How To Write A Relapse Prevention Plan
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How To Write A Relapse Prevention Plan

02.relapse prevention
HAZELDENTHEMATRIXMODELRelapse PreventionGroup HandoutsRichard A.Rawson, Ph.D., Jeanne L.Obert, M.F.T., M.S.M., Michael J.

McCann, M.A., and Walter Ling, M.D.A 16-Week Individualized ProgramINTENSIVE OUTPATIENTALCOHOL & DRUG TREATMENTCenter City,Minnesota 55012-0176Faxwww.hazelden.orgAll rights reserved.Published 2005Printed in the United States of AmericaThe Matrix Model is a registered trademark of the Matrix Institute.iiiDATE Handout 1:Alcohol:The Legal DrugHandout 2:BoredomHandout 3A:Avoiding Relapse Drift Handout 3B:Mooring Lines Recovery Chart Handout 4:Work and Recovery Handout 5:Guilt and Shame Handout 6:Staying Busy Handout 7:Motivation for Recovery Handout 8:Truthfulness Handout 9:Total Abstinence Handout 10:Sex and Recovery Handout 11:Relapse PreventionivDATE Handout 12:TrustHandout 13:Be Smart,Not StrongHandout 14:Dening Spirituality Handout 15:Taking Care of Business and Managing Money Handout 16:Relapse Justication I Handout 17:Taking Care of Yourself Handout 18:Dangerous Emotions Handout 19:Illness Handout 20:Recognizing Stress Handout 21:Relapse Justication II Handout 22:Reducing StressHandout 23:Managing AngervDATE Handout 24:AcceptanceHandout 25:Making New FriendsHandout 26:Repairing Relationships Handout 27:Serenity Prayer Handout 28:Compulsive Behavior Handout 29:Dealing with Feelings and DepressionHandout 30:Twelve Step Programs (or Other Spiritual Groups) Handout 31:Looking Forward:Dealing with Downtime Handout 32:One Day at a Time Handout 33:Recreational Activities Handout 34:Holidays and Recovery Handout 1

treatment.Some of the reasons for this include the following:1.Triggers for alcohol use are everywhere.It is sometimes hard to do anything socialwithout facing people who are drinking.Do you have friends who get together without drinking? If so,write their2.Many people use alcohol in response to internal triggers.Depression and anxietyseem to go away when people have a drink.Its difcult for them to realize that3.If a person is addicted to an illicit drug and uses alcohol less often,alcohol maynot be viewed as a problem.The problem isnt recognized until the person tries tostop drinking.4.Alcohol affects the rational,thinking part of the brain.It is hard to think reasonablyabout a drug that makes thinking clearly more difcult.Have you ever been sober at a party and watched people drink and get stupid?If so,describe the experience.Handout 1

5.Because alcohol dulls the rational brain,it promotes less controlled activity in thelower brain.This results in alcohol helping people become more sexual,less self-conscious,and more social.When you are used to using alcohol to increase sexualpleasure and help you socialize,these activities feel uncomfortable without it.6.Many of us grow up using alcohol to mark special occasions.It is hard to learnhow to celebrate those times without drinking.7.In many families and social groups,drinking is a sign of strength,of being with it,or of being sophisticated.Our culture encourages drinking.Do you feel less with itwhen you are not drinking? Explain.8.The habit of drinking gets to be part of certain activities.It seems difcult,at rst,to eat certain foods,go to sporting events,or relax without a beer or other drink.What activities seem to go with drinking for you?rst.As you work through the difcult situations and spend more time sober,it does get easier.Handout 1

Page 3 of 3Triggers for alcohol use are everywhere.It is sometimes hard to doanything social without facing people who are drinking.Handout 2

Often,people who stop using drugs and alcohol say life feels boring.1.A structured,routine life feels different from an addict lifestyle.2.Brain chemical changes during recovery can make people feel flat (or bored).3.Drug and alcohol users often have huge emotional swings (high to low and back to high).Normal emotions can feel flat by comparison.People with longer sobriety rarely complain of continual boredom,so these feelings do change.Meanwhile,there are some ways to help reduce this feeling.1.Review your recreational activity list.Have you started doing things that youenjoyed before using drugs and alcohol? Have you begun new activities that 2.Can you plan something to look forward to? How long has it been since youve3.Talk about this feeling with a mate or close friend.Does he or she feel bored,too?Does he or she have any interesting suggestions?4.Try going back to scheduling.Forcing yourself to write out daily activities helpsyou see where you can schedule in more interesting experiences.5.Do something risky that will further your personal growth.Sometimes boredomresults from not challenging yourself enough in your daily living.Which of the above might work for you? It is important to try new ways of ghting thebored feeling.Untreated,it can be a trigger and move you toward relapse.Handout 3A

Avoiding Relapse DriftRelapse does not suddenly occur.It does nothappen without warning,and it does not happen quickly.The gradual movement,however,can be so subtle and so easily explained away(denied) that often a relapse feels like it happened suddenly.This slow movementaway from sobriety can be compared to a ship gradually drifting away from where it was moored.The drifting movement can be so slow that you dont even notice it.During recovery,each person does specic things that work to keep him or her sober.These mooring linesneed to be clearly stated and listed in a very specic way sothey are understandable and measurable.These are the ropes that hold the recoveryUse the Mooring Lines Recovery Chart (page 9) to list and track the things that areholding your recovery in place.Follow these guidelines when lling out the form:1.Identify four or ve things that are now helping you stay sober (for example,working out for twenty minutes,three times per week).2.Include items such as exercise,therapist and group appointments,scheduling,outside spiritually based meetings,and eating patterns.3
how to write a relapse prevention plan
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Content
309-1, 309-2

Relapse Prevention Education

A Training Outline

Developed by James A.Town, CAC

For the

Pennsylvania Child Welfare

Competency-Based Training And Certification Program

University of Pittsburgh Pittsburgh, PA
June 2003

Pennsylvania Child Welfare Competency-Based Training and Certification Program University of Pittsburgh 2 Market Plaza Way, Suite 102 Mechanicsburg, PA 17050 Phone (717) 795-9048

Fax (717) 795-8013 309: Relapse Prevention Education An Overview of the and alcohol abuse and dependence is a critical problem that causes the breakdown of the family unit both historically and in today’s society.

Children, adolescents, and parents are greatly influenced and affected in a negative way by a family member’s drug or alcohol use.

In recovering from drug and alcohol use, the user can face many daily social, emotional, economic, physical and psychological struggles.

Learning how to cope with these issues can be a trigger to use in itself, and most times an uphill battle.

Both the chemical using family member and other family members need to know of effective resources, services and support groups that can assist them in helping the drug and alcohol user remain clean and sober.

Working with an adult family member with chemical use issues is a challenging task.

Consequently, relapse remains a constant struggle not only for the user but family members who are with them.

Thus assisting these families with relapse prevention becomes a long and labor intensive task.

Families with a family member working on recovery are very fragile and transition through many different emotions, along with learning to establish or re-establish a positive family relationship.

Caseworkers need to be able to recognize ways to assist families in dealing with relapse prevention.

Likewise, caseworkers need to be aware of relapse warning signs and triggers that could lead to further drug and alcohol use.

Caseworkers must have background knowledge on drug and alcohol abuse and dependence to help identify signs of use to assist in determining whether a client has relapse, along with understanding the cycle of problems that drug and alcohol use can cause.

Furthermore, caseworkers need to be aware of support services available to include drug and alcohol relapse prevention programs, self help groups such as AA/NA, County Drug and Alcohol Counseling Centers and information to provide the family or user on where and how to get Child Welfare Professional can recognize indicators of alcohol abuse in adults and in children, understands typical dynamics of alcoholic families, knows how an alcoholic parent can affect a child’s development and behavior, knows the relationship between alcohol abuse and family violence, and can refer to appropriate treatment Child Welfare Professional can recognize the indicators of drug abuse, including cocaine addiction, in adults and children; understands the potential effects of drug use on family functioning; and knows appropriate referral methods and treatment resources.

PA Child Welfare Competency-Based Training & Certification Program
309:

Relapse Prevention Education Page 1 of 29

309: Relapse Prevention Education An Overview of the Curriculum (continued)

Learning Objectives:

Participants will be able to:

Define relapse and recovery.

Identify key terms of drug and alcohol use.

Recognize Relapse warning signs and behaviors.

Define the purpose of relapse prevention planning.

Recognize resources available for referring a relapsing client.

Identify appropriate resources to meet the child’s and the family’s needs.

Length of Workshop:

6 hours

Materials Needed to Present Workshop:

Color markers

Name tents Idea Catchers Overhead projector and screen Flip chart stands Two blank flip chart pads Curriculum with transparencies Handouts for participants Masking tape

Target Audience:

Child Welfare are serving more and more families who are involved in drug and alcohol use.

As members of adult families attempt to stop their personal drug and alcohol use, caseworkers must be knowledgeable to assist those adult family members who are at risk for relapsing back into drug or alcohol use.

This workshop offers information pertaining to what is relapse prevention, recognizing the potential for relapse, recognizing relapse warning signs and behaviors, along with identifying appropriate resources for referral in the case of a adult client who does indeed relapse.Prerequisites for this workshop include “309: An Introduction to Substance Abuse for Child Welfare Professionals” and “309: Assessment Case Planning and Service Provision for Substance Abusing Families.”

PA Child Welfare Competency-Based Training & Certification Program
309:

Relapse Prevention Education Page 2 of 29

309: Relapse Prevention Education An Overview of the Curriculum (continued)

Prerequisites for this Workshop:

309: An Introduction to Substance Abuse for Child Welfare Professionals 309: Assessment Case Planning and Service Provision for Substance Abusing Families

Expectations of the Trainer:

The trainer should be knowledgeable in the field of drug and alcohol abuse and dependence treatment, prevention, or education.

Trainers should also be knowledgeable in specific relapse prevention planning, the Gorski/CENAPS model, to include relapse warning signs, triggers, slips, minor relapse, major relapse, and utilizing support services in setting up a solid relapse prevention plan.

Trainers should also have a good understanding of the effects of drug and alcohol abuse and dependence on the family unit, along with the stages of recovery.
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