Moral Reconation Therapy (MRT) is a modality based on strengthening moral reasoning, that can be used in substance abuse treatment. Originally created to help criminal offenders stop committing crimes, it is a structured approach that includes both group and individual counseling, as well as homework exercises. The MRT workbook is structured around 16 steps (units) focusing on 7 treatment issues, including building a healthy, positive identity; developing a higher frustration tolerance; and forming a strong moral belief structure. Participants meet 1-2 times weekly in groups, and can complete all steps of the MRT program in 3-6 months.