Theme 1 - Helping Clients Identify High-Risk RP Factors (8)

7/29/2019 Theme 1 - Helping Clients Identify High-Risk RP Factors (8)

http://slidepdf.com/reader/full/theme-1-helping-clients-identify-high-risk-rp-factors-8 1/11

THEME 1

HELPING CLIENTS IDENTIFY HIGH-RISK

RELAPSE FACTORS AND DEVELOPSTRATEGIES TO DEAL WITH THEM



2

3

4

High-risk factors are critical situations in

which client used alcohol or drugs prior to

treatment. The factors usually involve

intra-personal & interpersonal situations

The need to recognize the risk of relapse

& high-risk factors as well as develop

appropriate strategies to counter them are

essential components of recovery



INTRAPERSONAL FACTORS (INTERNAL)

Negative emotional states

(anger, anxiety, depression, frustrations,

boredom)

Negative physical statePositive emotional states (celebration,

intense excitement)

Testing one’s personal control (using

“willpower” to limit consumption) Urges and temptations

HIGH-RISK

FACTORS



1. Identify high-risk situations & coping problemsthrough interview of client’s past lapses or relapse,

relapse dreams or fantasies

3. Use of self-report questionnaires to assess high-

risk factors or situations and inability to cope

ASSESSMENT STRATEGIES

2. Client in outpatient program who are unable tosustain abstinence can self-monitor by observing

drinking or drug use situations, emotions &

interpersonal factors associated with urges or

substance use



Break into Group

Task:

Identify high-risk factors/situations &

coping difficulties through discussions.Explore personal previous history of

lapse / relapse, relapse dreams and

fantasies

Large Group Process

GROUP EXERCISE



Intervention Strategies

Once a client’s

high-risksituations have

been identified, 2types of intervention

strategies can beused to lessen the

risk of relapse

By being able torecognize thosewarning signals,

the client may beable to takeevasive action oravoid the high-risk situation




1. Learning to recognize the warning signals associated withimminent danger , e.g. cues that the person is about to enter ahigh-risk situation

a. Apparently irrelevant decisions

b. Lack of balanced lifestyle

c. Strong expectancies about drinking

Warning signals




2. Evaluating the clients existing motivation & abilityto cope with specific High-risk situations

& learning more effective coping skills

Refusing drinks

in social

situations

Assertiveness

Communication

skills

General

Strategies e.g.

anger

management,

behavioralrefusal

rehearsals



COPING SKILLS STRATEGIES

Cognitive strategies –

reframing, coping imagery,

positive self-talk, counteringpositive outcome expectancies,

coping with abstinence violation

effect

Lifestyleintervention meditation exercise relaxation



Group Exercise

1

A client reports thathe has been having

the urge to drink,especially when he isexperiencing negativeor positive emotions,

e.g. anger.Frustrations,

excitement. Provideintervention using

positive expectancies& eliminating myths

effects

2

A client who has beendrug free for several

months had a lapse.He came for

counseling feelingdistressed & defeated.

Proceed to conductcounseling using your

knowledge of

abstinence violationeffect

Large Group Process



Theme 2:

Helping Clients UnderstandRelapse As A Process As Well

As An Event

Documents

Theme 1 - Helping Clients Identify High-Risk RP Factors (8)