Counselor's Manual for Relapse Prevention With Chemically ...

More documents

Recommendations

Info

Time-Limited or Open-Ended Group?It may be practical to place a time limit on a group depending on the patients' stage of recovery.This way patients graduate together to another group with another specified goal. If the settingallows, an open-ended, closed membership group can be ideal. Such a group can achieve highlevels of intimacy and differentiation that allow for greater risk taking. The goals can advancewhile the membership remains the same.Educational Groups?For patients to succeed in recovery, they must learn certain things about chemical dependency.This information helps them to cope with the challenges of recovery and avoid relapse.Educational groups also help engage the client in treatment and recovery. The overt or covertexpectation of individual or group therapy is "change." People find this threatening. Aneducational group is much less threatening because it is easier to Alearn" than to Achange."Educational sessions can be offered in 60- to 90-minute blocks. The educational sessions shouldoffer basic information onChemical dependency as a bio/psycho/social diseaseThe recovery processSymptoms that appear after beginning abstinenceRelapse warning signsRecovery planning.These sessions should consist of a lecture and an exercise, presented with media supplements.Some programs have an educational curriculum available, and such programs may be availablethrough your State Alcohol and Drug Abuse Agency. One prepackaged educational program thatcan be ordered is the Staying Sober Educational Modules (see the bibliography).Group Goals and PrinciplesIt is important for the group leader to be clear about what is to be accomplished in the group. It isbest to have a written goal with a step-by-step plan for reaching the goal. Having both a writtengoal and a plan will help to keep the group on track.The goals of group treatment with addicted patients should be:Self-assessment. The patients should be able to talk about and understand the meaning ofdifferent exercises to their recovery.Communication training. The group leader should teach patients basic techniques for talkingabout their thoughts, feelings, and reports of life events. This training should focus on teachingpatients how to reveal things about themselves and how to give and receive feedback.
Cognitive restructuring. Patients should relearn how to think so that they can accurately examineand report information and understand how it pertains to their recovery.Effective counseling. Group treatment should teach patients how to identify, express and selfregulatetheir emotions and moods.Memory retraining. Treatment should help patients restore short-term and long-term memory.Treatment monitoring. Group sessions should provide a vehicle for monitoring and holding thepatient accountable for progress and problems encountered when pursuing treatment goals.Support. The group leader should provide peer and professional support throughout the recoveryprocess.Opportunity for dialogue. Group sessions should give the patient a chance to talk about recoveryissues in a supportive environment where feedback from and discussion with people both moreand less advanced in the recovery are available.Involvement of others in problem solving. The group process should involve the patient inproblem solving with other recovering people. The group leader can tell patients that others canand will help in problem solving if they are allowed to, that they too are capable of helpingothers, and that they can help themselves by helping others.The principles of group counseling for patients recovering from addictions should be:Addiction groups. In order to be successful, groups must consist of only recovering alcoholicsand drug addicts.Group treatment goals with addicted patients. The addicted patient is suffering from chemicaldependency. This is an illness causing specific physical, mental and social impairments. Grouptreatment must be directed at helping the patient with these impairments.Structured and directive group process. The group process should be structured rather than freefloating.Patients must focus on concrete, specific problem solving relating to accepting theiraddiction and achieving a comfortable recovery. Feelings should be dealt with in the context ofthese concrete problems. All problems dealt with in the group must be related to recovery fromchemical dependency.The role of the group counselor. The group counselor should be directive, yet permissive andsupportive. The counselor is responsible for establishing and maintaining direction for eachpatient and for the group as a whole. The group counselor gives direction and supervision to thegroup. He or she must provide a consistent group format; set the pace of the group and see that itis maintained; assign, follow, and review assignments; and manage group problems as theydevelop.
Page 1: Counselor's Manual for Relapse Prev
Page 4 and 5: Criminal behaviors. Chemical depend
Page 6: Transition StageThe transition stag
Page 9 and 10: Post Acute WithdrawalSome of the sy
Page 11 and 12: Unstabilized relapse-prone patients
Page 14 and 15: which provide specific information
Page 16 and 17: ecovery plan to determine whether h
Page 18 and 19: "When you said that, I began to thi
Page 20 and 21: Have the patient form a sentence st
Page 22 and 23: There are many models for the stage
Page 24 and 25: e assertive in setting limitsprovid
Page 28 and 29: The abstinence goal. The first focu
Page 30 and 31: Group sessions are 2 hours in durat
Page 32 and 33: They will confuse thoughts and feel
Page 34 and 35: Step 3: Identification of Alternati
Page 36 and 37: Opening Procedure—PurposeEstablis
Page 38 and 39: G—GENERALIZE: "What did you learn
Page 40 and 41: they really understand each exercis
Page 42 and 43: Early Recovery Patients: These pati
Page 44 and 45: Instructions. Again, it is best to
Page 46 and 47: Exercise No. 17: Identifying High-R
Page 48 and 49: eading the cards and also carries t
Page 50 and 51: Dysfunctional: Unable to function i
Page 52 and 53: The purpose of this workbook is to
Page 54 and 55: Read This Workbook. By reading and
Page 56 and 57: ________9. Do not listen: Other peo
Page 58 and 59: Part of the Relapse Prevention Work
Page 60 and 61: personality, it is important for yo
Page 62 and 63: treat someone else badly.____ ____
Page 64 and 65: 2. Unless I really want to give up
Page 66 and 67: 1. I stopped using on _____________
Page 68 and 69: B. Problems with situations:1.2.3.4
Page 70 and 71: E. What happened to you or other fa
Page 72 and 73: C. What did alcohol or drugs help y
Page 74 and 75: C. What did alcohol or drugs help y
Page 76 and 77:
D. What thoughts, feelings, problem
Page 78 and 79:
Exercise No. 7: Life History Summar
Page 80 and 81:
. .. .. .. .6. Adult Work. .. .. ..
Page 82 and 83:
Purpose. There are many ways you ca
Page 84 and 85:
it, but the feelings do not go away
Page 86 and 87:
___ 39. Deep resentments: I feel an
Page 88 and 89:
Phase II: External Dysfunction: In
Page 90 and 91:
___ 30. Believing "just this time":
Page 92 and 93:
A. TitleB. Write the words you unde
Page 94 and 95:
3. Write down any new thoughts, fee
Page 96 and 97:
H. The next thing I felt wasI. The
Page 98 and 99:
9. Finish the following sentence fi
Page 100 and 101:
5. Warning Sign:Summary Title:6. Wa
Page 102 and 103:
14. Warning Sign:Summary Title:Revi
Page 104 and 105:
Warning Sign Sentence:5. Summary Ti
Page 106 and 107:
14. Summary Title:Warning Sign Sent
Page 108 and 109:
3. When this warning sign happened
Page 110 and 111:
Summary Title of the Warning Sign _
Page 112 and 113:
B. High-Risk Situation:C. High-Risk
Page 114 and 115:
5. Critical High-Risk Situations: A
Page 116 and 117:
E.F.G.H.I.J.Exercise No. 19: Combin
Page 118 and 119:
2. List the injunctions you think m
Page 120 and 121:
2. The worst that can happen?3. Mos
Page 122 and 123:
If I change the way I think, I will
Page 124 and 125:
If I change the way I think, I will
Page 126 and 127:
A.B.C.4. List three ways that you c
Page 128 and 129:
E. What I will do in the future to
Page 130 and 131:
People who will help me with this p
Page 132 and 133:
Purpose: Make as many copies of thi
Page 134 and 135:
2. How did you handle them? How did
show all

Counselor's Manual for Relapse Prevention With Chemically ...

Create successful ePaper yourself

Delete template?

Save as template?