Goals & Objectives RP

Recovery Training and Self Help & Cue Extinction   

(A Skills Based Workshop)

Recovery Training and Self Help (RTSH) is a relapse prevention technique that combines as many as four strategies and can be used effectively in the context of continued care and/or follow-up counseling services provided in the course of addiction recovery. RTSH can be used as part of either residential or outpatient programs. RTSH enables clients to learn how to identify and deal with specific high risk situations, how to enjoy social situations that do not involve drugs, and how to develop new relationships, both social and intimate. RTSH is an evidence based practice, developed and proven effective by the National Institute on Drug Abuse (NIDA).

The RTSH program brings together many relapse prevention strategies. The RTSH program seeks to reduce the association of psychological and social cues with substance use by teaching individuals self-sustaining alternative responses to stimuli previously associated with drug use. These new responses are elements of a new pattern of behavior, a recovering lifestyle.

Cue Extinction is a relapse prevention technique based on traditional learning and behavioral modification theories that has been empirically tested and, when incorporated into a comprehensive relapse prevention program, has been found to be effective in supporting clients to maintain recovery. Cue extinction can help clients reduce their craving for drugs, even when confronted with the situations and stimuli that triggered the urge in the past. The Cue Extinction program teaches techniques for coping with cravings produced by drug-related stimuli until the power of these cues to evoke the craving is reduced or eliminated.

Recovery is not just the cessation of drug use; usually it also demands adjustments to a new way of life within the culture of the larger community. To make a truly new way of life and not just relocate the old one, people need much more than to learn how to avoid people places and things.  People must have guidance, acquire new skills, develop new relationships and become part of supportive communities.  Clients can find support for that emerging lifestyle by participating in four distinct sets of activities that make up the RTSH program.


To develop and / or enhance the knowledge and skills required to implement two proven and effective models of Relapse Prevention, i.e., Recovery Training and Self Help (RTSH) and Cue Extinction.


Participants will be able to:

Goals & Objectives

  • Define Relapse, and identify at least one biological, psychological, and social factor that influences the relapse process.
  • Identify and differentiate between the various degrees of relapse along the relapse continuum.
  • Understand and explain the role of cravings in the relapse process.
  • Differentiate between the assessment of a client’s relapse potential, versus their continued use potential, as defined by the American Society of Addiction Medicine (ASAM).
  • Define Relapse Prevention, and identify the key components of relapse prevention programming.
  • Identify and define at least two common approaches to Relapse Prevention.
  • Identify key components of Marlatt & Gordon’s relapse prevention model.
  • Identify at least two factors treatment professionals should consider when responding to a client’s relapse.
  • Identify and describe the fundamental concepts that Recovery Training and Self Help (RTSH), a proven and effective Relapse Prevention Approach is based on.
  • Identify and describe the four key components that make up the RTSH Relapse Prevention approach.
  • Identify at least two key elements of the four key components that make up the RTSH Relapse Prevention approach.
  • Identify and define the five parts of a Recovery Training Group
  • Identify the primary role of the Recovery Training group leader during each of the Five Phases of the Recovery Training Group.
  • Identify at least two common errors group leaders may make when running a Recovery Training Group.-
  • Identify the key characteristics of Cue Extinction, a proven and effective Relapse Prevention Approach.
  • Identify at least two rationale for using the Cue Extinction Relapse Prevention Approach.
  • Identify at least one benefit of using Cue Extinction.
  • Identify and Explain the elements of conditioning and conditioned response in relation to drug addiction and recovery.
  • Identify and describe the six Cue Extinction tools.
  • Identify and order the steps involved in the Cue Extinction Process.
  • Identify and explain the steps involved in helping a client identify triggers that might induce drug craving.
  • Identify at least two Benefits of Using the Coping with Craving (CWC) Rating Scale.
  • Identify two potential problems that could interfere with, or prevent the successful implementation of a Cue Extinction counseling session.
  • Identify at least two ways for dealing with clients who may still be experiencing urges and cravings after the Cue Extinction Tool has been applied.
  • Identify the challenges and barriers to successful implementation of the two approaches.

Job / Career Relevancy:

While many agencies address relapse as part of the standard milieu of treatment incorporating bits and pieces of various relapse prevention strategies into individual counseling and group work, fewer actually run groups or have tracks dedicated solely to relapse prevention. Many organizations are looking for qualified staff to implement and run proven and effective Relapse Prevention programs. Possessing the knowledge and skills to implement proven and effective relapse prevention approaches is a marketable skill that you can take with you wherever you work, and one that should be listed on your resume.

Evidence Based – Proven Effective – Designed For Transfer