Relapse Prevention & Treatment

Relapse Is Defined As:
Brief and minimal self limited use that is not associated with addiction behaviors such as not fulfilling professional and personal commitments or lying, stealing which have no serious consequences;

Moderate use over days that are harder to control, beginning to cause problems, need help to control but not associated with major addiction behaviors;

Uncontrollable use associated with serious addiction behaviors and professional and personal consequences.

Causes of Relapse
Most relapses occur within in 1-2 years of initial treatment, the majority within the first 6 months.  The different factors influencing relapse:

Factors associated with early relapse (less than 1 year) are:

  • Misunderstanding or denial that addiction is a chronic relapsing disease;
  • Not participating in ongoing recovery activities;
  • Ongoing Emotional, Work and Family Stresses;
  • Inadequate treatment of co-occurring psychiatric or medical comorbidity;
  • Rejection of treatment recommendations.

Factors associated with late Relapse (Second Year) are:

  • Renewed emotional work and family stresses;
  • Inadequate treatment of co-occurring psychiatric or medical problems;
  • Denial of the risks of re-addiction;
  • Not participating in ongoing continuing care activities;
  • Rejection of treatment recommendations.

ARCH Model – Outpatient Treatment – Reduces Relapse

Key Point:
The risk of relapse is directly related to a lack of continuing follow up care after initial treatment.  ARCH addresses this by providing a comprehensive continuing care program. We are committed to:

  • Maintaining a dependable, supportive care system close to home after initial treatment is completed;
  • Continuous access to your Addiction Recovery Treatment Team after discharge;
  • Uninterrupted addiction medicine, psychiatric and psychological care;
  • Family participation in aftercare;
  • A Discharge Plan that is Multidisciplinary and Individualized; a key to your sustained recovery;
  • Always available supportive staff to support and encourage your continued care on your path to recovery.

Away from Home –Problems for Residential Programs:

  • In a national epidemiological study of residential rehabilitation programs, only 14% of patients reported attending/completing outpatient programs in the community in the first year after discharge;
  • Relapse rates are often high in the first months after discharge from residential and inpatient substance abuse treatment, and patient adherence to aftercare plans is often low;
  • Patients receiving care in one location followed by oaftercare care in another location reduces recovery adherence and runs the risk of relapse.
  • Patients need their  Addiction Recovery Support Team and Same Treatment Protocol close by;
  • Patients insulated from the demands and stresses of their everyday life while staying “In-Residence”; don’t learn how to manage; their “everyday life”—which is usually where their triggers for relapse are!
  • Residential case managers are often swamped. When it comes time to send their clients home, they don’t have the “Networking” or “Time” needed to set up great continuing care.  Client needs are sacrificed for “expediency”.

Please call us in Danvers:

(978) 820-5500

Dr. Michael J. Kittay, M.D.
160 Sylvan Street, Danvers, MA 01923
Phone. (978) 820-5500
Fax. 978-820-5502

Contact us