Treatment of clients who are dually diagnosed progresses in an ordered phase-specific manner. Order the following phases, with associated activities, in the sequence in which they should occur during treatment
A. Prolonged Stabilization
B. Engagement
C. Acute Stabilization
D. Rehabilitation and Recovery
Ans: C, B, A, D
Phase 1: Acute Stabilization. During the acute stabilization phase, a safe environment is provided for clients who are at risk for suicidal or homicidal ideation or exhibit psychotic disorganization or clinical symptoms of other serious psychiatric disorders, such as PTSD or bipolar disorder. Phase 2: Engagement. Engagement involves four steps: establishing a treatment relationship with the client, educating the client (referred to as persuasion) about the illnesses, active treatment when the nurse provides various interventions to enable the client to maintain stabilization by complying with treatment, and relapse prevention in which the nurse helps the client overcome denial and other resistances to treatment. Phase 3: Prolonged Stabilization. The interventions used during engagement continue during this phase. The focus is on discussing potential crises and exploring crisis management skills for the client and family to develop. Phase 4: Rehabilitation and Recovery. The client is encouraged to return to work if he or she was previously employed. Alternatively, the client may be referred to a community vocational rehabilitation program. Participation in self-help groups and reaching out to others in a giving way is also encouraged.
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