Based on the structured outpatient group program pioneered at the Harvard Cocaine Recovery Project, this volume is a guide to helping chemically dependent outpatient clients take the critical first steps toward recovery. The book describes the initial month-long cessation and early recovery group - the "Clean Start" group - which was designed to help clients achieve stable abstinence and prepare them for long-term treatment. Delineating an affordable outpatient alternative to existing drug treatment modalities, the book offers group leaders a "cookbook" of step-by-step instructions, complete with "scripts, " for leading sessions. Part I, "Program Theory and Design, " establishes the rationale of the program and offers a coherent account of how to help groups of addicts separate themselves from drug use and lay the foundation for further recovery. It discusses the design of the program and the needs of clients in terms of a social conditioning model of addiction. Illuminated by a sample
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