🔄 Relapse and aftercare
In brief
A relapse after withdrawal or rehab does not automatically mean that all previous efforts were in vain. Professionally, addiction is regarded as a chronic relapsing (relapse-prone) illness; what matters is how you deal with it afterwards, not the sheer number of relapses.
Aftercare – for example outpatient group programmes of the pension insurance, adaptation facilities or self-help groups – is meant to stabilise the progress made. If an ongoing rehab is broken off, under certain conditions an application to continue can be made.
Step by step
- Get in touch straight after a relapseInform the addiction advice centre, your treating doctor or the rehab facility instead of withdrawing.
- Discuss the causesClarify together what led to the relapse and whether the previous treatment/aftercare needs to be adjusted.
- If rehab was broken off: check continuationIf an ongoing rehab is broken off, an application to continue can be made within certain deadlines (form G0101 at the DRV).
- Use aftercare/self-helpOutpatient rehab aftercare of the pension insurance, adaptation facilities or self-help groups for further stabilisation.
Deadlines
- A relapse is not an automatic reason to exclude you from further help – do not conceal it from the advice centre or those treating you out of shame.
- The 4-year waiting period for another rehab (§ 12 Abs. 2 SGB VI) has an exception for urgent health necessity – but this must be justified by a doctor; it does not apply automatically.
- The often-cited aftercare programme "Curriculum Hannover" is originally documented mainly for psychosomatic indications; whether it is also designated, one-to-one identically, as an addiction aftercare programme of the DRV has not been conclusively verified.
In depth · legal basis, figures and practice – for advisers and professionals
Relapse as part of the course of illness
In professional practice, a disciplinary response to a relapse alone is regarded as not very helpful; what is decisive is the medical-therapeutic assessment in the individual case. Breaking off rehab does not automatically mean that no further help is possible.
Continuation after breaking off
If a rehab measure is broken off, an application to continue an interrupted medical rehabilitation benefit (form G0101) can be made to the DRV within 4 weeks. The 4-year waiting period of § 12 Abs. 2 SGB VI applies only if a rehab was actually carried out beforehand – with an exception for urgent health necessity, for example after a serious relapse.
Forms of aftercare
After inpatient or full-day outpatient rehab, the pension insurance offers structured outpatient aftercare (often as a group programme over several months). An adaptation facility can serve as an intermediate step between inpatient addiction treatment and independent everyday life. The Fachverband Sucht+ e.V. and the DHS (including via nachderreha.de) offer further information and also point to self-help groups as a lasting form of aftercare.
Uncertain/not conclusively clarified
Whether, and in what exact addiction-specific form, the DRV aftercare programme "Curriculum Hannover" is used nationwide in a uniform way for addiction aftercare could not be conclusively verified.
A question about your situation that this page does not answer? Write to us or use the contact form – we will tell you which office is responsible and what to bring. Free of charge, without individual legal advice.