CRM IMPLEMENTATION BASICS:
The role of counselors is to:
- Talk about post-treatment checkups and continuous recovery monitoring (CRM) at any time during the primary phase of treatment and/or as part of discharge planning
- Obtain training on how to develop CRM planning and the differences in the role the counselor during this post-treatment service.
- Establish a date and time for the initial call-back appointment with their clients.
- Understand that post-treatment checkup-ups for CRM is an addition to, not instead of, the standard discharge planning they currently provide for clients who have (or will have) successfully completed the outpatient program.
- Review the Risk Assessment tool to be used during each follow-up contact. This tool is developed with materials from ASAM, ORS/SRS and the Institute for Research, Education and Treatment in Addiction (IRETA). The Risk Assessment tool contains materials already familiar to you and your clients.
- Use the Risk Assessment tool to determine a client’s recovery status after having successfully completed a primary treatment episode. The idea is to monitor client recovery at specified intervals and to intervene as early as possible should there be signs of relapse potential.
- Use the ORS/SRS in the Risk Assessment tool to help the client see behavioral patterns that are related to spiraling back into compulsive drug seeking and use.
NOTE ABOUT EARLY RE-INTERVENTION
- Early re-intervention has value because problem severity has often not fully re-escalated and recovery support has not been fully depleted.
- Shame is a major barrier to recovery re-stabilization.
- A key element of early re-intervention is re-linkage to communities of recovery.
- Not everyone who lapses or relapses needs readmission to primary treatment.
- Those who do need treatment may not need the same treatment (both in level of care and content).