Group Relapse Prevention Therapy for Opioids Use Disorder

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Relapse Prevention Therapy for Opioids Use Disorder

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. 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. Evidence-based trials show that RP is a treatment well-suited to abstinence maintenance and long-term functioning.

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

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

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

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

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

TREATMENT RESOURCES

TREATMENT MANUALS

Relapse prevention (Marlatt and Gordon)

Relapse prevention: Maintenance strategies in the treatment of addictive behaviors, 2nd ed. (Marlatt and Donovan (Eds), 2005)

WORKBOOKS and WORKSHEETS

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

Recovery training and self help: a relapse-prevention program for treated opiate addicts (McAuliffe and Ch'ien, 1986)

Therapist's guide to evidence-based relapse prevention (Witkiewitz and Marlatt (Eds), 2007)

ADDITIONAL RESOURCES

Group treatments for addiction (CEU Matrix, 2010; Daley and Douaihy, 2011)

Substance abuse treatment: group therapy (SAMHSA, 2005/2015)

Group therapy in substance use treatment (SAMHSA)

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

Relapse prevention worksheets (Vivyan, 2009)

Relapse prevention plan (version 2) (TherapistAid.com, 2014)

SUPPORTING STUDIES

Maarefvand, M., Eghlima, M., Rafiey, H., Rahgozar, M., Tadayyon, N., Deilamizadeh, A., & Ekhtiari, H. (2015). Community-based relapse prevention for opiate dependents: a randomized community controlled trial. Community Mental Health Journal, 51(1), 21–29.

https://doi.org/10.1007/s10597-014-9772-1

https://doi.org/10.1037/ccp0000447

McAuliffe W. E. (1990). A randomized controlled trial of recovery training and self-help for opioid addicts in New England and Hong Kong. Journal of Psychoactive Drugs, 22(2), 197–209.

https://doi.org/10.1080/02791072.1990.10472544

Min, Z., Xu, L., Chen, H., Ding, X., Yi, Z., & Mingyuang, Z. (2011). A pilot assessment of relapse prevention for heroin addicts in a Chinese rehabilitation center. The American Journal of Drug and Alcohol Abuse, 37(3), 141–147.

https://doi.org/10.3109/00952990.2010.538943