Relapse Prevention Plan

Relapse Prevention Plan The main goal of the Juvenile Sexual Offender Program is for offenders to not sexually re-offend in the future. This is done b...
Author: Duane Austin
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Relapse Prevention Plan The main goal of the Juvenile Sexual Offender Program is for offenders to not sexually re-offend in the future. This is done by group members developing and carrying out their own relapse prevention plan. The group creates a safe environment where members who have sexually offended can share their experiences; challenge & support each other; acknowledge their offenses and cycle of offending; reduce denial; work toward taking full responsibility; recognize their impact on victims and victim empathy; recognize the impact of their own victimization; plan for regaining trust of family members and friends; identify current maintenance behaviors; and work toward carrying out their own relapse prevention plan. Other issues, such as healthy attitudes toward sexuality, substance abuse, anger and stress management, effective social skills, work habits, personal adjustment, couple issues and the legal system are addressed depending on the group members' needs. The idea of this plan is rooted in the belief that offenders can continue to experience the urge to offend sexually. The philosophy is that treatment helps offenders in managing their urges but that treatment is not necessarily a cure or removal of the urge to offend sexually. The personalized relapse prevention plan takes each step of the offense cycle and generates options, interventions or alternate behaviors that interrupt the offense cycle. All activities carried out in group treatment relate directly or indirectly to interrupting the offense cycle and strengthening the prevention plan. You will develop your personalized relapse prevention plan orally and in writing. You will be asked to frequently modify it as you gain new information and insights. You will develop it individually and/or in the group setting where all group members participate in identifying the options and strengthening the plan. You will be required to work the plan in consultation with group and individual therapists and where appropriate, with victim(s), parents, siblings, and other significant support members. It is very important that you share your relapse prevention plan with people who support your treatment and can help you carry out your plan.

Relapse prevention is a way of thinking or looking ahead to prevent you from getting into trouble again. Look at it as your insurance policy. Basically, you look at the things you did to get into trouble and you put a stop at each point to escape and/or avoid getting any closer to the trouble again.

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RELAPSE PREVENTION PLAN – Part I NAME:

DATE COMPLETED:

MOTIVATIONS List 5 things that motivate and keep you from sexually offending again. These can include thoughts, feelings, people, past experiences, etc.. For example, you may not re-offend again because you don’t want to hurt another victim or want to be sent to a residential program.

1. 2. 3. 4. 5. CONSEQUENCES List 5 consequences, positive and/or negative, that might occur if you were to relapse or re-offend sexually. You should include short and long term consequences to yourself, victim, and environment. Be sure to consider all of the things that you learned throughout treatment as well as things that you included when completing Central Processes of your offense/s.

1. 2. 3. 4. 5.

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1. Relapse – How are you most likely to victimize or sexually offend another person in the future?

2. What thinking errors do you sometimes use that put you at high risk for victimizing or sexually offending another person?

3. What would re-offending mean to you? How would you feel? What would you think and feel about yourself?

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RELAPSE PREVENTION PLAN – Part II

NAME:

DATE COMPLETED:

SUPPORT SYSTEM List 8 people that you can call on for help and support. These are people that can help you follow through with executing your relapse prevention plan and treatment interventions. Although each person on your support system may not know all the details of your offense they should be a positive person who can help you escape high risk situations and avoid relapsing. Most of these people should be someone you can discuss your thoughts and feelings with so as to help you check your thinking errors. There should also be someone listed that you can share deviant thoughts and fantasies with so that they can help you intervene appropriately. Please provide names, telephone numbers as well as two (2) ways in which each person can support you.

NAME

PHONE NUMBER

1.

2 WAYS THEY SUPPORT ME 1.

2. 2.

1.

2. 3.

1.

2.

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NAME

PHONE NUMBER

4.

2 WAYS THEY SUPPORT ME 1.

2. 5.

1.

2. 6.

1.

2. 7.

1.

2. 8.

1.

2.

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RELAPSE PREVENTION PLAN – Part III

NAME:

DATE COMPLETED:

HIGH RISK FACTORS COMMON RISK FACTORS FOR SEXUALLY OFFENDING: High risk factors may include the events, situations, thoughts and feelings that led up to your offense. Some common high risk factors for sexually offending are listed below. Put a mark (e.g., “X”) under “Then” for the high risks that you experienced at the time of your offense. Also, put a mark (e.g., “X”) under “Now” for high risks that you experience now or within the last 3 months.

Then 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Now

High Risks Irrational thinking. Ex. “I won’t get caught.” “This won’t hurt him/her.” “It happened to me so it’s O.K.” Not participating in treatment. Inappropriate sexual fantasies. Being impulsive or reactive. Not using your support system. Having contact with your victim. Being unsupervised with younger children or potential victims. Using alcohol and drugs. Associating with a negative peer group. Being unable to discuss your offense. Minimizing or denying responsibility for your offense. Excessive masturbating. Viewing pornography. Not using your interventions or following your relapse prevention plan. Focusing on angry feelings. Not taking care of your personal appearance. Spending overnights with other kids. Dwelling on the past instead of the present.

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Then 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

Now

High Risks Avoiding group activities and sports. Skipping school. Playing tickling games or horseplay with other kids. Not standing up for your self. Feeling sorry for your self. Trying to get other to feel sorry for you. Having to win all the time. Having to brag all the time. Comparing yourself to others/thinking others are better than you. Starting thoughts with: I should have… I can’t … Nothing is going right because… Not coping with difficult feelings such as: Inadequacy Sadness Jealousy Panic Worry Feeling jealous or resentful towards your brother or sister. Feeling ignored by your parents or as if they don’t care about you. Being sexually curious. Believing you are cured. Keeping thoughts and feelings inside Being bored. Staring at girl’s breasts and crotches. Feeling less than other people. Talking about sex with victim. Masturbating to abusive fantasies. Lack of empathy for others. Not expressing anger. Loneliness or depression. Abusive sexual fantasies. Repeated arguments/conflicts with parents/guardians or siblings. Hanging out with younger children Feeling you have to be perfect. Frequent fights with others.

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I never… Rejection

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Then

Now

High Risks

48 49 50

Referrals and/or suspensions at school. Family stress and/or arguments. Other:

51

Other:

52

Other:

53

Other:

54

Other:

B. Review all of the risk factors that you identified in section A. After carefully considering the high risk factors that you listed in both the “Then” and “Now” columns, circle the five (5) risk factors that might lead you to relapse, if you were ever to re-offend in the future.

C. Now, rank the five (5) risk factors that you chose above, beginning with the highest risk factor to lowest risk factor.

1.

Highest Risk

2. 3. 4. 5.

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Lowest Risk

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RELAPSE PREVENTION PLAN – Part IV NAME:

DATE COMPLETED:

THE PLAN: Putting it all Together For the five (5) high risk factors that you identified above and any others that may have been discussed as part of your individual therapy, identify at least two (2) intervention/escape strategies to help you deal with each high risk to prevent yourself from sexually reoffending. The interventions/escape strategies that you chose should be realistic, appropriate to the situation as well as something that you will follow through with. Also, identify any internal and/or external barriers that might prevent you from following through with your interventions and two (2) people on your support system that can help you in that situation.

High Risk Factors (HRF)/ Maintenance Behaviors

2 Intervention & Escape Strategies

Internal & External Barriers

Support (List 2 supports)

(Cognitive & Behavioral)

1.

2.

3.

1.

1.

2.

2.

1.

1.

2.

2.

1.

1.

2.

2.

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High Risk Factors (HRF)/ Maintenance Behaviors

2 Intervention & Escape Strategies

Internal & External Barriers

Support (List 2 supports)

(Cognitive & Behavioral)

4.

5.

6.

7.

1.

1.

2.

2.

1.

1.

2.

2.

1.

1.

2.

2.

1.

1.

2.

2.

Date Completed: Date Presented to Group:

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Date Presented to Support System: Therapist Signature:

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