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SMART Recovery is based on scientific knowledge and is intended to evolve as scientific knowledge evolves. [4] The program uses principles of motivational interviewing, found in motivational enhancement therapy (MET), [5] and techniques taken from rational emotive behavior therapy (REBT), and cognitive-behavioral therapy (CBT), as well as scientifically validated research on treatment. [6]
Motivational therapies are focused specifically on a person's needs, or on what their problems may be. Sessions are usually short the first time you see a patient, but time can vary the next few sessions. During these times there are different methods and techniques used by the therapist. Techniques consist of: brief solution focused therapy
The program (AVRT) is not a form of therapy, counseling, or addiction treatment. Some assistance is free, but the program requires some "very modest charges" for goods and services including books, articles, and audio CDs to assist in the recovery process. [6]
Unlike other therapy or counseling programs that offer a step-by-step process, MET focuses on creating an internally motivated change. A typical therapy session consists of an initial assessment, and two to four treatment sessions with the therapist. In the initial session, the therapist conducts a discussion about the client's substance use.
Substance usage increases in late adolescence and young adulthood, with alcohol, marijuana, and tobacco being the most widely consumed substances. [ 24 ] Brain maturation during adolescence is more susceptible to developing addictive behaviors as it further promotes risk-taking behaviors and subsequently early addiction decisions. [ 26 ]
A 2012 study conducted by the National Center on Addiction and Substance Abuse at Columbia University concluded that the U.S. treatment system is in need of a “significant overhaul” and questioned whether the country’s “low levels of care that addiction patients usually do receive constitutes a form of medical malpractice.”
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Relapse prevention (RP) is a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations such as unhealthy substance use, obsessive-compulsive behavior, sexual offending, obesity, and depression. [1] It is an important component in the treatment process for alcohol use disorder, or alcohol dependence.