Relapse
is often defined as a return to drug use after a period of abstention.
lapse
a technical or modest breach of a agreed treatment goals, which allows for learning and therefore eventual cheap mint of the ultimate aims and objectives of treatment.
relapse prevention
an approach to treatment compatible with other treatments models of varying philosophy.
The Relapse Prevention Model
behavioral modification model based on the principle that high-risk situations can be anticipated through the development of strategies to prevent lapses and relapses
Self-efficacy
defined as the degree to which a person feels capable and competent of being successful in a specific situation.
Outcome Expectancy
refers to the client's beliefs or thoughts about what is going to happen after using a substance
Cravings
refers to physiological responses that prepare the individual for the effect of a substance.
Coping Skills
refers to strategies that help individuals to effectively manage their behavior, especially in high-risk situations
Trans theoretical model of motivation
describes five stages of readiness to change: precomtemplation, contemplation, preparation, action, and maintenance
Essential Elements in the Relapse Prevention
high-risk situations, seemingly irrelevant decisions, and the abstinence violation effect
High-Risk Situations (HRSs)
are key events in relapse, which may pose a threat to one's level of confidence about exercising self-control.
Three kinds of High-Risk Situations
fustration and anger
interpersonal temptation
social pressure
Seemingly Irrelevant Decisions (SIDs)
are decisions an individual makes that may seem irrelevant at the time, but very often can lead to a relapse. (psychological trap)
Abstinence Violation Effect (AVE)
- feeling upset for having a lapse in cessation
- must differentiate between slips/lapses and relapse: slips are normal
- coping response will increase confidence and decrease relapse probability
- no coping response will increase probability of relapse
Developing a Management Plan (9-step approach)
Utilized by Terence Gorski
Stabilization: follows detoxification, don't rush too quickly with much new materials that patients will not be able to retain
Assessment: full assessment
Relapse Education: provide information about the nature of lapse and rela