Background: Drug abuse (narcotics, psychotropics, and addictive substances) causes very broad and complex problems, including relapse. Relapse is a process that occurs due to several triggering factors where a person has been declared abstinence (recovered) returning to use drugs. Objective: To identify the determining factors related to the recurrence of drug abuse in a drug rehabilitation center. Methods: A cross-sectional research design, involving searching literature to find results from journals and research papers that relate to a relapse of drug use and returning to rehabilitation centers. Results: Internal factors in the family such as ineffective functions and roles of the family, family imbalances and economic status also played a role. In addition to, communication within the family and, external factors, such as environmental and peer group variables as well as the use of free time. The influence of friends was a very dominant factor in causing relapse. Social and environmental pressures were the external factors more likely to cause relapse. The types of drugs used also affected the likelihood of relapse. Social support has an important role in the healing process of drug addiction. The drug often misused was shabu-shabu (methamphetamine), because of its affordability. Shabu-shabu is also associated with drug violence in the middle levels. Conclusion: Factors determining the relapse of narcotics, psychotropic, and addictive substances (drugs) in drug rehabilitation centers consisted of internal factors such as gender, age, knowledge and association with old friends as well as external social and environmental pressures.

The problem of narcotics in Indonesia still requires high attention and vigilance. UNODC World Drug Report reported that 269 million people worldwide abuse drugs. In Indonesia, the drug abuse prevalence rate is above 2.5%. Thematic Group Activities (TGA) is an innovation program with individualbased intervention through a group approach throughout BNN's Rehabilitation was implemented in 2019. The purpose of the study was to determine the respondent's perception of drug abusers on the innovation program for the application of TGA and to find out the description of the implementation of TGA at BNN's Technical Implementation Unit. The research design was cross-sectional, with Focus Group Discussion (FGD) with clients at the BNN Rehabilitation in 6 (six) locations, namely the TGA program: Lido, Baddoka, Tanah Merah, Batam, Kalianda, and Deli Serdang in 2021. The research results showed that the client's perception towards the TGA program is stabilized, primary and re-entry meet individual needs. Clients understand all the goals of TGA, stabilization, primary, re-entry, TGA program, increase self-potential, self-confidence, and self-control, TGA program accommodates client needs. Client's perception of the implementation of TGA, the material is good, the client is given the same basic knowledge of the method, 70% material and 30% practice, take four classes with 4 different materials, the material delivered is following the needs, health protocols during a pandemic. The implementation of the TGA follows the rules of the Covid 19 health protocol well, presenting material, question and answer, and roleplay. Implementation of the TGA class is sufficient but not optimal, many theories, clients ask for a duration of practice. The client's perception of the TGA module is simplifying medical materials, adding broadcast materials simplifying language. C clients feel the need for legal-related materials. Materials received include infectious diseases, types of narcotics and its impact, prevention of relapse, managing emotions, and anger. Conclusion The TGA program is an innovative rehabilitation program for drug abusers that is suitable for use to accommodate individual therapy plans with a group approach in all BNN Rehabilitation Units. But it is necessary to improve the TGA program, including the module material.