Relapse Prevention Program in Iowa: Continuing Care After Addiction Treatment

Our relapse prevention program at Radix Recovery in Cedar Rapids, Iowa is the lowest-intensity clinical level of our continuum of care. Designed for adults who have completed residential treatment, PHP, or IOP, the program provides weekly individual therapy, structured relapse prevention work, medication management, and clinical support group participation. It is the long-term maintenance step that keeps recovery durable after the more intensive phases of addiction treatment are complete.

40%
Of people in recovery experience at least one relapse (NIDA).
Relapse Risk
60+ min
Weekly individual therapy sessions.
Weekly Therapy
12+ mo
Recommended continuing care duration.
Recommended
1Team
The same clinicians as your residential, PHP, or IOP phase.
Continuity

Trusted in-network insurance partnerships

How Our Relapse Prevention Programs Are Structured

Continuing care at Radix is clinical, not just social. It is built for the period after residential, PHP, or IOP ends, the phase where most relapse risk lives, and it is designed to run for 12 months or longer. It is one of our full range of programs, sitting between intensive outpatient and the alumni community.

Who Continuing Care Is For

Continuing care is the right fit if you have completed a more intensive level of treatment and are ready to step down to weekly clinical support. Whether you completed our residential inpatient rehab, our partial hospitalization program, or our intensive outpatient program, it gives you a clinical home for the long term, including ongoing dual diagnosis treatment. It is a strong fit when:

0 of 5 feel familiar

If most of these are familiar, anxiety dual diagnosis treatment is likely the right fit. Our admissions team can talk it through with you, confidentially.

Speak With Admissions Now

The Three Stages of Relapse

Relapse rarely starts the moment someone picks up a drink or a substance. The clinical models developed by Marlatt and Gorski describe relapse as a process that unfolds in three stages, often weeks or months before any substance is actually used. Recognizing the early stages is the foundation of effective relapse prevention.

The Continuum 01 of 03

How Emotional Relapse Begins

Emotional relapse comes first, and it usually does not involve any thought of using. The signs are isolation, bottled emotions, skipped meetings, poor sleep, irregular eating, and resentment that does not get talked through. The person is not thinking about using; they are simply drifting out of the practices that hold recovery together. Catching this stage is where continuing care earns its keep: a weekly therapy session catches the drift while it is still emotional, before it becomes a craving.

The Continuum 02 of 03

The Mental Relapse Stage

Mental relapse is the internal tug-of-war. One part wants to stay sober; another part is romanticizing past use, minimizing consequences, fantasizing about controlled drinking or use, or planning a relapse without naming it as such. Cravings get louder. Old friends and old places start to look appealing again. The relapse prevention plan is the tool that interrupts mental relapse with concrete steps: who to call, what to do for the next hour, and how to ride out a craving without acting on it.

The Continuum 03 of 03

Physical Relapse and Returning to Substance Use

Physical relapse is the return to substance use. By the time someone reaches this stage, the work of preventing relapse has typically been missed for weeks. The clinical response is not shame; it is rapid re-engagement. We treat a physical relapse as clinical information, not failure. The treatment plan is updated, the level of care is reassessed, and the relapse prevention plan is rebuilt with the new information about what triggered the return to use.

The full continuum of care at Radix Recovery includes Residential Inpatient Treatment with 30, 60, or 90-day pathways, Partial Hospitalization Program (PHP) for comprehensive day programming, and Intensive Outpatient Program (IOP) three days per week, plus outpatient care and medication management with Suboxone and Vivitrol.

Because every level of care at Radix is delivered by a connected clinical team, residents do not start over when they move from detox to residential to outpatient. It is one of the reasons families choose Radix for alcohol and drug rehab in Iowa.

Building Your Personal Relapse Prevention Plan

A relapse prevention plan is a written, personal document that names your triggers, your warning signs, and the concrete actions you will take when you notice them. It is not theoretical; it lives in your phone or your wallet. We build it together in your first weeks of continuing care and update it as new information emerges. Every plan includes seven components, reviewed with your therapist every 60 to 90 days.

Therapy and Support Group Participation in Continuing Care

Continuing care uses several clinical tools alongside your weekly individual therapy. Tap each to see how it works.

Dual
Diagnosis
Core therapy

Cognitive Behavioral Therapy

CBT continues to identify and restructure the thought patterns that drive cravings and risky decisions.

In practice →
  • Trigger and thought mapping
  • Cognitive restructuring
  • Relapse-prevention skill drills
Awareness

Mindfulness-Based Relapse Prevention

MBRP layers awareness practices on top of CBT, building the capacity to notice an urge without acting on it.

In practice →
  • Urge surfing
  • Breath and body awareness
  • Non-judgmental noticing
Community

Clinical Support Groups

Facilitated group sessions provide the peer accountability that solo therapy cannot, with connections to 12-step, SMART Recovery, and Refuge Recovery in your home city.

In practice →
  • Facilitated clinical groups
  • Peer accountability
  • Home-city meeting connections
Medication

Medication-Assisted Treatment

Any MAT started earlier is continued and monitored in continuing care: Suboxone and Vivitrol, managed by our prescribing team.

In practice →
  • Suboxone maintenance and taper
  • Vivitrol monthly injection
  • Ongoing prescriber review
Learn about medication-assisted treatment →

Stay Connected to Clinical Care Beyond Treatment

Continuing care is how recovery becomes durable. Our admissions team is available 24/7 to discuss the right fit for you or your loved one.

Where Continuing Care Fits in Our Continuum

Continuing care is level 5 of 6 in our continuum, the longest-running clinical phase, designed to outlast the more intensive phases that come before it. The alumni program at level 6 is the social and peer network that runs alongside it, not the same as clinical maintenance.

Step 01 of 06

1. Medical Detox 3 to 7 days

Medically monitored withdrawal management, the first stabilization step.

Medical detox in Iowa →
Step 02 of 06

2. Residential Inpatient 30, 60, or 90 days

Immersive on-site programming at the most intensive non-acute level.

Step 03 of 06

3. Partial Hospitalization 4 to 6 hrs/day

Day treatment with evenings at home or in sober housing.

Step 04 of 06

4. Intensive Outpatient 3 days/week

Structured outpatient care built around work and family.

Step 05 of 06

5. Continuing Care and Relapse Prevention (You Are Here) 12+ months

The longest-running clinical phase: weekly contact for 12 months or more.

Step 06 of 06

6. Alumni and Aftercare Ongoing

Social and peer network that runs alongside continuing care.

Alumni and aftercare community →

Relapse Prevention in Cedar Rapids: Statewide Continuing Care

Radix Recovery is based in Cedar Rapids and serves continuing care Radix community members from every region of Iowa. Most weekly sessions are in person at our Cedar Rapids campus, with telehealth options for people in farther-out cities or during travel weeks.

Cedar Rapids

Our Location

Iowa City

~30 min

Davenport

~1.5 hrs

Quad Cities

~1.5 hrs

Dubuque

~1.5 hrs

Marion

~10 min

Des Moines

~2 hrs

Ankeny

~2 hrs

West Des Moines

~2 hrs

Ames

~1.5 hrs

Waterloo

~1 hr

Cedar Falls

~1 hr

Sioux City

~3.5 hrs

Council Bluffs

~3 hrs

Why Families Trust Radix Recovery

Real outcomes from real people. Hear what our residents and their loved ones have to say about their time in our program.
imgi 54 Kayla Borja Frosst 1 1

Kayla Borja Frost, LMHC, IADC

Chief Clinical Officer, Radix Recovery

This page was medically reviewed by Kayla Borja Frost, LMHC, IADC, Chief Clinical Officer at Radix Recovery, who oversees all outpatient and continuing care programming.

Last Reviewed

June 2026

Reviewed By

Radix Recovery clinical leadership

Frequently Asked Questions

A relapse prevention plan is a written, personal document that names your triggers, warning signs, and the concrete actions you will take when you notice them. Every continuing care plan includes triggers, warning signs, coping strategies, a named support network, daily practices, a medication plan, and a crisis plan, reviewed every 60 to 90 days.

The three stages are emotional, mental, and physical. Emotional relapse looks like isolation and skipped recovery practices. Mental relapse is the tug-of-war between staying sober and romanticizing use. Physical relapse is the return to substance use. Recognizing emotional relapse early is where weekly continuing care makes the biggest difference.

Core skills include trigger identification, urge surfing, thought restructuring, structured daily practices, calling a support person before a high-risk situation, mindfulness practice, and using your written plan when a craving spikes.

We recommend a minimum of 12 months in continuing care after completing more intensive treatment. Session frequency typically steps down over time, from weekly to biweekly to monthly, based on your clinical stability.

Aftercare often refers to any care after residential treatment, including peer support and our alumni program. Our relapse prevention program is a specific level of clinical outpatient care: a licensed therapist, weekly sessions, medication management, and a structured plan.

Our intensive outpatient program runs 9 to 20 hours per week for a defined window. Continuing care runs 1 to 2 hours per week and is designed to last 12 months or longer. IOP is the active middle phase; continuing care is long-term maintenance.

Yes. Most major plans cover outpatient continuing care because it is clinically necessary maintenance treatment. Radix is in-network with Wellmark BCBS, TriWest, Midlands Choice, Cigna, Health Choice, and Medical Associates.

Our continuing care program is based in Cedar Rapids, with telehealth options across the state. We serve people from Iowa City, Marion, Waterloo, Cedar Falls, Dubuque, Davenport, Des Moines, Ames, Sioux City, and Council Bluffs.

Take the First Step Toward Lasting Recovery

Continuing care is what keeps recovery durable long after residential, PHP, or IOP ends. Our admissions team is available 24/7 to discuss the right fit and verify your benefits.