Relapse Case Study

The 12-Step program addresses the factors or causes that are responsible for, or related to, substance abuse by helping individuals to understand the concept of change. “Processes of change are the covert and overt activities that people engage in to alter affect, thinking,

There has been an expectation of society that substance abuse treatment should eliminate alcohol and illicit drug use while improving individual health and social functioning as to reduce the public safety threat. The Affordable Care Act of 2010 also known as Obama Care was created with intentions of expanding the availability of health insurance. In 2011 the President’s National Drug Control Strategy requested investments in screening, intervention and referral to treatment, and expanded the Access to Recovery voucher program. These initiatives are a start towards total care for alcohol and substance abuse patients, however from our study we have found that treatment may be best when considered as a long term possibly life resource for these individuals to become successfully sober and healthy.

“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

According to the National Institute on Drug Abuse, the relapse rate is 40-60%. Not only do we need better alternatives to recovery for alcohol and drug addiction, but we must lower the relapse rate. In order to successfully lower the relapse rate we must inform people on the effect gateway drugs can have on future addictions, educating about relapse and addiction and focusing on key factors to making a treatment a successful one. My research on lowering relapse rates taught me that the problem is not getting sober, its staying sober.

Client has been successfully completed the Quest House program on 04/05/2017Client and counselor reviewed client treatment plan that was completed, and after careful review of his treatment plan. Client and counselor agreed that he needs learn how to set healthy boundary with the people around him . the client has trouble expressing his needs and getting them met. Client also agreed that he needs the he needs to learn how to self sufficient and live on his own. the also agreed that he need to learn to identify risky situation that will cause to relapse as his move further long in his recovery. Client will also want to go to sober living, but was not able because all sober living faclity are full.. After the reviewing client treatment

Counselor met with Pt. for his reschedules individual session and to discuss his current recovery issues and plan dealing with Relapse Prevention Strategies. Pt. reported that he is currently taking 40 mg of methadone and he is responding well. Counselor inquired if he has used any drugs since the last session, which he replied no. Pt. denied having any suicidal ideation and no mental health issues. Pt. reviewed his TX plans without objections. During this week, Pt. has been violating program rules and receiving several verbal intervention form AMS staff especially nurse. Pt. explained his struggles trying to provide a urine analysis because he is sick. Pt. indicated that he is dehydrated and he couldn’t urine when ask to do so. Pt. claimed

D: Group topic was focused on Dim 5. Reviewing the relapse process, identifying relapse warning signs, discussing how to take steps in the right direction and avoid even small steps back toward alcohol and other drug use. Client was present and actively engaged in the group activity as evidenced by completing the worksheet, and shared personal plans to maintain sobriety. Client stated “

Client is attended 10 out of 13 groups and missed 3 of them during the month of March, 2017. UA collected on 03/06 was positive for alcohol use. Client admitted 03/18/17 as his last day of alcohol use. Client appears to struggle to maintain his sobriety. Relapse prevention and ways to comply with treatment and court mendates were discussed. Client reported that he started taking Disulfiram 250 mg (Medication for alcoholism) on a daily basis to manage his cravings. Client also reported that he will try to attend self-help meeting daily. Client may benefit from a brief inpatient placement due to continued alcohol use.

For most alcohol and substance abuse users this means that he or she have accepted the they are powerless over their addiction. They have move pass the stage of precontemplation, which is denial of a problem/addiction. The following article looks to determine what may be the results of addicts who continues twelve-step programs verses addicts who dropout within weeks of participation. Do in fact the length of time that an addict remains in the program leads to longer time lengths of sobriety?

Mindfulness-Based Relapse Prevention (MBRP) is an 8-week, group based, psychoeducational intervention that combines traditional cognitive-behavioral relapse prevention strategies with meditation training

D: Pt. attended group on time and moderately participated in the group activity. Pt. was able to identify her personal relapse triggers and share positive coping skills that can be used to avoid and prevent future relapse. Stated “Once I know my weaknesses and vulnerabilities, I can make healthy lifestyle changes in order to avoid certain behaviors, people, and places that can trigger relapse”.

Recovery is a process and not something that happens overnight. Relapse still remains a challenge in and during the recovery process Relapse can happen at any time, even after years of sobriety. When addicted to something the brain is altered, this sets a person up for relapse and leaves them vulnerable to their addiction. Long-term recovery is attainable, as long as the right form of treatment is used, and as long as the treatment plan is intended for the specific needs of the individual. Addiction causes many changes and (it’s not enough [to] simply get a person off drugs…[the] physical, social, [and] psychological [needs] must also be addressed to help people to stay off drugs for good.) Relapse takes a toll on everyone who is invested in

There are three levels of intervention in Substance Abuse Prevention. The three levels are primary, secondary, and tertiary. The primary level focuses on various populations that have had little to no exposure to drugs. The secondary level focuses on populations whose drug experience has not yet revealed long term problems. The tertiary level focuses on populations who have entered treatment. The primary goal of the tertiary level is to ensure that the enrollees don’t resort back to their original condition.

The National Institute on Drug Abuse, or NIDA, estimates that annually, 23.5 million Americans age 12 years or older need treatment for drug abuse. Getting into a high-quality treatment facility and completing the appropriate programs are critical for individuals who suffer from drug addictions. Only 2.6 million, or 11.2 percent, seek and receive treatment at a specialty facility. Completing a treatment program can help individuals regain their sobriety, but the treatment program is only the beginning. Only 60 percent of individuals who complete treatment for drug abuse relapse, and 90

Providing better outcomes in substance abuse treatment involves improving the quality and delivery of evidence based practice. One way to potentially achieve this is in continuous quality improvement (CQI)— “a planned approach to transform organizations by evaluating and improving systems to achieve better outcomes.”(Hunter, Ober, Paddock, Hunt & Levan, 2014). There are various approaches used in CQI interventions but most commonly used in substance abuse treatment settings is the Plan-Do-Study-Act (PDSA) cycle. The PDSA cycle is “a method in which individuals, drawn from the organization, make small, repeated and rapid changes to organizational function, test their impact and then decide whether to incorporate the change permanently.”