Research points out that one reason that many individuals fail to achieve and/or maintain sobriety is that they have inadequate coping skills for dealing with stressful situations and painful feelings. Therefore, the key to preventing relapse is to gain and practice new skills for coping with both anticipated and potentially unforeseen challenges. Yet, simply acquiring these coping skills does not guarantee sustained recovery. One also needs to effectively practice these skills and work a sustainable recovery program. This is evidenced by the fact that addiction treatment and relapse prevention programs have high rates of relapse, despite individuals having a plethora of skills available to them and often being highly motivated for recovery. What the authors highlight in the workbook is that there is a mind-body system, called the I-System, that hinders individuals in recovery from effectively applying these skills and recovery practices, saps their motivation, and causes them to veer off their chosen recovery pathways. From a psychological standpoint, the I-System serves as a regulatory mechanism that maintains psychic balance and prevents psychic disintegration. The approach outlined in the workbook teaches the reader how to recognize and “befriend” this hindrance – so that instead of it being an impediment, it can serve as a compass that guides them through their activities of daily living to stay true to their chosen recovery pathways. The practices in the workbook centers on discerning mind-body practices that support regulation of both mental and physical health, preserving the inherent resilience of our true self. The introduction provides an overview of the workbook and brief introduction to the theory that informs the workbook. The workbook is structured progressively, with each section building on information provided previously. The exercise questions are easy to understand and apply, aiming to heighten the reader’s self-awareness of the dynamics that underlie their addictive behaviour in several key areas of life. The workbook is divided into six sections, each detailing an aspect of a Recovery Resilience Practice and outlining various exercises to help foster their recovery resilience and well-being. Initial exercises aim to unearth what might be hindering their resilience, ultimately resulting in diminished mental and physical functioning. The authors equip readers with a baseline measurement to monitor progress as they gradually introduce various practices and exercises in a systematic way.

Persons living in urban and rural areas have similar rates of alcohol use, yet the latter possess far fewer options for treatment of alcohol and other substance use disorders. There is underappreciated diversity across rural communities that compels an understanding of the broad social and economic determinants of their alcohol and other drug use and engagement with treatment. This chapter examines the delivery of treatment for alcohol use disorder in rural healthcare systems with special attention to the primary care setting, the venue most accessible to rural residents. Novel approaches for rural treatment of substance use disorders are identified that match social and cultural trends of substance use while leveraging the limited resources of the rural behavioral healthcare landscape.