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Checklist For Clergy
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Working with a caregiver
Determine the individual’s needs.
If there are any indications of alcohol,
tobacco or other drug use proceed to the next step.
Decide on clergy’s role.
Decide on the level of involvement clergy will have.
Caregivers may be assigned to assist the clergy in proceeding through the
Guidebook steps. Monitor caregivers progress by using the following
checklist. If the clergy is going to be the only caregiver the checklist
can be adapted for personal use.
Meet with the caregiver.
 | Teach the caregiver to help the person stop using
alcohol or drugs by using the Guidebook. |
| Give the caregiver a copy of this Guidebook.
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| Assign the caregiver to read the Guidebook and follow
the steps in the section Guide For Caregivers. |
| Establish a regular meeting time for clergy and the
assigned caregiver. |
Inform the person with the alcohol, tobacco, or drug problem about the
assigned caregiver.
Tell the person that the caregiver will be assisting clergy. The
clergy’s personal involvement will be on an as needed basis.
Follow-up with the assigned caregiver
by reviewing the following steps:
Step 1: Understanding alcohol, tobacco and other drugs
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Has the destructive nature of alcohol and
drugs been taught? |
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Has the Understanding the Addiction
Pattern handout (pg. 23) been given? |
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What is the level of involvement the user
has with alcohol or drugs? |
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What is the level of responsibility,
spirituality and desire for change? |
| Are there any associated concerns like mental
illness, that may require professional help? |
Step 2: Develop a personal recovery plan
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Has the user completed the Consequence
Worksheet (pg. 24) and reviewed it with the caregiver? |
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Has the user completed the Stop Using
Alcohol, Tobacco and Other Drugs Worksheet (pg. 25) and reviewed it
with the caregiver? Eliminated access to all alcohol, tobacco and other
drugs? |
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Has the sacred purpose of the human body
been taught? |
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Has the user studied selected materials
from Information About Alcohol, Tobacco and Other Drugs (pg.7)
table? |
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Has the user met with clergy to complete
the steps of repentance? |
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Has the user’s family been educated and
strengthened? |
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Has the user completed the Controlling
Triggers & Temptations Worksheet (pg. 26) and reviewed it with the
caregiver? |
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Has involvement in LDS Family Services
Support Groups and other Community Support groups been evaluated? |
Step 3: Provide on-going help to strengthen recovery
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Has the user completed and reviewed with
the caregiver another Stop Using Alcohol, Tobacco, and Other Drugs
Worksheet (pg. 25)? |
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Has the user completed and reviewed with
the caregiver another Controlling Triggers & Temptations Worksheet
(pg. 26)? |
| Has the user continued to study materials from
Information About Alcohol, Tobacco, and Other Drugs table (pg 7) and
attended support groups? |
Step 4: Dealing with lack of progress
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Has the user been held accountable by the
caregiver about the lack of progress? |
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Has the user been held accountable by the
clergy about the lack of progress? |
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Have interventions dealing with lack of
progress been discussed with the caregiver and user’s family? |
| Apply the selected intervention for lack of progress
and return to Step 3: Provide On-going Help to Strengthen Recovery.
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