Alcohol Problems and Relapse: Can the Clinic Combat the Community?

Despite over a decade of research and debate into the issue of relapse the majority of people in treatment for alcohol-related problems still relapse. In this paper the results of an innovative relapse prevention and management programme are reported. It was found that a cognitive-behavioral package of strategies reduced the likelihood of relapse. On average, clients receiving this experimental package took four times longer to return to any alcohol use and seven times longer to return to 'heavy drinking' than did a conventional treatment control group. However, notwithstanding these results, 60 per cent of the experimental group did return to harmful drinking. The authors question whether further refinement of these procedures is possible, and suggest that if relapse rates are to be further reduced then greater attention needs to be given by counselors to clients' social environment. [ABSTRACT FROM AUTHOR]