Program Delivery

Upon establishing a therapeutic alliance and building rapport, Adam was insightful in identifying treatment goals for therapy. Stressing the recovery model, Adam and I, were determine to set reachable goals that were attainable during short-term therapy consisting of 12, one hour, weekly sessions.

In addition, abstinence is the client’s way to remain substance free, by establishing a stable and healthy lifestyle, develop coping/living skills, and increase support of family members to protect the individual’s best interest. Last, maintenance concept, is a relapse prevention or termination stabilizing their success when in treatment. Fourth, an individual may gain momentum using models such as the CENAPS Model, with self-regulation and stabilization. To clarify, teaching or educating a client about self-regulation helps a person with their thinking, emotions, thought process, memory, and judgment changing at risk of relapse to a minimum.

Relapse prevention is a comprehensive plan accounts for social interactions, emotional triggers and the development of positive coping mechanisms (Alcoholic and Drug Addict Relapse Prevention Suggestions, 2015). From the social interaction’s aspect, patients with substance abuse should interact with people who are able to recognize their issues and offer moral support in a daily basis. Loss of a loved one, change in employment, health issues, changes in financial situation, and change in marital status are considered as emotional triggers. The patient

The client stated that due to his addiction, he would place himself in dangerous situations. The client has been able to identify previously unknown triggers that lead to relapse. For example, the client stated that he would drink large amounts of alcohol because it "wasn’t my drug of choice". The client soon relapsed on his drug of choice. The client stated, "I never thought about why I relapsed before". The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client will continue to work on identifying and developing healthy coping skills, learning and building an awareness of triggers, understanding the importance of aftercare, and working on a relapse prevention

The proposed short-term and long-term outcomes of the intervention are making sure the patient is safe, making sure the group is safe, as well as disrupting bad behaviors; long term, behavior modification in order to reduce recidivist behavior and also rehabilitating youth (United). Behavior modification happens through positive reinforcement of good behaviors and immediate punishment of bad behaviors

However, the client stated that because of his addiction, "I hit rock bottom before I got locked up this time around". The client expressed that he was homeless, living in the woods, overdosed several times, has a lengthy criminal record. He was informed by his father that if he doesn’t get "clean" he would not let him see his son again. The client expressed that if he doesn’t maintain sobriety, "I could die". The client has developed insight into his addiction and has identified several triggers and relapse warning signs. The client has identified and developed several coping skills. The client expressed the importance of aftercare to maintain long-term sobriety. The client attends weekly AA/NA and Big Book meetings in the PWC ADC. The client has picked and is currently working with a

This program is from thirty to ninety days. The clients work on the 12 - steps of addiction, complete assignments to understand their disease process, work the steps of addiction along with reading the big book, and discuss the different stories. These assignments are completed on an individual basis and each individual has two weeks before they process their first assessment in a group setting. The big book is also read and discuss in a group setting. The individuals explore there feeling, provide self-affirmation to themselves and others, while voicing a goal for that day, daily through the session group called Grateful.

Negative emotions and cognitive factors and stress, both warrant further consideration. The study reveals no one variable in preventing youth relapse and the focus should shift to a more broad scope including environmental variables that affect relapse. Additionally, continuing care must be considered, as the youth attend treatment programs for only a short period of time. Once they return to their normal lives they are being hit with these co-occurring situations. An in depth and well developed continuing care model must be created to help address this relapse issue and promote long term abstinence and wellness (Gonzales, Anglin, Beattie, Ong, & Glik,

It is important, especially during recovery, to find minds that share similar feelings and beliefs. Group therapy sessions are great for that. They have individuals with similar issues, as well as a counselor, that will be able to direct and curve conversations, in a healthy way.

The group session was focused on increasing motivation for treatment and recovery. Group members were to: complete “The Payoff Matrix” exercise; identify the Pros and Cons of being in recovery/continuing drug use; and discuss how to stay motivated throughout the difficult times w/o returning to the old destructive behavior. PO was on time and had a moderate level of participation in group as evidenced by completing the exercise and engaging in the group discussion. PO was able to identify the benefits and the consequences of being in recovery/continuing drug use. PO identified “not smoking” as a behavior she would like to change in a near future. Good treatment progress.

Group activities included learning about the distorted thinking patterns, how it impacts on the relapse process, and discussing how to work through stressful and difficult situations without engaging in criminal behavior. Mr. Taylor moderately participated. Stated “I try to keep a gratitude journal every day. When I get away from the habit, I tend to fall right back into a negative pattern. However, it doesn’t take long to get right back to where I should be once I pick it up again”. Mr. Taylor reported going to morning self-help meeting before treatment, and that he is doing well in treatment and recovery.

Individuals that are substance use focused, lack support, resistant, suicidal, or homicidal are best suited for this type of program. The client participates in multiple individual therapies, group therapies, and 12-step meetings each week. Residential treatment programs include detoxification programs (rapidly wean client off substance prior to referral to residential program) and hospital-based treatment program (offering medical services with individual, group, marital, and family therapy). Another form of residential treatment programs are therapeutic communities. These consist of 24-hour programs that may last 12-24 months. The client receives individual and group therapy and follow a 12-step program in a structured environment. An active participant, the belief is that community will foster change and healing in the client. Therapeutic communities provide encounter groups and tutorial

group rules, all patients and therapists pledged their confidentiality, and the patients checked-in with their names, number of days sober, two feelings, and respond to a check-in question. The student planned the research and evidence based curriculum for all sessions they participated in.  The groups incorporated lecture, discussion, demonstration and experimental learning. The student integrated multiple teaching methods into sessions to maintain attention and meet the needs of patients with various learning styles. The sessions typically incorporated a writing exercise, packets for the patients, as well as small and large group discussions. The patients explored their addiction, co-occurring disorders, and identified maladaptive thinking

A unique aspect of the cognitive behavioral approach in group therapy is the focus on specific target areas of change. The members are responsible for formulating specific statements of the personal goals they want to achieve. The group leader is responsible for helping the members break down their goals into specific, concrete, and measureable goals. An agenda is set at the beginning of each session in a collaborative fashion with the members and group leader in order to prioritize

Overall, the therapy session was successful for both the client and clinician. The clinician maintained the clients attention throughout the session, while effectively targeting the therapy