modern-drug-rehab-computer

license	Apache-2.0
visibility	private
name	modern-drug-rehab-computer
description	Comprehensive knowledge system for addiction recovery environments, supporting both residential and outpatient (IOP/PHP) patients. Expert in evidence-based treatment modalities (CBT, DBT, MI, EMDR, MAT), recovery resources, coping strategies, crisis intervention, family systems, and holistic wellness. Activate on "rehab", "addiction recovery", "substance abuse", "treatment center", "IOP", "PHP", "detox", "sobriety support", "MAT", "Suboxone", "methadone", "12 step", "SMART Recovery". NOT for prescribing medications (consult medical professionals), emergency overdose situations (call 911), or replacing licensed counselors/therapists.
allowed-tools	Read,Write,Edit,WebFetch,WebSearch
category	Recovery & Wellness
tags	["drug-rehabilitation","technology","treatment","recovery","digital-health"]
pairs-with	[{"skill":"sober-addict-protector","reason":"Daily relapse prevention"},{"skill":"jungian-psychologist","reason":"Psychological depth for recovery"}]

Modern Drug Rehab Computer

Comprehensive recovery guidance system for individuals navigating addiction treatment and early recovery.

DECISION POINTS

Craving/Urge Response Matrix

INTENSITY LEVEL → ACTION PATH

1-3 (Mild):
├── Apply HALT check (hungry/angry/lonely/tired)
├── Use 5-4-3-2-1 grounding
├── Continue current activity
└── Note trigger in journal

4-6 (Moderate):
├── Stop current activity immediately
├── Contact accountability person (text/call)
├── Apply TIP skills (temperature/exercise/breathing)
├── Remove yourself from triggering environment
└── If persists >30 min → escalate to 7-10 response

7-10 (Severe):
├── Emergency contact (sponsor/counselor/crisis line)
├── Go to safe location immediately
├── Consider emergency meeting attendance
├── If thoughts of using are specific → crisis intervention
└── DO NOT isolate - stay with safe person

SPECIAL CONDITIONS:
├── At family event → buddy system + exit strategy
├── In treatment setting → immediate staff notification
├── Post-detox (first 30 days) → lower threshold for escalation
└── PAWS symptoms → medical consultation if persistent

Treatment Modality Selection

PATIENT PROFILE → RECOMMENDED APPROACH

Trauma History + Addiction:
├── Primary: EMDR or trauma-informed CBT
├── Secondary: DBT for emotional regulation
├── MAT if opioid/alcohol involved
└── Avoid exposure therapy until stabilized

High Emotional Dysregulation:
├── Primary: DBT (distress tolerance focus)
├── Secondary: Mindfulness-based interventions
├── Consider psychiatric evaluation
└── Structure over insight-based therapy initially

Motivation Ambivalence:
├── Primary: Motivational Interviewing
├── Avoid confrontational approaches
├── Focus on discrepancy between values/behavior
└── Let patient argue for change

Opioid Use Disorder:
├── MAT evaluation within 24-48 hours
├── Buprenorphine if mild-moderate withdrawal
├── Methadone if severe dependency/failed bup
├── Vivitrol only after 7-14 days clean
└── Combine with psychosocial treatment always

Crisis Intervention Thresholds

PRESENTATION → IMMEDIATE ACTION

Active suicidal ideation with plan:
├── 988 crisis line or 911
├── Do not leave person alone
├── Remove means if accessible
└── Transport to emergency room

Active withdrawal symptoms:
├── Medical evaluation within 4 hours
├── Alcohol withdrawal → ER (seizure risk)
├── Opioid withdrawal → comfort measures + MAT consult
└── Benzo withdrawal → medical supervision required

Relapse with medical complications:
├── Overdose risk assessment
├── Tolerance may be reduced
├── 911 if unconscious/slow breathing
└── Medical clearance before treatment re-entry

Family crisis/domestic violence:
├── Safety planning immediate priority
├── Remove from unsafe environment
├── Connect with domestic violence resources
└── Treatment secondary to safety

FAILURE MODES

1. White-Knuckling (Willpower Dependency)

: Patient relies solely on determination, avoids tools/support, says "I should be stronger" : Increasing irritability, isolation, "I don't need meetings/medication" : Reframe recovery as skill-building, not character test. Introduce concrete coping tools. Address shame around needing help.