APPENDICES

Appendix I.A

Objective I Understand program phases and stages of recovery.

STAGES OF RECOVERY

WITHDRAWAL 0-15 DAYS

Some physical and psychological symptoms:

• Feeling tired
• Having urges
• Nightmares
• Cold Sweats
• Insomnia
• Irritability
• Depressed
• Extreme Mood Changes
• Increased Appetite
• Poor attention span
• Headaches
• Feeling of no control
• Low body resistance
• Bad attitude

HONEYMOON 16-45 DAYS

Symptoms:

• Riding on a"pink cloud"
• Euphoria
• "Got it kicked"
• "Can handle it"
• Overconfident
• Optimistic
• Denial
• Think you can drink and drug

THE WALL 46-120 DAYS

Symptoms:

• Depression
• Isolation
• Suicidal thoughts
• Withdrawal
• "Pink cloud life"
• Anxiety
• Self-loathing
• Small commitments being made
• Denial
• Flashbacks
• Physical strength returns
• Reality sets in
• Making new friends
• Learning to love oneself
• Self-doubt
• Compulsion or desires to use again
• Laziness
• Disappointments
• Boredom
• Frustrations
• Irritability
• Danger of relapse
• Leaving the program
• Low self-esteem
• Confusion
• Pessimism
• Emotionalism
• Anger/Resentments
• Awareness of Responsibilities
• Seeking Rewards
• Dishonesty
• Relearning behavior patterns
• Sexual disinterest/dysfunction
• Clearer thinking ability
• Trying to reestablish relationships

ADJUSTMENTS 121-180 DAYS/4-6 MONTHS

Common Behaviors:

• Return to high risk situations
• Decrease in abstinence promoting behaviors
• "Return to normal life"

Cognitive (Brain thinking):

• Reduced frequency of cocaine (drug) thoughts and cravings

• Questioning of addiction

Emotional symptoms:

• Reduced depression
• Reduced anxiety
• Reduced irritability
• Continued boredom
• Loneliness

Relationship characteristics:

• Emergence of long-term relationship problems
• Resistance to assistance with relationship problems

RESOLUTION STAGE 180 DAYS - 6 MONTHS

Common Behaviors:

• Emergence of other excessive behaviors-gambling, sex, work, eating, alcohol use

Cognitive:

• Questioning the need for long-term monitoring and support

Emotional Symptoms:

• Conflict between recovery principles and relationship needs.

Appendix I.B

GLOSSARY OF TERMS

ACT AS IF - To assume a role or attitude even though you don't feel like it.

ACTING OUT/REACTING - Impulsively expressing anger or hostility, verbally or through body language, in an inappropriate place and manner (i.e., kicking a chair or cursing at someone.)

ATTITUDE - A collection of thoughts, feelings and behaviors.

CONFRONTATION - Presenting a person with a description of his/her behavior and its effects, with a request that they explain it and/or change it.

DENIAL - A sometimes healthy defense that is abused by addicts to avoid recognizing the realities of our disease. It differs from lying in that a lie is a conscious deception and denial implies a lack of awareness of reality.

DROP A SLIP - Asking for a person to be in your encounter group by dropping a slip which has your name and his/her name on it, in the encounter box.

DUMPING - To ventilating problems and concerns.

FEEDBACK - Telling a person what you think about what they've said (i.e., in group.)

GUILT - A feeling that stems from the violation of program rules and which is hidden from the community and staff.

HOLDING YOUR BELLY - Putting up with a feeling until it is appropriate to express it.

HONESTY - Admitting or revealing something. This can refer to disclosing something in group or getting rid of guilt.

IMAGE - A style of self-presentation, (i.e., dress, verbal language, body language), used to impress and gain the acceptance of others. An image is often used as a shield to avoid showing one's real self to others, out of fear of rejection or manipulation. People often adopt and maintain an image in order to belong to and survive in a drug-oriented clique.

ISSUE - A personal problem or difficulty that prevents a person from growing, (i.e., fear of speaking in front of a group of people.)

NEGATIVE CONTRACT - Two or more people in the program who have a spoken or unspoken agreement to cover for one another. They may do so by condoning each other's guilt, not confronting one another in group, etc.

PROJECTION - To see a characteristic in another person because you possess it yourself.

PULL-UP - Bringing another person's behavior up to level by telling that person that he/she is doing something that is against the rules of the program, or is personally harmful. A pull-up is a sign of "responsible concern" for your peer and shows that you are your brother's keeper.

PULLING YOUR WEIGHT - Taking responsibility for one's share of duties in the community.

SLIDING - Going through treatment without being challenged and therefore not growing.

STAFFED - Being aware of negative behavior and attitude by staff. This usually serves as a warning before other disciplinary measures are taken.

STUFFING FEELINGS - Holding strong and painful feelings inside rather than expressing them in a manner in which they might be resolved.

PERSONALIZING - Tending to think that the actions or statements of others are a personal attack when they are not. Being overly sensitive.

UNCONDITIONAL LOVE - Love given no matter what the recipient does. Setting no limits, giving love to someone who has not earned it.

Appendix I.C

ORIENTATION PHASE CONTRACT

You are being invited to come to the Recovery Clinic for an Orientation Phase of one month. During this time you are expected to comply with the following conditions:

1)Attend program daily, Monday through Friday, 9:00 a.m. to 2:00 p.m.

2)Submit urine daily for 2 weeks.

3)Attend and participate in the program groups.

4) Have a complete physical exam with blood work, EKG, Chest x-ray and PPD.

At the end of this time, the team will evaluate you for official admission to the program and assist you in determining your treatment goals.

I,________________________ agree to this evaluation period from __________ to __________.

_____________________________ ______________________________________
Name                                                    Signature                                                 Date

_____________________________ ______________________________________
Witness Name                                    Witness Signature                                      Date

Appendix II.A

Objective VI Understand and promote adherence to program rules

Pre- and Post-test Answer Key

1. F	6. T	11. F	16. T	21. F	26. T
2. F	7. T	12. F	17. T	22. F	27. T
3. T	8. F	13. T	18. F	23. T	28. F
4. F	9. T	14. F	19. F	24. T	29. F
5. F	10. F	15. F	20. T	25. F	30. F

Appendix II.B

RECOVERY CLINIC PHILOSOPHY

We are here because we realize that drugs have
made our lives unmanageable!

We have made a commitment to change
for ourselves...For those we love...and for those who love us.

No matter how difficult, we will succeed
and take our rightful place in our community.

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