Group Relapse Prevention Therapy for Cocaine use Disorders

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Relapse Prevention Therapy for Cocaine use Disorders

BRIEF SUMMARY

Basic premise: Among the psychosocial interventions, the Relapse Prevention (RP), cognitive-behavioural approach, is a strategy for reducing the likelihood and severity of relapse following the cessation or reduction of problematic behaviors (Menon & Kandasamy, 2018). The techniques used in the RP include 7 groups of strategies: psychoeducation, identification of high-risk situations for relapse, development of coping skills, development of new-life behaviors, increased self-efficacy, dealing with relapse and avoiding the abstinence violation effect, and drug and alcohol monitoring (Rawson, Obert, McCann, & Marinelli-Casey, 1993). Evidence-based trials show that RP is a treatment well-suited to abstinence maintenance and long-term functioning (Magill et al., 2019).

Carroll, K. M. (1996). Relapse prevention as a psychosocial treatment: A review of controlled clinical trials. Experimental and Clinical Psychopharmacology, 4(1), 46–54.
https://doi.org/10.1037/1064-1297.4.1.46

Rawson, R. A., Obert, J. L., McCann, M. J., & Marinelli-Casey, P. (1993). Relapse prevention strategies in outpatient substance abuse treatment. Psychology of Addictive Behaviors, 7(2), 85–95. https://doi.org/10.1037/0893-164X.7.2.85

Menon, J., & Kandasamy, A. (2018). Relapse prevention. Indian journal of psychiatry, 60(Suppl 4), S473–S478. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_36_18

Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of Consulting and Clinical Psychology, 87(12), 1093–1105. https://doi.org/10.1037/ccp0000447

TREATMENT RESOURCES

TREATMENT MANUALS

Relapse prevention (Marlatt and Gordon)

Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed) (Marlatt (Ed) and Donovan (Ed))

Substance abuse relapse prevention for older adults: A group treatment approach (Dupree and Schonfeld, 2005)

Cognitive-behavior approach: Treating cocaine addiction; manual 1 (Carroll, 1998)

WORKBOOKS and WORKSHEETS

Relapse prevention workbook for recovering alcoholics and drug dependent persons (5th ed) (Daley, 2009)

Therapist's guide to evidence-based relapse prevention (Witkiewitz (Ed) and Marlatt (Ed))

Staying sober: A guide for relapse prevention (Gorski and Miller, 1986)

ADDITIONAL RESOURCES

Relapse prevention: Early warning signs and important coping skills (Dr. Steven Melemis, 2014)

Leader's guide: Cognitive behavioural & relapse prevention strategies (United Nations Office on Drugs and Crime, 2007)

Clinical report series: Relapse prevention (U.S. Department of Health and Human Services, 1994)

SUPPORTING STUDIES

Schmitz, J. M., Oswald, L. M., Jacks, S. D., Rustin, T., Rhoades, H. M., & Grabowski, J. (1997). Relapse prevention treatment for cocaine dependence: group vs. individual format. Addictive Behaviors, 22(3), 405–418.

https://doi.org/10.1016/s0306-4603(96)00047-0

Carroll, K. M., Rounsaville, B. J., & Gawin, F. H. (1991). A comparative trial of psychotherapies for ambulatory cocaine abusers: relapse prevention and interpersonal psychotherapy. The American Journal of Drug and Alcohol Abuse, 17(3), 229–247.

https://doi.org/10.3109/00952999109027549

Wells, E. A., Peterson, P. L., Gainey, R. R., Hawkins, J. D., & Catalano, R. F. (1994). Outpatient treatment for cocaine abuse: a controlled comparison of relapse prevention and twelve-step approaches. The American Journal of Drug and Alcohol Abuse, 20(1), 1–17.

https://doi.org/10.3109/00952999409084053

Irvin, J. E., Bowers, C. A., Dunn, M. E., & Wang, M. C. (1999). Efficacy of relapse prevention: A meta-analytic review. Journal of Consulting and Clinical Psychology, 67(4), 563–570.

https://doi.org/10.1037/0022-006X.67.4.563