Relapse Prevention and Recovery Support Flashcards

Which of the following is an evidence-based mutual aid group that uses cognitive-behavioral tools rather than a spiritual framework?

Answer: SMART Recovery

SMART Recovery (Self-Management and Recovery Training) is a secular, evidence-based mutual aid program that uses CBT and motivational principles.

Continuing care after primary treatment most strongly predicts which outcome?

Answer: Sustained abstinence and long-term recovery

Research consistently shows that participation in continuing care (step-down services, outpatient, mutual aid) after primary treatment significantly improves long-term recovery outcomes.

A counselor helps a client identify people, places, and things associated with past use. This intervention targets:

Answer: External relapse triggers

People, places, and things linked to prior drug use are external environmental triggers that can elicit cravings and increase relapse risk.

In relapse prevention planning, a 'seemingly irrelevant decision' (SID) refers to:

Answer: A minor choice that unconsciously moves a client closer to relapse

SIDs are decisions that appear harmless in isolation but collectively create a chain of events that leads the client back toward substance use.

Which stage of the Stages of Change model is most associated with active relapse prevention skill practice?

Answer: Maintenance

In the Maintenance stage, the client has made the change and works actively to sustain it by applying relapse prevention strategies and managing triggers.

Lifestyle balance, as described in Marlatt's relapse prevention model, involves:

Answer: Balancing obligations and pleasurable activities to reduce relapse risk

Marlatt proposed that an imbalance between demands (obligations) and desires (pleasures) increases craving and relapse risk, so achieving lifestyle balance is a key prevention goal.