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Status of Risk Assessment Script for Continuous Recovery Monitoring

Last modified: 3/6/2012 2:15 PM

During telephone follow-up contact, the counselor’s task is to determine the status of the person’s continuing recovery and assesses the need for the type and frequency of additional services. The rating scales below are to monitor the person’s continuous recovery and to develop a disposition if needed. For SRE Risk Level 3 and above, use the Immediate Need Profile Assessment and score the responses to determine the next step(s).

Level Rating Scale Script & Status ​Counselor Focus Areas

​Counselor Script:
Thinking back over the last week (time since last call?), which of the following descriptions best captures the current status of your recovery effort

​1
Things are going well in my life, I haven’t used alcohol or drugs, and I’m not experiencing urges to drink or use.
 
No Problems at Follow-up Contact
  • Expressions of regard and concern.
  • Identify sources (decisions, actions, and people) of successful recovery maintenance.
  • Identify positive consequences of recovery.
  • Praise success.
  • Maintain routine check-up schedule.
​2
I’m going through some rough spots in my life, and may get occasional urges to drink or use, but I haven’t had a slip back into using alcohol or drugs.
 
Some Clinical Deterioration But No Relapse at Follow-Up
  • Express regard and concern.
  • Elicit positive effects of sobriety & potential negative consequences of returning to AOD use.
  • Intensify peer recovery supports.
  • Enlist support from significant other.
  • Explore option of contact with professional helper.
  • Linkage to sober living environment.
  • Increase check-up contact in next 30 days.
​ ​ ​FOR LEVEL RATING 3 OR ABOVE, USE THE
IMMEDIATE NEEDS PROFILE ASSESSMENT
3
Things have been pretty difficult in My life, and I had a slip back into using alcohol or drugs, but I’ve regained my sobriety.
 
Slip With Return to Abstinence at Follow-Up
  • Express regard and concern.
  • Evaluate the slip (and lessons learned).
  • Evaluate the strength of peer recovery supports. (Linkage to alternative group.)
  • Elicit positive effects of sobriety and potential negative consequences of sustained return to AOD use.
  • Elicit recommitment to recovery.
  • Increase frequency of check-ups for next 60 days to verify recovery stability.
4
I’ve slipped back into fairly regular use of alcohol or drugs, but so far haven’t experienced any negative consequences in my life.
 
Alcohol/Drug Use Without Reported Negative Consequences at Follow-Up
  • Express regard and concern.
  • Review past consequences of AOD use.
  • Evaluate abstinence goal & client’s commitment to continue AOD use or return to sobriety goal.
  • Elicit positive effects of sobriety & potential negative consequences of sustained return to AOD use.
  • Explore earliest ways client would know that AOD use was becoming a problem again.
  • Enlist significant other in monitoring and support.
  • Option of re-linkage to peer and professional support.
  • Increase check-ups for next 90 days
5
I’ve slipped back into fairly regular use of alcohol or drugs, and doing so is having negative consequences in my life.
 
Alcohol/Drug Use With Negative Consequences at Follow-Up
  • Express regard and concern.
  • Elicit duration & intensity of negative consequences and future problems if use continues.
  • Elicit how these problems would change if sobriety re-initiated.
  • Assertive linkage to peer/professional recovery supports.
  • Support to family/significant other.
  • Increase monitoring frequency.

Counselor instructions:

Levels 1-2:
BRIEFLY reinforce motivation for abstinence, coping strategies, recovery-oriented behaviors. Schedule next telephone call.

Levels 3-5:
Administer the Immediate Needs Profile Assessment and take appropriate action (next call at short interval, brief face-to-face session, assessment session for possible change in LOC.).