Review: The Seven Keys to Lasting Treatment Success

The Seven Keys to Lasting Treatment Success

Legacy Outdoor Adventures

These seven keys are drawn from a broad range of research and are anchored in effective clinical practice. All clients at Legacy will gain an understanding of these keys, and develop specific attitudes, practices and skills for implementing them.

1) Have a purpose for being sober

  • To stay sober you need a powerful reason/desire in your pre-frontal cortex to overpower your mid-brain.

  • Many develop a spiritual purpose to create the type of powerful motivation required to stay sober/make change (For example, a purpose in fasting to override a desire to eat).

2) Develop a Support/Accountability Community for Recovery

  • Going it alone does not work. Accountability to a group creates the safety and support needed for recovery.

  • Community support makes you and your commitment stronger than trying it alone.

3) Spend Time in Recovery

  • The NIDA report on treatment finds that a year is a minimum of time sober to re-set the brain. After a year, we have a much better chance of being successful in sobriety/recovery. Certain drugs and levels of use require up to three years.

4) Know, Develop, Maintain and Rely on Your Strengths (self-efficacy traits)

  • Self-efficacy traits balance our cravings to use. When equally matched, you stay in recovery. If the balance shifts toward craving, you have a relapse.

  • The focus on your strengths and gifts is more important than working on your limitations. You will be more successful in your effort to change by relying on your strengths.

5) Know How Your Brain Works

Neurological science about the brain provides the best understanding for motivations and behavior. Knowing how your brain works includes understanding that:

  • “Toward” or “away” states determine if your brain’s director is on automatic or if we are in control ourselves. Self-leadership, which is critical to mental health, is a by-product of mindfulness.

  • Addiction, trauma and depression take away your self-direction.

  • Addiction becomes the most powerful instinct for survival (The dopamine hypothesis).

  • Any drug use causes the brain to stay in addiction mode.

  • Oxytocin, Cortisol, Adrenal and Dopamine influence your ability to stay in your pre-frontal cortex.

6) Have a Plan

All other techniques and skills will fail at some time. You must have a plan to rely on when this happens (Legacy utilizes the Gorski Relapse Prevention Plan model, which is supported by strong empirical evidence). The plan will include:

  • A triggers list that is role-played to the degree that it starts to become second nature in acting out the plan.

  • Mastery of high-risk situational mapping and identification of decision points.

  • An awareness of risk factors, points of no return, and exits.

  • A vision of your healthy recovery lifestyle.

7) Engage in Family Work/Family Therapy

  • Family therapy is currently the strongest indicator of success in recovery for young adult males.

  • Understanding and dealing with family issues and problems, increasing the emotional security among family members, and a healthy parent-child relationship are important in recovery.

  • Secure relationships allow the family to be the ultimate support community.

  • Healthy boundaries give structure and motivation to the young adult to stay in recovery and to make a transition into responsible adulthood.

  • Healthy communication, based on having hearts at peace, helps insure the effectiveness of the family as support community.

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The Seven Keys to Lasting Treatment Success

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