CENAPS Model Of Relapse Prevention Therapy (CMRP)

In relation to drug abuse, relapse is resuming the use of a chemical substance or drug after a period of abstinence. The term can be said to be a landmark feature of a combination of substance abuse and substance independence. The propensity for dependency, repeated use, and tendencies that take the form of the substance being used, are some of the issues that drug users’ experience. Substances that enhance most severe tendencies in users and pose high pharmacological efficacy, are those that are cleared quickly from the body, in addition to those that bring out the highest tolerance. There can be increased substance tolerance with the increasing dependency in relation to drug in question,

Based on the participant’s background and history, I determined that an integrative approach using CBT and Reality Therapy was appropriate. Cognitive Behavior Therapy and Reality Therapy are both effective in treating addictions. My participant struggles with negative thinking and irrational thoughts, poor decision making and problem solving which are common for a person struggling with substance use disorders. Therefore, integrating these two treatment modalities will assist the participant in restructuring his thoughts and finding effective ways to bring about changes in his life by taking responsibility for his own actions.

A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to

Research has found CBT to be helpful in reducing relapse with older youth and males (Kaminer, Burleson, & Goldberger, 2002). CBT rate of efficacy diminishes over time which suggest incorporating other methodologies to maintain or increase CBT effectiveness. According to Miller, Forchimes, & Zweben (2011) CBT provides addicts with coping skills that were not learned because of social economic or vareity of other reasons. The intent for CBT is to collaborate with the client using a variety of cognitive, emotive, and behavioral techniques. to identify potential areas where thinking errors have led to a need to use substances or how substances have created change in beliefs and actions. Counselors can use CBT as their behavior through. Corey (2015) describes CBT as active, directive, time-limited, and psychoeducational structured therapy (p. 443). Moreover, according to Griffin & Botvin (2010) these factors consist of three components, (1)

Individuals with substance use disorders (SUDs) are difficult to treat due to the high prevalence of relapse, with an average of 50% relapsing within the first year (Bowen et al., 2014). Research has shown that current relapse prevention therapy is ineffective and other techniques are needed for effective treatment. To decrease the incidence of relapse, Bowen et al. (2014) set out to assess the effectiveness of mindfulness-based relapse prevention (MBRP) compared with standard relapse prevention (RP) and treatment as usual (TAU) in a randomized clinical trial during a 12-month follow-up period. Bowen et al. (2014) hypothesized that MBRP would significantly decrease the risk of relapse and participants would stay sober longer compared with RP and TAU. The study included 286 participants between the ages of 18 and 70, which were selected from a SUD treatment facility and randomly assigned to into the MBRP, RP, or TAU group. The MBRP group included eight weekly 2-hour group sessions with two therapists. The RP intervention, followed the same format, but instead utilized cognitive behavioral therapy. The TAU program was formatted around Alcoholics Anonymous (AA) 12-step program and included 1.5-hour groups 1 to 2 times per week. All participants were assessed at baseline, 3 months, 6 months, and 12 months after the interventions. The study found that MBRP and RP significantly lowered the risk of relapsing and decreased the days of substance use compared with the TAU.

There are thousands of people in the United States that are addicted to cocaine and are left untreated. Many of them are at risk of severe health problems. I am conducting this research paper to compare and contrast the differences between the effectiveness of drug courts and cognitive behavioral therapy for cocaine addicts. We know that all people respond differently to therapy than others do, but it is good to be able to find the effectiveness and success rate of cognitive-behavioral therapy, and drug courts overall. But before we jump into the effectiveness of CBT, we need to know what the goal of CBT is and what the process is for CBT. Not only do we need to know the effectiveness and success rates of these two, but we also need to

“Traditional… treatment approaches often conceptualize relapse as an end-state, a negative outcome equivalent to treatment failure. Thus, this perspective considers only a dichotomous treatment outcome—that is, a person is either abstinent or relapsed.” (Larimer, 1999). For a substance dependent individual like Rosa, equating abstinence to failure is counter-productive and ineffective. Considering her history of pain management, we can expect that Rosa may feel emotional and physical discomfort without her opiate and alcohol combination. A setback in treatment would be negative, but doesn’t warrant “giving up” on established treatment goals. Relapse may be anticipated with the relapse prevention model, but it is considered to be a part of “the

Lewis, J. A., Dana, R. Q., & Blevins, G. A. (2015). Substance Abuse Counseling (5th ed.). Stamford, CT, United States of America: Cengage

The use of drug and substance abuse interventions have resulted in a decrease of relapses throughout the United States due to the amount of support each participant receives, the unique treatments each person gets, and those who receive treatment are automatically better off than those who do not receive treatment.

According to the National Institute on Drug Abuse 2014, the disease model addiction is considered a brain disease that can affect multiple circuits in the brain, which involve motivation, learning, memory and inhibitory control over one’s behavior. Because drug addiction and abuse have so many dimensions and disrupts aspects of one’s life, treatment is just not that simple. Addiction treatment must be able to stop an individual from using drugs and continuously maintain a drug free lifestyle, and achieve productive functioning in working, family and society. Because a person’s addiction is typically considered a chronic disease, those who have the disease cannot simply stop using drugs in a few days and totally be cured. Some require long-term and repeated episodes of care to be able to achieve one’s ultimate goal of sustaining abstinence and recovery of their lives. A report conducted by the Substance Abuse and Mental Health Services Administration and National Survey on Drug Use and Health (NSDUH), the

Mindfulness-Based Relapse Prevention (MBRP) is an 8-week, group based, psychoeducational intervention that combines traditional cognitive-behavioral relapse prevention strategies with meditation training

According to the Center for Substance Abuse Treatment and the transtheoretical model of change, “for most people with substance abuse problems, recurrence of substance use is the rule not the exception” (Enhancing Motivation for Change, 1999, p. xvii). Relapse can and most likely will occur in recovery, and should be recognized as well as anticipated by substance abuse recovery counselors. The significant challenges to counselors are bringing a client successfully and securely through a relapse and eventually preventing relapse from occurring at all. For many, helping a client find faith in a higher power is an essential piece of the puzzle for overcoming addiction.

Cognitive behavioral therapy is commonly used in the treatment for drug-dependent individuals. CBT is a short-term brief approach that is used as a treatment for drug abuse and dependence. CBT has been rigorously evaluated in clinical trials and has solid empirical support as treatment for drug addiction. There is evidence that CBT is effective with severely addicted individuals. CBT is structured, goal-oriented and focused on the immediate problems faced by drug addicts that are entering treatment and are struggling to control their drug abuse. CBT is flexible and uses an individualized approach that is adaptable to a wide range of patients as well as a

Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.

Drug and alcohol addiction is a very serious and widespread problem in America, and across the globe. Drug addiction is a constant craving, seeking, and using of a substance, despite the negative consequences it may have on the addict or those around them. When drug use becomes more frequent, it is considered drug abuse. Once an individual’s drug abuse is can no longer be controlled, and they are using the drug to get through everyday life, it beomes an addiction. A person on drugs has an altered way of thinking, behaving, and perceiving. There are treatment facilities all over the world dedicated to help those suffering with drug addictions. All