Continuum Of Care Analysis

Recovery is the process of participating in a group or program providing treatment and support for a longstanding psychological or behavioral problem, such as abuse, addiction, grief, or trauma (Melemis, Steven, 2015). As a non-addict it seems easy enough to make a decision to stop drinking and follow through with that decision when temptation presents itself, but for an alcoholic it is not the simple. However, an alcoholic struggles with the temptation on a daily bases. Relapse prevention begins with addressing social interactions, emotional triggers, and developing positive coping mechanisms. Recovery and relapse requires is a process that should be done with others around to support each step and each phase of the

Relapsers have to be familiar with the relapse process and the best ways to manage it. Involving the family and other sponsors is a great idea. The education should strive to emphasize four main messages:  First, relapse is an ordinary and a natural process in the recovery out of the chemical dependence. One should not be ashamed of it like in the case of Jed who “gets jumpy” when he tries to stay away from drinking, feeling “closed in or like he is suffocating”. He also cannot imagine how to explain to his buddies why he is not joining them in the bars. Secondly, people are not all of a sudden taken drunk. There are gradual warning sign patterns that indicate they are slowly cropping in again. Such signs can only be recognized when one is sober. Thirdly, after they are identified, the recovering individuals

Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery ( Laudet, A. B., & Stanick). Abstinence is the best way to avoid drug addiction. According to Hart & Ksir, a person who understands all this information about all these drugs will perhaps be better prepared to make decisions about personal drug use, more able to understand drug use by others, and better prepared to participate in social decisions about drug use and abuse (Hart & Ksir ).

2) Learn coping skills: A client may learn skills that will help them from doing the same thing that contributed to their addiction. They may learn that continuing to attend meetings, meditation, exercising and in some cases medicine may avert them form using drugs again.

Throughout Unit 6 we reviewed the continuum of care in long-term care facilities and its many aspects. The continuum of care, also referred to as the delivery system of health care, is best defined as a full range of long-term care services increasing in level of acuity and complexity from one end to the other (PowerPoint). This delivery system is comprised of three substantial components. These components are the informal system, community based care, and the institutional system.

According to Marlatt (1985) preplanning strategies work best to efforts to recover from such relapses or slips. These strategies include a contract with information such as reminders or referrals to reconnect with councilors (182). These strategies are initiated because outpatient rehabilitation programs last up to ninety days and rarely accompany any form of continuous follow up or evaluations prior to a complete return to alcohol and illicit drug

“Traditional… treatment approaches often conceptualize relapse as an end-state, a negative outcome equivalent to treatment failure. Thus, this perspective considers only a dichotomous treatment outcome—that is, a person is either abstinent or relapsed.” (Larimer, 1999). For a substance dependent individual like Rosa, equating abstinence to failure is counter-productive and ineffective. Considering her history of pain management, we can expect that Rosa may feel emotional and physical discomfort without her opiate and alcohol combination. A setback in treatment would be negative, but doesn’t warrant “giving up” on established treatment goals. Relapse may be anticipated with the relapse prevention model, but it is considered to be a part of “the

The use of drug and substance abuse interventions have resulted in a decrease of relapses throughout the United States due to the amount of support each participant receives, the unique treatments each person gets, and those who receive treatment are automatically better off than those who do not receive treatment.

This taxonomy includes three hierarchically categories that are used in the classification of different relapse episodes. The first level differentiates between the intrapersonal and interpersonal causes of relapse. The second level contains eight subdivisions, five within the intrapersonal category and three within the interpersonal category. Within the intrapersonal category is coping with negative emotional states and negative physical-psychological states, testing personal control, giving in to urges and temptations, and enhancement of positive-emotional states. Within the interpersonal category is coping with social pressure, interpersonal conflict, and enhancement of positive emotional states.

Recovery is a lifelong process that an addict must work at for the rest of their life. Like anything in life, a journey may feature varying terrain so lifelong support is essential. In order to maintain them form relapsing, one should participate in self-groups, or programs that can help improve skills, in order to stay clean and not relapse.

Relapse prevention at this stage means recognizing that you're in emotional relapse and changing your behavior. Recognize that you're isolating and remind yourself to ask for help. Recognize that you're anxious and practice relaxation techniques. Recognize that your sleep and eating habits are slipping and practice self-care.

The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.

DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take

So the treatment should have focus not only on the person’s physical and mental health but also focus on person’s all related issues. If the addicted person completed the whole treatment, then the chances of relapse decreases, but if the person leave the treatment in between then there are chances of relapse increases. So the determination of the person to quit the addiction is most important in the treatment of drug addiction.

Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.