Relapse prevention skills and insights are an important aspect of drug and alcohol treatment. CIVIQ Health takes steps to both integrate skills from evidenced based approaches in treatment as well as provide a supportive therapeutic environment for clients in early recovery. What distinguishes drug and alcohol addiction treatment from other mental and physical health fields is the focus on a specific behavior that is prohibited by law. This adds a number of dimensions to treatment that clients have to address while in treatment. Relapse prevention, that is to prevent or reduce the likelihood of the events of repeated use, is the at the center of treatment but it is multi-faceted.
Relapse Prevention at CIVIQ Health
Here at CIVIQ Health we put a focus on addressing relapse through investigating triggers, influences, patterns in behaviors, patterns in thoughts, and other variables in clients lives that can increase stress which is closely associated with relapse. CIVIQ Health addresses relapse at a number of treatment levels to meet client needs. These needs are addressed in individual therapy and in group. Clients are asked to seriously consider their goals in each dimension of their life and make achievable, measurable goals that can be supported in the treatment community. From the treatment plan forming, clients are able to identify individual relapse triggers and events that they would like to build skills around in their treatment. From there, clients can continue to engage these goals in individual and group sessions to identify, tailor, and practice new relapse prevention skills.
Clients, when engaging with their individual clinician for relapse prevention therapy, will be able to explore their history and identify triggers in an intimate and focused environment. This thoughtful approach by the client is met with the clinical team to help gain insight to their existing patterns and future risks. In individual therapy, clients can also address other factors such as; anxiety, depression, past traumas, compulsions, or social factors that may also occur in the pattern of relapse. Identifying this pattern in individual sessions can allow and empower the client to enter into other supportive environments (groups and community supports) with new insights that they can then practice new skills with a deeper understanding of themselves.
Clients engaged at CIVIQ Health get the tailored and individualized support in individual sessions as well as the supportive and practice-oriented experiences in group. Relapse prevention groups at CIVIQ health are designed with evidenced-based approaches to help clients learn from their insight and practice new skills to prepare them to face relapse triggers and stress. CIVIQ Health employs aspects from Matrix Model (for treatment of stimulants) and The Gorski (CENAPS) relapse prevention model.
The Matrix model is employed by clinicians to address relapse with clients in a systematic way. Client are asked to engage in worksheets and once weekly group and employs skills such as safety planning, identifying unmanageable or toxic relationships, rebuilding trust, sexual history, and other behaviors. Life skills are introduced in later sessions and family can be involved in the matrix model to include them in new skill use and share insights gained. The Matrix Model employs a three month curriculum that address multiple facets of past use behaviors to identify maladaptive tendencies and replace them with new skills after insight is gained.
The Gorski Relapse Prevention Model (CENAPS) is also a systematic means by which to address relapse patterns. The CENAPS model identifies patterns and behaviors that occur in past relapse with clients to explore stressors and insert new skills where use existed before. This method is also used in groups with the assistance of standardized worksheets and group topics that allow clients to separate and examine multiple aspects of what contributed to their past relapse.
CIVIQ Health addresses addiction in a number of ways with relapse prevention skills, groups, and focused individual sessions as a consistent support through the treatment cycle. Clients are encouraged to examine and gain education regarding their relapse pattern and available supports in early stages of treatment (Detox, Rehabilitation, and Partial Hospital Levels) and then encouraged to address these stressors with new tools in lower levels of care with available weekly supports (Intensive Outpatient and General Outpatient services). It is the hope of the clinical staff that using evidenced-based approaches towards relapse prevention as well as other therapeutic interventions to help clients install new skills and practice activating supports to allow for successful relapse prevention to occur when faced with cravings and stressors.
Family members are encouraged and invited to attend family programming at higher levels of care to gain education for themselves regarding patterns of relapse as well as identify ways to support their loved one to use skills and reduce stressors.
It is the hope of CIVIQ health that clients are able to use supports to identify past patterns, learn new skills, and use those skills to prevent and eventually replace relapse behaviors with more adaptive coping, and managing cravings and triggers.