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[DOC File]TREATMENT PLAN GOALS & OBJECTIVES
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Alcohol/Drugs and Other Addictions. Goal: Be free of drug/alcohol use/abuse. Avoid people, places and situations where temptation might be overwhelming. Explore dynamics relating to being the [child/husband/wife] of an [alcoholic/addict] and discuss them each week at support group meetings. Learn five triggers for alcohol & drug use
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[DOC File]RELAPSE PREVENTION PLAN WORKSHEET
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RELAPSE PREVENTION PLAN WORKSHEET. DRUGS. A relapse prevention plan is a tool to help you as you continue your life free from drugs. The following questions will help you examine your past behavior and how you overcame your dependence on drugs.
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[DOC File]Psycho-educational Group for Children of Alcoholics in a ...
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Your child has expressed interest in participating in a group. This particular group focuses us preventing alcohol and drug use and promotes self-esteem and healthy relationships. Enclosed is a form to give consent for your child’s participation. Parental permission must …
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[DOCX File]FULL ASAM ASSESSMENT - ADULT
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Amy has a 5 yr history of opioid use, beginning with prescription opioids and progressing to mixed prescription and heroin use. She has attempted multiple programs to try and manage her use and despite these attempts and escalating harmful consequences (loss of employment and independent housing), she continues to use.
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[DOC File]Behavioral Chain Analysis Worksheet
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B. Use of drugs or alcohol; misuse of prescription drugs. C. Stressful events in the environment (either positive or negative) D. Intense emotions, such as sadness, anger, fear, loneliness. E. Previous behaviors of your own that you found stressful. 4. Describe in excruciating detail THE CHAIN OF EVENTS. that led up to the problem behavior. A ...
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[DOC File]DRUG AND ALCOHOL QUESTIONNAIRE - clarkclipsonphd
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Part III: Consequences Related to Alcohol or Drug Use. Please circle any problems that have persisted following your use of drugs or alcohol: Hepatitis or liver problems Persistent cough Hallucinations Strange thoughts. Congestion or wheezing Heart problems Depression Mania Loss of sex drive. Please circle any social or relationship problems ...
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[DOC File]The Cross Addiction Worksheet
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It has six items or questions that asks you to recall your other drug use/abuse and to look for connections between your relationship with those other drugs and continuing vulnerability to relapse. Only three of the worksheet items are shown here. Cross Addiction Worksheet. 1. Start at the beginning of your alcohol and other drug use.
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[DOC File]DRUG ABUSE WORKSHEET - Pottsgrove School District
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5. Marijuana and hashish are classified in this group of drugs. _____. 6. Drugs that speed up or stimulate the Central Nervous System are called _____. 7. Drug like substances found in paint thinner, model cement, and some aerosol sprays are called _____. 8.
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[DOC File]Autobiography – My History of Substance Abuse
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The use of alcohol and drugs often stops your emotional development and is many times used to cope with feelings. In other words, when you start using drugs/alcohol you stop maturing emotionally. An emotionally immature person throws temper tantrums, has little/no impulse control, has no patience, requires immediate gratification, etc.
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[DOC File]INSTRUCTIONS - SFDPH
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ODF GROUP – ALCOHOL AND DRUG. The EXCEL filename on the FY 2010-11 Cost Report Forms is “ODF Group - Alcohol and Drug”. A separate worksheet has been created for each document within the Excel file. The worksheets are “Comparison”, “ODFGFUND-AD” aka [OK Fundsheet], “7990ODFG-AD”, “7895ODFG-AD” and the “Data Entry Sheet”.
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Drug and alcohol group worksheets