Reducing the Risk of Relapse

2019 ◽  
pp. 177-184
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Psychiatric Illness ◽  
Warning Signs ◽  
Support Programs ◽  
Mutual Support ◽  
Early Relapse ◽  
Ambulatory Treatment ◽  
Continued Use ◽  
Initial Episode ◽  
Use Behavior ◽  
Risk Of Relapse

Any client who attempts to modify alcohol, tobacco, or drug use behavior faces the possibility of lapse or relapse. A lapse refers to the initial episode of use following a period of abstinence. A lapse may be quickly stopped by the client or it may lead to a relapse or continued use of a substance. How a client interprets and responds to a lapse plays a significant role in whether or not it leads to a relapse. The risk of lapse or relapse is highest in the first 3 months of recovery, when most relapses occur. Low motivation and poor participation in therapy or mutual support programs can raise the risk of relapse, even for clients who recently completed a residential or ambulatory treatment program. Other precipitants of relapse include psychiatric illness or an inability to cope with the challenges of recovery. Helping clients remain in therapy and identify and manage early relapse warning signs and high-risk situations are ways to lower the client’s risk of relapse.

Treatment of Co-occurring Psychiatric Disorders

2019 ◽  
pp. 161-174
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Hepatitis C ◽  
Effective Treatment ◽  
Psychiatric Disorders ◽  
Treatment Adherence ◽  
Personal Growth ◽  
Integrated Treatment ◽  
Support Programs ◽  
Single Type ◽  
Mutual Support ◽  
Ambulatory Treatment

Effective treatment of clients with co-occurring disorders (CODs) requires the practitioner to be familiar with the continuum of care so that clients become engaged in services needed to address their disorders and related problems. Evidence suggests that clients receiving integrated treatment have higher rates of treatment adherence and improved clinical outcomes, particularly those with more persistent and chronic forms of psychiatric disorders. Therefore, it is best to provide integrated care that focuses on both types of disorders, regardless of whether the client is in an inpatient, residential, or ambulatory treatment setting. Given that clients with CODs have higher rates of problems with treatment adherence compared to those with a single type of disorder, this chapter reviews strategies to improve adherence. It also delineates recovery issues in the domains of physical/lifestyle, psychological, behavioral/cognitive, family/interpersonal/social, and personal growth/maintenance. The authors stress the potential helpfulness of mutual support programs and discuss clinical challenges such as suicide, violence, HIV/AIDS, and hepatitis C.

Psychosocial Therapies for Substance Use Disorders

2019 ◽  
pp. 41-52
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychosocial Interventions ◽  
Alcohol Problems ◽  
Support Programs ◽  
Treatment Programs ◽  
Mutual Support ◽  
Professional Treatment ◽  
Drug Problems

There are many counseling approaches, treatment programs, and psychosocial interventions for individuals with substance use disorders (SUDs). Although some have been shown in clinical trials to be more effective than others, to date there is no single, superior treatment approach appropriate for all clients. While brief treatments have been successful with alcohol problems, longer term treatments are often needed for drug problems. For clients with more severe SUDs, long-term involvement in professional treatment (including medication-assisted therapies), mutual support programs, or both may be needed. This chapter includes a summary of treatment principles and guidelines that can serve as a framework for helping clients with SUDs.

Relapse Prevention

2019 ◽  
pp. 127-134
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
High Risk ◽  
Relapse Prevention ◽  
Warning Signs ◽  
Prevention Strategies ◽  
High Risk Factors ◽  
Initial Episode ◽  
The Difference ◽  
A Chain

A lapse refers to an initial episode of substance use following a period of abstinence. A lapse may or may not lead to more substance use. Clients always run the risk that a lapse will turn into a relapse, in which they continue to use alcohol or other drugs. A lapse or relapse is the last link in a chain of decisions, and how one responds to an initial lapse has a big impact on whether or not one has a full-blown relapse. The goals of this chapter are to understand the difference between lapse and relapse, to learn about relapse prevention strategies, and to learn to identify and manage relapse warning signs and high-risk factors.

Mutual Support Programs and Recovery Clubs

2019 ◽  
pp. 105-112
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Support Programs ◽  
Narcotics Anonymous ◽  
Mutual Support ◽  
Internet Resources ◽  
Social Events ◽  
Free Environment ◽  
Drug Problems ◽  
Drug Free ◽  
Limited Period

Numerous mutual support programs exist to help clients cope with substance use problem. The most common of these programs are Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and other 12-step programs. All mutual support programs involve people with alcohol or drug problems helping each other. Some people maintain lifelong involvement in mutual support programs, and others use them for a limited period of time. Although programs vary in philosophies and approaches, most involve fellowship, recovery meetings, program steps or guidelines, recovery literature, social events, and internet resources. Some areas have recovery clubs or clubhouses for people in recovery. These provide an alcohol- and drug-free environment in which one can attend recovery meetings or other social events. The goals of this chapter are to learn about the different types of mutual support programs available and to determine which type of program may work for the client.

Overview of Goal Planning

2019 ◽  
pp. 51-58
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Family Therapy ◽  
Rehabilitation Program ◽  
Support Programs ◽  
Chat Room ◽  
Health And Wellness ◽  
Mutual Support ◽  
Online Recovery ◽  
P Recovery ◽  
Goal Planning

Recovery is a process of change in which clients improve their health and wellness. They set goals to work toward stopping substance use and learn skills to change themselves and their lifestyles so they can live substance-free. There are different paths to recovery, including individual, group, and/or family therapy; engaging in a treatment program such as a residential or nonresidential rehabilitation program; taking medications for addiction to alcohol, opioids, or nicotine; engaging in mutual support programs; participating in chat room discussions or online recovery meetings; using support from other people; and participating in community or self-growth activities that help clients sustain recovery. The goals of this chapter are for clients to begin to set and prioritize their recovery goals and to learn about the different paths and components of recovery.

Treatment and Recovery for the Family

2019 ◽  
pp. 97-105
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Change Process ◽  
Support Programs ◽  
Family Roles ◽  
Mutual Support ◽  
The Family ◽  
Professional Treatment

For the overall family, recovery involves changing how the family functions. It not only has to adjust to the sobriety of the recovering member (if this person is in recovery) but also has to make changes to function more effectively as a unit. Areas the family may need to address include accepting the SUD, stopping behaviors that reinforce substance use, improving communication, shifting family roles, reestablishing boundaries between generations, and building family togetherness. In some families, problems such as violence or abuse must be addressed. Professional treatment may be needed to address these issues and make changes in how the family functions. The change process can continue after treatment in mutual support programs.

scholarly journals Clinical Characteristics and Risk of Relapse for Patients with Stage I-II Diffuse Large B-cell Lymphoma Treated in First Line with Immunochemotherapy

2013 ◽  
Vol 6 ◽  
pp. CMBD.S12713
Author(s):  
S. Mercadal ◽  
F. Climent ◽  
E. Domingo-Doménech ◽  
A. Oliveira ◽  
V. Romagosa ◽  
...  
Keyword(s):  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Stage I ◽  
Late Relapse ◽  
First Line ◽  
Early Relapse ◽  
Large B Cell Lymphoma ◽  
Large B Cell ◽  
Risk Of Relapse

Diffuse large b-cell lymphoma (DLBCL) is an aggressive and potentially curable lymphoma that presents itself as stage I-II in 30% of all cases. It is known that in these localized stages, 15-20% of patients treated without rituximab eventually relapse, but less data exist regarding rituximab era. We have analyzed clinico-pathological features and risk of relapse in 98 patients with I-II stage DLBCL in complete response (CR) or unconfirmed CR (CRu) after first-line treatment consisting of immunochemotherapy. Twelve patients (12.2%) eventually relapsed. Late relapse, more than two years after diagnosis, occurred in three patients, and early relapse, less than two years after diagnosis, was documented in nine patients. Median time from diagnosis to relapse was 0.61 years for patients with early relapse and 3.66 years for patients with late relapse. The second CR rate obtained was similar in the late and in early relapsing patients, being 33% versus 44% ( p = 0.072), respectively. Three-year overall survival (OS) was 22% for early relapsing patients and 33% for late relapsing patients ( p = 0.65). In conclusion, patients who are diagnosed with stage I-II DLBCL and achieve a CR/CRu with first line immunochemotherapy have a good prognosis. However, a proportion of patients relapse, and this is less frequent in patients treated with first line with immunochemotherapy. These patients have a poor prognosis.

scholarly journals 12-Step Interventions and Mutual Support Programs for Substance Use Disorders: An Overview

2013 ◽  
Vol 28 (3-4) ◽  
pp. 313-332 ◽  
Author(s):  
Dennis M. Donovan ◽  
Michelle H. Ingalsbe ◽  
James Benbow ◽  
Dennis C. Daley
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Support Programs ◽  
Mutual Support

scholarly journals Understanding link sharing tools continuance behavior in social media

2017 ◽  
Vol 41 (1) ◽  
pp. 119-133 ◽  
Author(s):  
Jianjun Sun ◽  
Dongfang Sheng ◽  
Dongxiao Gu ◽  
Jia Tina Du ◽  
Chao Min
Keyword(s):  
Social Media ◽  
Design Methodology ◽  
Privacy Concern ◽  
Confirmation Theory ◽  
Continuance Intention ◽  
Content Type ◽  
Continued Use ◽  
Use Behavior ◽  
First Time ◽  
Main Factor

Purpose The purpose of this paper is to investigate the continued use behavior (CU) of link sharing tools based on uses and gratifications theory, the theory of planned behavior and expectation confirmation theory. It then builds a conceptual model that is empirically tested. Design/methodology/approach Data were collected from 343 students (undergraduates, masters, PhD students, and MBAs) from three Chinese universities via a two-phrase survey. The tools SPSS 18.0 and AMOS 18.0 were used to analyse the reliability, validity, model fits and SEM, respectively. Findings The results indicate that an individual’s CU of link sharing tools was determined by his or her continued use intention directly and subjective norm indirectly. Users’ satisfaction on link sharing tools was the main factor affecting the continuance intention. Individuals’ motivation needs such as cognitive needs, personal integrative needs, and social integrative needs were found to be the significant predictors of his or her satisfaction. Besides, people with high privacy concern tended to have less satisfaction with link sharing tools. Originality/value This study explores users’ CU of link sharing tools in social media for the first time. The theoretical model developed shows the predictors behind people’s CU.

scholarly journals Why Do People Continue Using Fitness Wearables? The Effect of Interactivity and Gamification

SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110566
Author(s):  
Nila Armelia Windasari ◽  
Fu-ren Lin
Keyword(s):  
Interaction Design ◽  
Technology Use ◽  
Service System ◽  
Health Management ◽  
Social Perceptions ◽  
System Perspective ◽  
Continued Use ◽  
Use Behavior ◽  
Fitness Trackers

Technology use for personal health management should not only be assessed in terms of the rate of adoption but also examined in the form of sustained use to ensure the long-term benefit. This study addressed the issue of the continued use of wearable devices by ensuring value co-creation among a user, the wearable device, and other users within a service system. This study was a scenario-based experiment to examine interaction design, including interactivity level and game dynamics, which act as a combination of value co-creation mechanisms to elicit a user’s intentions to continuously use wearables. The study also examined user perception factors, such as self and social perceptions, as moderators. This study contributes to existing literature by using the value co-creation and service system perspective to examine continued use behavior. The findings of the research also offer practical insights into designing the features of wearable fitness trackers to promote long-term value for their users.

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