Maintenance and Relapse Management

SESSION 11

Maintenance and Relapse Management

4/17/03

GOAL: To learn about the maintenance stage and how to develop a Relapse Management Plan.

OUTLINE:

TOPIC / TIME
I. / Check-in / 5 - 6:00-6:05
II. / Challenge Reports / 10 – 6:05-6:15
III. / Warm Up / 10 – 6:15-6:25
IV. / Maintenance and Relapse Presentation and Discussion / 10 - 6:25-6:35
V. / Relapse Management Role Plays – Part 1 / 40 – 6:35-7:15
VI. / Break / 15
VII. / Relapse Management Role Plays – Part 2 / 30– 7:30-8:00
VIII. / Relapse Management Role Plays – Part 3 / 30 – 8:00-8:30
IX. / Maintaining Change Awareness Activity / 15-8:30-8:45
X. / Challenge Assignment / 15

MATERIALS NEEDED:

Relapse Role Plays

Relapse Management Worksheets

Maintenance Plan Worksheets

Maintaining Change Awareness Worksheets

Challenge Assignments

ACTIVITIES DIRECTIONS:

II. Challenge Reports.

Use the challenge questions themselves as process questions

III. Warm Up. Relapse Trigger Relay Race

• Divide into 2 teams – each team lines up at the back of the room
• Write the words drinking and drugging or smoking if one team has fewer members (with room to write next to each letter) on each side of the board
• Give a piece of chalk to the first person in each line – the person goes to the board and writes a situation or event that might trigger that activity starting with one of the letters in the word – returns and hands the chalk to the next person
• Team members may help only when the person with the chalk is in the line – once the person leaves the line, there can be no more talking in that team
• The letters do not have to be completed in order, but the teams must stay in order
• No trigger activity can be the same as the activity on the other team’s list

IV. Maintenance and Relapse Presentation and Discussion.

• Review the information in the book on these 2 stages

V. Relapse Management Role Plays – Part 1

• Review Relapse Prevention Principles
• Divide into groups of two or three
• Role Play Relapse Situations using Relapse Maintenance Worksheets – stress the importance of writing down behavior not impressions – it is ok for this exercise to write as you talk
• Debrief in large group with counselor giving example of person’s greatest strength and most worrisome limitation

VII. Relapse Management Role Plays – Part 2

• Counselor assists client in developing a Maintenance Plan
• Debrief with questions about how hard/easy it was to let client develop plan

1. Relapse Management Role Plays – Part 3

• The client has relapsed and returns to the counselor
• Review Maintenance Plan and what did not work
• Counselor uses Problem Solving to revise plan

1. Maintaining Change Awareness Activity

• Each person completes Awareness Worksheet
• Discussion of the differences for different activities