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This book is the first complete guide to implementing the Community Reinforcement Approach (CRA), an empirically based, highly effective cognitive-behavioral program for treating alcohol problems. CRA acknowledges the powerful role of environmental contingencies in encouraging or discouraging drinking, and attempts to rearrange these contingencies so that a non-drinking lifestyle is more rewarding than a drinking one. Unique in its breadth, the approach utilizes social, recreational, familial, and vocational strategies to aid clients in the recovery process. This authoritative manual is a hands-on guide to applying these therapeutic procedures. The authors present a step-by-step guide to each component of the treatment plan, many of which have been shown to be effective forms of treatment in themselves. Topics include behavioral skills training, social and recreational counseling, marital therapy, motivational enhancement, job counseling, and relapse prevention. Each chapter provides detailed instructions for conducting a procedure, describes what difficulties to expect, and presents strategies for overcoming them. Sample dialogues between clients and therapists, annotated by the authors, further illuminate the treatment process. The book concludes with a chapter that both addresses the common mistakes made when implementing CRA, and emphasizes the flexibility and benefits of this total treatment plan. This book is an invaluable resource for a wide range of practitioners including psychologists, psychiatrists, substance abuse counselors, and social workers.
This new edition of Clinical Manual of Addiction Psychopharmacology offers information on the pharmacology of the major classes of drugs related to addiction and the latest pharmacological treatment of dependence on these drugs. The manual reflects recent research and evidence-based perspectives on the pharmacological actions of drugs of abuse.
"This long-awaited follow-up to the classic text Clinical Manual of Adolescent Substance Abuse Treatment presents the latest research on substance use and substance use disorders (SUDs) in adolescents 12-18 and emerging adults 18-25 years of age. This new manual offers a substantive update of the previous manual's 16 chapters, offering 7 additional chapters devoted to important new topics, such as pediatric primary care assessment and intervention, electronic tools, specific substances (e.g., cannabis, opioids, alcohol), and much more. Psychiatrists, psychologists, social workers, and substance abuse specialists, as well as applied researchers and public health professionals, will find this new manual a research-rich and clinically compelling resource for understanding disease course, prevention, diagnosis, substance-specific interventions, co-occurring disorders, and issues related to special populations"--
Since 1960, the burden of adolescent illness has shifted from the traditional causes of disease to the more behavior-related problems, such as drinking, smoking and drug abuse (nearly half of American adolescents have used an illicit drug sometime during their life). Instilling in adolescents the knowledge, skills, and values that foster physical and mental health will require substantial changes in the way health professionals work and the way they connect with families, schools, and community organizations. At the same time, the major textbooks on addiction medicine and addiction psychiatry devote relatively little attention to the special problems of diagnosing and treating adolescent addicts. Similarly, the major textbooks on general and child and adolescent psychiatry direct relatively little attention to the issues surrounding adolescent addiction. The Clinical Handbook of Adolescent Addiction is one response to the challenge of meeting the mental health needs and behavior-related problems of addicted teenagers. The work has been edited as an independent project by members of the American Society for Adolescent Psychiatry, the oldest professional organization of psychiatrists devoted solely to the mental health care and treatment of teenagers in the USA. The forensic psychiatry perspective permeates the entire book. It will help to produce health providers with a deep and sensitive understanding of the developmental needs and behavior-related problems of adolescents. The Clinical Handbook of Adolescent Addiction is a practical tool for all those who help adolescents: practitioners of family medicine, general psychiatrists, child/adolescent psychiatrists, adolescent psychiatrists, addiction psychiatrists, non-psychiatric physicians specializing in addiction medicine, forensic psychiatrists, psychologists, clinical social workers, mental health administrators, Court/Probation/ Parole/Correctional health workers. The book is organized in a user-friendly format so that readers can easily locate the chapters that provide the information that is required. In some instances, topics of special importance deliberately have been addressed in more than one chapter, to illuminate the topics from a variety of vantage points. One aim of the editors is to move the topic from being a specialist area to a generalist one by providing tools for generalist to use.
"The accomplished author team of Reid Hester and William Miller provides a comprehensive, results-based guide to alcohol treatment methods. Along with the contributions of notable practitioners if the field, this text serves as an aid to graduate students and professionals. The authors stress the necessity of choosing different treatment protocols based on scientific research and a client's needs. This text also offers an up-to-date review of the treatment outcome literature, which illustrates that there are a number of treatments that are consistently supported by research. The subsequent chapters provide mini-treatment manuals for approaches with the most scientific support, with sections on matching clients to particular treatment and descriptions on how to utilize each particular treatment plan. The authors have consolidated the information necessary to develop individualized, multidimensional treatment that can meet the needs of a diverse client population."--Back cover.
The Clinical Manual for Treatment of Alcoholism and Addictions provides a concise overview of addiction treatment issues relevant to physicians, nurses, psychologists, social workers, alcohol and drug counselors, and rehabilitation therapists who are involved in the care of patients with substance use disorders. Drawing from their extensive experience in treating addictions in both inpatient and outpatient settings, the authors have assembled a wealth of clinical information condensed into one easy-to-read guide. The manual Presents an overview of the genetics, biological markers, and pathophysiology of addiction. Covers specific addictive substances in detail -- including epidemiology, presentation, and diagnosis. Highlights underlying issues related to each substance and includes sections on polysubstance abuse and psychiatric comorbidity. Touches on various evaluation and assessment tools Reviews psychosocial and pharmacological treatment modalities. Throughout the book, complex material is made accessible through the generous use of tables and charts, and key points summarize the important take-away points for each chapter In addition, the manual offers extensive coverage of many different aspects of addiction psychiatry: Specific patient populations, such as children and adolescents, seniors, mentally and physically handicapped persons, the chronically ill, and the homeless Various treatment settings, such as general hospitals, outpatient medical settings, and emergency departments Behavioral addictions, such as pathological gambling, kleptomania, and compulsive buying Violence, crime, and suicidal behavior With their vast impact on our culture and society, substance use disorders may well become one of the main challenges for psychiatry in the twenty-first century. Effective approaches to substance use disorders require treatment combinations tailored specifically to each individual. The Clinical Manual for Treatment of Alcoholism and Addictions is an invaluable tool for informing clinicians about the wide array of treatment options available to help their patients who struggle with substance abuse problems.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Clinical Manual of Adolescent Substance Abuse Treatment brings together extensive new research in the field of adolescent substance abuse to serve as a comprehensive resource for psychiatrists, psychologists, social workers, substance abuse specialists, and other clinicians, as well as residents and students of psychology. It provides the most recent information about adolescent substance abuse assessment, prevention and treatment. Special emphasis is given to different psychosocial and pharmacological interventions in addition to the treatment of various coexisting psychiatric disorders. This extremely timely and practical guide offers a review of most substances of abuse currently available, covers laboratory work for drug detection in youth, and discusses the legal boundaries of school-based assessment of substance abuse. Each of the 16 chapters in the manual provides thorough examination of each topic, succinct summaries, suggested readings, and referrals to relevant Web sites and other resources for further investigation. Case vignettes and visual aids such as tables and charts illustrate and reinforce key concepts. Readers will find this manual a valuable resource in furthering their understanding of adolescent substance abuse and increasing their effectiveness in providing treatment.