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This study discusses the significance of maintenance and aftercare in offender treatment, particularly focusing on relapse prevention. Individuals often face risky situations that challenge their newly acquired skills, leading to potential lapses in recovery. Research indicates that about two-thirds of individuals experience a lapse within the first 90 days post-treatment. Maintenance offers essential structure and support to manage these challenges, reinforcing treatment progress and enhancing self-confidence. Key factors include contact frequency and skill evaluation to facilitate long-term success.
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Research Based Offender Treatment – Part IV • Maintenance and Aftercare • Why Maintenance
Maintenance Relapse Prevention • Individuals with inevitably encounter risky situations and their skills will be challenged • Skill acquisition is an imperfect process • A lapse is a fork in the road, one path leads to relapse and the other to continued abstinence • Two-thirds of individuals will lapse in the first 90 days after treatment • There are some commonalities in the pathway to relapse
Relapse Deals With Situation Well Increased Self Confidence Decreased Chance of Relapse Lifestyle Imbalance Cravings And Urges Increased Chance Of Relapse High Risk Situation Thoughts About Using/ Drinking Risky Thinking Shaky Confidence And POE Doesn’t Deal Well with Situation Use Violation Effect
Maintenance • Maintenance provides the structure and support to assist people to manage lapses and relapses • Maintenance reinforces and strengthens progress made in treatment – reflects the principles of relapse prevention • Research supports that aftercare maximizes effectiveness
Maintenance Factors to consider: • Frequency of contact based on stability and functioning – external monitoring function • Relevant for current life circumstances • Evaluation and enhancement of skill set