Table 1.

Specific session-by-session content and core clinical skills of the RoadMAP RP toolkit

RoadMAP Toolkit

1) My addiction pattern—my alternative plan

• Analyze or “MAP” past using episodes

• Recognize basic triggers

• Schedule and follow through with drug-free activities

2) Coping with craving

• Learn basic characteristics of craving

• Apply five evidence-based coping skills to craving situations

3) Drug refusal skills

• Learn characteristics of effective refusal

• Discuss effective DR responses for hypothetical situations

• Practice DR skills through role play with constructive feedback

4) Managing difficult emotions

• Recognize and monitor emotions and states that can lead to using

• Apply Session 2 coping skills to managing difficult emotions

5) Seemingly harmless decisions

• Recognize decisions that seem harmless but may lead to high-risk    situations

• Create an “all-purpose coping plan” to anticipate consequences

6) Making recovery matter

• Discuss short- and long-term recovery goals

• Set a goal plan for recovery in motion

Central clinical activities

1) Teach patients to analyze typical using patterns

2) Teach patients to schedule their time and follow-through

3) Reinforce core theme of recognize, avoid, cope

4) Mediate group activities such as role-play and discussion

5) Teach and discuss coping strategies for high-risk situations

6) Elicit commitment to apply skills and reinforce practice outside of group