/ Relapse Prevention Therapy (RPT)
Treatment Plan
Developed By
Terence T. Gorski
President
The CENAPS Corporation
Based on The CENAPSModel
Notice of Proprietary Information: This material is intended only for the personal use of the workshop participant receiving it. This document contains copyrighted and proprietary information of Terence T. Gorski and The CENAPS Corporation. Its receipt or possession does not convey any right to reproduce it; to disclose its contents; or to manufacture, use, or sell anything it may describe. Reproduction, disclosure, and use without the specific written authorization of The CENAPS Corporation are strictly forbidden. If your agency would like the rights to use any part of this material in its program, please refer the appropriate agency representative to The CENAPS® Corporation, 17900 Dixie Highway, Suite 14, Homewood, Illinois, 60430, 708-799-5000 (Fax: 708-799-5032) to discuss the arrangements necessary to make that possible. Website: or E-Mail: .
The Most Advanced Clinical Skills Training Available
© Copyright, Terence T. Gorski, 1986, 1996, (1997 Version 2)

The RPT Treatment Plan

Developed By Terence T. Gorski (© Copyright, Terence T. Gorski, 1982, 1997)

The CENAPS® CORPORATION 708-799-5000

17900 Dixie Highway, Suite 14, Homewood, Illinois60430 Fax: 708-799-5032

Website: E-Mail:

1.Problem Title: Pattern of Periodic Relapse

2.Problem Description: The client has core personality and lifestyle problems that cause relapse to alcohol and drug use after establishing a stable recovery.

3.Goal: The client will identify and learn to manage the core personality and lifestyle problems that lead to relapse.

  • Start Date: ______Target Date: ______Actual Date: ______

4.Interventions: The client will participate in a combination of group and individual therapy sessions, psychoeducational sessions, supervised study halls, and self-help group meetings, in which the following interventions will be implemented:

(1)Presenting Problem Analysis: The client will creates a list of their presenting problems, identifies the relationship of each of those problems to their pattern of chronic relapse, projects logical consequences into the future if nothing changes and makes a commitment to change the core personality and lifestyle problems that cause relapse

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(2)Life and Addiction History: The client will identify lifestyle problems that increase the risk of relapse by completing a detailed life and addiction history of childhood, adolescence, and adulthood.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(3)Recovery and Relapse History: The client will identify factors leading to past relapses by completing a relapse calendar and a detailed analysis of relapse episodes.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(4)Warning Sign Review: The client will identify the warning signs that lead from stable recovery to relapse by reviewing a list of common warning signs and identifying three personal warning signs.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(5)Warning Sign Analysis: The client will identify the hidden warning signs that have led to past relapses by describing past experiences with his or her personal warning signs and identifying the thoughts, feelings, urges, and actions that comprise his or her self-defeating responses to those warning signs.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(6)Final Warning Sign List: The client will develop a final list of personal warning signs that lead from stable recovery to relapse; identify the related irrational thoughts, unmanageable feelings, self-destructive urges, and self-defeating behaviors that drive those warning signs; and identify three critical warning signs.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(7)Warning Sign Management: The client identifies and changes the thoughts, feelings, urges, actions, and reactions that prevent effective management of the critical warning signs.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

(8)Recovery Planning: The client will develop a schedule of recovery activities that will support the ongoing identification and management of core personality and lifestyle problems, test this schedule by identifying how each activity can be adapted to help him or her identify and manage those personality and lifestyle problems, and develop a final recovery plan that addresses all critical warning signs.

  • Start Date: ______Target Date: ______Actual Date: ______
  • Resources: ______

______

  • Assisted By: ______

Level of Completion: Full Partial None. Completion Score (0 - 10): ____

Notes: ______

9.Overall Response: The client has developed the overall ability to identify and responsibly manage the core personality and life style problems that lead from stable recovery to relapse after a stable recovery has been implemented.

Notes: ______

______

______

______

______

______

______

______

______

______

______

Overall Level of Completion: Full Partial None. Completion Score (0 - 10): ____

This copyrighted Model RPT Treatment Plan may be copied for use with clients or entered into computerized treatment planning systems with full permission if the following criteria are met:

(1)The following credit appears on all copies: This RPT treatment plan was adapted from a Master Treatment Plan developed by Terence T. Gorski for use in The Relapse Prevention Therapy (RPT) Workbook published by Herald House Independence Press, IndependenceMO, 1-800-767-8181. It is used with full permission of the author; and

(2)The use of this treatment plan is registered with The CENAPS Corporation by sending a letter and a printed copy of the final treatment plan format. All users who wish can be listed on the CENAPS Website. ( for a $25.00 users fee..

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Copyright  Terence T. Gorski, 1996, 1997. Reprinted from The Relapse Prevention Therapy Workbook
Available from Herald House Independence Press, 1-800-767-8181; 816-252-5010; website:
Training &Consultation available from CENAPS® Phone: 708-799-5000; Fax 708-799-5032; Website:
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