Relapse Prevention Programs
Reflections – Addiction Therapy
Relapse prevention is a cognitive-behavioral approach with the goal of identifying and preventing high-risk situations such as substance abuse, obsessive-compulsive behavior, sexual offending, obesity, depression and treatment process of alcoholism, or alcohol dependence. Relapse is seen as both an outcome and as a transgression in the process of behavior change. An initial setback, or lapse, may either translate into a return to the previous problematic behavior, known as relapse, or into the individual turning again towards positive change, called prolapse.
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Relapse Prevention is a major component of the work that we do at Reflections. Relapse prevention is woven throughout every aspect of our program. We treat the whole person. Our unique approach and our specialized staff significantly reduce the risk of relapse. Teaching a client to recognize general “warning signs” and also personal relapse triggers are just a small part of relapse prevention. Utilizing the Gorski-CENAPS model of relapse prevention (a model recognized and implemented by the National Institution of Drug Abuse-NIDA), our clinicians and drug and alcohol counselors have specific training geared towards addressing the behaviors preceding relapse, and the tangible and effective coping mechanisms used to strategically avoid relapse and sustain recovery.
We address the physical, emotional, mental, and spiritual aspects of cravings. Addiction is a disease of the brain. So, we need to reprogram the brain, and create the optimal sober health foundation so that the brain will be fed the right nutrients as well as the right information for change. Exercise and diet are key elements along with education. The delicious cuisine that is served at Reflections is more than nutritious; it is also part of a craving reducing diet that complements our relapse prevention program.
Relapse is thought to be multi-determined, especially by self-efficacy, outcome expectancies, craving, motivation, coping, emotional states, and interpersonal factors. In particular, high self-efficacy, negative outcome expectancies, potent availability of coping skills following treatment, positive affect, and functional social support are expected to predict positive outcome. Craving has not historically been shown to serve as a strong predictor.
Relapse treatment is somewhat of a misnomer because relapse itself is a treatment failure; however there exist three main approaches that are currently used to reduce the likelihood of drug relapse. These include pharmacotherapy, cognitive behavioral techniques, and contingency management. The main goals of treating substance dependence and preventing relapse are to identify the needs that were previously met by use of the drug and to develop the skills needed to meet those needs in an alternative way.
Relapse prevention attempts to group the factors that contribute to relapse into two broad categories: immediate determinants and covert antecedents. Immediate determinants are the environmental and emotional situations that are associated with relapse, including high-risk situations that threaten an individual’s sense of control, coping strategies, and outcome expectancies. Covert antecedents, which are less obvious factors influencing relapse, include lifestyle factors such as stress level and balance, and urges and cravings. The relapse prevention model teaches addicts to anticipate relapse by recognizing and coping with various immediate determinants and covert antecedents. The RP model shows the greatest success with treatment of alcoholism but it has not been proven superior to other treatment options.
Relapse Prevention Therapy