\u201cHow am I going to handle the stresses of my life without drugs or alcohol?\u201d This question is top of mind for many addicts coming out of treatment for substance abuse. After spending one to three months in an environment of structured care and support, their release from rehab can be terrifying. There are a variety of critical components of an effective addiction recovery aftercare program.\r\n\r\nThe prospect of re-entering society, facing addiction triggers and tackling the stressors of daily life without clinical support \u2014 and without alcohol or the other substances they previously relied on to help them cope \u2014 can be daunting. This is where an addiction recovery aftercare plan can make a monumental difference in a person\u2019s health, happiness and success in recovery.\r\n\r\nAddiction specialists and counselors at The Right Step, an alcohol and rehab center just outside Austin, Texas, emphasize the importance of creating a customized aftercare plan for every client who completes one of their treatment programs. In fact, each client is expected to collaborate with their addiction counselor in building a recovery plan that is unique to their personality and tailored to their specific needs.\r\n\r\n\u201cPeople in recovery have to be part of the solution,\u201d says addiction counselor Justin Steen, LCDC, regional director of outpatient services for The Right Step (TRS) and Promises Austin in Texas. \u201cIt is critical that we involve clients in the sculpting of their aftercare plan so they will be more motivated to follow it and complete it.\u201d Steen, who has worked as a licensed addiction counselor since 2006 and joined The Right Step in 2009, recently discussed the various components that might be included in an aftercare plan co-created by staff and their clients.\r\nCritical Components of an Effective Addiction Recovery Aftercare Program\r\n\u201cEach client\u2019s aftercare plan is different, so the ideal components will vary from individual to individual,\u201d Steen says. Depending on a client\u2019s specific needs and medical history, their aftercare plan might include:\r\n\r\n \tPrescribed medication that is safe for recovery \u2014 along with regular doctor visits\r\n \tReferrals to counselors for ongoing outpatient therapy, as well as external clinicians for continuing treatment of any co-occurring eating disorders, mental health issues or trauma they may have experienced\r\n \tRegular attendance at daily\/weekly support group meetings through the Aftercare Program at TRS and also in the community\r\n \tA recovery sponsor, usually obtained through a community 12-step program or other recovery peer group\r\n \tResources for legal assistance to help resolve any legal issues stemming from their addiction, and letters or other communications to help meet requirements for court dates, appointments with probation officers, or re-entry into the job market, and\r\n \tA health plan that includes exercise and a nutritious diet\r\n\r\n\u201cAn important aspect of recovery is taking pride in your life and your body, and good nutrition and exercise are part of that,\u201d Steen explains.\r\nGetting Support and Building Leadership Skills Is Empowering\r\n\u201cEveryone who completes addiction treatment at The Right Step works with us on their aftercare plan and is transitioned into our Aftercare Program,\u201d Steen explains. \u201cThe Aftercare Program is open to all our alumni for two years post-treatment at no cost. It includes a support group meeting once a week that is attended by a clinician and facilitated by other alumni \u2014 often those who were in the same treatment program \u2014 so coming back to the same treatment facility for aftercare support meetings is kind of like coming home.\u201d\r\n\r\nUnlike some recovery support groups that require people to have six months or more of sobriety under their belts before they can take on leadership responsibilities, the TRS Aftercare Program allows alumni who are relatively new to recovery \u2014 perhaps just three months sober \u2014 to take leadership roles at support group sessions. \u201cThis can be very empowering for our program graduates and is also a great learning tool as they work through recovery,\u201d Steen said.\r\nStructured Aftercare Can Reinforce Treatment, Strengthen Recovery\r\nScientific research shows that addiction is a chronic, progressive disease that affects the brain\u2019s reward centers, and addiction to alcohol and other substances changes a person\u2019s brain chemistry over time. Those chemical changes and the destructive behaviors that stem from them take time to undo \u2014 often much longer than the 30 to 90 days a client spends in detox and rehab.\r\n\r\nFor this reason, it is important to provide structured aftercare and intensive support to clients as they begin using newfound strategies for avoiding relapse and maintaining recovery. \u201cWhile sober support groups are a necessary part of recovery, they are not the whole story,\u201d Steen said. \u201cWe want to make sure each client is also getting good clinical support.\r\nFoundations for Recovery\r\nA treatment program is a good foundation for recovery, but it is a very controlled environment. After treatment, our clients are going to go out in the world and encounter stressors. How are they going to handle those stressors now that they are sober? They are going to need continued clinical support to help them handle stress in healthy ways until they learn to make healthier choices on their own.\u201d\r\n\r\nMore rigorous than TRS\u2019s regular Aftercare Program, Javelin Continuing Care Services at The Right Step are based on a one-year customized aftercare plan that is supervised by a case manager and holds clients accountable to their recovery. Javelin has three components, including:\r\n\r\n \tWeekly recovery coaching via phone to motivate clients to stay on course\r\n \tCase management to provide clients with referrals to clinicians who can provide outpatient therapy or other continuing care\r\n \tStaff assistance with finding resources in the community, from legal advice to resume writing, which helps reduce stress and eases their post-treatment reintegration, and\r\n \tRegular urine testing for substances to hold them accountable to their sobriety.\r\n\r\n\u201cWe see much lower rates of relapse among our clients who enroll in Javelin,\u201d Steen said. \u201cPlus, providing recovery coaching through the weekly phone calls is rewarding for addiction counselors because we get to touch base with clients as they put their new coping tools into practice. We can help them figure out which strategies are working, which ones aren\u2019t, and make adjustments. Clients get a chance to talk about new issues or challenges that come up during their recovery process, and get one-on-one help with problem-solving.\u201d\r\nSober Living: A Safe Place to Stay During Aftercare\r\nA sober living option will sometimes be recommended to clients completing treatment if their sobriety might be challenged by their going home. In some cases, a spouse may abuse substances or may be abusive, or there may be other stressors in the home. In other cases, especially for younger clients who still live at home, the parents may have given them an ultimatum that they must be sober for six months before returning home \u2014 so going home and continuing aftercare from there is not an option.\r\n\r\nAlternately, if a client lives alone and is likely to go home and isolate, then that client\u2019s home environment is not conducive to successful aftercare. Isolation is generally considered bad for sobriety.\r\n\r\n\u201cAs an addiction counselor, I must consider if clients will be successful if they go home and continue with their Intensive Outpatient (IOP) care or other aftercare from home, or if their home environment will not support their sobriety,\u201d Steen explained. \u201cIf not, we will recommend sober living as their next step after treatment.\u201d\r\n\r\nClients can be referred to a variety of different sober living environments, including halfway houses that offer recovery curriculum, and three-quarter houses that don\u2019t offer a curriculum, but offer a safe place to live with other people in recovery. Sober living arrangements vary as well, where clients may stay for three to six months or, and in some cases, even longer. The important thing is that the sober living environment supports positive progress through a client\u2019s aftercare.\r\nAdvancing Through the Recovery Process\r\nEventually, Steen reports, after a client\u2019s one-year Javelin contract ends or after they spend a couple of years in the Aftercare Program, they typically begin to detach from the weekly alumni meetings and focus more on their community support groups. This shift is considered a positive sign that someone is working their aftercare program and successfully progressing through their recovery.\r\n\r\nHowever, alumni are welcomed back if and when they need support, even after they have transitioned out of the aftercare programs. \u201cIf a graduate reaches out to us after a relapse, we can support them in getting back on track and work with them on reinitiating treatment or adjusting their aftercare program to recommit to sobriety and guard against another relapse.\u201d\r\nGet Treatment Today\r\nBefore you utilize the critical components of an effective addiction recovery aftercare program, you need to get treatment. We treat several addiction treatment programs, including:\r\n\r\n \tHeroin addiction\r\n \tCocaine addiction\r\n \tAlcohol addiction\r\n \tMeth addiction\r\n \tBenzo addiction\r\n\r\nTo learn more, contact today.