PROGRAM FOCUS

The focus of Phase II is for clients to build on the recovery process established during the first five weeks of treatment by completing a personal life inventory (Fourth Step), which will help them get a clearer and more accurate picture of their lives and patterns related to thoughts, beliefs, emotions, behaviors, and relationships. This process also includes identifying clients' assets, strengths, and resources so these can be applied in support of clients' recovery.

PHASE II GOALS
Clients will:

• Continue to explore and clarify their understanding of the disease of addiction (mental, emotional, physical, and spiritual dimensions) and its potential manifestations in their lives.
• Write daily in the guided journal, My First Year in Recovery.
• Complete life inventory (Fourth Step) and process with counselor and temporary sponsor.
• Attend all assigned groups and complete specified writing assignments.
• Read and highlight Chapters Five and Eight in the Narcotics Anonymous basic text.
• Continue working with temporary sponsor.
• Complete Step Working Guides Four and Five and be able to verbalize a clear understanding of the patterns in their lives that have contributed to their addiction.
• Demonstrate recovery-based attitudes and behaviors with increasing consistency.

Family and friends will:

• Participate in twelve-step meetings, Friday-night family support groups, family sessions, and other recommended workshops (and if they did not do so in Phase I, attend Family Renewal Program).
• Practice the plan developed during Phase I as needed to utilize, maintain, and strengthen the leverage available to the family in setting and enforcing boundaries to support the recovery process for both themselves and the client.

ASSESSMENT FOCUS

The assessment in Phase II reviews the changes made up to this point, determines the issues that remain to be addressed, and identifies any new areas of concern, as well as supports clients in addressing and resolving those issues. The assessment is also used to develop the clients' individualized treatment plans and discharge/aftercare plans. If clients are receiving enhanced services through participation in our Chronic Pain Rehabilitation program, the treatment plan will be developed to ensure that this complements, rather than conflicting with, the overall structure of their program.

This ongoing assessment focuses on the following eleven life areas to determine the extent to which clients' functioning in these areas is helping or hindering their ability to stay abstinent and continue in the recovery process. If continuing through the third phase, some of the assessment categories may be deferred to weeks ten through twelve.

Family/Significant Others

• Quantity and quality of relationships with family members/significant others and the degree to which these relationships help or hinder the recovery process.
• Knowledge of addiction and family recovery.
• Motivation and willingness to continue providing agreed-upon leverage.
• Use of and involvement in recovery resources, including family support group, Family Renewal Program, workshops, lectures, and and twelve-step programs.

Social

• Quantity and quality of social relationships and degree to which they help or hinder the recovery process.
• Strategies for strengthening healthy relationships and reconsidering, modifying or ending clients' unhealthy relationships.
• Strategies for establishing new supportive relationships.

Work

• Employment status, history, and skills.
• Transitional issues regarding returning to work.
• If applicable, the quality of clients' relationships with clients' employer and other coworkers.

Health

• Current state of health.
• Health issues needing attention or treatment, e.g., medical conditions, exercise, nutrition.

Emotional

• Emotional state and degree of balance.
• Style of emotional expression.
• Areas of greatest emotional discomfort and their connections to clients' substance use.
• Ability to identify and cope with feelings and emotions.
• Remaining "secrets" in clients' "emotional closet" that may need to be addressed in this phase.

Cognitive/Thinking

• Mental health status and history, including treatment and medications.
• Cognitive/thinking style and degree of balance.
• Status of clients' recovery-oriented thoughts and patterns of thinking.
• Capacity for using reading and writing resources, including recovery literature.

Spiritual

• Spiritual beliefs and practices.
• Current state of acceptance regarding the disease of addiction, including powerlessness and willingness to seek support.
• Capacity to use the spiritual aspects of recovery, e.g., meditations and prayer.
• Reservations or obstacles related to spirituality as a recovery-supportive resource.

Financial

• Current financial issues influencing recovery process.
• Financial status, stressors, and viability.
• Actions needed to stabilize client's financial situation.

Hobbies/Interests

• Use of down time in treatment and plans for use of free time post-treatment.
• Activities engaged in for fun and recreation.

Legal

• Need for a plan to resolve any pending legal issues upon discharge.
• Need for LVRC contact with probation, parole, judges, attorneys, etc.
• Need for documentation of client's completion of treatment/discharge plan.

Patterns of Recovery

• Degree of clients' understanding of the recovery process.
• Previous recovery and related experience.
• Extent to which clients' motivation for treatment and recovery is internal vs. external.
• Degree of clients' demonstrated honesty, open-mindedness, and willingness.
• Specifics of how clients are working a program of recovery.
• Quality of work on Steps Four and Five.