1. RELAPSE PREVENTION Michael Nerney and Associates PO Box 93 Long Lake, NY 12847 518-624-5351 mcnerneyll@frontiernet.net

2.  Aftercare or Afterthought  Outpatient Treatment  Residential Treatment RELAPSE PREVENTION

3.  Program  Staff  Community WHAT RELAPSE PREVENTION MEANS FOR:

4.  Ready for Release  Cold, Cruel World  Negative Emotional State RELAPSE PREVENTION CONSIDERATIONS

5.  Other-Centric  Interpersonal Conflict  Disbelief/Rejection RELAPSE PREVENTION CONSIDERATIONS

6.  With a Little Help from My Friends  Positive Emotional State  Practice, Practice, Practice  Passionate Interest RELAPSE PREVENTION CONSIDERATIONS

7.  Negative Emotional State35%  Conditioned Cues  Social Pressure30%  Urges and Temptation PRECIPITANTS TO RELAPSE

8.  Interpersonal Conflict16%  Positive Emotional State12% PRECIPITANTS TO RELAPSE

9. Emotional Competencies:  Self Awareness  Verbal Access  Emotional Regulation ESSENTIAL ELEMENTS IN TREATMENT

10. Emotional Competencies:  Empathic Response  Passionate Interest ESSENTIAL ELEMENTS

11.  New Research on the Brain  Conditioned Cues  Chemical Changes WHY RELAPSE PREVENTION?

12.  New Research on the Brain  Social Pressure  Structural Changes WHY RELAPSE PREVENTION

13.  M eetings  A bstinence from all psychoactive drugs  S ponsor and other people helping  S ocial support systems  T reatment efforts M.A.S.S.T.

14.  Clarify  Label  Enlist  Alternative  Navigate C.L.E.A.N.

15.  Clarify  - C.L.E.A.N.

16.  Label  - C.L.E.A.N.

17.  Enlist  - C.L.E.A.N.

18.  Alternative  - C.L.E.A.N.

19.  Navigate  - C.L.E.A.N.

20. WRAP UP