THE DEVELOPMENTAL MODEL OF RECOVERY
Velandy Manohar
Retired First Medical Director, Aware Recovery Care, and President, ARC In Home Addiction Treatment PC
THE DEVELOPMENTAL MODEL OF RECOVERY
J. STEINBERG MD, 1989 on page 290
In Psychiatric consultation with Substance Abusers in Early recovery by
Mcduff et al: Am. J. Drug/Alcohol Abuse, 20 (3), pp287 – 299
DEVELOPMENTAL MODEL OF RECOVERY STAGES
WITH TASKS, TIME FRAMES AND CORRESPONDING STEPS OF ALCOHOLICS ANONYMOUS
I. PRE-TREATMENT:
A. MAJOR TASK/GOAL: BREAKING THROUGH DENIAL
B. TIME FRAME: RANGE 1-30 DAYS.
C. A.A. STEPS #1
II. STABILIZATION:
A. MAJOR TASK/GOAL: COMMITMENT TO ABSTINENCE
B. TIME FRAME: RANGE 1-30 DAYS.
C. A.A. STEPS #2,3
III. EARLY RECOVERY:
A. MAJOR TASK /GOAL: BE COMFORTABLE WHILE ABSTINENT
B. TIME FRAME; AVERAGE 6/12, RANGE 1-12 MONTHS.
C. A.A.STEPS: # 4,5
IV. MIDDLE RECOVERY:
A. MAJOR TASK/GOAL: ACHIEVING LIFE BALANCE
B. TIME FRAME: RANGE 6-60 MONTHS
C. A.A. STEPS: # 6 TO 9
V. LATE RECOVERY:
A. MAJOR TASK/GOAL: GROWING BEYOND CHILDHOOD LIMITATIONS
B. TIME FRAME: RANGE 2 TO 5 YEARS
C. A.A. STEPS: LEFT BLANK BY AUTHOR- MY VIEW CONTINUOUS REVIEW OF 1,2,3 DAILY FROM DAY 1 ABOVE , TAKE ON SPECIAL CHALLENGES REGARDLESS OF LENGTH OF SOBRIETY STEPS 4,5,6 AS WHEN EMOTIONAL RESOURCES ARE SUBSTANTIAL AND A RESPONSIBLE SPONSOR IS PRESENT IN ONE’S LIFE.
VI MAINTAINING RECOVERY:
A. MAJOR TASK/GOAL: CONTINUED GROWTH IN ALL AREAS
B. TIME FRAME: RANGE 2 TO 5 YEARS
C. A.A. STEPS: # 10 TO 12.
CREATED BY VELANDY MANOHAR, MD, FAPA FROM A TABLE ON PAGE 290 OF MCDUFF ET AL PAPER CITED ABOVE