Supporting recovery
A simple, operational and structuring clinical framework for the patient in practice: the S.E.C.A. model, designed for care, liaison and lasting recovery.
My care model: S.E.C.A.
Four complementary pillars for coherent support, from first contact to consolidation follow-up.
Care
Harm reduction, CBT and stabilisation through medical liaison.
Listening
Motivational interviewing and welcoming the life story, without judgement.
Guidance
Psychoeducation (Karila's 5 Cs) and guidance towards mental health.
Support
Close follow-up, network liaison and lasting empowerment.
A simple, operational and structuring framework for the patient in private practice.
The reading grid: Karila's 5 Cs
A clinical reading of addiction to guide each stage of support.
Control
Loss of control.
Consumption
Irrepressible urge to use.
Consequences
Continued use despite negative consequences.
Continued
Continued use.
Compulsion
Compulsive activity.
Motivational interviewing: alliance & engagement
The patient is the expert on their own experience. My role is to elicit change through active listening, without confrontation.
- Empathy : Key to success in practice.
- Ambivalence : Explore the obstacles without confrontation.
- Self-efficacy : Strengthen the patient's confidence.
Action & flexibility: CBT & ACT
CBT approach
Functional analysis, identification of triggers and learning of new behaviours.
ACT approach
Acceptance of difficult emotions and commitment to what matters to the patient (values).
Moving from fighting the substance to investing in life.
Ethics of care: harm reduction & recovery
Harm reduction
Pragmatism above all: protecting overall health (physical, social, psychological), even when abstinence is not the immediate goal.
Empowerment
Supporting the patient so they become the driver of their own journey again, with the help of expert patients if needed.
Liaison: a link in the network
- Coordination : Direct link with prescribing doctors and psychiatrists.
- Continuity : Post-treatment support and consolidation follow-up in practice.
- Availability : A dedicated format ensuring responsiveness and quality time for discussion.
- Family liaison : Support and information for relatives (systemic approach).
Support overview
| S.E.C.A. pillar | Clinical method | Purpose |
|---|---|---|
| Care | Harm reduction · Medical liaison · CBT | Health stabilisation |
| Listening | Motivational interviewing | Therapeutic engagement |
| Guidance | 5 Cs · Psychoeducation | Understanding the disorder |
| Support | ACT · Empowerment | Lasting recovery |
Let's work as a network
Are you a doctor, psychiatrist or health professional and would like to refer a patient or set up a liaison? Let's talk.
Fabrice Plantier — Addiction therapist · Mérignac · +33 6 20 79 10 16 · contact@adikto33.fr