Relapse Preventions and Recovery

tiffanyrober's version from 2016-12-17 00:48

Section 1

Question Answer
What is a slip An episode of AOD use following a period of abstinence
Usually precede a relapse
Some say that slipping is the rule rather than the expectation for those who receive AOD treatmen
“Well, I used again. Since that means I’m back to square one, I might at well do it right.”

Section 2

Question Answer
What is a relapseThe return to uncontrolled AOD use following a period of abstinence
In one study, 40-60% of patients in treatment relapsed within one year of becoming sober

Section 3

Question Answer
cenaps Model's Primary GoalsRecognize that dependency is a biopsychosocial disease
Recognize the need for lifelong abstinence from all mind-altering drugs
Development and use of an ongoing recovery program
Diagnosis and treatment of other problems or conditions that can interfere with recovery

Section 4

Question Answer
Basic components of Cognitive-Social Learning ModelNo prerequisite requirement
Can be used with anyone who wants to maintain a behavior change
Habit focused
Change may involve abstinence from AODs or a moderation in use
Belief that self-efficacy determines probability of relapse
Abstinence violation effect (AVE) results in escalation of slips to relapse
Apparently irrelevant decisions (AIDs) result from lifestyle imbalances and lead to relapse

Section 5

Question Answer
High risk situations, unexpected situations, covert planning situationsHigh risk situation: Any situation that poses a threat to the individual’s sense of control and increases the risk of potential relapse
Unexpected situations: Not planned; it just happened
Covert planning situations: Covertly makes decisions that will place the person in a high-risk situation •In isolation, it seems unrelated to AOD use

Section 6

Question Answer
Abstinence Violation EffectAssociated with thoughts and feelings such as conflict, guilt, and blame
The probability of a slip progressing to a relapse is related to the intensity of the AVE
Related Factors Include: length of sobriety, the commitment to absitence, knowledge of the slip by significant others

Section 7

Question Answer
Apparently Irrelevant DecisionsLifestyle imbalance
“Shoulds” and greater than “wants”
If the shoulds take up all of a person’s time they may become resentful or feel victimized
May lead to covertly planned high-risk situations

Section 8

Question Answer
Ways to cope with high-risk situationsOnce situations are identified, the client needs strategies to deal with the situations effectively
Situational-behavioral: Avoiding people, places and things that are high-risk and learning to modify their behavior
Cognitive-affective level: Challenging the irrational thoughts, and intense feelings that emerge in high-risk situations; “Stinking thinking”; HALT- hunger, anger, lonely, tired

Section 9

Question Answer
What is an urgeThe intention to engage un use to satisfy the craving

Section 10

Question Answer
What is a cravingThe degree of desire for the positive effects a person expects as a result of use

Section 11

Question Answer
Lifestyle changes needed in relapse preventionLeisure time
support systems
social and communication skills
educational and vocational guidance
financial planning

Section 12

Question Answer
emotionalis the ability to understand ourselves and cope with the challenges life can bring.
financial:satisfaction with current and future financial situations
socaildeveloping a sense of connections, belonging, and a well-developed support system
spiritualexpanding our sense of purpose and meaning in life
occupationalpersonal satisfaction and environment derived from one's work
physicalrecognizing the need for physical activity, diet, sleep, and nutrution
intellectualrecognizing creative abilities and finding ways to expand knowlegdge and skills
enviornmentalgood health by occupying pleasent stimulating environments that support well-being