MODULE 3FACTORS AFFECTING

TREATMENT OUTCOMES
Treatment for Substance Use
DisordersThe Continuum of Care
for Addiction Professionals
The Colombo Plan Asian Centre for Certification and Education of Addiction Professionals Training Series
Curriculum 2
3.2
Module 3 Learning Objectives
List four main categories of factors that can
affect treatment
Provide at least three examples of specific
factors for each category
Define and provide examples of recovery
capital
Identify, from a case study, positive and
negative recovery capital that may affect
treatment for an individual

3.3
Categories
Individual characteristics
The nature and severity of problems
Treatment process and services provided
Environmental and social conditions
Interactions among factors

3.4
Small-Group Exercise: Identifying factors
that may affect treatment outcomes
Look through the papers on the table and
select the phrases that fit your groups
assigned category
Attach your phrases to the appropriate
newsprint page
If you think of additional factors, write them on
a piece of paper and attach to your newsprint
page
3.5
Recovery Capital
the sum of personal and social resources at
ones disposal for addressing drug dependence
and, chiefly, bolstering ones capacity and
opportunities for recovery

Source: Cloud, W. & Granfield, R. (2001) Natural recovery from substance
dependency: Lessons for treatment providers. Journal of Social Work Practice
in the Addictions, 1(1). 83-104.
3.6
Recovery Capital
Strengths-based tool that involves identifying
and building upon a clients personal and
social assets
3.7
Recovery Capital: Eight Domains
Adapted from: International
Network of Drug Dependence
Treatment and Rehabilitation
Resource Centres. (2008). Drug
Dependence Treatment:
Sustained Recovery
Management. Vienna: United
Nations Office on Drugs and
Crime. P.18.
Recovery
Capital
Family &
Social
Supports
Safe
Housing/
Healthy
Environment
Peer-based
Support
Employment
&
Resolution
of Legal
Issues
Vocational
Skills/
Education
Community
Integration &
Cultural
Support
(Re-)
discovering
Meaning and
Purpose in
Life
Mental &
Physical
Health
3.8
Negative Recovery Capital
While assets in each of these domains
strengthens a persons recovery, a lack of
assets can hamper the recovery process and
desired outcomes.
3.9
Recovery Capital: Three Types
Personal
Family and social

Community and cultural
3.10
Personal Recovery Capital: Physical
Physical health
Financial assets
Safe and recovery-conducive shelter
Clothing
Food
Access to transportation


3.11
Personal Recovery Capital: Human
A clients:
Values
Knowledge
Educational and vocational skills and credentials
Problem-solving capacities
Self-awareness
Self-esteem
Self-efficacy
3.12
Personal Recovery Capital: Human
(continued)
A clients:
Hopefulness and optimism
Perception of ones past, present, and future
Sense of meaning and purpose in life
interpersonal skills

3.13
Family and Social Recovery Capital
Intimate relationships
Family and kinship relationships
Any social relationships that are supportive of
recovery efforts

3.14
Family and Social Recovery Capital
Indicated by:
Willingness of intimate partners and family
members to participate in treatment
The presence of others in recovery within the
family or among social contacts


3.15
Family and Social Recovery Capital
(continued)
Indicated by:
Access to recovery-basedor at least
abstinentfellowship and leisure activities
Connections to institutions: school, workplace,
place of worship, community or tribal
organizations


3.16
Community and Cultural Recovery
Capital
Community attitudes, policies, and resources
related to addiction that promote recovery
3.17
Community and Cultural Recovery
Capital
Includes:
Active efforts to reduce stigma
Visible and diverse local recovery role models
A full continuum of addiction treatment resources
Recovery mutual aid and support resources that
are accessible and diverse (like 12-step
programs)

3.18
Community and Cultural Recovery
Capital (continued)
Includes:
Local recovery community support institutions
(recovery centers, clubhouses, etc.)
Sources of sustained recovery support and early
re-intervention

3.19
Cultural Capital
A form of community capital
Local availability of indigenous cultural
pathways of recovery, like incorporating tribal
values and practices into recovery programs
3.20
Recovery Capital
Recovery capital, both its quantity and quality,
may play a major role in determining the
success or failure of treatment and recovery
3.21
Todays Topics: Review
What is recovery?
What are some factors that may affect
treatment outcome?
What is the definition of recovery capital?

3.22
Small-group Exercise: Part 1, Case
Study Preparation
On a sheet of newsprint, describe a client and
his or her situation
Include characteristics and factors that might
affect treatment outcome for that client
Include factors that may have a positive impact
on outcome and those that may have a
negative impact on outcome
Write clearly!
3.23
Small-Group Exercise: Part 2, Identifying
Factors in the Case Study
Identify the factors in the case study that may
affect treatment outcome for the client
Brainstorm and list ways that a counselor or
treatment program could minimize negative
factors and maximize positive factors
MODULE 3FACTORS AFFECTING
TREATMENT OUTCOMES
Treatment for Substance Use
DisordersThe Continuum of Care
for Addiction Professionals
The Colombo Plan Asian Centre for Certification and Education of Addiction Professionals Training Series
Curriculum 2
3.25
Small-group Exercise: Part 1, Case
Study Preparation
On a sheet of newsprint, describe a client and
his or her situation
Include characteristics and factors that might
affect treatment outcome for that client
Include factors that may have a positive impact
on outcome and those that may have a
negative impact on outcome
Write clearly!
3.26
Small-Group Exercise: Part 2, Identifying
Factors in the Case Study
Identify the factors in the case study that may
affect treatment outcome for the client
Brainstorm and list ways that a counselor or
treatment program could minimize negative
factors and maximize positive factors