This chapter describes a treatment plan for people suffering from substance-related disorders. The first step is to perform assessment, which includes interviewing the patient, suicide/self-harm assessment, drug screening, crisis action plan, and safety contract. The second step is to establish equilibrium through coping skills training, activity scheduling, and motivation enhancement. The third step is to address social and environmental issues that could prevent the patient from stabilizing fully or cause relapse of crisis episodes and involves linking to resources, changing the system, and coping skills training for members of the patient’s family. The last two steps cover relapse prevention (changing dysfunctional thinking, Alcoholics Anonymous/Narcotics Anonymous group meetings, medication adherence), and recovery philosophy (client-led treatment, utilizing/improving personal strengths and resources, empowerment, prevention and recovery).
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