Stu fenton after care power point presentation iCAAD Stockholm

3. Aftercare
Stuart Fenton
BA Dip Ed Grad Dip Couns, Master of Gestalt, CSAT Candidate

4. Stuart Fenton
R12 Programme Clinical Manager
● Recovering crystal meth addict / GHB addict /
love addict.
● Went to rehab 2003 then sober house then a
recovery house for 2 years.
● Transitioned from teacher to counsellor to Gestalt
Therapist and CSAT.
● R12

5. // Residential
// Alumni online group
// Skype sessions
// Connecting clients with aftercare is vital and also challenging.
R12 Current

6. Aftercare Journey
● Recovery is 10% residential::-90% Aftercare
● With addiction it’s a 3-5 year plan.
// It must start from first week of treatment with a bio
social social assessment.
// This establishes what support will be needed after
clients leave residential.
// Best if appointments are made before they leave
treatment.

7. Family
Always bring the family in from the beginning.
The family has to make changes too. ie AL-ANON- NAR-ANON CODA.
The family too must be educated.
// Try to send the family within the first 48 hours
// Give them regular updates
// Always talk to them
// I tell them “What I need from you...”
// I need complete history of his drug using history
// I need to hear from your perspective

8. Alumni Continuation
Online groups worldwide One to one sessions Webinars for psycho
education

9. Psychiatry and Medication
// Specialist who knows addiction recovery
// ADHD AND Strattera/ Concerta
// Specialist for anxiety/ Borderline/ Bipolar

10. LGBT Client
// Culturally competent therapists
// LGBT friendly GP
// LGBT Support organisations
// Connecting them with peers on fellowships before they
return.
// NYC - The Centre
// NYC - GMHC
// Sydney - ACON
// Melbourne - ALSO Foundation

12. Physical Therapies
// Injuries
// Kidney specialists
// Amputee clients
// HIV specialists - acupuncture
// Dental work - can take months to complete

13. Trauma
// Therapist specialists
// Trauma groups
// Psycho-education
// Online learning
// Literature to read

14. Which 12 step groups they need
AA NA CMA SLAA GA CODA 12 step is very important

15. Sex Addiction
// Therapists CSAT's or Sex Positive Therapist.
// Betrayed partners
// Men’s groups

16. Gambling
// 12 step
// Therapist
// Other support groups

17. Military Client
// Need specific treatment with other soldiers
// Hospitals
// Therapists that understand
// Support groups with other soldiers

18. Post treatment Awareness
Many they will begin to establish on their own. Once
new discoveries emerge in their recoveries.

19. From The Start
// Having that support
offered to you from
treatment beginning
can make a person
feel comforted,
connected safe and
held.
// Draws them toward a
healthier life.
// The transitional model
suggests that a person
goes from most acute to
less acute as they move
along. (Byron Bay
example.)

20. The risks of not having Aftercare
At least half of all people who enter recovery will relapse.
Since most of these relapses occur within the first 90 days following treatment, the
risks of not having a rehab aftercare program or complying with one are great. People
in recovery who do not participate in relapse prevention programs miss out on the
support and confidence-building that occurs. The lack of support can also cause them
to relapse – a discouraging setback for much of the hard work they did to make it
through the recovery process.

21. Aftercare up to 5 years
The 3-5 year model of after-care suggests
that staying in treatment as long as
possible increases a persons chance of
staying sober.
This also includes going from a higher
level of care to a lower level of care over
time and preferably going “bed to bed”
because this is when clients are most at
risk of relapse.

22. Types of Long-Term Treatment - RECAP
Appropriate aftercare should be part of the discharge
process. Some types of aftercare that are available include:
// 12-Step programs
// Local meetings
// Spirituality
// Develop strong mutual support peers for regular
connection

23. Support Group
Local support groups that cater to your specific addiction.
A positive and supportive environment.
Refuge recovery / SMART

24. Dual diagnosis support (integrated aftercare)
Mental health conditions.
If mental health issues are not addressed, relapse can
easily occur.

25. Counseling (1-on-1 and group)
Discussing problems and confusing incidents that
you run into during recovery as well as
Time to address the underlying issues that have
contributed to alcohol and drug use.

26. Cognitive behavioral therapy
// Short-term, goal-oriented psychotherapy.
// Focussed on problem solving.
// Change old patterns of thinking and behaviour.

27. Pharmaceutical treatment
Receive medication in combination with other
aftercare treatments.

28. Sober Living House
// Live with other recovering addicts who
understand what you’re going through. They
help to relieve the stress of everyday life while
fostering a safe, supportive and substance-free
environment.
// Build friendships and peership connections

29. Q&A
Thank you