RELAPSE PREVENTION

RELAPSE PREVENTION Michael Nerney and Associates PO Box 93 Long Lake, NY 12847 518-624-5351 mcnerneyll@frontiernet.net

Relapse Prevention • Aftercare or Afterthought • Outpatient Treatment • Residential Treatment

What Relapse Preventionmeans for: • Program • Staff • Community

Relapse Prevention considerations • Ready for Release • Cold, Cruel World • Negative Emotional State

Relapse prevention Considerations • Other-Centric • Interpersonal Conflict • Disbelief/Rejection

Relapse Prevention considerations • With a Little Help from My Friends • Positive Emotional State • Practice, Practice, Practice • Passionate Interest

PRECIPITANTS TO RELAPSE • Negative Emotional State 35% • Conditioned Cues • Social Pressure 30% • Urges and Temptation

PRECIPITANTS TO RELAPSE • Interpersonal Conflict 16% • Positive Emotional State 12%

Essential Elements in Treatment Emotional Competencies: • Self Awareness • Verbal Access • Emotional Regulation

Essential Elements Emotional Competencies: • Empathic Response • Passionate Interest

Why Relapse Prevention? • New Research on the Brain • Conditioned Cues • Chemical Changes

Why Relapse Prevention • New Research on the Brain • Social Pressure • Structural Changes

M.A.S.S.T. • Meetings • Abstinence from all psychoactive drugs • Sponsor and other people helping • Social support systems • Treatment efforts

C.L.E.A.N. • Clarify • Label • Enlist • Alternative • Navigate

c.l.e.a.n. • Clarify • - • - • - • - • -

c.l.e.a.n. • Label • - • - • -

c.l.e.a.n. • Enlist • - • - • -

c.l.e.a.n. • Alternative • - • - • -

c.l.e.a.n. • Navigate • - • - • -

Wrap up

RELAPSE PREVENTION