Smart Recovery A. Tom Horvath - Cigna Health Insurance

Smart RecoveryA.TomHorvath
Ph.D., ABPP Practical Recovery, San Diego, CA
and President, SMART Recovery

The Leading Self-Empowering Mutual
Help Group

Copyright © 2011-2013 Evangeline M. Mitchell

Two “take home” messages

Recovery is diverse. There are
as many paths to recovery as
there are individuals.

SMART Recovery can be of
assistance for individuals
whose path primarily includes
self-empowerment.

(Self Management And Recovery Training)

“Discover the Power of Choice”

SMART Recovery Organizational Overview

Non-profit
Almost entirely volunteer operated
About half of meetings in the US
1,000+ free support groups  community, correctional, online

 related services (training, publications)

Supports choice in recovery

SMART Recovery® Program Overview

Abstinence groups for any addictive behavior
Tools for recovery (disease or not)
Science based (belief in God or not)
Focus on self reliance
Discussion meetings (cross-talk)
Months to years typical attendance
No sponsors, labels

Cont…SMART Recovery® Program Overview

The intersection of

Self-empowerment Evidence-based What will work in
treatment a support group

The Serenity Prayer

God, grant me Serenity to accept the things I
cannot change, Courage to change the things I
can, And Wisdom to know the difference.

The Courage Intention

I intend to have courage to change the things I
can, serenity to accept the things I cannot, and
wisdom to know the difference.

Locus of Control

What do I expect going forward?
Is life based mostly on what happens,
or mostly on what I do?

Self-empowering language

I drink too much (vs. alcoholic)
The costs exceed the benefits (vs. disease)
I choose to change (vs. I have to)
I can cope during the transition (vs. recovery for life)

Context for the Emergence of SMART Recovery®

• Diversity

• Other support
groups

• Scientific • Legal decisions
findings

Alternative Support Groups

Women for Sobriety SMART Recovery®
Secular Organizations for Sobriety® Moderation Management®
(Rational Recovery®) Life Ring Secular Recovery
HAMS

Scientific findings

Recovery based on choices, situation
Co-occurring disorders
Efficacious treatment
Natural recovery

Efficacious treatment

Behavioral couples therapy
CBT (Cognitive Behavioral Therapy, including relapse
prevention)
Contingency management
Motivational interviewing
Chemical counter-conditioning
Medications
(12-step facilitation)

Legal Decisions Overturning Government
Mandated 12-step Attendance, Since 1996.

5 (of 11) US Circuit 9/07 ruling
Courts of Appeal removed
rulings (2nd, 3rd, 7th, qualified
immunity
8th and 9th)

The 4-Point Program®

1 2 3 4

Enhancing Coping with Managing Living a
and urges thoughts, balanced life
maintaining feelings, and
motivation behavior

Basic Meeting Outline 60 minutes

(60 or 90 minute meetings optional)

5min

Welcome

10min

Check-in

CLOSE Basic

10min Meeting 5min

Checkout Outline Agenda
setting

5min 25min

Pass the hat, Working
pass the time
brochure

SMART Recovery Tools

Stages of Change
Change Plan Worksheet
DISARM (Destructive Imagery & Self-talk Awareness &
Refusal Method)
Brainstorming
Role-playing and Rehearsing

cont...SMART Recovery Tools

Cost/Benefit Analysis (Decision Making Worksheet)
USA (Unconditional Self Acceptance)
HOV (Hierarchy of Values)

cont...SMART Recovery Tools

ABC of REBT for Urge Coping
of REBT for Emotional Upsets

Rational Emotive Behavior Therapy (Ellis).

A = Activating event (internal or external)
B = underlying Belief (interpretation)
C = emotional or behavioral outcome

B can be modified, which changes C

SMART Recovery Online

Daily Online Meetings (32 per week)
Highly active Message Boards
24/7 Chat room
New “Overcoming Addictions” Web Course based on the
SMART Program & Tools (fee to participate)

CONTACT

Tom Horvath, PhD

858-546-1100 x222

[email protected]

www.PracticalRecovery.com

!Thank you

SMART Recovery® Central Office

7304 Mentor Avenue, Suite F
Mentor, OH 44060 / Phone: 440-951-5357

Fax: 440-951-5358

[email protected]

www.smartrecovery.org