aftercare

Even effectively treated people with dependencies will confront unexpected situations after they leave a treatment program and return to their natural environment. These situations may produce intense periods of craving to re-use alcohol and other drugs. Lapse, defined as re-use of alcohol or drugs at least once following treatment, occurs in at least 50% of those who complete treatment. The most dangerous period for lapse is the first 3-6 months after completion of formal treatment. Relapse, defined as return to excessive or problematic use, is less common, occurring in approximately 20-30% of those who complete formal care in the prior year.

It’s critical that users, their families, careers and friends prepare for the possibility of lapse and relapse. The preparation should include early detection of a lapse and establishment of steps to keep that problem from becoming a full-blown relapse. Two sets of activities can reduce the likelihood of relapse and reduce the severity if it does occur.

treatment-related preparation

A good dependency treatment program prepares users to:

• recognise they have a problem that will require continued management and monitoring
• learn and practice some of the fundamental skills needed to recognise and overcome the urge to use or drink when these situations emerge
• be engaged in a continuing care program such as AA and receive regular monitoring of substance use through urine screening or breathalyzer
• receive periodic phone calls or in-home visits following care to monitor their recovery