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Matrix (IOP) - Relapse Analysis Chart Example
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Text in this example:
Source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. Counselor's Treatment Manual: Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders, 2007 Relapse Analysis Chart Name: Date of Relapse: A relapse episode does not begin when you take a drug. Often, things that happen before you use indicate the beginning of a relapse. Identifying your patterns of behavior will help you recognize and interrupt the relapse. Using the chart below, note events that occurred during the week immediately before the relapse. Things happened Feelings about the event Career
Events Personal
Events Treatment
Events Drug- Related
Behaviors Behavioral
Patterns Relapse
Thoughts Health
Status
Events Personal
Events Treatment
Events Drug- Related
Behaviors Behavioral
Patterns Relapse
Thoughts Health
Status