intermediaterelapse preventionalcohol use disordersubstance use disordersMarlatt modelcoping strategiesnaltrexone
A 37-year-old man with severe alcohol use disorder has completed a 28-day inpatient residential treatment program. He achieved 30 days of sobriety, is engaged in AA, and has been started on naltrexone 50 mg daily. He is being discharged to his home where his wife, who is supportive, resides. He reports that his primary drinking triggers are work-related stress and socializing with former drinking friends on Friday evenings. He has a history of two prior relapses, both occurring within the first 90 days after residential treatment. The PMHNP is developing his relapse prevention plan. Which component is most critical to include?