Relapse Prevention Plan
Margaret Farley
Grand Canyon University
PCN 501 November 26, 2014
Relapse Prevention Plan
Jed, a 38 – year old welder, enrolled in the treatment center after his arrest resulting from drunken driving (DUI/DWI) (National Institute on Alcohol Abuse and Alcoholism, n.d.). His lawyer has advised him to stop drinking and get treatment until his trial date, which is in approximate two months. Jed does not believe that he will serve any jail time, but feels that treatment could help strengthen his court case (National Institute on Alcohol Abuse and Alcoholism, n.d.). In this paper, I will create a relapse prevention plan that will aid Jed as he enters into his treatment program. This paper will also show
…show more content…
This would be accompanied by the reconstruction of the current problems, the alcohol and substance use history, life history and retrieval relapse history. Through the reconstruction and presentation of problems, the now and here issues that stand to cause immediate threat to sobriety can be pinpointed and crisis plans developed to resolve such issues.
Step 3: Relapse Education
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
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
Drug addiction and alcoholism have a devastating effect on not only the addicts who suffers from these illnesses, but also on friends, family and workmates who interact with these addicts on a regular basis. When the addict finally succumbs to their addiction, the only way out is usually through the help of a professional and reputable inpatient addiction treatment center.
The main components of treatment include confrontation, detoxification, and rehabilitation (Friedlander & Norman, 2006). Confrontation involves overcoming patients’ denial, convincing them of the consequences of continued drinking, and motivating them to receive treatment (Friedlander & Norman, 2006). Detoxification consists of removing alcohol from the body and protecting the patient from the effects of withdrawal (Friedlander & Norman, 2006). Rehabilitation consists of continued efforts to increase and maintain high
Alcohol abuse is growing rapidly throughout U.S. society. One in every twelve adults is being diagnosed with alcohol abuse (Barlow and Durand, 2006). All that are diagnosed with alcohol abuse must meet one or more of the following criteria within a twelve month period: he/ she must fail to accomplish major work, school or home
Alcohol abuse has become one of the principal causes of mortality and morbidity in the United States causing more than 200,000 deaths every year (Hendey, Dery, Barnes, Snowden, &
Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the
The reading entitled “The Treatment Plan” focuses on developing treatment plans, particularly for those in substance abuse rehabilitation programs. First, the interdisciplinary team, which consists of a variety of professionals such as doctors, nurses, and therapists, writes a summary of the client at intake to determine the problems, how they came about, and the potential solutions. Next, a problem list is created. The problem statement is one sentence explaining the problem, which is abstract and not tangible. Therefore, signs and symptoms are also listed underneath, such as history of DUI and the blood alcohol level. These are used as evidence to back-up the problem statement. After, for each problem statement, several goals are listed that
This program consists of following a set of recovery steps, which will help one achieve abstinence of alcohol. One can also get a sponsor, which will help guide them through all the steps. The program is completely free the only requirement is the desire to stop drinking. As nurses or any health care provider I think it is our duty to provide this type of information and to help educate others on how the program helps maintain sobriety. It’s important for a nurse to provide support with their client through this journey and also to their family and friends. Nurses need to provide encouragement and explain that this is a process that will take time and not happen
Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,
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.
This in-person interview was made final April 7, 2011 with the interviewee, Mae Parnell, who is employed as a case manager at Haymarket Center, located as 120 So. Sangamon St., Chicago, IL. Mae Parnell’s primary job description at Haymarket Center is to coordinator the approach to the delivery of substances abuse and social and health services. She will also provide each client with connections to seek the appropriate organizations that will be able to assist and devote to the care of his or hers unique circumstances and to help him or her attain goals for him or
Even the most severely addicted individuals can participate in treatment; in the hopes of reducing their drug and alcohol use. Treatment programs with the higher success rates offer a combination of treatments. I will explore substance abuse prevention programs in this paper. I will summarize their goals, funding, and effectiveness.
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.
One of the most important constructs associated with the treatment of the addicted population is relapse. While treatment does occur with inpatient facilities, due to the prevalence of relapse with this population, much of treatment occurs in outpatient settings. Consequently, these treatment environments and models actively engage a client’s self-efficacy for continued sobriety. Sklar, Annis, and Turner (1999) stated that, “in the addictions field, where the primary clinical issue is maintenance of change over time, a high sense of self-efficacy would be expected to decrease relapse vulnerability,” (p. 123). It is evident that an assessment model must be used to investigate and explore a clients’ recovery environments, confidence of sobriety maintenance, and coping strategies. This is necessary, in order to develop treatment plans that focus on sustained abstinence and sobriety, all while minimizing relapse.
Alcohol dependence is known to be the most severe form of alcohol abuse. A person becomes so dependent on alcohol consumption that he/she loses sight of all the other important things going on around him/her. Family matters and social responsibilities become secondary worries to his/her primary concern for existence, which is drinking (Stephens, 2007). Nearly fourteen million Americans are somewhat dependent on alcohol. Alcohol dependence is more prominent in men, and young adults ages 18-29 (Stephens, 2007). According to a study done by Saitz “85,000 deaths, along with substantial disability from medical and psychiatric consequences, injuries and “secondhand” effects (ex: motor vehicle crashes) are attributed to the use of alcohol” (Saitz, 2005).