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Set Recovery Goals
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Relapse prevention is the way addiction/recovery practitioners and recovering people identify risks for relapse, act early in the relapse process, and prevent relapse. In the 1980s, the landmark work of Terrance T. Gorski, G. Alan Marlatt, and their colleagues brought the science and art of relapse prevention front and center. Later, Rasmussen (2015) described internal and external risks for relapse.
Empowering Patients Toward Motivation and Maintenance to Change
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Relapse prevention is an important intervention strategy for reducing the likelihood and severity of relapse following the cessation or adoption of a lifestyle risk behavior. It was first developed by Marlatt and Gordon in their work with addictive disorders and was published in 1982 (Hendershot et al., 2011). Relapse is strongly contingent on the self-confidence of an individual and the ability to problem solve when in vulnerable situations that would result in engaging in unhealthy behavior. When helping individuals to change lifestyle behavior, it is important that relapse prevention be part of the plan for change and goal setting so individuals can anticipate what barriers they need to overcome in order to continue to maintain goals over time. Overall, the goal of social cognitive therapy is the acquisition of knowledge and skills, while relapse prevention focuses on preventing patients’ return to old habits.
Psychosocial approaches - 2 Enhancing recovery and staying well
Published in Kathy J Aitchison, Karena Meehan, Robin M Murray, First Episode Psychosis, 2021
Kathy J Aitchison, Karena Meehan, Robin M Murray
Family work may also be helpful for relapse prevention. Emphasis is put on seeing the family/friends/significant others as a vital part of the process of recovery and staying well. Each family member or other person with a significant relationship with the patient may be asked to separately list one major warning sign, following which these are compared and discussed. This may involve clarification of what does and what does not constitute ‘danger signs’, and what is illness and what is not.256
Structured Relapse Prevention Program for Chinese Patients in Hong Kong with Comorbidity of Substance Use and Mental Health Disorders: A Feasibility Study
Published in Journal of Psychoactive Drugs, 2020
Chris K.H. Ngai, Cynthia S.T. Wu, Lorna K.P. Suen
Relapse prevention strategies aim to combat drug dependence by inducing changes in one’s behavior, increasing motivation to stop or reduce drug use, teaching coping skills, and enhancing social support and functioning (Kleber 2007). A review of 59 studies summarized numerous psychosocial interventions for relapse prevention among people with dual diagnosis, such as motivational interviewing (MI), cognitive behavioral therapy (CBT), contingency management, case management, and skills training. However, many studies suffer from small sample size, high attrition rates, short follow-up periods, and inadequate description of treatment protocols (Horsfall et al. 2009). Therefore, effective interventions for people with SUD must be developed for people with dual diagnosis. MI is an evidence-based innovation that deals with substance misuse comorbid with psychotic disorders (Martino et al. 2002). Its treatment effect is enhanced when combined with other treatment approaches, such as cognitive therapy, relapse prevention, family interventions, social skills training, and urinalysis contingency management (Barrowclough et al. 2010; Bellack et al. 2006).
Addiction Training of Child Welfare Professionals in Ontario: Key Informant Perceptions
Published in Journal of Social Work Practice in the Addictions, 2019
Brittany Mcclay, RICK CSIERNIK
Research shows that there is a strong correlation between family involvement and the effectiveness of both treatment and relapse prevention. Abbot (2000) stated that each person with an addiction seriously influences the lives of four to six others. Historically, the individual with the substance use problem has been the primary focus of treatment, separate from the family, and rightfully so, however, the family is also significantly impacted by this stressor leading up to and throughout treatment and historically has received little attention (Alaggia & Csiernik, 2017). Families can both contribute to, and be negatively impacted by substance use as the family unit often organizes themselves around this problem. Family involvement can be essential to establishing and sustaining recovery but may also be a hindrance to recovery. This hindrance may occur as a way of maintaining the patterns established within the family system to continue functioning in homeostasis during the dysfunction that addiction in the family results in (Csiernik, 2016).
“I used to be an addict. I’m still an addict. I’m always going to be a recovering addict”: Understanding the challenges of individuals seeking recovery
Published in Journal of Substance Use, 2019
Kimberly A. Parker, Bobi Ivanov, Allison Thieneman, Kevin Wombacher, Tara Watterson, Molly Burchett, Elizabeth Adams
Equipping individuals who are struggling with substance use with the tools to prevent relapse is essential to long term recovery. Relapse prevention programs incorporate behavioral and cognitive strategies designed to aid in identifying and dealing with risky situations, which constitute threats to recovery. These programs do not only provide the tools to avoid relapse, but to also properly manage such incidences (Marlatt & Witkiewitz, 2005). Relapse prevention programs can be effective in extending long-term recovery (Witkiewitz & Marlatt, 2004), whether administered through counseling, interventions, or specialized curricula, as they are designed to target the social and psychological factors associated with the problem behaviors (Barrett, Simpson, & Lehman, 1998). But, what exactly are the factors that threaten long-term recovery?