SRPP (Structured Relapse Prevention Planning) Flashcards
Gorski Model - 9 Steps/Principles to Facilitate Relapse Prevention (STEIFAISF)
- Stabilize client (assist developing daily structure)
- Teach client continual self-assessment
- Educational info., give it ( disease/biopsychosocial)
- Identify warning signs of relapse
- Facilitate ability to manage warning signs
- Create set of activities to use when relapse signs present
- Interrupt relapse dynamic
- Significant others become involved in relapse planning
- Follow-up consistently (min. 2 yrs)
PAWS
post-acute withdrawal syndrome
-set of symptoms occur after detox(last from wks-months)
-mood changes, social difficulties, sleep changes, cognitive problems
4 D’s (simple/classic relapse prevention strategy/technique)
- Delay (delay relapse decision by 20min., generally dissipate)
- Distract (craving time passes quicker when engaged in distracting behaviour
- De-Stress (deep breathing, maintain calm & purpose to stop rash decisions)
- De-Catastophize (don’t let inaccurate catastrophic thoughts guide actions, reframe instead into reality)
4 Stages of Change
- Pre-Contemplation (don’t recognize need for change/not actively considering)
- Contemplation (recognize problems/considering change)
- Preparation/Action (has initiated change)
- Maintenance (adjusting to change, practising new skills/behaviours to sustain)
Relapse Progression (11) (AAOLLBBPDSC)
- addictive use
- acute degeneration (life falls apart)
- option reduction (no other options)
- loss of behavioural control
- loss of control of judgement (life unmanageable)
- breakdown in social structure
- behaviour change (act different/interaction)
- P.A.W. (post-acute withdrawal)
- denial (I can handle it)
- stress (overreaction/low tolerance)
- change (external event/thinking)
A.V.E.
Abstinence Violation Effect
-refers to guilt/perceived loss of control when slip; find themselves return to S.U. after extended abstinence.
3 Categories (what most need to change) (NAI)
- Change neg. thinking patterns (mental re-training)
- Avoid ppl., places, things assoc. w/S.U. (healthy fear)
- Incorporate 5 rules of recovery
5 Rules of Recovery (CHHSR)
- change your life
- be completely honest
- ask for help
- practice self-care
- don’t bend the rules
A.A. Model
-founded by Bill Wilson & Dr.Bob (1935)
-1939 1st edition Big Book
MMT
Methadone Maintenance Therapy
-reduce cravings, blocks euphoric effects, eliminates rapid mood swings
Golden Slipper Meeting
relapse prevention self-help groups incorporated into AA meetings, for relapse-prone alcoholics
Detoxification
process of removing toxins from body; medical management of patient’s withdrawal from substances
-prelude to rehab
Treatments for Chemical Dependency (9) (AABDFGHSV)
- Acupuncture
- Assertiveness/Social Skills training
- Biofeedback training
- Detoxification programs
- Family & Marital therapy
- Group therapy approaches
- Harm Reduction model
- Self-Help groups
- Videotape/Self-Confrontation
Family Relapse Prevention Planning (3)
- discuss warning signs
- identify future encounters
- strategies-more effective management of warning signs (role-playing/problem-solving)
5 Components of R.P.P. (AMIIM)
- Assessment
- MI-Motivational Interviewing
- Individualized Treatment Plan (one of most Important)
- Initiation Counselling
- Maintenance Counselling
Relapse Syndrome
-period of out-of-control behaviour
-sobriety-based disease of addiction
-can destroy everything
-symptoms can look like other disorders
Phases of Relapse (10) (IDACICDBRO)
- Internal Change
- Denial
- Avoidance/Defensiveness
- Crisis Building
- Immobilization
- Confusion/Overreaction
- Depression
- Behavioural Loss of Control
- Recognition of Loss of Control
- Optional Reduction
Common Elements of R.P.Treatment Plan (5) (IIIIP)
- identify recovery motive
- identify relapse triggers
- identify warning signs
- identify well-being needs
- put plan into action
Purpose of R.P. Treatment
Gordon A Marlatt ‘44-‘11 ????
-teach individuals trying to change behaviour & how to anticipate & cope w/problem of relapse
Compulsive Behaviours
-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
Keys to Recovery (a bunch)
- Avoid the triggers.
- Group sessions.
- Individual counselling
- Learning to work w/others.
- Think thru your plan
- It takes time
- Community support
- Find Hope
- Ask for Help
- Get Informed
- Engage in Treatment
- Seek Support
- Develop a Plan
- Take Action
- Reconnect with Life
- Stick With It
- Help Others
