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Overview of Continuous Recovery Monitoring

Last modified: 3/5/2012 2:11 PM



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.



  • 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).