Model Relapse Prevention

J Consult Clin Psychol 61 1100—1104, 1993 Stephens RS, Roffman RA, Simpson EE Treating adult marijuana dependence a test of the relapse prevention model. J Consult Clin Psychol 62 92—99, 1994 Stephens RS, Roffman RA, Curtin L Comparison of extended versus brief treatments for marijuana use. J Counsul Clin Psychol 68 898—908, 2000 Substance Abuse and Mental Health Services Administration The BASIS Report Marijuana Treatment Admissions Increase 1993-1999. Rockville, MB, Substance Abuse and Mental Health Services Administration, 2002a Substance Abuse and Mental Health Services Administration Results from the 2001 National Household Survey on Brug Abuse Vol I. Summary of National Findings. Rockville, MB, Substance Abuse and Mental Health Services Administration, 2002b... 

Relapse prevention, as mentioned, is compatible with a variety of treatment models. For example, many Minnesota-model facilities have incorporated aspects of cognitive behavioral relapse prevention into their treatment and aftercare programs. There have been efforts to combine the relapse prevention model with disease-model instructions to maintain abstinence after treatment is completed. Minnesota-model relapse prevention is generally begun late in treatment and then continued into aftercare. There are numerous books and manuals that have incorporated relapse prevention methods into this particular model. 

Annis, H. M. (1986). A relapse prevention model tor treatment of alcoholics. In W. R. Miller ... 

Stephens, R. S., Roffman, R. A., Simpson, E. E. (1994). Treating adult marijuana dependence A test of the relapse prevention model. Journal of Consulting and Clinical Psychology, 62, 92-99. 

Just as with treatment, the appearance of aftercare may vary according to the therapeutic model. For example, Minnesota-model aftercare usually operates in groups that meet weekly. The format of these weekly sessions usually involves psychoeducation around relapse prevention, often related to an issue germane to specific members of the group. Sometimes the psychoeducation topic is predetermined by the outline of a relapse prevention manual (see Chapter 7). 

Marlatt, G. A. (1985). Relapse prevention Theoretical rationale and overview of the model. In G. A. Marlatt J. R. Gordon (Eds.), Relapse prevention Maintenance strategies in the treatment of addictive behaviors (pp. 3-70). New York Guilford Press. 

Epping-Jordan MP, Watkins SS, Koob GF, Markou A (1998) Dramatic decreases in brain reward function during nicotine withdrawal. Nature 393 76-79 Epstein DH, Preston KL (2003) The reinstatement model and relapse prevention a clinical perspective. Psychopharmacology 168 31 1... 

Boening JA, Lesch OM, Spanagel R, et al. Pharmacological relapse prevention in alcohol dependence from animal models to clinical trials. Alcoholism 2001 25(5 Supplement ISBRA) 127S-131S. 

Marlatt, A. and George, W.H. (1984) Relapse prevention introduction and overview of the model , British Journal of Addiction, 79 (3) 261-73. 

I recommend reading Rebpse Prevention, by G. Alan Marlatt and Judith Gordon (New York Guilford Press, 1985). Although many books have been written since this one, this is the original classic that introduced the relapse model and prevention methods we still use today. These strategies have been scientifically validated for many years now. A new edition of this book edited by Marlatt and Dennis Donovan is due out soon. 

Soares-Weiser K, Bravo Vergel Y, Beynon S, Dunn G, Barbieri M, Duffy S, Geddes J, Gilbody S, Palmer S, Woolacott N (2007) A systematic review and economic model of the clinical effectiveness and cost-effectiveness of interventions for preventing relapse in people with bipolar disorder. Health Technol Assess 11 iii-iv, ix-206. 

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