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Special Section on Relapse Prevention: Relapse of Substance Use Disorder and Its Prevention Among Persons With Co-occurring Disorders

This article summarizes the scientific literature on the relapse process, describes the basic principles of relapse prevention treatment, highlights the major empirical studies, and offers suggestions for future research and application, especially in terms of ongoing care for persons with co-occurring disorders. Relapse prevention treatments have a well-established efficacy and effectiveness for persons with substance use disorders. Key ingredients include reducing exposure to substances, fostering motivation for abstinence, self-monitoring, recognizing and coping with cravings and negative affect, identifying thought processes with relapse potential, and deploying, if necessary, a crisis plan. Relapse prevention approaches may be best suited for persons in the action of maintenance stages of treatment or recovery. Further research is needed to examine relapse prevention therapies as a key component to continuing care for persons with co-occurring substance use and psychiatric disorders.

This article has been cited by other articles:

				R. E. Clark, M. Samnaliev, and M. P. McGovern Treatment for Co-occurring Mental and Substance Use Disorders in Five State Medicaid Programs Psychiatr Serv, July 1, 2007; 58(7): 942 - 948. [Abstract] [Full Text] [PDF]

				A. L. Rollins, S. J. O'Neill, K. E. Davis, and T. S. Devitt Special Section on Relapse Prevention: Substance Abuse Relapse and Factors Associated With Relapse in an Inner-City Sample of Patients With Dual Diagnoses Psychiatr Serv, October 1, 2005; 56(10): 1274 - 1281. [Abstract] [Full Text] [PDF]

				R. E. Drake, M. A. Wallach, and M. P. McGovern Special Section on Relapse Prevention: Future Directions in Preventing Relapse to Substance Abuse Among Clients With Severe Mental Illnesses Psychiatr Serv, October 1, 2005; 56(10): 1297 - 1302. [Abstract] [Full Text] [PDF]

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