This document discusses relapse prevention in substance abuse recovery. It outlines the maintenance stage of recovery, defining recovery as abstinence, change in personal and interpersonal relationships, and time. Recovery can be affected by the substance's damage, co-morbid disorders, individual perceptions, motivation, support systems, and culture. Relapse is defined as failure to continue the change process, while a lapse is a brief return to use. Relapse precipitants include intrapersonal factors like mood, interpersonal conflicts, and other issues like treatment length and psychiatric impairments. Relapse prevention management involves helping patients identify high-risk situations and develop coping strategies, understand relapse as a process, and address precipitating factors through medical

1. Relapse Prevention
By: Ahmed Albehairy, M.D
Consultant Psychiatry

2. Relapse Prevention
-Maintenance stage of the change process.
-Recovery .
-Relapse & lapse.
-Relapse precipitants.
-Relapse prevention process.

3. Recovery:
Recovery =
Abstinence
+
Change of Intra & Interpersonal fields
+
Time.

4. Recovery:
Recovery is affected by:
- Damage of the substance.
- Co-morbid psychiatric disorders.
- Individual perceptions.
- Motivation.
- Support system.
- Culture background.

5. Recovery:
Types :
- Full recovery.
- Partial recovery .

6. Relapse and lapse
Relapse Lapse
Failure to continue Event of use after a
the process of period of
change. abstinence.
- Warning signs. - Little or no
warning signs.
- End quickly or
leads to relapse.
- Out come. - Out come.

7. Relapse Precipitants
I- intrapersonal determinants.
II- interpersonal determinants.
III- other important aspects.

8. Relapse Precipitants
I- intrapersonal determinants.
- Negative emotional state .
- Physical state.
- Positive emotional state.
- Testing of personal control.
- Usage and temptation.

9. Relapse Precipitants
II- interpersonal determinants.
- Relational conflicts.
- Social pressure to use substance.
- Positive emotional state associated
with others.
- Lack of social or family stability.
- Lack of production in work or leisure
time.

10. Relapse Precipitants
III- other important aspects.
- Degree of improvement caused by
drug use.
- Psychiatric impairments.
- Length and modality of treatment.
- Involvement in a crime.
- Family and peer support.
- Skills deficit, coping skills, social skills,
impulsivity.

11. Relapse Precipitants
III- other important aspects( cont.)
- Cognitive variables( attitude towards
recovery, self perception of ability to cope
with high risk situations, level of cognitive
functions).
- Craving and withdrawal sx.
- Spiritual variables ( shame ,sense of guilt,
sense of emptiness)
- Negative attitude of the care giver.
- Inadequate after care.

12. Relapse Prevention Management:
1- help the patient to identify his high risk relapse
function and develop to deal with team.
2- help the patient to understand the relapse as a
process and as an events.
3- help the patient to understand and deal with alc.
or drug ‘s cues as well as craving.

13. Relapse Prevention Management
4- help the patient to understand and deal with
social pressure to use.
5- help the patient to develop and enhance a
supportive network.
6- help the patient in dealing with precipitant
factors.
7- role of medical treatment.????

14. Community Based Treatment:
- Definitions and conceptualizations.
Community action programmes
( 1ry,2ry,3ry prevention, NGOs,
Government).

15. Community Based Treatment:
Community Care:
- Process, Pathways.????
- Family.
- Stake holders.
- Patients, high risk populations.
- Ex- addict.
- Cooperation with authority ( police, court,
legislations).
- Medications.

16. ‫شكرا علي حسن‬