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All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
This volume reviews a range of empirically supported approaches to prevention and treatment of adolescent substance use problems. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on cutting-edge knowledge on addictive behavior change. From expert contributors, coverage encompasses alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.
Explains to parents how to recognize the signs of drug use in their child, overcome denial in the family, evaluate and select treatment options, and work through the recovery process.
This book has been replaced by Treating Alcohol and Drug Problems in Psychotherapy Practice, Second Edition, ISBN 978-1-4625-5086-9.
This informative video shows how a therapist works in treatment partnership with a patient, family, and friends to surmount major obstacles to recovery. The video portrays reenacted therapy sessions using transcripts from actual sessions with a patient -- showing how the real process of recovery can begin and be sustained. Each session with the patient, his family, and friends (all portrayed by actors) is followed by a discussion of salient points with Dr. Galanter. Seasoned with practical advice from Dr. Galanter's years of experience in the field, the companion booklet provides a concise, indispensable guide to this therapy model. Network therapy is a multimodal approach to rehabilitation in which specific family members and friends are enlisted to provide ongoing support and promote attitude change. Three critical tasks propel the therapy and are illustrated on the video: maintaining abstinence (the prompt achievement of abstinence with relapse prevention), caring for the network (network members are part of the therapist's team and not subjects of treatment themselves), and securing future behavior (development of a drug-free adaptation). The network complements individual or group therapy and Alcoholics Anonymous. For easy reference, this helpful example of network therapy is accompanied by a table of contents with concepts listed by location on the video. Replete with practical insights and methods, this valuable video and companion booklet will benefit mental health care professionals, addiction specialists, and trainees alike.
Written by an experienced author and lecturer, this five part text presents an introduction to drug and alcohol misuse and provides: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as black and minority ethnic people, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, community and hospitals a framework for assessment, care planning, harm reduction approach, dealing with overdose, intoxication and withdrawals, psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with drug and alcohol misuse. Alcohol and Drug Misuse takes into account current policy initiatives and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing and health students taking substance misuse modules, as well as related CPD courses for health care professionals.
Abuse of drugs and alcohol may cause serious difficulties at work including deterioration in job performance. Abuse is caused by a range of personal, family, social or work situations or a combination of such factors. This report presents a variety of multidisciplinary approaches to the prevention, assistance, treatment and rehabilitation of alcohol- and drug-related problems in the workplace. Although experience has shown the difficulty of eliminating substance abuse, the policies presented are likely to yield constructive results for workers and employers alike.
This volume is intended for clinicians, researchers, residents, and students. The range is wide and the depth considerable for all the topics covered in the treatment of this timely and relevant subject. This book may serve equally well as a general introduction and a scholarly reference. Ultimately, it is designed to serve those patients suffering from abuse of and addiction to drugs and alcohol. The content and organization of the book flow from general concepts of abuse and addiction to specific details of the pharmacology of alcohol and drugs. Special chapters on topics not found in most other books, such as pharmacology of drug-drug interactions, abstinence, and prevention, are included. This book is written especially for the clinician interested in the pharma cology of alcohol and drugs of abuse and addiction. The pharmacology is integrated into a conceptual approach to diagnosis and treatment of alcohol and drug abuse and addiction. The form and style are didactic, critical as well as straightforward in presentation. Literature references from recent clinical research and basic research provide the foundation for the chapters throughout the book. Be cause the book is written by a clinician-researcher, the information is readily adaptable to clinical problems and research ideas. I would like to express my deep appreciation to Susan Newsom and Darlene Tucci for their invaluable technical assistance. Norman S. Miller vii Contents Preface ....................................................... vii CHAPTER 1 Introduction to the Pharmacological Effects of Alcohol and Drugs and Addiction on the Brain and Behavior .... . . . . . . . . . . . . . . . . . .. . . 1 . . . . . .
The essential newly-expanded reference that needs to be on the desk of every health care professional who encounters substance abusers. Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition is the newly-updated classic reference text that provides even more detailed and expanded information on the pharmacological, toxicological, and neuropsychological consequences of alcohol and drug abuse. Eight new chapters of crucial information have been added. Written by leading experts in the fields of medical physiology, psychopharmacology, and neuropsychology, this valuable resource provides the detailed alcohol and drug information health professionals in all fields need to know. Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition greatly expands on the expert information provided in the first edition. This text provides reviews of the cardiovascular, neurological, pulmonary, gastrointestinal, psychological, and hepatic effects of commonly abused drugs. The book also provides in-depth explanations of the mechanisms by which these psychoactive drugs exert their biobehavioral effects as well as current thinking about—and definitions of—abuse, dependence, and alcohol/drug use. The Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition includes vital information on: alcohol, including definitions of alcohol use, abuse, and dependence the relationship between alcohol and accidental injuries, alcohol’s effect on skeletal and major organ systems, and its effect on risk factors for certain cancers effects of alcohol and other drugs on neuropsychological function the effects of alcohol on neuron signaling, neurotransmitter function, and alcoholic brain damage and cognitive dysfunction fetal alcohol effects chronic effects of marijuana use on psychological and physical health, including a fair and balanced discussion of the medical marijuana issue the consequences of opiate abuse and methadone pharmacotherapy, including a comparison of the effects of methadone and heroin on organ systems cocaine’s history, the various forms of the drug, and the adverse effects of cocaine on cardiovascular, neurologic, and pulmonary systems the medical consequences of inhalants ranging from benzene to xylene the prenatal effects of nicotine, cocaine, marijuana, and opiates terminology that appears in the current literature on alcohol New topics in the Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition include chapters discussing: chemical dependency in psychiatric patients medical consequences of steroids OTC medications hallucinogens health effects of tobacco, nicotine, and exposure to tobacco smoke interactions of alcohol with other drugs and other medications periodontal effects of alcohol and drug abuse in the oral cavity imaging studies of structural brain changes The Handbook of the Medical Consequences of Alcohol and Drug Abuse, Second Edition is an invaluable resource for physicians, scientists, nurses, psychologists, and alcohol and drug counselors.