Participant Checklist - SMART Recovery
Participant Checklist - SMART Recovery
Participant Checklist - SMART Recovery
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<strong>Participant</strong> <strong>Checklist</strong><br />
by<br />
Julie Myers, Psy.D. and Donald Meichenbaum, Ph.D<br />
You can use this checklist to see how much you are learning from <strong>SMART</strong> <strong>Recovery</strong> ® . Feel free to fill it out and<br />
share with others! We would appreciate any feedback you have about this checklist. You may direct comments,<br />
questions, insights, concerns, etc. via this link: http://www.surveymonkey.com/s/feedbackchecklist. Thanks!<br />
<strong>SMART</strong> <strong>Recovery</strong> ® Behaviors<br />
How many of the following behaviors do you presently practice Please click on the box to put a check mark<br />
next to each behavior that you now do as a result of participating in <strong>SMART</strong> <strong>Recovery</strong> ® .<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
_<br />
Attend <strong>SMART</strong> <strong>Recovery</strong> ® meetings. I attend ____ times per week.<br />
Understand the <strong>SMART</strong> <strong>Recovery</strong> ® 4-Point Program SM : Enhancing and Maintaining Motivation, Coping<br />
with Urges, Problem Solving and Lifestyle Balance.<br />
Follow a schedule that makes life feel ordered.<br />
Create a cost-benefit analysis (CBA). My costs (disadvantages) of using drugs/alcohol outweigh the<br />
benefits (advantages) of using.<br />
Recognize triggers that lead to using, including social pressure, interpersonal conflict, external cues<br />
(people, places, situations), internal cues (hungry, thirsty, tired) and strong emotions.<br />
Use urge-controlling techniques, such as riding-the-wave, delaying, distraction, reviewing my cost-benefit<br />
and Destructive Self-talk Awareness and Refusal Method (DISARM).<br />
Change my vocabulary to change the way I think and feel.<br />
Set short, medium and long-term goals.<br />
Set healthy limits and boundaries for myself.<br />
Take charge of the things I want to change.<br />
Recognize and try to reduce my self-destructive behaviors.<br />
Work toward progress, not toward perfection. I can accept myself unconditionally<br />
Try to follow a healthy, balanced lifestyle, including exercise, good nutrition and sleep.<br />
Seek enduring satisfactions in my life. Participate in vital and meaningful activities.<br />
Use my life’s goals in my recovery process.<br />
Look at my beliefs and see how these beliefs can contribute to my addictive behavior (for example,<br />
viewing people as doing things to me “on purpose”).<br />
Allow myself a peaceful time and place to decompress, reflect and regain calm when I am stressed, fearful<br />
or unhappy. Seek emotional and mental balance.<br />
Reach out to people who support abstinence and who are willing to support my efforts to change. Build a<br />
solid support network.<br />
Practice deliberate planning as a way to attain mini, short-term and long-term goals.<br />
Take responsibility for full-participation in my recovery by working through the <strong>SMART</strong> <strong>Recovery</strong><br />
Handbook, completing homework and tools or reading additional materials.<br />
Share what I have learned in <strong>SMART</strong> <strong>Recovery</strong> ® with others.<br />
01-2011
<strong>SMART</strong> <strong>Recovery</strong> ® Beliefs<br />
Please put a check mark next to each belief or self-statement that you now hold, from participating in <strong>SMART</strong>.<br />
I Now Believe That<br />
Thinking Behaviors<br />
_ I am not powerless.<br />
_ I can change my beliefs that contributed to my drinking/using, for example, the “should,” “musts” and<br />
“wants” in my life.<br />
_ I can recognize that relapse is part of recovery and that each lapse, should it occur, is a learning<br />
opportunity.<br />
_ I own my reactions to the world and the events in it; I can take responsibility.<br />
_ I can manage my own thoughts and emotions using the <strong>SMART</strong> <strong>Recovery</strong> ® tools.<br />
_ I can put a space between the thought and the action, allowing time for better outcome.<br />
_ I can recognize the difference between my thoughts, feelings and behaviors.<br />
I Now Believe That<br />
Coping Behaviors<br />
_ I can consider my options and remember that I have choices.<br />
_ I recognize that my feelings pass eventually; I can tolerate uncomfortable feelings, recognizing them as a<br />
normal part of everyday living.<br />
_ I can tell myself that having short-comings is a sign of being human.<br />
_ I can enjoy the process and not be so stressed about outcomes.<br />
_ I have <strong>SMART</strong> <strong>Recovery</strong> ® tools (such as coping statements and the ABC’s) to help manage my emotions<br />
and reactions to them.<br />
I Now Believe That<br />
Nurturing Hope<br />
_ I can acknowledge my mistakes and hold myself accountable for making them – but without berating<br />
myself for creating them.<br />
_ Change is possible. I do not have to continue as before.<br />
_ I can become comfortable with my past.<br />
_ I see myself of value to others and I can share my experiences with them.<br />
_ I can identify signs of resilience. I can give several examples of each of the following:<br />
I can<br />
I have<br />
I am<br />
_ I can live a healthier, more satisfying life.<br />
_ I can learn to stop thoughts of helplessness, hopelessness and low self-worth.<br />
_ I can reach out and grab the potential that life has to offer, being fully aware and present. I can live the life<br />
that I chose to live, as long as I am willing to work for it<br />
_ Other beliefs I learned include