MRT is used in all correctional settings, probation and parole, community corrections, diversion programs, in private treatment settings, in welfare-to-work programs, educational settings, and elsewhere.

The program has 16 Steps with 12 of these typically completed in 30 group sessions held in accordance with the implementation site’s own needs and characteristics. For example, therapeutic communities often hold several MRT groups each week while drug courts and probation sites typically hold a weekly group. Clients complete homework for each group prior to coming to a session. In the group each client presents his or her homework and the facilitator passes the client to the next step or has the client redo the homework based on objective criteria. All MRT groups are open-ended meaning that new clients can enter an ongoing group at any time. Each group session will usually have new clients as well as some finishing the program. All MRT facilitators must complete basic MRT training.

The MRT Facilitator’s Handbook gives basic instructions as well as the objective criteria that should be used for each Step. A Spanish version of the workbook is available. An audio CD set of the book is available for clients who do not read. There are both English and Spanish versions of the “book on audio” CD available. Several other treatment tools are recommended. These include audio files that clients can utilize: the Five-Minute Stress Manager; Imaginary Future . Those who attend MRT training receive a copy of the MRT Facilitator’s Handbook, the Five-Minute Stress Manager, and Imaginary Future.