Treatment Strategies for Relapse Prevention

 

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, 2018). As with other chronic conditions, relapse to substance use disorders 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, whether the treatment modality is inpatient, outpatient, short-term, or long-term in nature. Developing and implementing an effective relapse prevention plan with your clients will be a key to their successful ongoing recovery. The purpose of this course is to introduce you to theories of relapse and the empirically validated and evidence-based strategies for the prevention of relapse. You will receive a brief primer on addiction to inform your knowledge of relapse. Next, you will learn about concepts associated with relapse and factors that contribute to the risk of relapse. Finally, you will discover strategies for preventing relapse. This course is appropriate for professionals who work with individuals who are attempting to recover or are in recovery from a substance use disorder. The course content is geared toward individuals with a foundational knowledge of substance use disorders. It is recommended that you review the diagnostic criteria for substance use disorders found in the DSM-5™.

$17.50

Hours: 1.50 - 1.75
REL-HHS-0-RPTS-V2

Certificates

Certificates provided by accrediting body (34 Match)

American Psychological Association

1.75 HOURS


Relias, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Relias, LLC maintains responsibility for this program and its content.

Association of Social Work Boards

1.75 HOURS


Relias, LLC, #1273, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Relias, LLC maintains responsibility for the program. ASWB Approval Period: 2/10/2018-2/10/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, posttests. This module is Reading-Based.

Social workers participating in this course will receive 1.75 Clinical continuing education clock hours.

Illinois Professional Counselor/Clinical Counselor

1.75 HOURS


This activity is approved for 1.75 contact hours.

Illinois, Department of Financial and Professional Regulation, Marriage and Family Therapist Continuing Education Sponsor

1.75 HOURS


This activity is approved for 1.75 contact hours.

National Board for Certified Counselors

1.75 HOURS







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 1.75 contact hours

Ohio Marriage and Family Therapist Board

1.75 HOURS


Provider # RTX050401 290
This activity is approved for 1.75 contact hours.

Ohio Professional Counselor Board

1.75 HOURS


Provider # RCX100502 290
This activity is approved for 1.75 contact hours.

New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit

1.75 HOURS


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 1.75 continuing education hours for participating in this course. This activity is approved for 1.75 contact hours.

New York State Education Department, Office of the Professions, State Board for Mental Health Practitioners, Mental Health Counselors (MHC)

1.75 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 1.75 contact hours.

New York State Education Department, Office of the Professions, State Board for Mental Health Practitioners, Marriage and Family Therapists (MFT)

1.75 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 1.75 contact hours.

Texas State Board of Professional Counselors

1.75 HOURS


This activity is approved for 1.75 contact hours.

Texas State Board of Examiners of Marriage and Family Therapists

1.75 HOURS


This activity is approved for 1.75 contact hours.

California Board of Registered Nursing

1.75 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.75 contact hours for participating in this course.

District of Columbia Board of Nursing

1.7 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.70 contact hours for participating in this course.

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

1.75 HOURS


Provider #50-290 This activity is approved for 1.75 contact hours.

Louisiana Addictive Disorder Regulatory Authority

1.75 HOURS


This activity is approved for 1.75 contact hours.

Michigan Certification Board for Addiction Professionals

1.75 HOURS


Education hours MCBAP-S
This activity is approved for 1.75 contact hours.

Florida Board of Nursing

1.5 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

Breining Institute for Registered Addiction Specialists

1.75 HOURS


This activity is approved for 1.75 contact hours.

Ohio Chemical Dependency Professionals Board

1.75 HOURS


This activity is approved for 1.75 contact hours. Content Area: C2, R1

American Nurses Credentialing Center

1.75 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.75 contact hours for participating in this course.

Florida Board of Psychology

1.7 HOURS


Georgia Board of Nursing

1.75 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.75 contact hours for participating in this course.

California Consortium of Addiction Programs and Professionals

1.75 HOURS


Provider approved by CCAPP, Provider number 1S-06-729-0220 for 1.75 CEH's

Missouri Credentialing Board

1.75 HOURS


This activity is approved for 1.75 contact hours.

Accreditation Council for Continuing Medical Education

1.75 HOURS


Relias LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Relias LLC designates this enduring material activity for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing

1.75 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine

1.75 HOURS


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants

1.75 HOURS


NAADAC, The Association for Addiction Professionals

1.75 HOURS


This course has been approved by Relias LLC, as a NAADAC Approved Education Provider, for 1.75 CE. NAADAC Provider #86124, Relias, LLC is responsible for all
aspects of their programming.

West Virginia Board of Registered Nursing

1.75 HOURS


Pennsylvania Certification Board

1.75 HOURS


PCB Approved Education
This activity is approved for 1.75 contact hours.

California Association of Alcohol and Drug Educators

1.75 HOURS


Relias Learning is an approved provider of Continuing Education. Provider number: CP40 910 H 0318 for 1.75 CEHs.

Oklahoma Board of Licensed Alcohol and Drug Counselors

1.75 HOURS


Course Details

Course Code: REL-HHS-0-RPTS-V2
Hours: 1.75
Type: Online Course
Content Expiration Date: 8/31/2021
Learning Objectives:
Explain how neurobiology is related to the relapse process.
Identify 2 evidence-based practices in relapse prevention.
Describe 3 aspects of an effective relapse prevention plan.
List 3 medications that reduce the risk of relapse.
Summarize key ways to avoid relapse by exploring calming exercises and identifying triggers and early warning signs.
Discuss the steps for developing a personalized relapse prevention plan.

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

What Do You Think?

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: An Example 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

High-Risk Situations/Triggers

The High-Risk “Big Three”

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

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

Quick Check

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

Lapse Management

Learning from a Relapse

Amira's Plan

Summary

Section 7: Conclusion

Summary

Course Contributors

Resources

References

Congratulations!

Instructor: Jeremy King, LCSW, CASAC
Jeremy King has over ten years of experience providing management and training to professionals in the field of behavioral health. Mr. King is a Licensed Clinical Social Worker and a Credentialed Alcohol and Substance Abuse Counselor in the state of New York. He also holds a BS in Economics from Fordham University and is a Certified Training Provider for the New York State Office of Alcoholism and Substance Abuse Services. For the past ten years, Mr. King has provided training and technical assistance to human service organizations in the following areas: Substance Use Disorders; Trauma Informed Services; Co-Occurring Substance Use and Mental Health Disorders; Cognitive Behavioral Therapy; Cultural Competence; Group Facilitation Skills; CCAR Recovery Coach Academy; Motivational Interviewing; Tobacco Dependence; Confidentiality; Working through Resistance; Screening and Assessment for Mental Health Disorders; Theories of Human Development; and The Client/Counselor Relationship. Disclosure: Jeremy King, LCSW, CASAC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Monique Kahn, Psy.D.
Monique Kahn, Psy.D. received her doctoral degree in Clinical Psychology from Nova Southeastern University in Florida. She completed a pre-doctoral internship at Spokane Mental Health in Washington, which included specialty rotations in behavioral medicine and time-limited psychotherapies. She is licensed as a psychologist in Maine, where she was in private practice for 14 years, providing services to adult clients with varied presenting issues, but with particular emphasis on the treatment of anxiety disorders, the relationship between psychosocial stress and illness, insomnia, and coping with chronic illness. She has taught in the undergraduate psychology program at Husson University in Maine. In addition, she has worked as a content writer and psychology subject matter expert for several major educational publishing firms. She joined Relias as a clinical content writer and subject matter expert in 2016. Disclosure: Monique Kahn, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level Alcohol and Drug Counselors; entry and intermediate level Professional Counselors; entry and intermediate level Psychologists; entry and intermediate level Social Workers; Nurses; in the following settings: Health and Human Services.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.