week two | models of recovery Flashcards
spiritually-inclined twelve-step program offers a demonstrated path of recovery with abstinence in mind
alcoholics anonymous
1) Admit one cannot control one’s addiction
2) recognize a higher power that can provide strength
3) examine past errors with sponsor’s help
4) make amends for errors
5) learn to live a life with a new code of behavior
6) help others who suffer from same addiction or compulsions
key features of AA
experienced AA meeting who provides support and accountability on an individual level
a sponsor
first developed in 1935 by Bill Wilson & Dr. Bob during the founding of Alcoholics Anonymous, designed to help individuals suffering from alcoholism and addiction attain long-lasting, contented sobriety.
12 step program
go take small steps in reducing risky behaviors (ex drug use), encourage client to have a voice and view themselves as primary agent of reducing harm of risky behaviors of harm reduction
goals of harm reduction
meet client where they are, maintain a nonjudgmental stance that focuses on client dignity and compassion
role of therapist in harm reduction
designed to reduce harmful consequences that are associated with various human behaviors without insisting the individual quit immediately, behaviors exist on a continuum ranging from non-problematic to severely problematic, targets specific risks and harms and reducing risks
features of harm reduction
directive style that focuses on a client’s ambivalence about change, names it, and helps to resolve it
motivational interviewing
attempts to see the world as the client and takes a collaborative stance, assuming the client is the expert. they identify discrepancies but doesn’t challenge and listens to client, highlights their strengths, and elicits hope and capacity for change.
role of therapist in motivational interviewing
OUARS (open ended questions, affirming, reflective listening, summaries)
features of motivational interviewing
used to encourage the client to move past one word answers and actively engage with the therapist
open ended questions
encourages ongoing communication, disclosure, and growth throughout the therapeutic process
affirming
helps direct the client toward change or to further explore difficult issues. resistance is not confronted by the therapist and rather difficult feelings are affirmed which gives client permission to deal with them
reflective listening
another form of reflective listening, allows for the therapist to provide insights that have been seen by the therapist. this helps the client feel more empowered by these insights
summaries
precontemplation, contemplation, preparation, action, maintenance
stages of change
clients may be experiencing negative consequences from use but do not feel they are serious enough to change behaviors. clients in this stage tend to defend their current AOD patterns and are not motivated to change
precontemplation
clients recognize their AOD patterns are problematic but remain ambivalent about making changes
contemplation
clients are committed to changing their behaviors and are taking responsibility for their role in making changes
preparation
clients are actively engaged in changing their behaviors and recognize the likely need for outside assistance in achieving their goals
action
clients have developed some efficiency and are working to consolidate changes
maintenance
to withdraw from substances in a medically supervised facility
goals of detoxification
medications may be administered by doctors in order to control withdraw symptoms. education is generally provided regarding substance use and treatment, generally lasts a few days to more than a week.
features of detox
contact with the outside world is limited upon initially entering treatment. eventually clients are allowed more contact with people outside and encouragement is provided to help client restart their daily activities while returning to center at night
goals of residential
generally lasts one more to over a year. treatment is divided into a series of stages that the individual goes through. 12 step models are frequently used. family therapy incorporated into treatment.
features of residential
