1. Hope Rehab Thailand

2. Presentation by Simon Mott

3. Recovery Tool-kit

4. Recovery tool-kit 1.Gratitude list 2.Daily reflection (step 10) 3.Acceptance therapy 4.H.A.L.T. check list 5.Telephone 6.Fitness 7.On-line recovery 8.Mindfulness 9.Sponsorship 10.NA & AA Meetings 11.“Up-to-you” Spirituality

5. Recovery Tools - 1 Gratitude Therapy is a Recovery Tool

6. Gratitude therapy Gratitude is a positve emotion. Research shows gratitude therapy is the most direct route to restoring happiness

7. Gratitude therapy The practise of gratitude helps with feelings of not having enough or not being enough Addicts often experience this

8. What is gratitude therapy? It is a daily ritual It is quick and simple Turns negative into positive Magnifying the positive Glass halve full – not half empty Mood altering

9. Gratitude Journal Every client at Hope Rehab gets given a note book to use as a Gratitude Journal

11. Gratitude group At Hope Rehab our clients get together in a group every morning to share their gratitude lists with each other. Sharing your gratitude makes it even more powerful.

12. Hope Gratitude group

13. Experience the power of gratitude! NOW

14. Gratitude therapy Exercise: List 10 things you are greatfull for.

15. Gratitude List 1 2 3 4 5 6 7 8 9 10

16. Who felt the power of gratitude? WOW

17. Gratitude therapy We suggest taking 5 minutes every day to write a self-guided Gratitude journal

18. Gratitude therapy - Benefits Happiness More friendly Less social anxiety Patience Reduce depression Reduces envy/jealousy Physical health

19. Gratitude therapy Keep an attitude of Gratitude

21. Recovery Tools - 2 Daily Reflection is a Recovery Tool

22. Daily Reflection

23. Clients take time to reflect on the day It is a daily journal We do this for peace of mind and change

24. Daily Reflection Did you have a trigger or craving today? Did you make any mistakes today? Did you wrong anyone today? Did you have any Fear, Anger or Self- centeredness today?

25. Daily Reflection Write down any corrective action you can take Do you owe anyone an apology? What have you learned? What will you change?

26. Daily Reflection Exercise: take a few minutes to try the daily reflection tool, ask yourself; 1.Did you have any difficulties today? 2.Did you have any negative thoughts? 3.Any negative feelings? 4.What would you change?

27. Daily Reflection Ask your clients to allow time for reflection each day?

28. Recovery tools 3 Acceptance therapy is a Recovery tool

29. Acceptance therapy

30. Acceptance Therapy Acceptance is an essential tool for those recovering from addiction

31. What is acceptance therapy There are many things in life we just can’t change So worrying about these things can cause much stress and anxiety

32. Acceptance Therapy Can you think of examples of something you cannot change that you don’t like?

33. Acceptance List Example of things we can’t really change: The weather The economy Other cultures Our genes Our childhood Our past mistakes

34. Acceptance Therapy Worrying about things we cannot change is unhealthy because; 1.It means unnecessary stress that make us sick. 2.We waste time that we could use to fix the things we can change. 3.It means we feel helpless. 4.It can be an excuse to drink or use drugs.

35. Acceptance List Write down 3 things you find difficult to accept but are not able to change

36. Acceptance therapy How to decide if Acceptance is Needed for your client? 1.Identify steps needed to fix a problem? 2.Decide if other people could help you fix the problem (e.g. a therapist) 3.Decide if you can realistically take the steps needed to fix the problem 4.If you can’t identify a way to fix things, the only option is acceptance

37. Example: John has an interview for a new job. The only way to get to the office where the interview is taking place is to go by train. He gets to the train station on time, but the train arrives an hour late. He is not going to get to the interview on time, and he feels very anxious.

38. 1.Identify the problem? The train is late. 1.Identify any steps to fix the problem? There is nothing John can do to stop the train being late 1.Decide if other people could help fix the problem. There is nobody John can talk to that can make the train come on time. 2.Decide if you can realistically take steps needed to fix the problem. There are no steps identified 1.If you can’t identify a way to fix things, the only option is ACCEPTANCE

39. Acceptance therapy – Benefits Once we accept that there is nothing we can do to change a situation? It can be like a weight has been lifted off our shoulders!

40. Acceptance therapy Get your clients to do a - Daily Acceptance list 10 things they find difficult to accept but cant change

41. Recovery affirmation Give me the peace of mind to accept the things I cannot change Give me the courage to change the things I can And the wisdom to know the difference

42. Recovery Tools - 4 H.A.L.T. is a Recovery Tool

43. H.A.L.T HALT is another word for STOP

44. HALT or STOP The “Rule of Halt” or Stop; 1.Hungry 2.Angry 3.Lonely 4.Tired

45. H.A.L.T H ungry A ngry L onely T ired

46. H.A.L.T Addicts are can relapse when they are; 1.Hungry 2.Angry 3.Lonely 4.Tired

47. Cravings Hunger and thirst can confuse the body and feel like a craving for drugs and alcohol When we are vulnerable and emotional we can get cravings to change the way we feel Isolation is unhealthy for an addict Rest is important to stay strong

48. H.A.L.T. Always have something sweet and water Remember to let go Stay connected Take time to relax

49. Recovery Tools 5 The telephone is a recovery tool

50. Telephone

51. The telephone We use the telephone to stay connected with our recovery friends We text or call whether we feel good or bad

52. Why? If we are in the practice of contacting our sponsor or friends then it is easier when we have a trigger, craving or problem

53. Telephone We also call a new person in recovery to offer our help – this help us stay clean

54. Recovery tool 6 Fitness is also a Recovery tool

55. Fitness

56. Positive attitude Getting up, and out of bed and dressed every morning keeps motivation “Get up before your addiction does’ Do not sleep during the day Sunlight helps with mood

57. Fitness At Hope Rehab we focus on Physical fitness as well as Mental fitness Emotional fitness Aftercare includes Physical Fitness

58. Fitness Walking Running Football Cycling Gym Boxing Yoga Tai Chi

59. Fitness – Why? Health Self esteem Confidence Brain function Reward system Team spirit Fun

60. Do you do Fitness What fitness do you do or like? Why? What are the benefits?

61. Fitness We suggest doing fitness if you have a difficult time emotionally Fitness is great to manage Anxiety and depression Exercise helps with emotional tolerance Perseverance comes through fitness

62. Football

63. UK Drug services Drug services in London use football tournaments to help rehabilitate there clients We play different services and districts This brings much joy and fun for everyone

64. Recovery tools 7 Online recovery is a Recovery tool

65. On-line Recovery

66. On-line recovery Online Meetings Share tapes to download Recovery Apps DVD’s Youtube films Self help websites Addiction Forums

67. NA Share tapes You can download recorded shares free Wherever you are in the world you can access recovery stories and not feel alone

68. Smart phone Apps

69. Smart phone apps Recovery Apps are the latest addition to oniline recovery Daily wisdom readings Tracking clean time

70. Online NA meetings

71. Like Hope Rehab youtube account You can learn a lot from youtube videos https://www.youtube.com/user/HopeRehabCenterThai/videos

72. Recovery Tools Positive affirmations Are Recovery Tools

73. Affirmation

74. Affirmations Affirmations are….. Positive statements positive self-talk Counter statements Reminders Instructions Recovery slogans

75. Affirmation Affirmations help with Staying clean and sober Achieving Goals Stopping Negative self-Talk Re name your self Rewire brain Psychological change

76. How to make Affirmations I statements Avoid negatives Be powerful Counter statements Positive statements Here and now Use metaphors

77. Write one now Think of something you want to change

78. Recovery tool 8 Mindfulness is a Recovery tool

79. Mindfulness

80. or/and Meditation

81. Mindfulness Mindfulness is awareness Meditation Is being in The Here and Now

82. Just for today In NA we say stay clean “Just for today”

83. Just for today The thought of making a pledge to never use again can be overwhelming. So we do it… "One Day At a Time”

84. Here and Now It's important not to worry about the past or project into the future to much, it creates stress and causes relapse So we teach our clients to practice staying in the here and now We focus on doing whatever it takes to stay clean today. We worry about tomorrow when it comes.

85. Mindfulness techniques Deep breathing: If you feel a panic attack coming on, try taking slow deep breaths We just sit quietly somewhere for a few minutes and listen to our breathe in, out, in, out, in, out… If you focus on your breathing you will always be in the nere and now Anxiety melts away and you will be amazed at how effectively it will relax you! Everything passes

86. Recovery Tool 9 A Sponsor is a Recovery Tool

87. Sponsor In Narcotics Anonymous it is recommended that you get a sponsor What is a Sponsor?

88. Sponsorship A sponsor is a recovering addict in NA Has more clean-time and program experience than you Someone you trust A mentor A guide An instructor A recovery partner

89. Recovery Partners In Rehab we have a buddying system which is similar – they help with the work assignments Being accountable to someone is an important anchor for recovery Make an agreement with someone to check in daily if at all possible Taking a non-drinking support person to activities.

90. Recovery Tool 10 NA and AA Meetings Are Recovery Tools

91. Going to Meetings 90 meetings in 90 days It is suggested that a client go to 90 meetings in 90 days to begin with People who “keep coming back” have a much better chance of recovering. Try out lots of different meetings A.A., N.A.

92. Meetings At meetings We share our successes and struggles Learn about the steps Explore our spirituality Make friends We meet others beating addiction positive influences Stay motivated

93. Groups At Hope rehab and other Rehabs – the clients attend many groups so continuing this activity is in aftercare is very important

94. Meetings Belonging to groups has another effect: it changes how people see themselves, social identity – we define ourselves in part by the groups we belong to (and by those we don’t). That is why belonging to recovery groups is so important in helping people to build the skills and confidence that they will need. It also provides a safe space for making changes

95. Recovery Tool 11 Spirituality is a Recovery tool

96. Spirituality In NA meetings and recovery you will hear the word spirituality a lot What is Spirituality? Spirituality is many things to different people Step 2 and 3 of the 12 step program are about Spirituality

97. Addiction Addiction is a Spiritual disease and has spiritual symptoms…. Loss of interest Depression Hopelessness Lack of connection with others Extreme selfish pursuits Meaninglessness

98. Spirituality “Up-to-you Higher Power” In NA you may choose your own type of spiritual beliefs or identity You may choose your own Higher Power

99. Spiritual Benefits Having Hope Developing faith Find meaning in what happened Putting off difficult problems Collaborate with higher power Feeling empowered Surrender - Letting go Perseverance

100. Recovery is for life