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•Make sure members’ concerns that have been presented have been acknowledged.38(Corey & Corey, 1977, p. 22)
Meeting Nine (Closing Stage)Identify alternative coping behaviors and thoughts to deal with social and environmental triggers for relapse. (18, 19)List and implement positive alternatives to substance abuse as a means of coping with stressful life changes. (20, 21)18. Assess the group members in identifying the “slippery” (e.g., high risk of “slipping” or relapsing) places and people in their lives.19. Solicit from the group options for coping with people or places that trigger relapse for each group member.20. Ask each member to identify using a chart (e.g., Holmes and Rahe’s Schedule of Recent Experiences), the major life-change of events that have occurred in the last two years; explore how these stressful events have contributed to substance use. Have group members think about and list all the events that they have experience in the previous year that have involved change- both good and bad- and use the list understand how much stress they been under. Explained the stress is a change that must be dealt with, so that even good changes (birth of a child, wedding, new job) are also stressful.21. Teach that all change, positive and negative, a stressful; encourage group brainstorming of alternative ways of coping with stressful situations without using a mood-altering substance.39Close Session with Serenity PrayerOpen Group in PrayerProvide overview of what was discussed/occurred in last meeting(Paleg & Jongsma, 2005)
Meeting Ten (Closing Stage)Practice dual awareness exercises with at least 75 percent success. (22, 23, 24)22. Describe to the group the concept of dual awareness (e.g., the awareness during a flashback that although it feels like the trauma is recurring it actually is not).23. Lead the group through dual awareness exercises (e.g., remembering a mildly distressing event, becoming aware of the physical and emotional reactions to the memory, then returning awareness of the present and its sensory components, and taking awareness back to the distressing event while maintaining awareness of present surroundings, and finally back again to the present).24. Elicit a commitment from the members to practice the dual awareness exercises at home until they are able to maintain awareness of their present surroundings while remembering a mildly unpleasant event with 100% success; encourage the members use a slightly more disturbing memory and practice the exercises until they have at least 75% 40Close Session with Serenity PrayerOpen Group in PrayerProvide overview of what was discussed/occurred in last meeting(Paleg & Jongsma, 2005)
Meeting Eleven (Closing Stage)Identify potential emotional relapse triggers and verbalize strategies for dealing with each one. (25, 26, 27)25. Confront any members’ continual slips as a sign of insufficient commitment and set a limit of “three slips and you're out.”26. Explain to the group the HALT acronym (e.g., hungry, angry, lonely, tired) describing the emotional states that whole potential