Substance use disorders are often referred to as chronic diseases that involve multiple episodes of remission and relapse. Like other chronic conditions such as diabetes, hypertension, and asthma, relapse rates associated with substance use and addictive disorders are extremely high (National Institute on Drug Abuse [NIDA], 2018). Relapse is most effectively treated through a combination of pharmacological and behavioral interventions. Relapse prevention strategies are a fundamental aspect for the successful treatment of substance use disorders. Developing and implementing an effective relapse prevention plan with your clients will be a key to their successful ongoing recovery.The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills needed to implement relapse prevention strategies within their clinical practice.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
Florida Board of Medicine (CEBroker Provider #50-290)
Physicians will receive 1.50 AMA PRA category 1 Credits™.
State Medical Board of Ohio (CEBroker Provider #: 50-290)
Louisiana State Board of Medical Examiners (CEBroker Provider #: 50-290)
Mississippi State Board of Medical Licensure (CEBroker Provider #: 50-290)
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
Florida Board Of Psychology (CEBroker Provider #50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board
Provider # RTX050401 (CEBroker Provider 50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board
Provider # RCX100502 (CEBroker Provider: 50-290)
Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CEBroker Provider # 50-290)
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
South Carolina Board of Examiners for Licensure of Professional Counselors and Therapists (CEBroker Provider #50-290)
South Carolina Board of Examiners in Psychology (CEBroker Provider #50-290)
West Virginia Board of Social Work (CEBroker Provider #50-290)
Relias, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No.6110. Programs that do not qualify for NBCC credit are clearly identified. Relias , LLC is solely responsible for all aspects of the programs. This activity is approved for 1.7500 contact hours.
As a Jointly Accredited Organization, Relias LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. Social workers completing this course receive 1.50 General continuing education credits.
As a Jointly Accredited organization, Relias LLC is approved to offer co-sponsored psychology continuing education by the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA is an associate member of Joint Accreditation for Interprofessional Continuing Education.
Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.
As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
Social workers will receive 1.50 continuing education hours for participating in this course. This activity is approved for 1.50 contact hours.
Relias, LLC, is recognized by New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0011
As a provider of online, asynchronous education, some courses offered by Relias, LLC are considered "self-study". The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
This activity is approved for 1.50 contact hours.
Relias, LLC, is recognized by New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for Licensed Marriage and Family Therapists. #MFT-0009
As a provider of online, asynchronous education, some courses offered by Relias are considered "self-study". The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
Provider approved by CCAPP, Provider number 1S-06-729-0220 for 1.50 CEH's
This activity is approved for 1.50 contact hours.
Education hours MCBAP-S
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This course has been approved by Relias LLC, as a NAADAC Approved Education Provider, for 1.50 CE. NAADAC Provider #86124, Relias, LLC is responsible for all
aspects of their programming.
Categories Counselor I or II, Preventionist I or II, CARS I or II, CODP I or II or III, PCGC II, CCJP II, CAAP I, CRSS I or II, CPRS I or II, MAATP I or II, RDDP, NCRS II, CFPP II, CVSS II
This activity is approved for 1.50 contact hours.
Ohio Chemical Dependency Professionals Board (CEBroker Provider #50-290)
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
Relias Learning is an approved provider of Continuing Education. Provider number: CP40 910 H 0318 for 1.50 CEHs.
PCB Approved Education
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
This activity is approved for 1.50 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Etiology of Addiction: Setting the Stage for Relapse
Meet Glen
What Does Relapse Mean?
A Variety of Approaches
Neurobiology of Addiction: Basic Aspects of the Brain
Neurotransmitters, Hormones, and Addiction
The Stages of Addiction
The Basal Ganglia and the Binge/Intoxication Stage of Addiction
The Extended Amygdala and the Withdrawal/Negative Affect Stage of Addiction
The Prefrontal Cortex and the Pre-Occupation/Anticipation Stage of Addiction
Let’s Review!
Summary
Section 3: Understanding Relapse
The Transtheoretical Model of Behavior Change: A Model for Understanding Relapse
The Stages of Change and Relapse
Relapse: A Normal Part of the Change Process
Glen, the Stages of Change, and Relapse
Post-Acute Withdrawal and Relapse
The Brain and Relapse: Addiction and Neuroadaptation
Glen’s Brain and His Addiction: The Process of Neuroadaptation
Glen’s Brain After Repeated Use
Co-Occurring Mental Health Disorders and Relapse
Review
Summary
Section 4: Neurobiological Relapse Prevention Strategies
Medication Basics
Pharmacological Interventions for Alcohol Use
Pharmacological Interventions for Opioid Use
More on Glen
Summary
Section 5: Relapse Prevention: Behavioral Interventions
The Marlatt Model of Relapse Prevention
Coping
Positive Outcome Expectancies
The Abstinence Violation Effect
Quick Check
Glen in the Context of the Marlatt Model
Relapse Prevention Intervention Strategies
Additional Relapse Prevention Intervention Strategies
The GORSKI-CENAPS® Model of Recovery and Relapse Prevention
Mindfulness-Based Relapse Prevention
Overview of Mindfulness-Based Relapse Prevention
Urge Surfing
Cultural Considerations
Review
Summary
Section 6: Relapse Prevention Plans
Developing the Plan
Important Components of an Assessment
Starting the Plan
Including Medication-Assisted Treatment in the Plan
Educating Your Clients About Medication
Early Warning Signs of a Relapse
Identifying and Reviewing Early Warning Signs
Listing Early Warning Signs
Working with a List of Early Warning Signs
Coping Strategies
Calming Techniques
Refusal Skills
Interpersonal Coping Strategies: Social Support
Recreational and Leisure Activities
Identifying Triggers
Working with Triggers
Possible Triggers
Trauma
Lapse Management
Learning from a Relapse
Amira's Plan
Summary
Section 7: Conclusion
Course Summary
Course Contributors
Resources
References
Lauren received her Master of Social Work degree from North Carolina State University in Raleigh. She has over 11 years of experience working in case management and counseling. She is a PhD student at North Carolina State University focusing on continuing professional education for adult learners. She is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist in North Carolina, where she has worked in private practice and agency work focusing on serving adults with an emphasis on trauma, addictions, chronic pain, and crisis intervention. She has extensive experience providing clinical supervision services to social workers and addiction professionals. She has spoken at local and national addiction conferences and has worked as a content writer for health and wellness agencies. Lauren joined Relias as a behavioral health content writer and subject matter expert in 2021. Disclosure: Lauren Quick-Graham, MSW, LCSW, LCAS, CSI discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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