smart recovery a. tom horvath - cigna€¦ · smart recovery online . daily online meetings (32 per...
TRANSCRIPT
Smart Recovery
Copyright © 2011-2013 Evangeline M. Mitchell
The Leading Self-Empowering Mutual Help Group
A. Tom Horvath Ph.D., ABPP Practical Recovery, San Diego, CA
and President, SMART Recovery
Two “take home” messages
Recovery is diverse. There are as many paths to recovery as there are individuals.
SMART Recovery can be of assistance for individuals whose path primarily includes self-empowerment.
“Discover the Power of Choice”
(Self Management And Recovery Training)
Non-profit
Almost entirely volunteer operated
About half of meetings in the US
1,000+ free support groups related services (training, publications) community, correctional, online
SMART Recovery Organizational Overview
Supports choice in recovery
SMART Recovery® Program Overview
Abstinence groups for any addictive behavior
Tools for recovery (disease or not)
Science based (belief in God or not)
Focus on self reliance
Discussion meetings (cross-talk)
Months to years typical attendance
No sponsors, labels
Cont…SMART Recovery® Program Overview
The intersection of
Self-empowerment Evidence-based treatment
What will work in a support group
The Serenity Prayer God, grant me Serenity to accept the things I cannot change, Courage to change the things I can, And Wisdom to know the difference.
The Courage Intention I intend to have courage to change the things I can, serenity to accept the things I cannot, and wisdom to know the difference.
Locus of Control
Is life based mostly on what happens, or mostly on what I do?
What do I expect going forward?
Self-empowering language
I drink too much (vs. alcoholic)
The costs exceed the benefits (vs. disease)
I can cope during the transition (vs. recovery for life)
I choose to change (vs. I have to)
Context for the Emergence of SMART Recovery®
• Diversity • Other support
groups
• Scientific findings • Legal decisions
Alternative Support Groups
Women for Sobriety
Secular Organizations for Sobriety®
(Rational Recovery®)
SMART Recovery®
Moderation Management®
Life Ring Secular Recovery
HAMS
Recovery based on choices, situation
Co-occurring disorders
Efficacious treatment
Natural recovery
Scientific findings
Efficacious treatment
Behavioral couples therapy
CBT (Cognitive Behavioral Therapy, including relapse prevention) Contingency management
Motivational interviewing
Chemical counter-conditioning
Medications
(12-step facilitation)
9/07 ruling removed qualified immunity
Legal Decisions Overturning Government Mandated 12-step Attendance, Since 1996.
5 (of 11) US Circuit Courts of Appeal
rulings (2nd, 3rd, 7th, 8th and 9th)
The 4-Point Program®
Enhancing and maintaining motivation
1
Coping with urges
2
Managing thoughts, feelings, and behavior
3
Living a balanced life
4
CLOSE
Basic Meeting Outline 60 minutes (60 or 90 minute meetings optional)
5min Welcome
10min Check-in
5min Agenda setting
25min Working
time
5min Pass the hat,
pass the brochure
10min Checkout
Basic Meeting Outline
SMART Recovery Tools
Stages of Change
Change Plan Worksheet
DISARM (Destructive Imagery & Self-talk Awareness & Refusal Method) Brainstorming
Role-playing and Rehearsing
cont...SMART Recovery Tools
Cost/Benefit Analysis (Decision Making Worksheet)
USA (Unconditional Self Acceptance)
HOV (Hierarchy of Values)
cont...SMART Recovery Tools
ABC of REBT for Urge Coping of REBT for Emotional Upsets
B can be modified, which changes C
Rational Emotive Behavior Therapy (Ellis).
A B C
= Activating event (internal or external)
= underlying Belief (interpretation)
= emotional or behavioral outcome
SMART Recovery Online
Daily Online Meetings (32 per week)
Highly active Message Boards
24/7 Chat room
New “Overcoming Addictions” Web Course based on the SMART Program & Tools (fee to participate)
SMART Recovery® Central Office 7304 Mentor Avenue, Suite F
Mentor, OH 44060 / Phone: 440-951-5357 Fax: 440-951-5358
www.smartrecovery.org
Thank you !