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Research Based Offender Treatment – Part IV. Maintenance and Aftercare Why Maintenance. Maintenance. Relapse Prevention Individuals with inevitably encounter risky situations and their skills will be challenged Skill acquisition is an imperfect process
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Research Based Offender Treatment – Part IV • Maintenance and Aftercare • Why Maintenance
Maintenance Relapse Prevention • Individuals with inevitably encounter risky situations and their skills will be challenged • Skill acquisition is an imperfect process • A lapse is a fork in the road, one path leads to relapse and the other to continued abstinence • Two-thirds of individuals will lapse in the first 90 days after treatment • There are some commonalities in the pathway to relapse
Relapse Deals With Situation Well Increased Self Confidence Decreased Chance of Relapse Lifestyle Imbalance Cravings And Urges Increased Chance Of Relapse High Risk Situation Thoughts About Using/ Drinking Risky Thinking Shaky Confidence And POE Doesn’t Deal Well with Situation Use Violation Effect
Maintenance • Maintenance provides the structure and support to assist people to manage lapses and relapses • Maintenance reinforces and strengthens progress made in treatment – reflects the principles of relapse prevention • Research supports that aftercare maximizes effectiveness
Maintenance Factors to consider: • Frequency of contact based on stability and functioning – external monitoring function • Relevant for current life circumstances • Evaluation and enhancement of skill set