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terms list
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clients will often push limits because
they're trying to establish trust and safety
helpers should respond with kind, firm limits and ensure that
rule breaking has consequences in accordance with agency policy
clients are anxious in the recovery environment. attempting to convince staff members to collude in secret keeping serves to distract and defend against the anxiety.
this process is unconscious (client doesn't know why he/she does this)
secret keeping is
damaging to the client and staff team
clients will often target inexperienced staff members or interns to
keep their secrets
clients might not comply with treatment recommendations because
human beings in general are often non-compliant to healthy behaviour
doweiko states that between 50-90% of people in treatment
will relapse within the first 90 days
what is an attempt to manipulate the outcome of a toxicology screen by drinking excessive amounts of water in hopes to clean their urine of drugs
flushing
urine substitution
is an attempt to manipulate the outcome of a toxicology screen by replacing the clients urine with another persons or with some other liquid
urine dilution
is an attempt to manipulate a toxicology screen by mixing their urine with substances that mask the drugs or interfere with the text (bleach & drano)
people in early recovery can be vulnerable, lonely and desperate to modify mood with something, anything. some of these clients choose to have sexual encounters with one another because
-addictions to chemicals or other processes may be replaced by sexual or relationship addiction
-interpersonal intimacy is a powerful relapse trigger and people in early recovery are not equipped to handle it
-most agencies have rules against it
helpers should be ______, _________, and __________ to clients in these relationships, and also ensure that all relevant rules and consequences are observed
kind, compassionate, non-shaming
a craving is an
intense subjective emotional and physical experience
an urge are
thoughts about the drug and the paraphernalia
urges and cravings are the strongest in
early recovery but may occur, to some degree for years
helpers can support clients by
teaching clients skills to cope with cravings and urges
some first nations healers believe that
using dreams are part of the spiritual detoxification process
a slip should be considered a
temporary lapse that can be learned from
stevia will not hide drug use when added to
urine
as many as 90% of all clients treated for substance abuse relapse with in
one year after discharge from treatment
for some people
relapse is a part of recovery
a slip is an episode of alcohol or other drug use after
a period of abstinence
a relapse is
a return to uncontrolled alcohol or other drug use after a period of abstinence
while not everybody in recover will relapse
majority will slip
these programs may function as a stepping stone to more intensive recovery
brief interventions and harm reduction programs are both useful for clients who would not otherwise seek services;
deliberately trying to waste the system's time and money are not
a reason addiction clients are non-compliant to treatment recommendations
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