theme 1 - helping clients identify high-risk rp factors (8)
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7/29/2019 Theme 1 - Helping Clients Identify High-Risk RP Factors (8)
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THEME 1
HELPING CLIENTS IDENTIFY HIGH-RISK
RELAPSE FACTORS AND DEVELOPSTRATEGIES TO DEAL WITH THEM
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High-risk factors are critical situations in
which client used alcohol or drugs prior to
treatment. The factors usually involve
intra-personal & interpersonal situations
The need to recognize the risk of relapse
& high-risk factors as well as develop
appropriate strategies to counter them are
essential components of recovery
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INTRAPERSONAL FACTORS (INTERNAL)
Negative emotional states
(anger, anxiety, depression, frustrations,
boredom)
Negative physical statePositive emotional states (celebration,
intense excitement)
Testing one’s personal control (using
“willpower” to limit consumption) Urges and temptations
HIGH-RISK
FACTORS
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1. Identify high-risk situations & coping problemsthrough interview of client’s past lapses or relapse,
relapse dreams or fantasies
3. Use of self-report questionnaires to assess high-
risk factors or situations and inability to cope
ASSESSMENT STRATEGIES
2. Client in outpatient program who are unable tosustain abstinence can self-monitor by observing
drinking or drug use situations, emotions &
interpersonal factors associated with urges or
substance use
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Break into Group
Task:
Identify high-risk factors/situations &
coping difficulties through discussions.Explore personal previous history of
lapse / relapse, relapse dreams and
fantasies
Large Group Process
GROUP EXERCISE
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Intervention Strategies
Once a client’s
high-risksituations have
been identified, 2types of intervention
strategies can beused to lessen the
risk of relapse
By being able torecognize thosewarning signals,
the client may beable to takeevasive action oravoid the high-risk situation
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Intervention Strategies
1. Learning to recognize the warning signals associated withimminent danger , e.g. cues that the person is about to enter ahigh-risk situation
a. Apparently irrelevant decisions
b. Lack of balanced lifestyle
c. Strong expectancies about drinking
Warning signals
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Intervention Strategies
2. Evaluating the clients existing motivation & abilityto cope with specific High-risk situations
& learning more effective coping skills
Refusing drinks
in social
situations
Assertiveness
Communication
skills
General
Strategies e.g.
anger
management,
behavioralrefusal
rehearsals
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COPING SKILLS STRATEGIES
Cognitive strategies –
reframing, coping imagery,
positive self-talk, counteringpositive outcome expectancies,
coping with abstinence violation
effect
Lifestyleintervention meditation exercise relaxation
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Group Exercise
1
A client reports thathe has been having
the urge to drink,especially when he isexperiencing negativeor positive emotions,
e.g. anger.Frustrations,
excitement. Provideintervention using
positive expectancies& eliminating myths
effects
2
A client who has beendrug free for several
months had a lapse.He came for
counseling feelingdistressed & defeated.
Proceed to conductcounseling using your
knowledge of
abstinence violationeffect
Large Group Process
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Theme 2:
Helping Clients UnderstandRelapse As A Process As Well
As An Event