Relapse Plan

In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question,

Positive behaviour support (PBS) is an approach to providing services to individuals who exhibit challenging behaviour. Since the early 1990s, PBS has received increasing attention from the behaviour-analytic community. Some behaviour analysts have embraced this approach, but others have voiced questions and concerns. Over the past dozen years, an approach to delivery of behavioral services known as positive behavior support has emerged as a highly visible movement. Although PBS has been substantially influenced by applied behavior analysis, other factors are also part of its

Interventions provided during this service: Individual rehab services were provided. WYP discussed with the client about the CSP objectives. The client is being compliant with his mother (talking to her more, coming home before curfew, going to school, and understanding his mother better), the client is using his copping skills (basketball, deep breathing, and exercising) to decrease his irritable outbursts (throwing objects, yelling, and foul languages), the client's has improved his independent living skills (taking care of his son, going to school, working with his stepfather, playing basketball, and doing chores). WYP assisted the client with practicing his coping skills by randomly commanding the client to use one of his coping skills.

A relapse prevention is a vital part of a client success in preparing for discharge and a continuum of care. The first is to identify if the client has of a history relapse. The second if the client has experience long term recovery in the past. What kind of support will the client have to help support his/her recovery once he/ she return home? The other issue I would have client consider in writing a relapse plan is his legal obligation. The client maybe working so returning back to his place of employment will need to be address.

Relapse is highly prevalent following treatment for substance abuse, highlighting the need for more effective aftercare interventions. MBRP has the opportunity to improve treatment outcomes (Bowen, S., (2014). Roos et al., (2017) proposed an inverse relationship between treatment outcomes and the severity of Substance Use Disorder (SUD), with symptom severity effecting how much the individual benefited from MBRP treatment. Kelly, J. F., (2013) wrote that TAU, in this case 12-step participation before and after treatment, was able to build resistance to relapse among adults and adolescents. Research into treatment outcomes is essential when time and resources are limited. Information regarding treatment outcomes is clouded

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”.

The next steps are exploring coping mechanisms to keep the patient on the right track to recovery. In Relapse-prevention training, the therapists will have the patient keep a journal to record a detailed

Interventions provided during this service: Case management services were provided through a CFT (client family team) meeting. WYP gathered information during the meeting. The client's behaviors is better in school over the week (following directives, decrease in inappropriate languages, and more positive interactions with his peers). WYP updated the team about the client's behaviors. The client is doing better with engaging in a positive activity without getting frustrated. The client is seeking attention through asking questions (cannot take "no" as an answer) and with some challenging behaviors (running in the store and not following directives). WYP will continue to work with the client by ignore the client's non-preferred attention seeking

Second, a plan in place goal is to prevent any lapse from turning into full relapse. Next, educating an individual with addiction on relapse prevention, so that the individual understands each step of the relapse process, with resource and tools. To clarify,the relapse plan, educates the client with skills training, cognitive restructuring, and lifestyle changes, in order to be proactive.

Certainly, I am questionable as to why people turn to alcohol and substances when it is destroying their physical self, their daily activities, and close relationships. At the moment, I am interning at the Naaman Center and the one counselor addressed how many clients do relapse. During my first group session, one individual addresses how the withdrawal process is the most difficult part. For example, heroin is a painful recovery. Within hours, the client is irritable, sweating, and suffering from physical/emotional discomfort, shaking, and vomiting (Brooks & McHenry, 2015, p. 67). Indeed, I would get frustrated working with a client who does not want to recovery, but the book provides us with information on confronting the client on the issues

During the first phase participants are given basic recovery principles and skills needed to overcome their substance dependency and are asked to commit to a Christ-centered recovery plan (phoenixrescuemission.org, n.d.). During the second phase program members attend classes and counseling to identify destructive patterns and behaviors. They also commit to making amends and take responsibility for damage relationships or harm that they have caused themselves and others (phoenixrescuemission.org, n.d.). Additionally, at the end of this phase participants begin to focus on their talents and skills that will help them lead a new life. They are offered training in areas that they may be deficient. The third phase prepares program members for their independence by offering them three options. Participants will either begin pursuing and maintaining employment, start a mentorship in Christian leadership and receive service responsibilities, or began intensive re-entry training for those who are married, face legal mandates, or must deal with health difficulties (phoenixrescuemission.org, n.d.). Those clients who wish to receive additional support are offered six months of aftercare, during which they complete monthly progress reports and participate in meetings with the program’s alumni association (phoenixrescuemission.org,

, an observation for behavioral strategies and support was conducted, for Early Start client, Ryder Jack, in order to determine if an intensive behavioral modification model of service delivery is appropriate. Based on assessment results and direct behavior observation, it was determined Ryder would benefit from the support of an intensive behavioral modification model of service delivered by the ASIP team. Ryder was authorized for 50 hours per month of 1:1 behavior modification therapy services in the home and clinic settings. Jackson began receiving these services in June 2015.

Consequential strategies should outline how other people respond to replacement skills and continued challenging behaviors (Buschbacher, 2003). Rewards for appropriate behavior should outnumber rewards for challenging behaviors in order for no maintenance of challenging behaviors to continue (Buschbacher, 2003). The support plan should continually be assessed to ensure its continued “fit” for the individual client. Cultural personal, and structural values should be considered. Outcome measures should include decreased challenging behaviors, increased targeted skills, and changes in the child’s social and behavioral competence (Buschbacher, 2003).

Behavior analysts should describe these in detail to the clients, as their cooperation is important for the success of the program. If a behavior analyst is working with an in-home client, she should describe to the client and caregivers the importance of delivering reinforcers consistently and appropriately. She would also have to review safety considerations and stress accurate recording of data by the caregivers. The behavior analyst may be able to better control the environment of an in-home client compared to the environment of a client in a public school. When discussing control of the environment with those involved with a client in a public school, the behavior analyst will need to have the cooperation of everyone involved with the child’s treatment (e.g. teachers, teacher aids, counselors). It may be more difficult for the behavior analyst to determine effective reinforcers of control those reinforcers in a public-school setting. It may also be challenging to obtain resources for the treatment program in such a

To live a long happy life, I must make some changes to my lifestyle. The first change that I would like to implement would be to make a meal plan for the week so that I eat healthy food that is already prepared instead of snacking on whatever is available. This should help me eat a more balanced diet, by cutting out carbs/sugars and fat while eating more protein. I would also like to plan to eat four to five times per day instead of eating twice and snacking to fill myself up in between.