PROGRAM FOCUS

In Phase I, clients will explore the specific effects of addiction in their lives by completing the first three steps (from the Twelve Steps). The principles and concepts of focus include:

• Powerlessness over addiction.
• Unhealthy, destructive, and repetitive thoughts and behaviors.
• Making the decision to stay abstinent and participate in a lifelong recovery process.

PHASE I GOALS

• To assess the client's understanding of the disease of addiction and address areas of misunderstanding or lack of knowledge.
• To assess the family's/friends' commitment to maintaining agreed-upon leverage.
• To assess the client's level of motivation for making the changes necessary for recovery and address any barriers to making needed changes.
• To use the therapeutic relationship to assist the client in taking responsibility for their recovery.
• To assess the client's current utilization of and potential for self-advocacy with family, recovery, and community resources.
• To provide information and referrals to relevant twelve-step recovery and community resources.
• To begin to identify and address all relapse risks.
• To assess the client's plan for post-discharge recovery and living situation (if the client will be discharged following this phase of treatment), and assist the client in modifying and strengthening their recovery plan as appropriate.
• To have the client complete Steps One, Two, and Three and be able to verbalize a clear understanding of how these steps and the principles they embody apply to his or her use of substances, thoughts, behaviors, and other manifestations of addiction.

ASSESSMENT FOCUS

The following is a list of eight areas that can be assessed to develop an individualized addiction treatment plan for clients in Phase I of the inpatient program. If the client's treatment will continue to the second and third phases of the twelve-week program, some of these assessment categories may be deferred until that time.

1. Family/Significant Others
   • Utilization of and involvement in family services e.g., Family Renewal Program, family support group, lectures, and workshops, and Twelve Step participation.
   • Knowledge of addiction and family recovery.
   • Establishment, maintenance, and strengthening of family leverage.
2. Social
   • Social relationships that either help or hinder the
   • Practical goals for ending unhealthy relationships and/or establishing new supportive relationships.
3. Work
   • Current employment status.
   • Transitional issues regarding returning to work.
   • Involvement with employer and coworkers.
   • Financial viability.
4. Health
   • Current state of health.
   • Health issues that need further attention, e.g., exercise, nutrition, etc.
5. Emotional
   • Areas of greatest discomfort caused by addiction.
   • Ability to identify and cope with feelings and emotions.
6. Spiritual
   • Current state of surrender regarding the disease of addiction, powerlessness, and willingness to seek support.
   • Utilization of spiritual aspects of recovery, e.g., meditation.
7. Legal
   • Pending legal issues that need to be addressed prior to discharge.
8. Patterns of Recovery
   • Integration of
   • Completion of Steps One, Two, and Three.