Smart Recoveryand President, SMART Recovery

A. Tom Horvath Ph.D., ABPP Practical Recovery, San Diego, CA Smart Recoveryand President, SMART Recovery

The Leading Self-Empowering Mutual Help Group

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 findings • Legal decisions Alternative Support Groups

SMART Recovery®

Women for Sobriety

Moderation Management® Secular Organizations for Sobriety® Life Ring Secular Recovery (Rational 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 8th and 9th) immunity 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 Meeting 5min 10min Agenda Checkout Outline 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

of REBT for Urge Coping ABC 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