COUNSELING INC: Entry and Advanced Levels Substance Abuse Curriculum
Created by Peter Ninemire, LMSW, LCAC
Entry / Monday: Living In Balance- EBP / Wednesday – Matrix Family Ed / Friday – Matrix Model – EBPWeek1 / LIVING IN BALANCE – Session 1
Definitions, Terms and Self-Diagnosis
(utilize role-play sheet suggested for session)
Part 1: Definitions and terms
Part 2: Self Assessment exercise -
Part 3: Biological aspects of addiction
Re: Neurotransmitters - Utilize NIDA/HBO Series on Addiction Video “What is Addiction” (Video 2 – Vignette 1) Prior to
Physical Dependence, withdrawal symptoms
Tolerance/cross tolerance (show video?) / Family education group
Topic: Cross addiction: back door to relapse
( Handout # 13 ) / Matrix Early recovery skills – Lecture
Scheduling
(Hand out # 1, 2,3, &4 )
Matrix Early recovery skills session 1
Topic: Stop the cycle
Eliminated Drug Court Booklet - Made room for more material?
Maybe carryover early work on Living in Balance sessions
Week 2 / LIVING IN BALANCE – Session 2
Alcohol and Other Drug Education
Part 1: Stimulant Drugs – utilize CNS video on
Use, Abuse and Addiction – The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
Uppers Video: 13:15 (disk 2 – chapter 3)
Present Power Point Slide Presentation / TCU Mapping the Journey
Exploring Self / Matrix Early recovery skills session 2
Lecture - Identifying external triggers
Family Video Lecture/ Discussion
Topic: Medical aspects of chemical dependency
The Neurobiology of Addiction (Video)
( Handout # 10 )
Entry Level Group
CNS Productions – Cocaine and Crack – A craving for More
Week 3 / LIVING IN BALANCE – Session 2 (continued)
Alcohol and Other Drug Education - Part 2:
Psychedelic and Hallucinogenic Drugs (to include marijuana) The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
Video: (Other Drugs – Other addictions) 19:55 (disk 2 – chapter 7) Optional - selected slides
from Present Power Point Slide Presentation, and/or utilize CNS vignettes on marijuana / Matrix Family Education Group?
Triggers and Cravings Presentation Video/Notes
CNS Productions – Marijuana Neurochemistry and Physiology / Matrix Early recovery skills Session 3
Lecture - Identifying internal triggers
Eliminated Drug Court Booklet - Made room for more material?
Maybe carryover early work on Living in Balance sessions
Entry / Monday - Alongside am/pm COC groups / Wednesday / Friday
Week 4 / LIVING IN BALANCE – Session 2 (continued)
Part 3 – Depressant Drugs
The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
Downers Video: 18:25 (disk 2 – chapter 4)
Present Power Point Slide Presentation
Opioid Drugs – Vignettes (NIDA/HBO series on Opiate tx or CNS Video on opiates / TCU Mapping the Journey
Social Improvement / Matrix Early recovery skills session # 4 Lecture - Topic: 12 step introduction
(Handout # 11 )
Eliminated Drug Court Booklet - Made room for more material?
Maybe carryover early work on Living in Balance sessions?
Week 5 / LIVING IN BALANCE – Session 2 (continued)
Part 4: A look at Drugs and the Brain
Utilize NIDA/HBO Series on Addiction Video “What is Addiction” (Video 2 – Vignette 1) in conjunction with NIDA power point by Peter
Recommend showing power point first / TCU Mapping the Journey
Decision Making / Matrix Early recovery skills session # 5 Lecture - Topic: Your body chemistry in recovery
(Handout # 12 )
Eliminated Drug Court Booklet - Made room for more material?
Maybe carryover early work on Living in Balance sessions
Week 6 / LIVING IN BALANCE – Session 2 (continued)
Part 4: A look at Drugs and the Brain
Your Brain after Drugs and the Memory of Drugs
CNS Productions - video
The Neurochemistry of Relapse and Recovery
Utilize CNS video on memory bumps / TCU Mapping the Journey
Taking Control / Matrix Early recovery skills session # 6 Lecture - Topic: early recovery problems
(Handout # 13 & 14 )
Eliminated Drug Court Booklet - Made room for more material?
Maybe carryover early work on Living in Balance sessions
Friday night - perhaps addiction related video?
Entry / Monday - Alongside am/pm COC groups / Wednesday / Friday
Week 7 / LIVING IN BALANCE – Session 3
Part I: Triggers, Cravings, and Avoiding Relapse
Part II: How a Trigger Leads to a Relapse
Utilize NIDA/HBO Series on Addiction Video “The Science of Relapse” (Video 2 – Vignette 1) / Family Discussion
Topic: avoiding and coping with relapse
( Handout # 9 ) / Matrix Early recovery skills session # 7 Lecture - Topic: thinking , feeling and doing
(Handout # 15 & 16)
Week 8 / LIVING IN BALANCE – Session 4
Planning for Sobriety
Part I: Planning for Your Sobriety
Role Play Exercises #4 and #5
Part II: The Road to Recovery
CNS Productions - video
The Neurochemistry of Relapse and Recovery
Part III: Relapse Decisions and Recovery / TCU Mapping the Journey
Monitoring progress / Matrix Early recovery skills session # 8 Lecture - Topic: Keep it simple
(Handout # 17 )
Week 9 / LIVING IN BALANCE – Session 5
Alcohol and Tobacco
Part I: Alcohol and Alcoholism
An Interview with Mark Whillenberg, M.D.
From HBO Video Series on Addiction
(Disk 3 – Vignette 2)
Discusses the different factors that can lead to alcoholism, including genetics and psychiatric disorders.
Effects of Alcohol
CNS Productions – Alcohol and its effects
Part II: Tobacco / Matrix Family Education Group
Relapse Prevention Family Group
Questions for Alcohol: The Substance, the Addiction, the Solution
CNS Video on Alcoholism / Matrix Early recovery skills session # 9 Lecture - Topic: Heartfelt matters
(Handout # 10)
ENTRY / Monday - Alongside am/pm COC groups / Wednesday / Friday
Week 10 / LIVING IN BALANCE – Session 6
Spirituality
Part I: What is Spirituality
Part II: Your higher power and prayer / TCU Mapping the Journey
Relapse and Disease / Matrix Early recovery skills session # 10 Lecture - Topic: setting goals
(Handout # 11 & 12 )
Week 11 / LIVING IN BALANCE – Session 7
Sex, Drugs and Alcohol
Part I: Sex and Drugs
Alcohol and other drug use and sex
Sex as a trigger
Part II: Sexual Problems / TCU Unlock your thinking and open you mind
Feelings, thoughts and mind traps / Matrix Early recovery skills session # 11
Video topic: Cross addiction-the back door to relapse
(Handout # 13 )
Week 12 / LIVING IN BALANCE – Session 8
Stress and Emotional Well-being
Part I: Stress
Part II: Reacting to Stress / TCU Unlock your thinking and open you mind
Roadblocks to healthy thinking / The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.
ENTRY / Monday - Alongside am/pm COC groups / Wednesday / Friday
Week13 / LIVING IN BALANCE – Session 9
Part I: Review of information about Stress
Part II: Restructuring your life
Part III: Coping strategies / TCU Unlock your thinking and open you mind
Thinking and behavior cycles / The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group
Week 14 / LIVING IN BALANCE – Session 10
Negative Emotions
Part I: Depression
Part II: Guilt and Fear
The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
Video: (Mental Health & Drugs) 16:20 (disk 1 – chapter 10)
Present Power Point Slide Presentation / Understanding and Reducing Angry Feelings
Understanding anger / Entry Level Group
The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.
Week15 / LIVING IN BALANCE – Session 11
Anger and Communication
Part 1: Understanding Anger
Part II: Expressing Anger / Understanding and Reducing Angry Feelings
Managing anger in relationships / Entry Level Group
The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.
Week 16 / LIVING IN BALANCE – Session 12
Part I: Relapse
Part II: Exercises for Relapse Prevention
Possibly utilize Role Play Exercises / Understanding and Reducing Angry Feelings
The aggression cycle / Entry Level Group
The Power of Self Talk (5 weeks at Counselor Discretion) Counselor to input sequence of material presented here as it occurs in group.
Entry / Monday / Wednesday / Friday
Week1 / Power Point Presentation: Neuroscience of addiction (Peter’s on Lap Top)
Nora Volkow “What is Addiction” HBO Video Series on Addiction (Video 2 – Vignette 1) / Family Video lecture
Topic: Triggers and cravings presentation
Evening Entry Level Group
Getting Started (Change Company brochure)
5-weeks to utilize at counselors discretion / Matrix Early recovery skills – Lecture
Scheduling
(Hand out # 1, 2,3, &4 )
Matrix Early recovery skills session 1
Topic: Stop the cycle
( Handouts # 5, 6, & 7)
Week 2 / Neuroscience and the Biopsychosocio effects of addiction (Review in different format)
Psychological Affects of Addiction (Wheel of Addiction Lecture involving clients / Family Video Lecture
Topic: Alcohol, the substance, addiction & solution
( Handout # 2)
Evening Entry Level Group
Getting Started (Change Company brochure)
5-weeks to utilize at counselors discretion / Matrix Early recovery skills session 2
Lecture - Identifying external triggers
Drug Court Booklet
Topic: Commitment to drug court & making the choice towards a responsible lifestyle
( Home work: Pg 1-5 of drug court work book)
Week 3 / Interview with Dr. Volkow on Addiction - HBO Video Series on Addiction (Video 3 – Vignette 1)
Introduce BIO on Dr. Volkow and concepts in it.
Drugs, Brains, and Behavior – NIDA Brochure on previously reviewed material – to be discussed in small client groups & reported back to group / Family Video Lecture/ Discussion
Topic: My name is Bill W/ AA-12 steps
( Handout # 3,4 &5 )
Evening Entry Level Group
Getting Started (Change Company brochure)
5-weeks to utilize at counselors discretion / Matrix Early recovery skills Session 3
Lecture - Identifying internal triggers
Drug Court Booklet
Topic: My top three problems
( Home work: Pg 6-9 of drug court work book)
Entry / Monday / Wednesday / Friday
Week 4 / The Bio-Psycho-Social Model of Addiction
The biopsychosocial model addresses addiction as a process that impacts biology, causes personality problems and results in social dysfunction. (Present and review in both hours) / Family Video Lecture/ Discussion
Topic: The science of Methamphetamines
( Handout # 6 )
Evening Entry Level Group
Getting Started (Change Company brochure)
5-weeks to utilize at counselors discretion / Matrix Early recovery skills session # 4 Lecture - Topic: 12 step introduction
(Handout # 11 )
Drug Court Booklet
Topic: Things about me/ My story
( Home work: Pg 10- 15 of drug court work book)
Week 5 / Understanding Relapse – The Science of Relapse
From HBO Video Series on Addiction (Video 2 – Vignette 2)
Treatment and Recovery from Addiction from Peter’s Neuro-biopsychosocio handout.
(Community and EB Tx effective in Community where symptoms occur) / Family Video Lecture/ Discussion
Topic: Roadmap to recovery
( Handout # 7 )
Evening Entry Level Group
Getting Started (Change Company brochure)
5-weeks to utilize at counselors discretion / Matrix Early recovery skills session # 5 Lecture - Topic: Your body chemistry in recovery
(Handout # 12 )
Drug Court Booklet
Topic: Thinking Errors - Making excuses, Ignoring responsible action, sense of “above the law” & asserting power over others.
( Home work: Pg 16-21 of drug court work book)
Week 6 / The CBT Approach from HBO Video Series on Addiction – (Disc 3 – Vignette 3)
(How to get the most out of group. - Ask the group why this is so?) – Group Therapy, joining forces and leveling – nine basic support group rules – An introduction to mutual support groups for Alcohol and Drug Abuse / Family Video Lecture/ Discussion
Topic: stages of family recovery
( Hand out # 8)
Evening Entry Level Group
CNS Productions - Methamphetamine – Neurochemistry and Recovery / Matrix Early recovery skills session # 6 Lecture - Topic: early recovery problems
(Handout # 13 & 14 )
Drug Court Booklet
Topic: Thinking Errors-Self serving acts of kindness, lazy thinking and getting sidetracked
( Home work: Pg 22- 25 of drug court work book)
Entry / Monday / Wednesday / Friday
Week 7 / CNS – Use, Abuse and Addiction
The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
History Video: 14:40 (disk 1 – chapter 1)
Present Power Point Slide Presentation with support from Word Narrative
Present Overview and Outline as needed
Key words and phrases
Client worksheet folder exercises
Test / Family Discussion
Topic: avoiding and coping with relapse
( Handout # 9 )
CNS Productions - video
The Neurochemistry of Relapse and Recovery
BOTH GROUPS view and process separately
Evening Entry Level Group / Matrix Early recovery skills session # 7 Lecture - Topic: thinking , feeling and doing
(Handout # 15 & 16)
Drug Court Booklet
Topic: Exploring Values-criminal lifestyle choices, dishonesty vs. honesty.
( Home work: Pg 26-31 of drug court work book)
Week 8 / CNS – Use, Abuse and Addiction
The physiology, Neurochemistry and Sociology of Drugs and Compulsive Behaviors
Heredity, Environment and Psychoactive Drugs Video: 13:50 (disk 2 – chapter 2)
Present Power Point Slide Presentation with support from Word Narrative