### Counselor's Family Education Manual

Matrix Intensive Outpatient Treatment for People With Stimulant Use
Disorders

**U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES**

Substance Abuse and Mental Health Services Administration

Center for Substance Abuse Treatment

1 Choke Cherry Road

Rockville, MD 20857

**Acknowledgments**

Numerous people contributed to this document, which is part of the
Methamphetamine Treatment Project (MTP). The document was written by
Jeanne L. Obert, M.F.T., M.S.M.; Richard A. Rawson, Ph.D.; Michael J.
McCann, M.A.; and Walter Ling, M.D. The MTP Corporate Authors provided
valuable guidance and support on this document.

This publication was developed with support from the University of
California at Los Angeles (UCLA) Coordinating Center through Grant No.
TI11440. MTP was funded by the Center for Substance Abuse Treatment
(CSAT), Substance Abuse and Mental Health Services Administration
(SAMHSA), U.S. Department of Health and Human Services (DHHS). The
research was conducted from 1998 to 2002 in cooperation with the
following institutions: County of San Mateo, San Mateo, CA (TI11411);
East Bay Recovery Project, Hayward, CA (TI11484); Friends Research
Institute, Inc., Concord, CA (TI11425); Friends Research Institute,
Inc., Costa Mesa, CA (TI11443); Saint Francis Medical Center of Hawaii,
Honolulu, HI (TI11441); San Diego Association of Governments, San Diego,
CA (TI11410); South Central Montana Regional Mental Health Center,
Billings, MT (TI11427); and UCLA Coordinating Center, Los Angeles, CA
(TI11440). The publication was produced by JBS International, Inc.
(JBS), under Knowledge Application Program (KAP) contract numbers
270-99-7072 and 270-04-7049 with SAMHSA, DHHS. Christina Currier served
as the CSAT Government Project Officer. Andrea Kopstein, Ph.D., M.P.H.,
served as the Deputy Government Project Officer. Cheryl Gallagher, M.A.,
served as CSAT content advisor. Lynne MacArthur, M.A., A.M.L.S., served
as JBS KAP Executive Project Co-Director; Barbara Fink, RN, M.P.H.,
served as JBS KAP Managing Project Co-Director; and Emily Schifrin,
M.S., and Dennis Burke, M.S., M.A., served as JBS KAP Deputy Directors
for Product Development. Other JBS KAP personnel included Candace Baker,
M.S.W., Senior Writer; Elliott Vanskike, Ph.D., Senior Writer; Wendy
Caron, Editorial Quality Assurance Manager; Frances Nebesky, M.A.,
Quality Control Editor; and Pamela Frazier, Document Production
Specialist.

**Disclaimer**

The opinions expressed herein are the views of the authors and do not
necessarily reflect the official position of CSAT, SAMHSA, or DHHS. No
official support of or endorsement by CSAT, SAMHSA, or DHHS for these
opinions or for particular instruments, software, or resources described
in this document is intended or should be inferred. The guidelines in
this document should not be considered substitutes for individualized
client care and treatment decisions.

**Public Domain Notice**

All materials appearing in this volume except those taken directly from
copyrighted sources are in the public domain and may be reproduced or
copied without permission from SAMHSA/CSAT or the authors. Do not
reproduce or distribute this publication for a fee without specific,
written authorization from SAMHSA's Office of Communications.

**Electronic Access and Copies of Publication**

Copies may be obtained free of charge from SAMHSA's National
Clearinghouse for Alcohol and Drug Information (NCADI), 800-729-6686 or
240-221-4017; TDD (for hearing impaired) 800-487-4889; or electronically
through www.ncadi.samhsa.gov.

**Recommended Citation**

Center for Substance Abuse Treatment. *Counselor's Family Education
Manual: Matrix Intensive Outpatient Treatment for People With Stimulant
Use Disorders.* DHHS Publication No. (SMA) 07-4153. Rockville, MD:
Substance Abuse and Mental Health Services Administration, 2006,
reprinted 2007.

**Originating Office**

Practice Improvement Branch, Division of Services Improvement, Center
for Substance Abuse Treatment, Substance Abuse and Mental Health
Services Administration, 1 Choke Cherry Road, Rockville, MD 20857.

DHHS Publication No. (SMA) 07-4153

Printed 2006

Reprinted 2007

**Contents**

**I. Introduction to the Matrix Intensive Outpatient Treatment for
People With Stimulant Use Disorders Approach and Package 1**

> Background 1
>
> Matrix IOP Approach 2
>
> The Role of the Counselor 9
>
> The Matrix IOP Package 10
>
> Introduction to the Family Education Group 11

**II. Session Instructions 19**

> Family Education Sessions Overview 19

Session 1: Triggers and Cravings (PowerPoint Presentation) 21

Session 2: Alcohol and Recovery (PowerPoint Presentation) 33

Session 3: Recovery (Panel Presentation) 47

Session 4: Methamphetamine and Cocaine (PowerPoint Presentation) 49

Session 5: Roadmap for Recovery (PowerPoint Presentation) 68

Session 6: Coping With the Possibility of a Relapse (Multifamily Group
Discussion) 88

Session 7: Opioids and Club Drugs (PowerPoint Presentation) 91

Session 8: Families in Recovery (PowerPoint Presentation) 104

Session 9: Rebuilding Trust (Multifamily Group Discussion) 118

Session 10: Marijuana (PowerPoint Presentation) 120

Session 11: Living With an Addiction (Multifamily Group Discussion) 129

Session 12: Communication Traps (Multifamily Group Discussion) 131

**III. Family Education Handouts 137**

**Appendices**

Appendix A. The Methamphetamine Treatment Project 199

Appendix B. Notes on Group Facilitation 202

Appendix C. Acronyms and Abbreviations List 204

Appendix D. Field Reviewers 206

Appendix E. Bibliography 208