Relapse Prevention or
MWSE offers court ordered and voluntary Non-DUI or Relapse Prevention classes. These classes meet once a week and are directed towards people who have been convicted of an alcohol or drug charge. This does not include a driving under the influence charge.
Non-DUI or Relapse Prevention groups deal with specific relapse potentials, positive vs. negative behaviors, self-esteem, past and present family issues and behavioral change tools. Additional topics will be addressed depending on individual and group needs.
The therapy manual used in Relapse Prevention is How to Escape Your Prison: A Moral Reconation Therapy workbook which is a systematic treatment strategy that seeks to decrease recidivism among juvenile and adult criminal and substance abuse offenders by increasing moral reasoning. It is cognitive-behavior (for more information on cognitive behavior therapy see below) approach combines elements to progressively address ego, social, moral and positive behavioral growth. Additional manuals are used from the State approved agency, The Change Companies
Please ask us about reduced-cost services for indigent and low-income clients.
Please call (303) 665-7037 for specific court related requirements.
Services are available for anyone on a voluntary basis, while on bond, Probation clients as well as Parole clients.
Relapse Prevention using Cognitive-Behavioral Therapy: Cognitive-behavioral coping skills treatment (CBT) is a short-term, focused approach to helping substance abusers and dependent individuals. The term abuser or dependent individual is used to refer to individuals who meet DSM-IV criteria for substance abuse or dependence. The underlying assumption is that learning processes play an important role in the development and continuation of substance abuse and dependence. These same learning processes can be used to help individuals reduce their drug/alcohol use.
CBT attempts to help patients recognize, avoid, and cope. That is, RECOGNIZE the situations in which they are most likely to use substances, AVOID these situations when appropriate, and COPE more effectively with a range of problems and problematic behaviors associated with substance abuse.
Several important features of CBT treatment for substance abuse and dependence:
· CBT is structured, goal-oriented, and focused on the immediate problems faced by substance abusers entering treatment who are struggling to control their usage.
· CBT is a flexible, individualized approach that can be adapted to a wide range of patients as well as a variety of settings and formats.
· CBT is compatible with a range of other treatments such as pharmacotherapy.
CBT has two critical ingredients:
Functional analysis -For each instance of substance use during treatment, the therapist and patient do a functional analysis, that is, they identify the patient's thoughts, feelings, and circumstances before and after the substance use. Early in treatment, the functional analysis plays a critical role in helping the patient and therapist assess the determinants, or high-risk situations, that are likely to lead to substance use and provides insights into some of the reasons the individual may be using substances as coping with interpersonal difficulties, to experience risk or euphoria not otherwise available in the patient's life. Later in treatment, functional analyses of episodes of substance use may identify those situations or states in which the individual still has difficulty coping.
· Skills training- The individual may have never learned effective strategies to cope with the challenges and problems of adult life, as when substance use begins during early adolescence.
· Although the individual may have acquired effective strategies at one time, these skills may have decayed through repeated reliance on substance use as a primary means of coping. These patients have essentially forgotten effective strategies because of chronic involvement in a drug-using lifestyle in which the bulk of their time is spent in acquiring, using, and then recovering from the effects of drugs.
· The individual's ability to use effective coping strategies may be weakened by other problems, such as substance abuse with concurrent psychiatric disorders. Because substance abusers are a heterogeneous group and typically come to treatment with a wide range of problems. The first few sessions focus on skills related to initial control of substance use through identification of high-risk situations, coping with thoughts about substance usage. Once these basic skills are mastered, training is broadened to include a range of other problems with which the individual may have difficulty coping as social isolation and unemployment. Skills training focuses on both intrapersonal- coping with craving; and interpersonal- refusing offers of any substances skills. CBT is not only geared to helping each patient reduce and eliminate substance use while in treatment, but also to imparting skills that can benefit the patient long after treatment.
Length of treatment varies:
CBT has been offered in 12 -16 for substances users once a week and for individuals who are dependent on substances 16 – 24 sessions once a week. This comparatively brief, short-term treatment is intended to produce initial abstinence and stabilization. In many cases, this is sufficient to bring about sustained improvement for as long as a year after treatment ends. Preliminary data suggest that patients who are able to attain 3 or more weeks of continuous abstinence from substances during the 12-week treatment period are generally able to maintain good outcome during the 12 months after treatment ends. For many patients, however, brief treatment is not sufficient to produce stabilization or lasting improvement. In these cases, CBT is seen as preparation for longer term treatment. Further treatment is recommended directly when the patient requests it or when the patient has not been able to achieve 3 or more weeks of continuous abstinence during the initial treatment. Currently additional booster sessions of CBT during the 6 months following the initial treatment phase improves outcome involving both individual and continued group counseling. CBT and MET share an exploration, early in the treatment process, of what patients stand to gain or lose through continued substance use as a strategy to build patients' motivation to change their substance abuse. CBT and MET differ primarily in emphasis on skill training. In MET, responsibility for how patients are to go about changing their behavior is left to the patients; it is assumed that patients can use available resources to change behavior and training is not required. CBT theory maintains that learning and practice of specific substance-related coping skills foster abstinence. Thus, because they focus on different aspects of the change process (MET on why patients may go about changing their substance use, CBT on how patients might do so), these two approaches may be seen as complementary. For example, for a patient with low motivation and few resources, an initial focus on motivational strategies before turning to specific coping skills (MET before CBT) may be the most productive approach adopted by this agency.
Native American Medicine Wheel and 12 Step group program for adults
The Medicine Wheel and 12 steps for Men Series approach the twelve steps of recovery from a Native American perspective. This approach was developed by the Wellbriety Training Institute. Topics are Medicine Wheel teachings which include:
Medicine Wheel Teachings
Cycle of Life-growing up as an Indian
The Two Thought Systems
The Four Directions of Growth
The Four Directions and the 12 Steps in a Circle
How to weave in the 12 steps from a cultural approach: Mind Mapping, Thought Process, Two Ways to Take Step 3- Inventory, Step Four- Resentment Inventory-People, Institutions, Principles, Fears and Sex, Step Five-Self Talk and Comfort Zones, Step Five-Integrity, Step Six-Willingness, Step Seven-Finding your relationship with others, Step 8-Harms List, Step 9-Justice, Step 10-Perseverence, Step Eleven-Spiritual Awareness, Step 12-Service and Message to the Younger Brother.
This site was last updated April of 2013 | Copyright 2010 Men and Women Seeking Empowerment