Relapse Prevention Saves Lives – Rehab Center Southern California (2019)


When clients come in for the
time they come in, all the way through let’s
say twelve weeks or a 90-day program, there’s a set there is a set of assignments we ask clients to
do really related to the thinking that goes into a relapse and becoming a more aware of
yourself. So like what are some of my
greatest warning signs that I might be relapsing. For one client compared, to
another client, they may have completely
different signs that tell them that something’s
wrong and something needs to
be corrected. We have them write a goodbye
letter to drugs or alcohol. We have them write an
autobiography. Those are some pretty basic
assignments, but then we really get into if for some reason I relapse
what was what are the things that would talk me into
getting back to my sobriety and giving it another shot. We have them set up an
immediate relapse prevention
plan. Here are the things that are a
danger to me. Here are the things I need to
avoid. Here are some things I can
proactively do instead. And again building up that mindset
that says to be vigilant to ward off the temptation of going to drink or use, but also just
create this mindset that kind of sticks with you. And we’ll stick with you after
you leave the program if
you’re discharged from
Coastline. As clients work through these
assignments they are put together in a
cumulative way so the clients create a final
relapse prevention project. Many times these are on
PowerPoint. When clients do them, they are fantastic. They really have their own
their own individual mark on
them. The clients present them to
their peers. They also present it to staff and it’s during that power block
session that clients are really
working with others, sharing what they’ve
done on their assignments, and getting ideas from other people and
completing those generally on their own but
also in collaboration with
others. At the check out of Power Block we have clients come back
together again to identify where they are in terms of
their feelings to and to really monitor their
own participation and levels of engagement. We also have clients who spend time really identifying
whether they do have cravings and
addressing those issues within
the checkout to make sure they’re safe once
they leave the clinical
building. We also have clients at that
time share their work with the group. One of the things that’s
important is not just that
they share, that they have an audience to
share their work with, but that the audience gets a
chance to respond to give
feedback. Sometimes the feedback comes in
challenges to what they’ve
said. Sometimes the feedback comes in just celebrating the work they’ve
done. Affirming the work that they’ve
done. Sometimes it’s in the form of
asking questions like they want more information, “what
do you mean by that?” And that level of interaction
is important. The opportunity to have an
audience to hear the work
you’ve done, all kind of feed in and bring
a kind of a well-rounded afternoon as part of the Power
Block. So on Tuesdays and Thursdays
is experiential
and Power Block. Monday, Wednesday and Friday is where they come into clinical,
and they have experiential in
the afternoon. On Fridays, we have what’s called our
community and communication
meeting. This is something that the
Coast Guard, our peer leaders
lead, we do a check in. We welcome the new clients that
are here. We get try to get to know each
other better. We try to identify issues that
are there creeping up within the community,
within the Brotherhood, that are maybe getting in the
way of how the entire community is
doing. We try and challenge individual
guys based on how the community feels
about what’s going on.

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