Implementation and intervention practices
Implementation and intervention practices
This domain tests whether you can select and deliver recovery-oriented interventions safely.
Core practices
- Motivational interviewing uses open questions, affirmations, reflections, and summaries. Reflect ambivalence rather than argue.
- WRAP (Wellness Recovery Action Plan) identifies triggers, early warning signs, coping strategies, and a crisis plan.
- Relapse prevention identifies high-risk situations, builds coping, and plans for lapses without shame.
- Harm reduction negotiates safer use, naloxone, and incremental goals.
- Skill building rehearses communication, boundary setting, and appointment navigation.
- Crisis response follows safety protocol, escalates when risk is imminent, and does not counsel alone outside scope.
Worked example
A client says, “I’m fine,” while missing appointments and sleeping poorly. The peer might reflect: “You’re saying you’re fine, and I notice the missed appointments. What’s your take on that?” Reasoning: this is an OARS-style reflection plus a gentle observation; it invites change talk without confrontation. If risk emerges-suicidal ideation with a plan-the peer follows the crisis protocol and does not keep it confidential.
Traps that cost marks
Confronting, lecturing, or giving unsolicited advice. Doing tasks for the client. Sharing your own story to meet your needs. Ignoring medical or safety red flags. Promising secrecy when risk is present.