Family Education Group Handouts Southwestern

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Family education group handouts southwestern

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Summary

T H E M A T R I X M O D E L
B
Family Education Group
Handouts
INTENSIVE OUTPATIENT
ALCOHOL & DRUG TREATMENT PROGRAM
Revised and Expanded
Richard A. Rawson, Ph.D., Jeanne L. Obert, M.F.T., M.S.M.,
Michael J. McCann, M.A., and Walter Ling, M.D

B
Family Education Group Handouts
DATE
COMPLETED
Session 1: Triggers and Cravings (video lecture)
Handout 1: Triggers and Cravings Presentation Notes
____________  
Session 2: AA/Matrix Model Panel (discussion group)
Handout 2: Panel Member Guidelines
____________  
Handout 3: Twelve Step Sponsors
____________  
Handout 4: The Twelve Steps
____________  
Session 3: Road Map for Recovery (video lecture)
Handout 5: Road Map for Recovery Presentation Notes
____________  
Session 4: Avoiding /Coping with Relapse (discussion group)
Handout 6: Avoiding/Coping with Relapse
____________  
Session 5: Families in Recovery (video lecture)
Handout 7: Families in Recovery Presentation Notes
____________  
Handout 8: Helping Checklist for Families
____________  
(Advanced Stage of Recovery)
Session 6: Living with an Addiction (discussion group)
Handout 9: Living with an Addiction
____________  
Handout 10: Medication-Assisted Treatment Presentation Notes
____________  
u  u  u
Handout 1 • Family Education Group
Triggers and Cravings Presentation Notes
Slide 1
B
Triggers & Cravings
Presented by
Matrix Institute on Addictions
UCLA Integrated Substance Abuse Programs
Slide 2
Triggers
Definition:
A trigger is a stimulus that has been
repeatedly associated with
• preparation for or anticipation of
alcohol or other drug use
• the use of alcohol or other drugs
These stimuli include people, places,
things, times of day, emotional states,
and secondary drug use

Please use white space to take notes

THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 1 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 3
Triggers and cravings for
Stimulant Users people who use stimulants—
in order by most frequently
reported triggers and cravings
Triggers and Cravings for this class of drugs

• Alcohol Use
• Drug-Using Friends
• Environmental Cues
— Money
— ATM
— Freeway Exits
— Neighborhoods
• Stimulant/Sex Connection
• Boredom
Slide 4
Triggers and cravings for
Opiate and Heroin Users people who use opiates or her-
oin—in order by most
frequently reported triggers
Triggers and Cravings and cravings for this class
of drugs

• Stress
• Secondary Use of Alcohol or
Other Drugs (AOD)
• Analgesic Use
• Anhedonia/Anxiety/Depression
• Environmental Cues
• Discontinuation of Treatment,
Self-Help Groups, Naltrexone
THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 2 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 5
Triggers and cravings for people
Alcohol Users who abuse alcohol—in order by
most frequently reported triggers
and cravings for this class of
Triggers and Cravings drugs

• Negative Affective States—
Especially Anger and Depression
• Discontinuation of AA Involvement
• Social Availability of Alcohol
• Relationship Disruptions
• Situational Issues
— Happy Hour
— Airplane Trips
— Holidays
Slide 6
Triggers and cravings for people
Prescription Drug Users who abuse prescription drugs—
in order by most frequently
reported triggers and cravings
Triggers and Cravings for this class of drugs

• Extended Withdrawal Symptoms
— Insomnia
— Anxiety
— Panic
• Alcohol Use
• Pain
• Doctor’s Offices, Pharmacies,
Medicine Cabinets
THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 3 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 7
Triggers and cravings for
people who use marijuana

Marijuana Users
Triggers and Cravings
• Anxiety/Irritability/Insomnia
• Using Friends
• Social Situations
• Paraphernalia
• Liquor Stores/Head Shops
• Concerts
Slide 8
In 1904, I. P. Pavlov, a Russian
scientist, received the Nobel
Prize for a series of experiments
he conducted on the physiology
of digestion that later came to
be known as the principles of
classical conditioning

I. P. Pavlov (1849–1936)
THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 4 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 9
Pavlov would feed dogs and
ring a bell at the same time. The
dogs would see and smell the
food, which would trigger an
automatic reflex, causing the
dogs to salivate. After a while,
the bell would be rung without
the presence of food, and the
dogs would still salivate. The
human brain responds in the
same way to drug and alcohol
triggers, producing cravings
even in the absence of alcohol
or drugs

Pavlov’s Dog
Slide 10
If you release a caged mouse
Place Preference and it has the option to run into
a well-lit or dark area, it will
Potency of Reinforcing Effects of Cocaine always run into the dark for
protection. This is an ingrained
survival mechanism. If the mouse
is given one dose of cocaine in
the light, the next time the mouse
will automatically go into the
lit field, thus reversing the con­
ditioning that took place over
millions of years. This demon-
strates the power that drugs
have to grossly distort normal
brain chemistry

THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 5 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 11
The brain controls our physical
sensations and body movements

The brain controls our sense of
balance and coordination, as
well as memory. The brain also
controls our feelings of pleasure
and reward and our ability to
make judgments

The Human Brain
Slide 12
When we feel good, for whatever
reason, the brain’s reward system
is activated. The reward system
Natural Rewards is a collection of neurons that
releases dopamine, a neurotrans­
Elevate Dopamine Levels mitter. When dopamine is released
by these neurons, a person feels
Pleasurable activities, pleasure

such as eating and having sex,
are associated with
elevated dopamine levels

THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 6 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 13
Initially, People Take Drugs
Hoping to Change Their Moods,
Perceptions, or Emotional States . .

Translation—
Hoping to Change Their BRAINS
Slide 14
But Then . .

After People Use Drugs
for a While,
Why Can’t They Just Stop?
THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 7 of 23
Handout 1 • Family Education Group
TRIGGERS AND CRAVINGS PRESENTATION NOTES   continued
Slide 15
Because . .

Their Brains
  Have Been
   Rewired
     by Drug Use
Slide 16
Most drugs of abuse, including
cocaine, marijuana, heroin,
alcohol, and nicotine, activate
the reward system and cause
neurons to release large amounts
Prolonged Drug Use Changes of dopamine. Over time, drugs
damage this part of the brain. As
the Brain in Fundamental a result, things that used to make
you feel good, like eating ice
and Long-Lasting Ways. cream, skateboarding, or getting
a hug, no longer produce the
same positive feelings. The brain’s
capacity to generate positive
feelings has been impaired for a
period of time

THE MATRIX MODEL, Revised & Expanded
© Matrix Institute

Duplicating handouts for personal or group use is permitted. 8 of 23

_____Handout 8: Helping Checklist for Families (Advanced Stage of Recovery) Session 6: Living with an Addiction(discussion group) _____Handout 9: Living with an Addiction _____Handout 10: Medication-Assisted Treatment Presentation Notes u u u Family Education Group Handouts

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Frequently Asked Questions

Why are individual handouts used for family education sessions?

for those used in the Family Education group sessions. Individual handouts are used for Family Education sessions because family members attend this group with clients and do not have the handouts from the.

What is the fe 6cfamily members and recovery handout?

Gives family members handout FE 6C—Family Members and Recovery Explains that the handout contains some concepts that are important for family members of a person in recovery to remember and that referring to it from time to time may be helpful Open Discussion (15 minutes)

Who should be included in the family education group?

When deciding who should be included in the Family Education group, programs should use a definition of “family” that accommodates important people in a particular client’s life. For example, a long-term romantic partner should be considered family whether the partner is married to the client or not.

What is the abbreviation for family education handouts?

Family Education Handouts Number Handout Title FE 1A A Definition of Addiction: American Society of Addiction Medicine FE 1B Thought Stopping FE 2 Fact Sheet: Alcohol FE 3A Guidelines for Graduate Panel Participants