crisis Building
  5. Immobilization
  6. Confusion/Overreaction
  7. Depression
  8. Behavioural Loss of Control
  9. Recognition of Loss of Control
  10. Optional Reduction
18
Q

Common Elements of R.P.Treatment Plan (5) (IIIIP)

A
  1. identify recovery motive
  2. identify relapse triggers
  3. identify warning signs
  4. identify well-being needs
  5. put plan into action
19
Q

Purpose of R.P. Treatment

A

Gordon A Marlatt ‘44-‘11 ????
-teach individuals trying to change behaviour & how to anticipate & cope w/problem of relapse

20
Q

Compulsive Behaviours

A

-actions producing intense excitement, emotional release followed by long-term pain
-internal & external
-goal to alter mood, turn off mind, evade reality
=eating/dieting; gambling; working; exercising; sex; thrill seeking; spending

21
Q

Keys to Recovery (a bunch)

A
  1. Avoid the triggers.
  2. Group sessions.
  3. Individual counselling
  4. Learning to work w/others.
  5. Think thru your plan
  6. It takes time
  7. Community support
  8. Find Hope
  9. Ask for Help
  10. Get Informed
  11. Engage in Treatment
  12. Seek Support
  13. Develop a Plan
  14. Take Action
  15. Reconnect with Life
  16. Stick With It
  17. Help Others

Addictions (14 decks)

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