Relapse Prevention Planning

Transcription

1 Relapse Prevention Planning For all SA levels of care Presented by PerformCare Quality Improvement Department

2 Agenda Purpose of the Training Introduction & General Overview Components of Relapse Prevention Plan Antecedents and Triggers Early Warning Signs Member Specific Interventions Incorporating Member Strengths and Interests Contact Numbers Interventions for Natural Supports Updating Relapse Prevention Plans References 1

3 Purpose of the Training The purpose of this training is to provide a general overview of what PerformCare expects in Relapse Prevention Plans, however please note that there may be additional expectations based on the individual needs of the Member. Please note that some Providers may elect to include other components in the Relapse Prevention Plan, or may refer to the plan by an alternative name, both of which are acceptable. PerformCare does not require the use of a template (and does not offer a template). PerformCare reviews Relapse Prevention Plans in Treatment/Service Record Reviews (TRRs). 2

4 Introduction & General Overview PerformCare expects that all Members be offered the opportunity to create a Relapse Prevention Plan. Relapse Prevention Plans should be: Recovery-oriented and strengths-based Individualized Written with the Member in language that they understand. Working documents that are updated when necessary (i.e. if a significant change occurs in the Member s needs, the plan should be updated). 3

5 Review of Relapse Prevention Plan components 4

6 Antecedents and Triggers Does the plan identify antecedents and triggers to a potential relapse for the Member? These are factors that may affect the Member. They may include anything that may lead to substance use (such as people, places, things). May include items such as (but not limited to): Unexpected encounter with an individual from Members past Unresolved conflicts in relationships Items the Member associates with their previous substance abuse Financial difficulties Lack of structure/stability Having extra cash available The bar frequented with friends 5

7 Early Warning Signs Does the plan identify early warning signs of what could be a crisis/relapse for the Member (i.e. specific feelings or actions the Member may exhibit prior to a relapsing)? Examples of Warning signs Missing meetings/appointments Romanticizing Substance Abuse or talking about positive aspects of using Mood Swings/Isolating Seeking out other individuals that engage in substance abuse Acting defensive when discussing changes in behavior or attitude Spending large amounts of money I claim that I can use in moderation 6

8 Member Specific Interventions Does the plan include steps the Member can take in order to prevent a potential relapse (i.e. connect with sober supports, use of coping skills to deal with cravings, attending a meeting, call sponsor, etc.)? Steps should be individualized and specific to the Member Additional Examples of Member Specific Interventions: Call Natural Supports Exercise/practice yoga or meditation Journal Look at pictures of children/loved ones Recite motivational quote/scripture Stick to my schedule 7

9 Incorporating Member Strengths and Interests Does the plan actively incorporate Member strengths and interests as a means to prevent a potential relapse? Treatment Providers work to ensure that identification of strengths is done fully, and updated once relationship has developed. Some examples of strengths include: Motivation for recovery Positive support system Resiliency Treatment attendance Employment/Skills Spiritual/religious connections Ability to connect and communicate with others 8

10 Contact Numbers Does the plan contain contact numbers to be used in relapse situations (i.e. natural supports, community supports, identified sober supports, etc.)? This should include more than 911. Additional Examples of Numbers that may be included: Providers (if appropriate) Sponsor Local Crisis Number Hotlines Friend/family members (who have agreed to help)

11 Interventions for Natural Supports Does the plan outline steps natural supports can take to assist a Member when showing signs of relapse (i.e. call sponsor, help the person get to a meeting, remove persons, places, things, remind them to use a coping skill, etc.)? If necessary, may include detail specific to the natural supports (i.e. Husband should, Sister should, Sponsor should) Examples of steps for natural supports: Husband should remove alcoholic beverages from the home. Attend an AA/NA meeting with me. Prompt me to utilize my plan, or call my sponsor. Ask me how they can help me in this moment. 10

12 Updating Relapse Prevention Plans Does the record contain evidence that, following a relapse, the treatment team has reviewed the relapse prevention plan for effectiveness, and made changes as appropriate? This indicator will be scored as N/A if no documented relapses occur while Member is in treatment. Evidence may be located throughout the record (such as progress notes, updated Relapse Prevention Plan, team meeting notes). This is expected to occur with the next few sessions following a relapse, and should not wait an extended period. 11

13 References SAMHSA: PerformCare Provider Manual: Individual Level of Care TRR Tools: PerformCare Policies: PerformCare Wellness Information: PA Code : 12

14 Questions? Comments? Feedback? Thank you for your participation! Any questions or feedback related to the requirements for Relapse Prevention Plans can be submitted to: Kristen Kennedy, M.S,. N.C.C, L.P.C., Quality Performance Specialist in the Capital region Rebecca Rager, M.S.W., Quality Performance Specialist in the Capital region at Maria Bakner, M.S., L.P.C., Quality Care Manager in the Franklin/Fulton region at Allison Krause, MHSc, R.N., Quality Care Manager, Sr. in the Bedford/Somerset region at 13

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