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Articles By Terence T. Gorski

New Gorski Article Online
The Disease Model Of Addiction
An Article By Terence T. Gorski (7-4-01)

On Friday, October 4, 1996 at the 10th Annual Dual Disorder Conference in Las Vegas, Nevada Terence T. Gorski presented a paper and publicly debated G. Alan Marlatt on the issue of whether addiction is a disease.  Here, for the first time anywhere, are Mr. Gorski's edited lecture notes that were prepared for this presentation.  

New Gorski Article  On Line
Developing Relapse Prevention Programs

An Article By Terence T. Gorski (6-10-01)

This article provides information on how to develop a Relapse Prevention Program as part of an existing addiction treatment program, mental health center, or private practice.  The need for relapse prevention programs, different options for program implementation, and suggestion for policy guidelines are discussed.

Relapse Prevention In The Managed Care Environment 
An Article By Terence T. Gorski (6-10-01)

This article describes why relapse prevention is a critical component for managed care programs who are serious about cost containment.  

Does Relapse Mean Treatment Failure
An Article By Terence T. Gorski

This article challenges three mistaken beliefs that often prevent treatment professionals from dealing effectively with relapse prone clients.  These beliefs are:  (1) Relapse is self-inflicted;  (2) Relapse is an indication of treatment failure; and (3) Once relapse occurs the patient will never recover.   (Get a low-cost pamphlet that teaches recovering people to challenge the common Mistaken Beliefs About Relapse)

Adolescent Relapse Prevention
An Article By Terence T. Gorski

This article describes the differences between adolescent and adult substance abusers that can lead to relapse and present practical suggestions for marching the unique needs of adolescent substance abusers to relapse prevention strategies in order to decrease the rate of relapse.

Sentencing Children As Adults
An Article By Terence T. Gorski (03-11-01)

Should children be tried in adult courts and sentenced to adult prisons?  Gorski doesn't believe that they should.  This article explains why.

Cocaine, Craving, And Relapse By Terence T. Gorski (5-23-01) 
An Article By Terence T. Gorski

This article describes the basics dynamics of cocaine relapse a process that progresses through three stages, setups, trigger events, and a self-reinforcing craving cycle.  Guidelines are provided for  preventing craving and effectively managing craving if it is activated.

Best Practice Principles  
In The Treatment Of Substance Use Disorders
 
by Terence T. Gorski (5-8-01

This article describes the basic research-based principles upon which the GORSKI-CENAPS Model of treatment is based.  The article is divided into two parts.  Part one describes the best scientific understanding of the nature of substance use disorders.  Part two describes the best scientific understanding of the principles that govern the effective treatment of substance use disorders.  A listing of the references from which these principles were derived is listed at the end of the article. 

Levels of Relapse Warning  
Signs By Terence T. Gorski (5-6-01)

Recovery from chemical dependence occurs at five levels – abstinence, situation change, behavior change, emotional change, and personal belief change. An excellent article for use as a client handout.

Spirituality & Relapse  
By Terence T. Gorski (5-6-01)

There is a relationship between spirituality and relapse. This article defines spirituality, explores how both mystical and non-mystical forms of spirituality can work in harmony to promote recovery and avoid relapse.  An excellent article for use as a client handout.

Prescription Drugs And Relapse 
By Terence T. Gorski (4-30-01)

This article describes the special problems encountered by people in recovery from alcoholism or drug dependence when they need medical treatment that requires the use of pain medication or other potentially addictive medications.  Six clear and easy to understand guidelines are provided that could save people's sobriety.  This is an excellent article for use as a client handout.

Understanding Relapse  
By Terence T. Gorski (4-28-01)

This article describes the process of relapse in clear and easy to understand language.  It is an excellent article to use as a handout for clients or family members.

How To Develop A Relapse Prevention Plan  
By Terence T. Gorski (4-28-01)

This article describes in clear and easy to understand language how to develop a relapse prevention plan.  It is an excellent article to use as a handout for clients or family members.

Stopping Drug Use During Pregnancy:
Enforcement vs Treatment

An Article By Terence T. Gorski 3-22-01

A recent Supreme Court ruling decided that hospital workers cannot constitutionally test maternity patients for illegal drug use without their consent for the purpose of alerting the police to a crime.  This decision made it clear that pregnant women who are suspected of using illegal drugs that might harm their unborn baby still retain their civil rights.  The good news is that we can help drug abusing pregnant women, their unborn children, and their families without violating their civil rights.  Medical intervention programs that identify and motivate pregnant women to get substance abuse treatment work better than enforcement programs that entrap pregnant women into arrest and prosecution for drug law violations.  Medical intervention programs can be set up by training obstetricians to diagnose substance abusing patients, intervening in their addiction, and coordinating prenatal care with appropriate substance abuse treatment.  Outcomes are best when these medical intervention programs are supported by community-based treatment and sober residential centers that provide treatment for the women during their pregnancy and for the a period of three to six months after delivery.

Student Assistant Programs vs. Drug Testing (03-22-01)  
An Article By Terence T. Gorski

Is it a good idea to rely on random drug testing to reduce the incidence of drug abuse in our schools.  A recent ruling by an Oklahoma Appeals Court may force us to rethink the answer.  They found that randomly drug testing all kids in extra-curricular activities violates the Fourth Amendment's protection against unreasonable searches.  This isn’t necessarily bad.  Well designed Student Assistance Programs (SAP's) are far more effective than drug testing in preventing and helping kids who have problems with alcohol and drugs.

Post Incarceration Syndrome (PICS) and Relapse 
By Terence T. Gorski (02-23-01)

This article describes the symptoms of the Post Incarceration Syndrome (PICS) that contribute to relapse and recidivism in many released inmates.  The symptoms are described and the implications for communities and addiction and mental health treatment professionals are discussed.

 

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GORSKI-CENAPS Clinical Model --- Research-Based Best Practice Principles

Special Focus:  Mental Health, Substance Abuse, & Terrorism

Terry Gorski and Other Members of the GORSKI-CENAPS Team are Available To Train & Consult On Areas Related To Recovery, Relapse Prevention, & Relapse Early Intervention

Address: 6147 Deltona Blvd, Spring Hill, FL  34606
info@enaps.com; www.tgorski.com, www.cenaps.com, www.relapse.org