AOD relapse prevention
CHCAOD007 Develop strategies for alcohol and other drugs relapse prevention and management
This unit is about collaborating with alcohol and/or drug (AOD) clients to:
- develop strategies for preventing relapse
 - manage relapse, should it occur
 - deal with potentially harmful behavior.
 
How you will be assessed
You will be assessed through:
- Assessor observation on the job
 - Supervisor reference (if the assessor is not the supervisor)
 - Review of your workplace documents (e.g. procedures)
 - Interview/assignment based on the requirements below.
 
Practical
You will be assessed in the workplace in industry conditions where you will need:
- the use of suitable facilities, equipment and resources, including risk assessment tools/forms, client treatment plans, and your organization’s policies and procedures
 - involvement of people with whom the candidate can interact
 - scenarios that cater to a range of settings, including crisis situations
 You need to show that you have done the following:
- Held a relapse planning session with at least two clients with alcohol and/or drug issues that incorporate supporting clients with:
 
- solving problem
 - setting goals
 - coping
 - self monitoring and management
 - recognizing and managing cravings
 - cognitive restructuring
 - harm minimization
 - Communicated effectively with:
 
- empathy
 - open questioning
 - reflective listening and
 - summarizing.
 
Interview/assignment questions
- What are the roles and responsibilities of different people in the relapse prevention process, including your own role?
 - Explain the following principles of effective communication:
 
- building rapport
 - motivational interviewing,
 - active listening and
 - questioning.
 - Explain the core principles of crisis management.
 - Harm minimization:
 
- What different approaches are there to harm minimization?
 - Explain the principles of harm minimization.
 - Effects of AOD addiction:
 
- What are the effects of AOD addiction?
 - When a person has an AOD addiction, what behaviors do they most commonly exhibit when responding to intervention?
 - Explain two different models of relapse prevention.
 - Relapse triggers:
 
- List five factors that typically trigger relapse.
 - Describe individual risk relapse factors in three different cases.
 - What factors influence substance use? (In your answer, include environmental, cultural, and economic factors.)
 - Explain how to assess and manage risk in relapse prevention. Include both risks that could precipitate relapse, as well as other kinds of risks.
 - Explain how to use the following factors to minimize risk of relapse:
 
- environmental
 - physical
 - physiological.
 - Explain relapse management strategies for:
 
- managing cravings and urges
 - identifying and challenging thoughts
 - problem solving
 - goal setting
 - building positive relationships
 - minimizing harm to client and others.
 - What pharmacotherapies are effective in reducing risk of relapse?
 - What other therapies are effective in reducing risk of relapse? Explain how they work.
 - What are the rights and responsibilities of:
 
- AOD workers?
 - employers of AOD workers?
 - AOD clients?
 - What are the boundaries of your work role? Include your responsibilities and limitations.
 - Below is a list of considerations in relapse prevention and management work. Some have international, national, state/territory, and local aspects. For each one, answer these questions:
 
- What are the requirements?
 - How is it applied in organizations?
 - How is it applied in individual practice?
 
Legal requirements:
Mandatory reporting
Children in the workplace
Discrimination
Specific AOD legislation
Human rightsEthical considerations:
Discrimination
Dignity of risk
Informed consentPractices:
Codes of conduct/ practice
Policy frameworks
Records managementNote: Your assessor may also ask you a variety of
what ifquestions.Mapping note: No further assessment of health and safety (duty of care) and privacy and confidentiality is necessary if you have already satisfactorily done the assignments on.
Detailed requirements
1. Explore relapse prevention
- Review client information to inform your relapse prevention strategy
 - Prepare the client for the possibility of relapse as a common experience
 - Find out any previous relapse prevention strategies that the client has used in the past
 - In consultation with the client, determine what stakeholders need to be included in the relapse prevention process
 
2. Identify potential risks
- With the client, identify and discuss potential relapse triggers
 - Determine what environmental factors could contribute to client responses
 - Identify circumstances that could cause potentially harmful behavior to client and others
 - Assess risks in conjunction with the client (Follow your organization’s protocols)
 
3. Develop relapse prevention and management strategies
- Research and evaluate a range of support strategies, and identify the most suitable to meet the client’s needs
 - Work with the client in a way that promotes their participation and respects their insights and experiences
 - Work collaboratively with client to:
 - select most appropriate relapse prevention strategies
 - decide on relapse management strategies
 - decide on contingency plans if difficulties are encountered, including harm minimization
 
4. Report and document information
- Accurately record strategies in the client’s individual treatment plan (Follow your organization’s protocols)
 - Follow privacy and confidentiality requirements when reporting feedback.
 
5. Other.
- Manage tasks and contingencies on the job.
 - Follow Commonwealth and State/Territory legislation, Australian/New Zealand standards, and industry codes of practice.