MRT is used in all juvenile settings, probation and parole, community corrections, diversion programs, in private treatment settings, in welfare-to-work programs, educational settings, drug/mental health/juvenile courts, 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. Clients complete homework for each group prior to coming to a session. In 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 Juvenile 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 adult book is available. An audio CD set of the Juvenile MRT book is available for clients who do not read. Several other treatment tools are recommended. These include CDs that clients can utilize: the Five-Minute Stress Manager; Imaginary Future. Individuals who enter MRT training receive a copy of the MRT Facilitator’s Handbook, the Five-Minute Stress Manager, and Imaginary Future.