Recovering Together Program
Recovering Together Program Curriculum Guide: Substance Abuse Treatment for Women and Their Families
Donna Sue Spear, MA, LPC, NCACII August 2007
RTP Mother's Curriculum 2
Acknowledgements
This curriculum was developed with the support of the Rocky Mountain Quality Improvement Center and the staff of the American Humane Children's Services Department. Their insight into the impact of substance abuse on protecting children has been tremendously valuable. Their encouragement has created an opportunity for this program to meet some of the needs of both the families who struggle with substance abuse and the professionals who serve them. Funding for the development of the Recovering Together Program was provided by the Children's Bureau, Administration on Children, Youth and Families, Administration for Children and Families, U.S. Department of Health and Human Services, grant # 90-CA-1699.
Special thanks to Carol Harper, MPA, who served as the Director of the Rocky Mountain Quality Improvement Center during the development and pilot testing of the Recovering Together Program. Her skill and guidance in child welfare and community dynamics were essential in honoring our community's intention to make a difference for families.
Leslie Wilmot, MSSW, the Director of Child Welfare Training & Professional Development at the American Humane Association also provided useful editing and suggestions during the final curriculum development.
RTP Mother's Curriculum 3
Table of Contents
ACKNOWLEDGEMENTS .................................................................................... 2
TABLE OF CONTENTS ....................................................................................... 3
INDEX OF HANDOUTS ....................................................................................... 6
I. INTRODUCTION ............................................................................................... 7
Recovering Together Program Description ................................................................................ 7 Barriers and Bridges to Collaboration.......................................................................................10 Key Service Considerations for Implementing Collaborations............................................... 20 Summary: Bridges to Collaboration List ...................................................................................25 Common Issues for Parents in the RTP .................................................................................... 26 Co-occurring Disorders in RTP Women .................................................................................... 28 Childhood History - RTP Mothers' Experiences ....................................................................... 29 Motivation for Treatment ............................................................................................................. 29 Gender Specific Treatment Issues .............................................................................................30 Cultural Sensitivity in Addiction Treatment .............................................................................. 32
II. THE CURRICULUM ....................................................................................... 33
How to Use This Curriculum....................................................................................................... 33 Purpose...................................................................................................................................... 33 Curriculum Design ..................................................................................................................... 33
After Group Follow-Up................................................................................................................. 34
WEEK 1 ? INTRODUCTION TO RTP AND YOUR GROUP .............................. 36
Week 1 Activities Overview......................................................................................................... 37 Introduce Ourselves................................................................................................................... 37 Introduction to RTP.................................................................................................................... 38 Ground Rules for Group ............................................................................................................ 39 Orientation to Recovery Activity Requirements ......................................................................... 39 Recovery Tool #1 ? Planners ................................................................................................... 40 Week 1 Slides with Commentary...............................................................................................41
WEEK 2 ? PRIORITIES, NEEDS AND WANTS ................................................ 68
Week 2 Activities Overview......................................................................................................... 69 Needs and Wants ...................................................................................................................... 69 Putting Recovery First ............................................................................................................... 70 Self Care Activities..................................................................................................................... 71
Week 2 Slides with Commentary................................................................................................ 72
WEEK 3 ? SELF-CONCEPT AND SAVING YOURSELF .................................. 86
Week 3 Activities Overview......................................................................................................... 87 Lifeboat activity .......................................................................................................................... 90 Recovery Tool 3 - Lifelines ........................................................................................................ 91
WEEK 3 SLIDES WITH COMMENTARY........................................................... 92
WEEK 4 - BINDERS AND STORIES ............................................................... 103
Review Lifelines....................................................................................................................... 105 Life Stories ............................................................................................................................... 105
WEEK 4 SLIDES WITH COMMENTARY......................................................... 106
WEEK 5 ? DEFINING YOUR RELATIONSHIP WITH DRUGS........................ 114
Week 5 Activities........................................................................................................................ 115 Personalizing Your Relationship with Drugs............................................................................115
RTP Mother's Curriculum 4 Discussion ? Where is YOUR line? .........................................................................................116 Week 5 Slides with Commentary..............................................................................................118
WEEK 6 - EMOTION AND ADDICTION .......................................................... 131
Week 6 Activities........................................................................................................................ 132 Review AOD relationships .......................................................................................................132 Emotional Education presentation...........................................................................................134
Week 6 Slides with Commentary..............................................................................................135
WEEK 7 - RELAPSE AND CRAVING ............................................................. 163
Week 7 Activities........................................................................................................................ 164 Craving and Urges................................................................................................................... 164 Urge Surfing Activity ................................................................................................................ 165 Change and Relapse ............................................................................................................... 165
Week 7 Slides with Commentary..............................................................................................167
WEEK 8 ? SELF ESTEEM AND SELF EFFICACY ......................................... 185
Week 8 Activities........................................................................................................................ 186 Understanding Self-Esteem and Self-Efficacy......................................................................... 186 Messages and Addiction.......................................................................................................... 186 Picture Frame Activity.............................................................................................................. 187
Week 8 Slides with Commentary..............................................................................................188
WEEK 9 - STRESS MANAGEMENT ............................................................... 201
Week 9 Activities........................................................................................................................ 202 Stress and the Body ................................................................................................................ 203 Identify Stressors Activities...................................................................................................... 203
Week 9 Slides with Commentary..............................................................................................205
WEEK 10 - LIFE CYCLES AND THE 12-STEPS............................................. 223
Week 10 Activities...................................................................................................................... 224 Introduction to Cycles of Life ................................................................................................... 224 Introduction to the 12 Steps..................................................................................................... 225 Medicine Wheel Activities ........................................................................................................ 226
Week 10 Slides with Commentary............................................................................................ 228
WEEK 11 - INTERPERSONAL VIOLENCE..................................................... 251
Week 11 Activities...................................................................................................................... 252 Presentation ? What is Abuse? ...............................................................................................252 Supportive Relationships Activity ............................................................................................ 253 Relationship Lifelines............................................................................................................... 254
Prepare for Children's Role-Play..............................................................................................255 Week 11 Slides with Commentary............................................................................................ 256
WEEK 12 - ADDICTION AND FAMILY ROLES .............................................. 273
Week 12 Activities...................................................................................................................... 274 Discussion - What is family?.................................................................................................... 274 Family function and addiction .................................................................................................. 275 Children's Role Play ................................................................................................................ 276 Multi-family discussion ? Rigid roles and genuine interaction ................................................. 276
Week 12 ? Slides with Commentary.........................................................................................277
WEEK 13 - TRAUMA AND ADDICTION ......................................................... 297
Week 13 Activities...................................................................................................................... 298 Discussion ? Talking about Trauma ........................................................................................298 Presentation ? What is trauma? ..............................................................................................299 Effects of trauma on recovery..................................................................................................299
Week 13 Slides with Commentary............................................................................................ 300
RTP Mother's Curriculum 5
WEEK 14 ? PTSD AND SEXUAL ABUSE ...................................................... 315
Week 14 Activities...................................................................................................................... 316 PTSD Awareness .................................................................................................................... 316 Coping with PTSD ................................................................................................................... 317 Sexual Abuse ? Impact on Recovery ......................................................................................317
Week 14 Slides with Commentary............................................................................................ 319
WEEK 15 - RELAPSE PREVENTION ............................................................. 338
Week Fifteen Activities .............................................................................................................. 339 Presentation - The Relapse Process.......................................................................................339 Review Recovery Evaluation worksheets and complete Personal Recovery Summary......... 340 Recovery Planning................................................................................................................... 340 Relapse Prevention Strategies ................................................................................................341
Week 15 Slides with Commentary............................................................................................ 343
WEEK 16 - TRANSITION................................................................................. 355
Week 16 Activities...................................................................................................................... 356 Self-Care Contracts ................................................................................................................. 356 Family Certificate Ceremony ...................................................................................................357
Week 16 Slides with Commentary............................................................................................ 358
APPENDIX A - HANDOUT LIST & DOCUMENTS .......................................... 365
RTP MASTER LISTS ....................................................................................... 406
Index of Handouts
RTP Mother's Curriculum 6
Handout 1 ? Local Recovery Activity Schedule ................................................ 366 Handout 2 ? Schedule of Moms' Therapy ........................................................ 367 Handout 3 ? Consent for Current & Future Research....................................... 368 Handout 4 ? Explanation of Research Plan ...................................................... 369 Handout 5 ? Research Participant Rights......................................................... 370 Handout 6 ? LifeLine Worksheet ...................................................................... 371 Handout 7 ? Handouts of All Presentations for Binder ..................................... 372 Handout 8 ? Key Feeling Chart ........................................................................ 373 Handout 9 ? Continuum of Relationship with Substances ................................ 374 Handout 10 ? Four Characteristics ................................................................... 375 Handout 11 ? Relapse Warning Signs Checklist .............................................. 376 Handout 12 ? Relapse & Craving ..................................................................... 378 Handout 13 ? Stages of Change ...................................................................... 382 Handout 14 - Social Readjustment Scale ......................................................... 384 Handout 15 ? Stress Management ................................................................... 386 Handout 16 ? Cycle of Life ............................................................................... 389 Handout 17 ? Abusive Relationships................................................................ 391 Handout 18 ? Family roles positive/Negative worksheet .................................. 398 Handout 19 ? Self-Awareness Summary.......................................................... 399 Handout 20 ? Trauma Questionaire ................................................................. 400 Handout 21 ? Personal Recovery Pattern Summary ........................................ 401 Handout 22 ? Recovery Evaluation worksheet ................................................. 402 Handout 23 ? Recovery Planning Grid ............................................................. 403 Handout 24 - Self-Care Contracts .................................................................... 404 Handout 25 ? Completion Certificates for Family Members ............................. 405
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