Historically, there has been a lack of formalized substance abuse counseling models in outpatient counseling settings beyond the 12-step model of treatment that honor the therapeutic relationship. An Integrated Relational Model of Substance Abuse Outpatient Counseling is proposed based on the therapeutic relationship and counseling for solutions. Person-centered therapy, motivational interviewing, and solution-focused therapy are integrated into a proposed phased model to use in outpatient counseling. The structure and application of the model is described, including goals, objectives, and intervention tools for each phase of counseling that honors the power of the therapeutic relationship
