PHOENIX/NEW FREEDOM PROGRAMS SAMPLESinsightandoutlook.com/pdf-nn/arnt_sample.pdfPHOENIX/NEW FREEDOM PROGRAMS SAMPLES The attached materials include lesson plans and a selection of

PHOENIX/NEW FREEDOM PROGRAMS

SAMPLES

The attached materials include lesson plans and a selection of samplepages that illustrate the content and program elements in thisresource. The sample pages may not necessarily include onecomplete lesson from the resource. Selection of pages is intended todemonstrate the scope of the resource while illustrating all of itsvarious elements.

If you need further information or have any questions, please contactus at: [email protected]

You can find out more about all our programs at the followingwebsites:

www.newfreedomprograms.comwww.phoenixcurriculum.com (Prevention)www.gangprograms.com (Intervention)www.insightandoutlook.com

Core Program

Stage 1

Preparation For Treatment

Pre-contemplation

Program orientation and motivational enhancement (MET/MI) activities:

Pre1 What am I doing here? (1 program hour) ▶Pre3a,d Treatment readiness activities (3 program hours) ▶SD1 Introduction to Self-Discovery (3 program hours) ▶

approximately 7 program hours

Stage 2

Self-Discovery

Pre-contemplation to contemplation

SD7 My life so far (short version) (4 program hours) ▶SD2 What went wrong? (9 program hours) ▶SD5 Understanding your dependencies (8 program hours) ▶SD6 Reasons to change (6 program hours) ▶SD11 What’s going on in my life? (7 program hours) ▶F5 Shame (6 program hours) ▶F11 Are you an “excitement junkie”? (1-2 program hours) ▶SA1 Self-awareness: preventing relapse by increasing your ▶ sensitivity to cues, patterns or cycles (5 program hours)FD7 Denial (1 program hour) ▶


Stage 3

Returning Home

Preparation for community reintegration

RH6 Making positive steps to take control of your life ▶ (5 program hours)RH5 If you “lapse” (5 program hours) ▶RH7 Avoiding the negative (5 program hours) ▶RH14 Getting close to getting out (2 program hours) ▶


Community Meeting Resources

Appropriate for peerled programming

TT Handling the Tough Times (up to 18 sessions available) ▶WDYT What do you think? (selections) ▶RH1 Your first few days (up to 5 sessions) ▶RH2 Dealing with people in new ways (up to 5 sessions) ▶RH3 Dealing with discomfort (up to 5 sessions) ▶RH15 How are you doing (selections) ▶WYNTK What you need to know (basic substance abuse education) ▶

approximately 60 program options

Additional Resources

New Freedom Counselors Manual, MI/MET Motivational Interviewing Resources, Competency Checklist.

A Road Not Taken • Correctional Health Services • The City of New YorkAdapted from A New Freedom and provided under site license by A. R. Phoenix Resources, Inc. • www.newfreedomprograms.com • © 2007 All Rights Reserved

Program Outline


�� Correctional Health Services • The City of New York

A Road Not Taken, www.newfreedomprograms.com © 2007, A. R. Phoenix Resources, Inc.

A ROAD NOT TAKENCORRECTIONAL HEALTH SERVICES

The City of New York

Participant:

Outcomes Rating

(A-B-C)

Date Initials Comments

RATING SCALE: A = Excels: demonstrates comprehension and competency with tools, concepts, or skills, demonstrates insight

B= Basic comprehension: demonstrates basic familiarity, not thorough competence with tools, concepts, or skills

C= Little to no comprehension: demonstrates a lack of comprehension of tools, concepts or skills

Stage 1 - Preparation for treatment

Pre1: What

am I doing

here?

List three (3) temptations, influences, pressures, or models

you had for drinking or drug use.

List at least two (2) other behaviors besides alcohol or other

drugs you have used to help cope.

List four (4) examples of consequences of your past

behaviors.

Pre3a,d:

Treatment

readiness

activities

Identify personal goals (Finish this sentence: What I want

most in life....)

Identify specific feelings or concerns: (Finish this sentence: My

lowest days are....)

Identify life-changing events (What is one event in your life

that has made a big difference?)

SD1:

Introduction

to Self-

Discovery

Name three (3) specific “costs” or bad consequences of your

old patterns of behavior.

Identify 1-2 specific areas of resistance. (Identify one or two

areas where you don’t want to change, or where you might

find it hard to change.)

Stage 2 - Self-Discovery

SD7: My life

so far

Identify issues and risk factors.

Provide information on substances used or abused.

Identify risk factors for violence and criminal behavior.

Complete initial action plan to address dysfunctional

behaviors.

SD2: What

went wrong?

Identify current burdens and vulnerabilities. (Name three

specific areas where you are still “vulnerable.”)

List three specific “triggers” and how you feel when they

happen.

Identify ineffective coping skills (List three bad or harmful

things you have done in the past when you felt

uncomfortable, vulnerable, or at risk.)

Patient:

DOB:

Book & Case #:



Outcomes Rating

(A-B-C)

Date Clinician’s

Initials

Comments




SD5:

Understanding

your

dependencies

Admit harmful dependencies (List three addictions,

dependencies, or other dysfunctional behaviors).

Describe how emotional discomfort has led to specific

harmful behaviors - past and present. (Give two examples.

Describe current harmful behaviors.)

Describe his replacement of one dependency with another.

Identify areas of discomfort relating to past harm; identify

issues relating to trust and intimacy.

Describe frequency, intensity and duration of chronic

problems by completing chart on past and present levels of

discomfort.

List three (3 ) things you can do right now to keep from

falling back into your old behaviors.

SD6: Reasons

to change

Identify consequences for self and others of specific

dependencies, compulsive, harmful or addictive behaviors.

Name two (2) things you did which harmed people

in your family or other people you know.

Name two (2 ) things you did which harmed other

people.

Identify current thinking about these behaviors. Examine

readiness for change. (How do you feel about those

behaviors today?)

Explain specific reasons (motivation) to consider changing

from past patterns of dependencies.

Explain barriers or obstacles he/she perceives to changing.

(What barriers or obstacles are in the way of making the

positive changes you need to make in your life? Describe

what you are doing to remove those barriers.)



Outcomes Rating

(A-B-C)





SD11: What’s

going on in my

life?

List three (3) words to describe how you are feeling today.

List three (3) temptations, influences, pressures or models

you had for drinking or drug use.

List at least two other behavior you used to help cope.

Identify four (4) costs or consequences of your drinking or

drug use.

Describe the role drugs or alcohol played in your being here.

Evaluate your current level of alcohol or other drug use.

Explain your understanding of how alcohol or other drugs

can be harmful to you.

Identify readiness for change.

Indicate assessment of current stage of change

G pre-contemplation

G contemplation

G preparation

G action

G maintenance

F5: Shame Complete an assessment of shame and low self-esteem issues

Use selected vocabulary to describe shame in specific

situations

Identify sources of shame (Describe two issues which have

caused you to feel shame in the past - and which could cause

you problems today).

Identify personal triggers for feeling shame

List most frequent symptoms or cues of feeling shame

Identify the cost or consequences of shame in your life (Give

one example of a link between shame and substance abuse in

your life).

Evaluate feeling of shame today, compared with feelings just

prior to last relapse

Explain current understanding of shame and low self-esteem

Complete a current assessment of troublesome feelings.



Outcomes Rating

(A-B-C)





F11: Are you

an

“excitement

junkie?”

Identify the relationship between high risk behavior and

substance abuse.

SA1: Self-

awareness:

preventing

relapse by

increasing

your sensitivity

to cues,

patterns or

cycles

Describe current status or progress of your recovery.

List five common dependencies or addictions.

List three which have caused you real problems in the past.

List two dependencies or addictions that you want to change.

FD7: Denial Give one example of denial in your life.

What did others see that you didn’t?



Outcomes Rating

(A-B-C)





Stage 3 - Returning Home

RH6: Making

positive steps

to take control

of your

Make initial list of possible members of his safety net of

supportive people.

Evaluate that list and select 5-7 people who will be asked to

participate.

List accessible counselors and programs with addresses and

phone numbers.

Make a list of the appropriate support groups, including

day/time of meeting, location, and contact phone number.

Identify steps to deal effectively with advance planning for the

highest risk times of the week. List groups and activities

which will be attended during those times.

Explain why the members of your “safety net” and

counselors need to know some of the issues underlying your

past problems. (For example, why they need to know about

areas of vulnerability, triggers, areas of “stinking thinking,”

high risk situations, troublesome feelings, cues that you are at

increasing risk of relapse, etc.)

Explain, in writing, what the safety net members and/or

counselors will need to know about his recovery.

List: 3 problems

3 areas of vulnerability

3 specific triggers

3 areas of stinking thinking

3 high risk situations

3 feelings which have been most troublesome

3 cues that you are at increasing risk of relapse

What you are asking them to do when they notice

those cues.

What you are asking them to do if they find you

resistant or at the actual point of relapse.



Outcomes Rating

(A-B-C)





RH5: If you

“lapse”

List three (3) common “lapses.”

Identify four (4) specific “high risk” situations you will need to

avoid.

Identify three (3) things you can do if you catch yourself in a

“lapse” (about to relapse).

List two (2) safe things you can do after saying “no” to

temptation.

Identify three (3) consequences for you if you fail to maintain

your recovery.

Describe your personal “thought stopping” technique.

RH7: Avoiding

the negative

List the three (3) dependencies or addictions which are the

most likely or dangerous for you.

List three (3) people at home or in your community who are

likely to put you at high risk. Explain how you can avoid

being around those people. If you can’t avoid those people,

explain how you expect to handle being with them so you

can stay in recovery.

List three (3) places in your community which put you at high

risk. Explain how you can avoid being in those places.

List three (3) high risk things or situations you plan to avoid.

Explain how you will successfully avoid them.

List three (3) safe people you can spend time with, and three

(3) safe places you can go to.

RH14: Getting

close to

getting out

Address common thoughts, feelings, and temptations in the

last few weeks before going home.

Indicate assessment of current stage of change

G pre-contemplation

G contemplation

G preparation

G action

G maintenance

A N e w F r e e d o m • © 2 0 0 2 - 2 0 0 9 A . R . P h o e n i x R e s o u r c e s • w w w . n e w f r e e d o m p r o g r a m s . c o m

1

Self-Discovery (SD1)

Introduction To Self-Discovery

SAMPLE


1

Lesson Planning Support

Workbook

Introduction to Self-Discovery

Series

Self-Discovery

Catalog Code(s)

SD1

Time Needed

4 hours

Purpose and background information

This is an introductory workbook, with the objective of explaining the recovery model developed in the following workbooks. It is designed to begin the process of reducing resistance, denial, and repression, articulating some of the “costs” of doing nothing, and increasing client motivation.

This workbook includes two checklists which can be used for individual work or group discussion. Most of the other workbooks in this series include many written activities, so these two exercises are a sample of some of the work which will be expected later in the program.

Instructor’s Preparation

Please review the workbook and the material in this packet. As you consider the needs and personalities of the people you will be helping, you may place a greater emphasis on certain sections of the workbook. It may help to talk your plans over with others who have used this material or with your supervisor.

Suggestions for Presentation

Prepare the room. If possible, arrange the seats so that all participants 1. face each other (around a table, or with chairs in a circle, for example).

At the start of each session take a minute to review what was discussed 2. most recently. This will help participants to remember issues, concerns, or concepts.

SAMPLE


2


Before starting this workbook, explain how this links to other workbooks 3. or parts of your program. If you are unfamiliar with this area, refer to the material in each workbook, or the Counselor ’s Manual.

Check for understanding regularly. You can do this by asking simple 4. questions (“What does this mean to you?” “How does this apply in your life?” “Since you now know this information, what can you do differently?”). Try to avoid questions with “yes” or “no” answers. For example, avoid asking: “Does everyone understand this? “Is this clear to you?”

Review each session at the end. Plan ahead to allow enough time to do 5. this. A few brief comments on what was covered or discussed can be very valuable.

If possible, assign each section to be done beforehand. It makes more 6. sense to use the time you have together to talk things over then it does to have participants reading or writing!

During the session, and at the end of the workbook, link these activities 7. to the future—a lifetime of recovery. You may suggest that they save key issues or activities as a helpful reminder for future reference.

Techniques

With this workbook, it may be especially helpful to encourage discussion, perhaps by selecting certain questions or issues from the activity and asking each participant to respond.

Objectives

At the conclusion of this workbook, the participants will have an understanding of the direction of the next stages in their recovery program, and will have identified certain areas of discomfort which may serve as motivation for change.

In using the Motivational Interviewing tools integrated into the workbook, the participant will

Identify one area for possible change, and the importance of this change 1.

Evaluate the possible consequences of not changing; current at-risk behavior2.

A list of specific behavioral objectives is attached.

Behaviorally Stated Review Questions

Short introductory workbook for use with individuals or groups. Starts the process of identifying and addressing substance abuse and similar dependencies.

Name three (3) specific “costs” or bad consequences of your old patterns1.

SAMPLE


1

Int ro d u c t I o n to s e l f- d I s cove r y

I s t h e r e s o m e t h I n g w r o n g I n y o u r l I f e ?

If you are like many of us, there is something “wrong” with your life.

You are not alone, of course. Very few of us live in a perfect world, with no troubles. Some of our problems are beyond our control. Even though we can’t control them, they can add to our discomfort. Other people, too, can add to our burdens. And it’s impossible to truly control someone else, no matter how hard we try. Our family and friends do things that trouble us and affect our lives. And total strangers can act in ways that create problems for us. All of this adds up, and there may be very little we can do about it. Some people have trouble coping. But others seem to handle it better. Ask yourself : “How well do I handle my problems?”

If you have problems, you may wonder, “why me?”

The answer is not simple, but it’s likely that most of your troubles and problems are a result of your own thinking and actions.

Everyone makes mistakes. But some people make more of them! And some make big mistakes. They do things that hurt themselves and hurt others. They abandon friends and family. They do violent things and hurt people. They take drugs, act out sexually, drink too much, gamble too much, or do crimes. And all these behaviors are a result of choices or decisions they make. It’s not likely that they are forced to do these things. Ask yourself : “Did my choices or decisions cause problems for me?”

what went wrong?

Most serious problems don’t “just happen.” There is a reason that they occur. Stop and look for what may have caused your problems. A good first step is to look for a pattern.

When this happens, ask yourself if you are responsible. Did you cause the problem? Are these problems the result of your thinking or the way you deal with uncomfortable feelings? Do you have some bad habits? Do you have trouble thinking of better choices?

SAMPLE


3

“can I really be happy and have a good lIfe?”

What would a “good life” be like? You would be happy and contented. You would have loving relationships. You would feel good about yourself. You would have a balance of interesting things to do. You would have a decent job and a nice place to live. You would feel safe in your neighborhood. You would feel good about your future. People would treat you kindly and with respect. And you would have the skills and the confidence to solve life’s problems in a good way.

You can have this, too, because you can learn how to do all these things. You can start by “unlearning” the old ways of thinking which have caused you so much trouble. Then you can learn new ways of thinking. It’s really not that hard.

You’ll start by learning new ways of effectively dealing with your problems. When you in a difficult situation you’ll know what to do. We call these new ways of behaving “coping skills,” and you can learn a set of new ones that have worked for others. They will work for you, too! You can practice these skills, just like you may have practiced a sport. When you finish, you’ll have confidence that they will work for you when you need them.

The result? You’ll feel like a “new person.” You’ll no longer feel vulnerable or weak because you have actually gotten stronger. You’ll have a healthy way to deal with difficult feelings, and a new set of skills or tools for dealing with life. In the process, your confidence at handling life will grow. You’ll have made steps toward a healthy and happy life.

Have you ever thought about making changes? ☐ Yes ☐ No

If you could change one thing, what would it be? What change is most important to you?

Why is this change important to you?

SAMPLE


4

I t ’s not easy to make real changes on your own. For one thing, it helps to have new ideas, or new ways of thinking and dealing with your problems. I t helps to talk things over.

Hope is important, too. You can start by deciding that good changes are possible. And you should know that you have a good chance of success. There’s no point to trying something you won’t succeed at. You are not “too far gone,” too messed up, too weak, too stupid, or too addicted to change. The fact is that your situation is very much like many people who have used this program to turn their lives around. They succeeded, and you can too. Their problems were at least as bad yours, and probably a lot worse!

You also need a good reason to do it. You can try to make changes to please members or your family or other people you love. But, it ’s most important to do this for yourself. Your best reason for changing is that you decide you want a good and happy life. You want to feel good about yourself and look forward to good things. When you look at the price you are paying for your old behavior, you may find other reasons, as well.

typIcal “costs” from addIctIons, vIolence, and other harmful behavIors

Look at the following list of costs and consequences. Place a check by the ones that have affected you.

loss of freedom due to legal problems �your health has suffered, you have been sick or injured �you aren’t able to sleep peacefully �your appearance �you have spent a lot of money on drugs �you have spent a lot of money foolishly �you feel guilty �you feel ashamed of yourself, you feel like a failure �

SAMPLE


5

loss or damage to family relationships �loss of good friends �loss of your job �loss of the respect of others �a ruined relationship (or even marriage), loss of your child �you have had a lot of conflicts or fights in your life �loss of valued things (car, etc.) �you feel empty �you feel helpless or hopeless �

Can you think of any other examples? Note them below.

In the next activity, we will look at these issues in another way.SAMPLE


6

ha s t h e “co s t ” b e e n to o m u c h? are yo u re a d y to c h a n g e?

Place a check in the appropriate column.

Ask yourself the following questions. Yes No

Have you had trouble with addictions?

Have you done physical damage to yourself through drugs, alcohol, or smoking? Have you ever been hurt in a fight or other violence?

Have you become sick or unhealthy?

Is your life empty of truly close relationships?

Is your life empty of truly safe and supportive people?

Are there very few people who know the “real you?”

Have you had legal problems?

SAMPLE

A N e w F r e e d o m • © 2 0 0 0 A . R . P h o e n i x R e s o u r c e s • w w w . n e w f r e e d o m p r o g r a m s . c o m1

Self-Discovery (SD6)

Reasons To Change

SAMPLE



Activity

Reasons To Change

Series

Self-Discovery

Catalog Code(s)

SD6

Time Needed

5 sessions, with teacher-led discussions. ( This workbook can be assigned as class work, and done in less time. In this case, allow time for individual or group processing and discussion).

Purpose

This short workbook is designed to help reduce resistance to treatment. Based on the change model developed by Prochaska, it helps move clients from the pre-contemplative stage to the contemplative. By using checklists and similar self-inventories, it brings issues to conscious awareness.

Once clients are aware of these issues, however briefly, these issues are no longer “repressed.” They are forced to acknowledge them, even if they don’t admit or accept them! In essence, this workbook partially addresses the issue of “raising bottom.”

The counselor can use this material to help clients face these issues more directly.

Instructors’ Preparation

Please review the workbook and the material in this packet. As you consider the needs and personalities of the people you will be helping, you may place a greater emphasis on certain sections of the workbook. It may help to talk your plans over with others who have used this material or with your supervisor.

SAMPLE



Suggestions for Presentation

Suggestions for preparation:

Prepare the room. If possible, arrange the seats so that all participants 1. face each other (around a table, or with chairs in a circle, for example).

At the start of each session take a minute to review what was discussed 2. most recently. This will help participants to remember issues, concerns, or concepts.

Before starting this workbook, explain how this links to other workbooks 3. or parts of your program. If you are unfamiliar with this area, refer to the material in each workbook, or the Counselor ’s Manual.

Check for understanding regularly. You can do this by asking simple 4. questions (“What does this mean to you?” “How does this apply in your life?” “Since you now know this information, what can you do differently?”). Try to avoid questions with “yes” or “no” answers. For example, avoid asking: “Does everyone understand this? “Is this clear to you?”

Review each session at the end. Plan ahead to allow enough time to do 5. this. A few brief comments on what was covered or discussed can be very valuable.

If possible, assign each section to be done beforehand. It makes more 6. sense to use the time you have together to talk things over then it does to have participants reading or writing!

During the session, and at the end of the workbook, link these activities to the 7. future—a lifetime of recovery. You may suggest that they save a list of key issues or selected activities as a helpful reminder for future reference.

Techniques

With this workbook, it may be especially helpful to encourage discussion, perhaps by selecting certain questions or issues from the activity and asking each participant to respond.

SAMPLE



Suggested Motivational Interviewing Tools

This workbook contains many Motivational Interviewing tools already added to the text, many of which are listed below. For additional guidance in using these tools, you may consult our “Motivational Interviewing Manual”. For more tips and guidance in using MI in this workbook, please see the appendix on pages 32 and 33.

Importance, Confidence, and Readiness rulers, particuarly as listed on page 5. • We suggest using these rulers at the end of the session. They can also serve as “helpful” reference points.

Pro’s and Con’s of change pg. 14•

Past Successes and Failures pg. 18•

Worst Case and Best Case Scenario pg. 25•

Objectives

At the conclusion of this workbook, the participants will have identified specific issues which may increase their readiness to participate actively in treatment. A list of specific behavioral objectives is attached.

Behavioral Objectives

Client will:

complete self-inventory •

identify dependencies, compulsive, harmful or addictive behaviors they have • used

identify consequences of self and others of specific dependencies, compulsive, • harmful, or addictive behaviors

identify current thinking about these behaviors. Examine readiness for change•

explain how he/she learned specific ways of “coping” with tough times or difficult • feelings

explain specific reasons (motivation) to consider changing from past patterns of • dependencies (note that this relates to Prochaska’s change model)

explain barriers or obstacles he/she perceives to changing•

SAMPLE


Re a s o n s to Ch a n g e

Most of us change some parts of our lives. Some of these changes are easy ones. You can change the way you wear your hair. You can change the style or type of clothing you wear. Or, you can go from wearing glasses to wearing contacts.

Then there are the types of changes which are somewhat harder. You can change jobs, or even the type of work you do. You can change where you live, or even move across the country. Or, you can decide to go back to school—or quit school. Changing from living at home to living on your own can be a tough change, too.

The toughest changes come when you try to change your life or lifestyle in a major way, like if you want to stop an addiction, a habit, or a dependency. It isn’t a matter of willpower, or “just saying no.” If that were the case, a lot of people would quit their harmful habits or dependencies. There would be very few people overweight from eating too much. And a lot of people would permanently quit smoking, or abusing drugs or alcohol. Not only is it a matter of stopping doing one thing (like smoking or drinking), but it’s a matter of learning new skills and having confidence that you can do the right thing when you really need to.

Fortunately, it’s not impossible. You can do it. In fact, you’re part way into the process as you read this. Learning more about yourself helps you make choices—and make changes—which are in your own best interest. After all, you are the best person to be looking out for yourself! And, you want to make good choices.

To make this process easier, it helps to follow a plan, like the recovery plans which you can develop through this program. This process is also very much under your control. Every step of the way, you can decide whether to quit or keep going. If you quit, of course, it’s likely things won’t change. Whatever mistakes and problems you have won’t get better or go away. If you give yourself a chance to succeed, however, you’ll have a whole new set of thinking skills and coping skills to help you solve problems and have a happier and better life. It’s worth a try.

Changing yourself isn’t simple.

It’s more than “just saying no.”

But you can do it!

And, you’ll have a happier and better life.

SAMPLE


a C t i v i t y : h o w a R e yo u to d a y ?

A good place to start is to look at yourself critically. You can use the questions below to help get started. Place a check next to the answer that best represents you.

Is there something “wrong” in your life?Yes �No �

Do you have too much pain, and too little joy?Yes �No �

Have you been in trouble with the law?Yes �No �

Do you feel ashamed that you haven’t “coped” successful ly?

Yes �No �

Do you think it might be worthwhile to work on some of your problems?

Yes �No �

SAMPLE


Are some people disappointed in you?Yes �No �

Are some people angry with you?Yes �No �

Has your health suffered because of your drinking or drugging?

Yes �No �

Have you damaged your relationships with your family?

Yes �No �

Do you “hurt”?Yes �No �

Do you have some areas of your life which need changing?

Yes �No �

SAMPLE


Are you open to some new ideas?Yes �No �

Do you find it hard to handle some of your feelings? Would you like to learn better ways to cope with them?

Yes �No �

Is changing yourself one of the most important things you could be doing these days?

Yes �No �

Did you answer “no” to most of these questions? If so, you probably like your life just the way it is. You are comfortable with who you are and where you are. And that’s okay. It’s your choice.

Did you answer “yes” to most of these questions? If so, these workbooks can help you start to make changes. SAMPLE


w h e R e h a v e y o u h a d p R o b l e m s ?

These behaviors all share something in common: many of us use them to address the symptoms or feelings of our underlying problems. We use them to help us “cope” with life. Sadly, they are usually self-destructive and they rarely help resolve the problems that are troubling us in the first place.

Common dependenCies, Compulsive, haRmful, oR addiCtive behavioRs

Place a check next to any you have used.

alcohol (at any point in your life, have you abused alcohol regularly, or used �alcohol to help “cope”?)

abuse of illegal drugs �abuse of prescription drugs �tobacco products �caffeine �

as a coping mechanism, to help “get through the day” �

more than three (3) cups of coffee a day (or the equivalent in cola drinks, �

tea, chocolate, etc.)

sugar (when regularly used to help change your mood) �eating problems �

overeating (Are you overweight?) �

eating in response to stress �

relationships �repeated involvement in harmful relationships �

repeated involvement in dependent relationships �

“sick relationships,” including violence �

gambling (illegal gambling or high stakes gambling) �

SAMPLE


violence or taking risks (dangerous driving, high risk “adventure” sports, drug �dealing, gang violence, physical violence)

sexual acting out/sex dependency �As you may have noticed, some behaviors on the list above are illegal or clearly have a negative consequence.

Others are only a “problem” when you take them to an extreme. Ask yourself if you have used them repeatedly to deal with the uncomfortable feelings, stress, depression, anger, or anxiety.

If you regularly use these behaviors to deal with the discomfort, it is likely that you have not dealt with the underlying problem. Until you do so, it is unlikely to go away. These behaviors will not solve your problem, and any of them, if taken to an extreme, may cause you additional harm.

As with other characteristics, consider how far you have taken these behaviors. Have

you gone to extremes? ☐ Yes ☐ No

If you are a person with dependency problems, you probably have more than one of these behaviors, perhaps as many as three or four. Simply stopping one or more of these behaviors (“abstinence”) is not the entire answer.

“Strong” people don’t try to solve their problems in “weak” ways.

Do you want to be “strong” or “weak”?

Remember that nearly any activity can become harmful

if you use it compulsively.

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a C t i v i t y : i s i t t R o u b l i n g yo u ?

1

I tell myself that if I try hard enough I can quit:

☐ drugs ☐ drug dealing

☐ alcohol ☐ risky activities

☐ smoking ☐ violence

☐ sexual acting out ☐ gambling

Place a check next to any you feel you need to quit. Can you think of anything else? If so, write them below.

2“I get upset when I think about my behavior.”

Is the statement above true or false? ☐ True ☐ False

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3

“I sometimes think about what people have said about the benefits of quitting.”


4

“When I think about the problems my behavior has caused, I usually try to think about something else.”


5

I often feel disgusted with myself when I feel the need for:

☐ drugs ☐ drug dealing

☐ alcohol ☐ risky activities

☐ smoking ☐ violence

☐ sexual acting out ☐ gamblingSAMPLE

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Does Sam’s life seem familiar? It’s very likely that you experienced some tough times growing up, and it may be helpful to understand how you learned to “cope.” (Explain how you learned to “cope” below.)

What were some of the positive ways that you learned to cope?

What were some of the negative ways that you learned to cope?

Key points

The “bad news” is that you probably learned some very poor coping techniques. •

Some of these turned into addictions or behaviors which have caused you problems and a great deal of pain.

The “good news” is that you can “unlearn” the harmful ways of thinking and •

behaving and replace them with effective ones. You can experience a new sense of joy and contentment in your life. The best part of your life could be starting now!

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The exercises above can help you clarify some of your reasons for wanting to change. They should give you the motivation to stop your harmful behaviors and learn a new set of coping skills.

Accepting that you need to change is critical. It’s the starting point, and without that motivation, nothing else can happen.

You’ve probably seen people sit in classes, exposed to lots of valuable information and good advice. They may even practice some helpful skills. Yet after all that, nothing happens. They make no changes in how they live their lives—because they have no motivation to change. What about you?

The questions that follow may help you clarify your next steps:

1Would you truly like to change, but are afraid that it won’t work?

Yes �No �

2

Would you like to change, but feel some sadness or grief at having to give up some of the few sources of happiness or pleasure in your life?

Yes �No �

3

Would you like to change, but wonder if your life will be any “fun” because of all the hard work involved in recovery and no longer being able to do certain things?

Yes �No �

4

Do you wonder what a “sober” life will be like? If you have enjoyed most of your recreation in bars, do you wonder what you can do with all the free time you’ll now have?

Yes �No �

5Do you have worries about all the other aspects you’ll be changing in your lifestyle?

Yes �No �

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6Did you abuse cocaine? Was it a major part of your sex life? Do you wonder if it will be worth it to stop using?

Yes �No �

7Do you wonder if a new lifestyle can truly replace the role drugs (or whatever) have played in your life?

Yes �No �

8Do you wonder if a new lifestyle can truly replace the role your old harmful behaviors have played in your life?

Yes �No �

9Are you thinking about only changing “partway”—keeping some of the old behaviors, but stopping others?

Yes �No �

It’s normal to have some worries. After all, you’re considering giving up some things which have brought you pleasure. Even if they have had a price, they have helped. Now, you’re facing the idea that you may have to give them up. And, the recovery process may sound like a lot of hard work. You may have tried this, and failed, perhaps several times. You may have doubts that you could make it this time. You may wonder if it’s worth it.

Your motivation may become stronger if you can discover more about your chances of a happy and healthy life, and a successful recovery. What if you did try and make a change?

Worst-Case Scenario Target Behavior Best-Case Scenario

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Returning Home #5

If You Lapse

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Workbook

If You Lapse

Series

Returning Home

Catalog Code(s)

RH5

Time Needed

5-8 sessions, with discussion

Description

This short workbook is designed for use in preparation for community reintegration. It can be used independently or in conjunction with other workbooks or lessons in the Returning Home and A New Freedom programs. It is designed to keep participants focused and active, and will lead to both group discussion, and demonstration of individual readiness for release. The behavioral objectives listed below can be used by program staff to help identify areas where individuals are at greatest risk.

This workbook addresses the issues of “lapses” and “relapse.” Individuals in the first few months of recovery—or in a new situation following treatment—are at high risk for “slips.” Knowing that temptation is everywhere, the participants can prepare to handle high risk situations by knowing common problems and having confidence in their ability to cope more effectively. A “slip,” or having fantasies of use, does not need to lead to a “fall.” This workbook provides tools for addressing common slips and models two critical coping skills. A set of situation cards for group discussion is provided.

Behaviorally Stated Objectives

Clients will:

Identify past lapses and high risk situations. 1.

Discuss steps to be taken in case of a “slip.” (i.e., if he/she catches it just in time). 2.

Examine the most recent lapse.3.

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Explain the reasons underlying his/her last relapse.4.

List the specific high risk people, places, things, situations, thoughts and cravings 5. which contribute to lapses and relapse.

Identify dangerous and safe people. Identify dangerous and safe places. 6.

Discuss what he/she will do after saying “no” to temptation. Explain how they will call 7. for help (if needed). (Note: this section also addresses the abstinence violation effect)

Develop individual “thought stopping” coping response. Provide written example. 8. Demonstrate mastery of the “thought stopping” coping skill.

Identify consequences of failure to maintain recovery. Select two (2) which he/she can 9. use to warn self. Demonstrate mastery of the “warning yourself ” coping skill.

Using “situation cards” provided, demonstrate successful coping with common “lapses.” 10. (40 situations provided—attached to end)

Integrated Motivational Interviewing Tools

Reframe Failure•

Confidence Ruler•

Past Success•

Past Successes and Failures•

Materials

Attached to the back of this workbook:

“A ‘lapse’ is a slip; A ‘relapse’ is a fall” poster—may be hung in the • classroom or duplicated and provided students.

Situation cards—may be duplicated on Avery™ business card templates; • also can printed and cut on 8½”x11” paper, or simply used as part of the workbook as cues for class discussion.

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L a p s e s I n Yo u R p a s t

Read over the list below. After you’re finished, place a check by the sentences that best describe what happened to you.

Lapses In MY past CheCkLIst

I was under stress, and I missed the cues that I was at risk. Without �really planning to, I found myself facing temptation.

I noticed the cues that I might be at risk, but I “explained them �away.” By the time I admitted I had a problem again, it was almost too late.

My “stinking thinking” allowed me to “justify” doing it. I told myself �it wasn’t really harmful to anyone.

Even though I had stopped drinking (or using), I was hanging out with �others who were. I told myself I could handle it.

I was pretty much on my own. There was nobody close, and I �really liked it that way. Nobody could tell me that I was doing something wrong.

I had some dangerous secrets. Since nobody really knew me, they �couldn’t help me handle my problems.

The “old triggers” to my relapse cycle were present, and I didn’t �discuss them with anybody.

Everything was going well. I had been clean and sober for a year. I �told myself it was okay to celebrate.

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I used to daydream a lot about going back to my old behavior. I told �myself, I didn’t have to act out , but then I did.

Things started going poorly in one part of my life, and the pressure �started to get too great. I told myself I needed to feel better.

Something really bad happened, and I felt terrible. Getting high was �the only think I could think about doing.

I thought I could handle the situation by myself. �

I deliberately “tempted” myself to see if I could handle the situation. �

I was just in the wrong place at the wrong time. Then things got out �of hand.

My friends put a lot of pressure on me. �

When I’m thinking about sex or I’m in love, I do some crazy things. �I can be talked into making some big mistakes.

Without planning to, I found myself with a chance to use or drink. I �didn’t plan to set myself up to fail, but that’s what happened.

The cravings were really powerful. �

I found it hard to ask for help. �

My “safety net” was not available. �

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I was having problems, but I didn’t want to burden my friends �with them.

Some members of my “safety net” were around, but they didn’t �help much.

Some members of my “safety net” were around, but I didn’t make a �real effort to ask for their help.

My uncomfortable feelings overwhelmed me: �

emptiness �anger �guilt or shame �sadness or depression �

loneliness �anxiety or fear �grief or loss �Other ( � Describe below.)

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W h a t C a n Yo u d o a t t h I s p o I n t ?

get heLp at onCe

Call your counselor, your sponsor, or your program. You can’t handle this on your own. Keep calling until someone agrees to help you right away. Who can you call? (List 3-4 below.)

1.

2.

3.

4.

go soMeWheRe safe and staY theRe untIL YouR heLp aRRIves

Where can you go? (List 2-3 places below)

1.

2.

3.

don’t gIve up on YouRseLf

If you do the right things, you can grow from this.

Can you do all of the above? ☐ Yes ☐ No ☐ Maybe

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What I Must Avoid How I Will Avoid These Risks

high risk people

1.

2. high risk places

1.

2. high risk things

1.

2. high risk situations

1.

2.

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BeIng In the “WRong pLaCe at the WRong tIMe” Is a Lapse

When our thinking is careless, or we’re not thinking clearly, we can put ourselves at risk. Being in the wrong place is a form of “setting yourself up” for relapse.

The smart move is to stay far away from these sorts of situations. You can plan ahead to avoid certain situations.

Name one place which is dangerous to you. Describe how you plan to avoid that place.

Even more important, you may find yourself feeling stressed, tired, angry, lonely, or confused. These are the times to stay in a safe place, with safe people. We’re more likely to make poor choices which put us in risky places. We may not be thinking clearly.

Loneliness is a typical explanation for being with the wrong people. If you know you have had problems with loneliness in the past, then spend some time in developing a list of safe and supportive people. You can plan to spend time with them when you get home.

A good start is to make a list of safe and supportive people you can spend time with.

Name 4 people below:

1.

2.

3.

4.

Also, write the names of safe places and groups where you can spend time and avoid being around temptation. These can include self-help groups (like Twelve-Step groups), community activities, and activities at a nearby house of worship.

SAMPLE


Name 4 groups or safe places where you can spend time near your home:

1.

2.

3.

4.

a B s t I n e n C e

The best approach to staying in recovery is to plan to remain abstinent from your old dependencies for a lifetime. This means you will never return to drinking, drugging, risky sex, gambling, or sick relationships, for example. If you give yourself room to relapse, you’re starting the process of setting yourself up. It’s just a question of “when.” Abstinence is saying “no” to one type of life and saying “yes” to a happier and stronger life.

Can you remain abstinent?

CONFIDENCE RULERHow confident are you that you can remain abstinent?

(I don’t think I can do it) (I might be able to remain abstinent) (I’m very confident I can do this if I try)1 2 3 4 5 6 7 8 9 10

● Is your score more than 5? What could make you even more confident?

● If your score is less than 5, what is giving you the confidence that you do have? Why is your score not a 0?

SAMPLE

Documents

PHOENIX/NEW FREEDOM PROGRAMS SAMPLESinsightandoutlook.com/pdf-nn/arnt_sample.pdfPHOENIX/NEW FREEDOM PROGRAMS SAMPLES The attached materials include lesson plans and a selection of