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Network MODEL: THE FORMAT MM PART 2 © 2006 Matrix Institute

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MATRIX MODEL OF OUTPATIENT TREATMENT Organizing Principles of Matrix Treatment Create unequivocal structure and desires Establish positive, communitarian association with patient Teach data and subjective behavioral ideas Positively strengthen positive conduct change © 2006 Matrix Institute

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MATRIX MODEL OF OUTPATIENT TREATMENT Organizing Principles of Matrix Treatment (cont.) Provide remedial criticism when essential Educate family in regards to stimulant mishandle recuperation Introduce and energize self improvement investment Use urinalysis to screen medicate utilize © 2006 Matrix Institute

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MATRIX TREATMENT MODEL Different from General Therapy Focus on conduct versus sentiments Visit recurrence brings about solid Transference is empowered Transference is used Goal is strength (versus passionate cleansing) © 2006 Matrix Institute

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MATRIX TREATMENT MODEL Different from General Therapy Focus is on forbearance Bottom line is constantly proceeded with restraint Therapist every now and again seeks after less inspired customers The conduct is more essential than the explanation for it © 2006 Matrix Institute

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MATRIX TREATMENT MODEL Different from Residential Treatment Less angry Progresses all the more gradually Focus is on present "Center Issues" not instantly tended to Allegiance is to specialist (versus assemble) © 2006 Matrix Institute

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MATRIX TREATMENT MODEL Different from Residential Treatment Nonjudgmental mentality is premise of customer specialist security Change suggestions in view of logical information Changes joined quickly into way of life © 2006 Matrix Institute

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Program Schedule A specimen plan for the Matrix IOP program is shown in the accompanying table: © 2006 Matrix Institute

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MATRIX MODEL: THE PRACTICE © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Scheduling - Pitfalls Scheduling unreasonably Neglecting amusement Being perfectionistic Therapist forcing plan Spouse/parent forcing plan © 2006 Matrix Institute

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Treatment Components of the Matrix Model Individual Sessions Early Recovery Groups Relapse Prevention Groups Family Education Group 12-Step Meetings Social Support Groups Relapse Analysis Urine Testing MATRIX © 2006 Matrix Institute

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Admission Beginning Helping Checklist (Conjoint) Drugs, Alcohol and Sex Recovery Checklist Drug and Alcohol Dreams During Recovery Patient Status Review The Wall Checklist Middle Helping Checklist (Conjoint) Emotions and Recovery Post Treatment Evaluation and Phase II Plan COMPONENTS OF THE MATRIX MODEL Individual & Family Sessions (10) Optional Topic: Relapse Analysis Chart © 2006 Matrix Institute

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BEGINNING HELPING CHECKLIST Helping Checklist for Family Members Beginning Stage of Recovery Indicate which of the accompanying you are eager as well as ready to do to offer assistance. At that point check with the recouping individual to see which of those things would be useful to him or her: ____ 1. I will permit you to converse with me about longings and sentiments of needing to utilize or drink. ____ 2. I will permit you to wake me amid the night to talk when you can't rest. ____ 3. I will help you to remember the explanations behind ceasing drug/liquor utilize when you overlook. ____ 4. I will leave you in the event that you mishandle me. ____ 5. I will attempt to endure and acknowledge withdrawal side effects as a restorative condition. ____ 6. I will help you keep away from triggers to utilize or drink. ____ 7. I will advise myself that I am being here and to offer assistance. I realize that I am not being pressured into remaining. © 2006 Matrix Institute

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BEGINNING HELPING CHECKLIST ____ 8. I will choose with you whom to tell about this and when. ____ 9. I will attempt to recollect that none of our different issues are as important right now as managing this habit. ____10. I will go to treatment sessions when I am welcomed. ____11. I will permit you to have exercises and arrangements that don't include me without being on edge. ____12. I will work on discussing issues as opposed to disregarding them or contending. ____13. I will energize proceeding with treatment most importantly else. ____14. I will attempt to be irate at the habit, not at you, the dependent person. ____15. Other © 2006 Matrix Institute

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CO-LEADER Reminders Every gathering must have a co-pioneer Co-pioneers help make an interpretation of material into genuine circumstances. Co-pioneers give good examples to individuals in early recuperation. Co-pioneers can be all the more specifically fierce by utilizing their own experience © 2006 Matrix Institute

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CO-LEADER Reminders Every gathering must have a co-pioneer (proceeded with) Co-pioneers should be clear about not giving counsel or being "junior advisors." Co–leaders must be informed preceding gathering and taking after gathering. Enlistment for co-pioneers starts toward the begin of every individual's treatment scene. © 2006 Matrix Institute

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Co-Leader Agreement To Abstain from utilizing unlawful medications or liquor and from manhandling doctor prescribed medications. To regard and to keep up customer classification as for data uncovered in gatherings. To partake in standard pre-gathering and post-aggregate gatherings To be on schedule for planned gatherings. On the off chance that not able to go to I will call 24 hours ahead of time. To abstain from getting to be distinctly included socially, sexually or monetarily with customers. © 2006 Matrix Institute

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Co-Leader Agreement To comply with the Matrix convention for maintaining a strategic distance from double associations with customers To effectively partake in some type of progressing recuperation support or treatment. I am entering this concurrence on an entirely volunteer premise. There is no money related compensation. That any takeoff from the above conditions will bring about my end from the co-administration position. © 2006 Matrix Institute

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Group Rules Meetings will begin on time. On the off chance that you will be late or truant, endeavor to educate the gathering pioneer before gathering. All data uncovered in gathering is classified and ought not be imparted to any one outside of gathering. There will be no cross talk, just a single individual talking at any given moment. Abstain from telling what others in the gathering ought to or ought not do, share from your own understanding, i.e. "this is the thing that I observed to be useful for me." I will regard contrasts of assessments and bolster other gathering individuals. No medication or liquor war stories will be permitted in gathering. No realistic portrayals of medication or liquor utilize. Sexual, sentimental or business connections between gathering individuals are entirely forbidden. © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Triggers - People Drug-utilizing companions/merchant Voices of medication companions/merchant Absence of critical other Sexual accomplices in illegal sex Groups talking about medication utilize © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Triggers - Places Drug merchant's home Bars and clubs Drug utilize neighborhoods Freeway offramps Worksite Street corners © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Triggers - Things Paraphernalia Sexually express magazines/motion pictures Money/bank machines Music Movies/TV appears about liquor and different medications Secondary liquor or other medication utilize © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Triggers - Times Periods of sit still eras of broadened worry After work Payday/AFDC installment day Holidays Friday/Saturday night Birthdays/Anniversaries © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Triggers - Emotional States  Anxiety  Fatigue  Anger  Boredom  Frustration  Adrenalized states  Sexual arousal  Sexual hardship  Gradually constructing enthusiastic states with no expected alleviation © 2006 Matrix Institute

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Thought Stopping Trigger Thought Continued Thoughts Cravings Use MATRIX MODEL TREATMENT Key Concept: Thought Stopping Prevents the idea from forming into a overpowering desiring Requires rehearse © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Relapse Factors - Sexual Behavior Concern about sexual brokenness Concern over sexual forbearance Concern over sexual lack of engagement Loss of power of sexual pleasure Shame/coerce about sexual conduct Sexual excitement delivering longing for Sexual conduct and closeness Sobriety and monogamy © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Relapse Factors - Alcohol/Marijuana Cortical disinhibition Stimulant wanting enlistment Pharmacologic adapting technique 12-Step rationality strife Abstinence infringement impact Marijuana amotivational disorder Interferes with new practices © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Relapse Factors - Time Periods Unstructured time Transition periods Protracted restraint Holidays Chronic anxiety, weakness, or weariness Anniversary dates Periods of passionate turmoil © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Relapse Factors - Addict Behavior Lying/taking Having extramarital/unlawful sex Using optional substances Returning to bars/sedate companions Being untrustworthy/flippant Behaving urgently/hastily Isolating © 2006 Matrix Institute

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MATRIX MODEL TREATMENT Relapse Factors - Addict Thinking Paranoia Relapse avocations: "I'm not a someone who is addicted any longer" "I'm trying myself" "I have to work" "Different medications/liquor are OK" "Disastrous occasions" "Contrary passionate states" © 2006 Matrix Institute

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Goals To give organized place to new patients to find out about recuperation aptitudes and self improvement programs. Acquaint patients with fundamental devices of recuperation. To present outside contribution and make a desire of support as a major aspect of Matrix treatment. EARLY RECOVERY GROUP © 2006 Matrix Institute

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Goals Help patients conform to participa