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Mark Your Calendar August 10 • Certificate of Confidentiality September 14 • Integrated Treatment of Co-Occurring Co Occurring Disorders October 12 • Informed Consent December 7 • A New N LLook k at t MManual l of f Procedure P d (MOP) Development 98
Clinical Trials Network · Dissemination Library National Drug Abuse Treatment A copy of f this hi presentation i will ill be b available il bl electronically after the meeting from: CTN Dissemination Library htt http://ctndisseminationlibrary.org // t di i ti lib and NIDA Livelink https://livelink.nida.nih.gov 99
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Relapse Prevention Dennis C. Daley,
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GAlanMarlatt G. Alan Marlatt, PhD 1
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Recovery y Process Process of f ma
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2: Understanding Relapse in Addicti
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Key Terms Addiction treatment: •
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Causes and Effects of Lapse/Relapse
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Relapse Situations Among Alcoholics
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Relapse Curves for Individuals Trea
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3. Evidenced-based Evidenced based
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Efficacy of Multi-Site NIAAA Trial:
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% Days Abstinent A Mean Percent Day
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"Stop fighting and surrender, Jones
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024 0.24 0.22 0.20 0.18 0.16 014 0.
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Family Intervention Studies di (Lid
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4. Relapse Prevention Therapy or Co
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Relapse Prevention MModels d l Mar
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Relapse Prevention Counseling (Dale
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MATRIX Model Individual, group, fa
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5. Systems Strategies to Reduce Rel
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S#1: Incorporate Strategies to Impr
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Abstinence Rates at 1-Year Follow-U
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Mean Number of Drinks Mean Drinks r
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S#3: Use Motivational Incentives S
Page 47 and 48: S#4: Offer Medication-Assisted Medi
Page 49 and 50: FDA Approved Medications Vivitrol
Page 51 and 52: S#5: Involve the Family or Concerne
Page 53 and 54: S#6: Provide Integrated Care for Co
Page 55 and 56: 6. Counseling Interventions to Redu
Page 57 and 58: Identify Triggers and Cues Identif
Page 59 and 60: Strategies to Manage Cravings Reco
Page 61 and 62: Cognitive Factors Interacting on Re
Page 63 and 64: Negative Thinking Mark Twain Said.
Page 65: C#3: Identify and Manage Warning Si
Page 68 and 69: Learning g from a Relapse p What w
Page 70 and 71: C#4: Identify and Manage High High-
Page 72 and 73: Relapse p Precipitants p Negative
Page 74 and 75: Primary Negative Emotions Related t
Page 76 and 77: C#6: Identify and Manage Social Pre
Page 78 and 79: Examples of Different Ways to Condu
Page 80 and 81: Asking g for Help p Think of a time
Page 82 and 83: Improve Interpersonal and Social Sk
Page 84: Contents Understanding addiction
Page 87 and 88: “Guess what?! I think Jones has f
Page 89 and 90: C#9: Assess and Address Lifestyle I
Page 91 and 92: Lifestyle Changes PParticipate ti
Page 93 and 94: C#10: Stopping a Lapse or a Relapse
Page 95: Coping p g with a Lapse p St Stop,
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