Thursday, July 17, 2008

Lacking In Motivation Or Skills To Maintain Sobriety

The below information comes directly
from my medical records at the Veterans
Hospital in Gainesville, Fl.

Problem: Veteran is Lacking in Motivation
or skils to maintain sobriety.

Long Term Goal: Veteran will be able to
identify and follow a plan for sobriety
independently.

Intervention: Veteran participated in a
one hour OT session on 1/26/07 as part
of the ambulatory detoxification program.
The topic of the class was planning. The
reason for planning was presented as
well as problems associated with lack
of planning. Using a planner and items to
include was presented. The concept of
HALT was discussed and it was brought
to their attention that planning could
help to avoid being hungry, angry, lonely
and tired (HALT). They were encouraged
to establish routines such as going to bed
and rising at the same time each day and
to eat well balanced meals, including fruits
and vegetables and drinking water. They
were encouraged to make entries in their
planners for the coming week including
activities recommended in their notebook.
Items to include were: daily meetings,
prayer/meditation, physical activity, leisure,
meetings, phone calls to supportive sober
individuals, reading the big book, and
appointments. He was attentive and
verbalized his leisure and exercise plan
for the coming week. He demonstrated
an understanding of the concepts and
participated appropriately within the
group structure.

He required additional structure to
participate appropriately as he
talked excessively, content was not
always helpful information for the group.

Author: Blank for privacy
Occupational Therapist