Author/Editor		Čebašek-Travnik, Z
Title		Relapse prevention strategies and their application in developing countries
Type		članek
Source		In: Project proposals to reduce substance abuse in twelve countries. Jul 1995; Issue
Publication year		1995
Volume		str. 153-72
Language		eng
Abstract		Relapse prevention has been in clinical practice for more than 20 years. Most of the programs use a cognitive-behavioral treatment approach or a combination of different techniques such as a cognitivebehavioral approach combined with social-learning, conditioning, the twelve-step recovery model, and medication to address al categories of relapse-producing factors. Most of the relapse prevention programs reviewed in this paper are designed for all kinds of substance abuse, although some of them are used for treatment of alcoholism or illicit drugs only. However, many of them could be adpatde for different populations of patients. High adaptability is seen also in settings (inpatient, outpatient, individual, groups, and families). Network interventions are used as well. Most programs offer flexibility in terms of timing of entering the program (before, after, or without primary/standard treatment). Unfortunately I was not able to obtain exact data on the costs per patient for each program. The data are available for two programs only. One suggests $20 per patient per week for a very sophisticated program that needs a lot of technical equipment. The second one costs $1400 per client for the whole program. it can be assumed, however, that a relapse prevention program in an outpatient group setting should not exceed the costs other types of standard for addiction problems. There are big differences in training of therapists. Less than half of the reviewed programs include recovered persons in training. Only a few programs require graduate-level education, but almost all of them require special training in relapse prevention and some experience in alcholism and drug treatment. As for technical equipment, a blackboard is necessary for all the programs. Some of them have already prepared elaborate special workbooks for patients and manuals for therapists. A special assessment inventory is also available.(Abstract truncated)
Descriptors		SUBSTANCE ABUSE RECURRENCE