Transcription
Maintaining Independence andSobriety through Systems Integration,Outreach, and Networking:THEMISSIONCONSUMERWORKBOOKDavid A. Smelson, Psy.D.Anna Kline, Ph.D.Alan Marzilli, J.D.Julia TrippThis Treatment Manual was supported by grant # TI16576funded by the Center for Substance Abuse Treatment,Substance Abuse and Mental Health Services Administration,US Department of Health and Human Services.
Table of ContentsAcknowledgements.5Dedication.6Getting Started.7Introduction to Part 1.10Section A. Self-Guided Exercises.12Exercise 1. Relapse Prevention Plan.12Relapse Prevention Plan Worksheet (sample).14Relapse Prevention Plan Worksheet. .16Exercise 2. Preventing and Coping with Stress.18Stress Worksheet (sample).19Stress Worksheet. .21Exercise 3. “PICBA,” A Tool for Problem Solving.22PICBA Worksheet (sample). .23PICBA Worksheet.28Exercise 4. Moving through the Fear. .32Moving through the Fear Worksheet (sample).33Moving through the Fear Worksheet. .36Exercise 5. Creating the Life that You Want.38The Life You Want Worksheet (sample).39The Life You Want Worksheet. .43Section B. Checklists.46Checklist 1. Sources of Stress.47Checklist 2. Handling Stress.48Checklist 3. Medication Side Effects.50Section C. Dual Recovery Therapy: Tools and Readings. .521. Onset of Problems.54My Timelines Worksheet (sample).55My Timelines Worksheet.562. Life Problem Areas.57Personal Life Problem Areas Worksheet (sample).58Personal Life Problem Areas Worksheet.593. Motivation, Confidence, and Readiness to Change.60Worksheet: Importance, Confidence, Readiness Ruler.614. Developing a Personal Recovery Plan.62Example of a Personal Recovery Plan.63Worksheet: Personal Recovery Plan.64 MISSION Consumer Workbook
5. Decisional Balance.65Should I Stay the Same or Change my Behavior? (sample).66Should I Stay the Same or Change my Behavior? Worksheet.676. Developing Strong Communication Skills. .68Elements of Good Communication. .69Elements of Poor Communication.707. Orientation to 12-Step Programs.71Alcoholics and Narcotics Anonymous (AA/NA).728. Anger Management.75Anger Management Worksheet. .769. Relapse Prevention.77Warning Signs for Relapse.78Safe Coping Strategies to Try.79Dual Recovery Therapy Change Plan (sample).80Dual Recovery Therapy Change Plan (worksheet). .8210. Relationship-Related Triggers.84Relationship-Related Triggers Worksheet (sample). .85Relationship-Related Triggers Worksheet.8711. Changing Unhealthy Thinking Patterns.89Types of Unhealthy Thinking.90Identifying “Stinking Thinking” Worksheet (sample).91Identifying “Stinking Thinking” Worksheet.92Combating “Stinking Thinking” (sample).95Combating “Stinking Thinking” Worksheet.97Practicing New Ways of Thinking Worksheet (sample).98Practicing New Ways of Thinking Worksheet. .9912. Changing Irrational Beliefs. .10010 Popular Irrational Beliefs.101Personal Irrational Beliefs Worksheet (sample).102Personal Irrational Beliefs Worksheet.10313. Scheduling Activities in Early Recovery.104Scheduling Activities in Early Recovery Worksheet (sample).105Scheduling Activities in Early Recovery Worksheet.107Introduction to Part 2.110Section A. Sustaining Recovery.1111. Understanding Mental Illnesses.112Depression.112Bipolar Disorder.113Generalized Anxiety Disorder (GAD).113Panic Disorder.114Social Phobia and other Phobias.114Obsessive-Compulsive Disorder (OCD). .115Post-Traumatic Stress Disorder (PTSD).115MISSION Consumer Workbook
Borderline Personality Disorder.116Schizophrenia.116Traumatic Brain Injury (TBI).117Suicidal Feelings.1172. Coping Skills. .118Planning Ahead. .118Building Self-esteem.119Relaxation Skills.120Anger Management Skills.1233. Preventing Relapse. .124Being Aware of the Danger.124Identifying your Triggers. .124Finding Meaningful Activities.126Leading a Healthy Lifestyle. .127What to Avoid in order to Sustain Recovery.1294. Medication Management.132Understanding Medications.132Using Medications Wisely.139Talking with Your Doctor.1405. Using the Internet for Information about Recovery.1416. Reading List for Recovery. .144Substance Abuse.144Mental Health.144Section B. Community Living.1451. Advocating for Yourself. .1462. Money Management.147Budgeting.148Money Saving Tips.148Banking.149Using Credit Wisely. .1493. Personal Hygiene. .1504. Safer Sex.1515. Crime Prevention.154Apartment Safety.154Building Community. .154Safety at the Door.154Preventing Fraud. .155Street Safety.155Protect Your Belongings.155Public Transit Safety.156Interacting with Law Enforcement.156As You Return to the Community. .157About the Authors.158 MISSION Consumer Workbook
AcknowledgementsThis Consumer Workbook was supported by grant #T116576, funded by the Center forSubstance Abuse Treatment, Substance Abuse and Mental Health Services Administration,US Department of Health and Human Services. In particular, we appreciate the supportof Joanne Gampell, M.A., our SAMHSA Project Officer, who provided ongoing adviceand support on the MISSION program and the Manual Fidelity Project. We also thank theDepartment of Veterans Affairs (VA) for allowing us to serve their veterans and pilot testthese materials.We thank our dedicated and wonderful MISSION Team, which includes Bradley Sussner,Ph.D., Mark Benson, M.S.W., Chandra Mustafa, B.S.W., Louise Romalis, B.A., C.S.W.,Mike Somers, Stephen White, Hamilton Cook, and Ray Gaines. These staff have servedour veterans tirelessly. We also acknowledge and express appreciation for the leadershipof John Kuhn, M.S.W, M.P.A., Donna Branca, M.S.W., and Kurt Hanscom, M.S. from theresidential treatment program in the Department of Veteran Affairs and the outstandingtreatment providers whose teamwork made this collaboration possible. They opened thedoors for the MISSION team and provided an ideal collaborative relationship, trusting usenough to allow us to co-treat their veterans. We thank them for being wonderful peopleto work with and for sharing a vision of collaborative care.We also wish to acknowledge the valuable feedback on drafts of this manual we receivedfrom our consultants, Alan Felix, M.D., Pat Corrigan, Psy.D., Moe Armstrong, M.B.A.,Matthew Chinman, Ph.D., Sarah Guzofski, M.D., Manny Guantez, Psy.D., and ChrisBarton, M.S.W.Part 1, Section A of this workbook contains self-guided exercises. The exercises “RelapsePrevention Plan” and “Preventing and Coping with Stress” have been adapted from theIllness Management and Recovery KIT (evaluation edition), Substance Abuse and MentalHealth Services Administration (2005). The exercises “PICBA,” “Moving through the Fear,”and “Creating the Life that You Want” have been adapted with permission from PeerSpecialist/Peer Support Training prepared by the Appalachian Consulting Group (2006).Part 1, Section B includes checklist that also were adapted from the Illness Managementand Recovery KIT. We gratefully acknowledge both of these important sources. Allexercises were adapted by a team of writers from Advocates for Human Potential (AHP)that included Alan Marzilli, Julia Tripp, and Susan Hills. Alan Marzilli and Julia Tripp alsoauthored the readings contained in Part 2 of this workbook.Part 1, Section C contains exercises used with groups of veterans participating in theMISSION program. Components of some of these exercises were originally developed foruse in Dual Recovery Therapy (DRT), an integrated treatment approach to help cliniciansbetter treat clients with co-occurring addiction and mental illness. Developers of thisapproach include Doug Ziedonis, M.D., M.P.H., Jonathan Krejci, Ph.D., and ElizabethEpstein, Ph.D. We deeply appreciate their permission to use these exercises to enhanceMISSION Consumer Workbook
our program and to reproduce them in this manual. To purchase copies of the originalDRT manual or for more information on this approach, contact:Douglas M. ZiedonisProfessor and Chair, Department of Psychiatry University of Massachusetts MedicalSchool U. Mass Memorial Medical Center55 Lake Avenue NorthWorcester MA 01655Email: ZiedoniD@ummhc.orgFinally, we thank you for your interest in using our manuals to implement the MISSIONtreatment services. Pl
Jul 03, 2007 · Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services. In particular, we appreciate the support of Joanne Gampell, M.A., our SAMHSA Project Officer, who provided ongoing advice and support on the MISSION p
