GROUPS, LECTURES, AND ASSIGNMENTS
The client's primary counselor will assign groups, lectures, reading, writing, and experiential exercises consistent with the issues identified in the client's personalized assessment. Clients generally attend twenty or more lectures during their stay, complete the written assignments for each, and attend the accompanying process groups. Clients are also provided the guided journal, My First Year in Recovery, which they will fill out daily and process in group.
In order to individualize treatment and coordinate the timing with regard to addressing the client's particular therapeutic issues, the counselor may assign the client to attend any of the scheduled lectures.
|TUESDAY||What is Treatment?||Stages of Change||Anxiety & Depression||Resentments||Values, Beliefs, & Spirituality|
|WEDNESDAY||Disease of Addiction||Thoughts, Feelings, & Emotions||Grief & Loss||Anger Management||Step one|
|THURSDAY||Manifestations of Addiction||More Will be Revealed||Shame & Guilt||Addiction: A Family Disease||Step Two|
|FRIDAY||Introduction to 12-Step Fellowships||Recovery, Not Relapse||Denial & Self-Deception||Communication & Boundaries||Step Three|
|MONDAY||Yoga||Meditation||Dr. Shiode's Lecture||Process Group|
|TUESDAY||Peer on Peer Group||Explore and Discover Lecture Series||Process/Lecture Group||Explore and Discover Process Group|
|WEDNESDAY||Peer on Peer Group||Explore and Discover Lecture Series||Men’s/Women’s Groups||Explore and Discover Process Group|
|THURSDAY||Peer on Peer Group||Explore and Discover Lecture Series||Process/Pain Group||Explore and Discover Process Group|
|FRIDAY||Chi Kung||Explore and Discover Lecture Series||Process/Lecture Group||Explore and Discover Process Group|
|SATURDAY||Peer on Peer Group||Dr. Hunter’s Group|
|SUNDAY||Peer on Peer Group||Process/Lecture Group|
Towards the end of treatment, the following additional/supplemental lectures and groups become available to clients as deemed necessary and appropriate by their primary counselor:
Assignments are an integrated combination of reading, writing, and physical activities designed to correlate with clients' needs and status on a continuum known as the “stages of change.” The assignments are designed to facilitate progress from one stage of change to the next. Assignments provide structured opportunities for clients to practice applying the knowledge learned in order to build and strengthen recovery skills.
Areas of concern and need will be addressed with clients on an individualized basis. Clients may be asked to repeat certain activities or assignments that are relevant, based on where clients are in treatment and recovery. In many cases, repeating activities refreshes and enriches clients' awareness of the information covered. And because of attention, concentration, and memory challenges that are normal to post-acute withdrawal, many people benefit from attending these activities a second time. Post-acute withdrawal is a process that can last anywhere from a few weeks to as many as six to nine months, as body and brain go through a process of re-balancing themselves to life without mood-altering substances. As a result, repetition in early recovery can be helpful in clarifying and reinforcing new information. Another reason clients may be asked to repeat certain activities is to participate in the capacity of mentor or role model for new clients in an area in which the mentoring client is are doing well.
PREPARATION FOR DISCHARGE AND RE-ENTRY
Groups, lectures and assignments will be geared towards re-entry during clients' final phase of treatment in order to normalize, validate, and process the issues, concerns, and emotions natural to transitioning from the safety and security of the inpatient setting to returning to the community (Re-entry Preparation Group).
Alumni Aftercare Group-Mentoring
An individualized strategy will be developed for clients to be involved in a process for mentoring other clients. This process will include:
An individualized strategy will be developed for prearranged day and weekend passes as appropriate. These can help reinforce progress clients have made, as well as give clients more responsibility for handling some of the outside logistics as they prepare for discharge. This also provides opportunities to practice the knowledge and skills clients have learned in treatment by applying them in such areas as:
This assignment requires clients to make an hour-by-hour chart of their last two weeks of active addiction (to the best of their memory) prior to admission to LVRC. Activities that should be addressed include, but are not limited to:
Active drug use.
Clients' addiction time-use chart will be processed with client's primary counselor. As part of this review, the counselor will assign clients to complete a recovery time-use chart to represent what clients' use of time will look like after the completion of treatment at LVRC. Activities that should be addressed include, but are not limited to:
Identifying Character Defects (Steps Six and Seven)
Clients will make a list of character defects, after reviewing their life inventory and Fifth Step and indicate how each contributes to and results from clients' addiction.
Identifying Relapse Risk Factors
Clients review their written description of three external/environmental factors and three internal characteristics or behavior patterns that clients identified earlier in treatment as the most active threats to maintaining their recovery. Clients add three more external/environmental factors and three more internal characteristics or behavior patterns that they identify as the next most active threats to their recovery.
Generating Solutions/Strategies for Overcoming Relapse Risks
Using the list of risk factors, clients will develop at least three solutions or strategies they can use to overcome each risk factor. These should be detailed, directly related, and behavior-specific. For example, if external threat Number One is a partner who drinks in the home, then “Go to meetings regularly” is important, but not specific enough to be very helpful. A more detailed, action-specific strategy would be, “Ask him or her to get a separate fridge to keep alcohol in so I don't have to reach past the beer to get food to make dinner,” in combination with, “Go to a meeting whenever I find myself uncomfortable at home when my partner is drinking/using.”