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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.
First multi-year cumulation covers six years: 1965-70.
The Politics of Alcoholism can be read on one level as a fascinating history of the evolving politics of what this country is doing about “the problem of alcoholism.” Not so long ago that problem was scarcely larger than a human hand against the horizon, but now it makes good, regular newspaper copy. This text follows through on the much-raised question of how a social problem becomes defined as a large scale problem, when the same phenomenon x Preface now labeled as “a problem” was not so named before. What is offered here is a direct attack on the rise into public visibility of something previously the concern of a relatively small number of people and groups, and which gets defined along the way as a problem for the whole nation. The second issue addressed is closer to the political scientist’s traditional interest, namely the politics of handling public issues: research and theorizing here usually focus on interest groups, lobbying, public debate, legislative rights, constituencies, and so on.
This book is a definitive reference work on American drinking, presenting results that are not based on the skewed and captive samples found in hospital treatment settings, but rather on the general population. This means that the study addresses not only problem drinkers and drinking problems but also documents in rich detail the much more common drinking patterns of the vast majority of Americans. Special attention is given, for the first time in such surveys, to drinking patterns among Blacks and Hispanics.
Work more effectively with DWI offenders!This valuable book provides current information on the psychological, social-demographic, and psychiatric characteristics of DWI offenders. It also will provide you with up-to-date assessment strategies that can be employed with offenders, who characteristically are resistant to such assessment. Until now, books written on this subject have focused purely on research that has been done with offenders. This book, however, provides both theoretical and applied strategies for working with this very difficult population in clinical/treatment settings. Assessment and Treatment of the DWI Offender provides practical treatment approaches such that will help you manage client resistance and incorporate family members and significant others into the treatment process to more effectively treat offenders.Assessment and Treatment of the DWI Offender examines: the important variables that separate DWI offenders from alcoholics in general, as well as the “normal” population patterns of drinking behavior among offenders the magnitude of the DWI problem in the United States the history of the DWI countermeasures movement prevention and public education organizations such as SADD, MADD, the Partners in Progress program, the College Binge Drinking Initiative, and more enforcement techniques like breath testing, standardized field sobriety tests, on-site drug detection devices, etc. problems with the tools and techniques that are currently being used to address this issue interviewing techniques that work with DWI offenders more! Intended primarily for counselors, social workers, psychologists, and other professionals who work with DWI offenders and packed with helpful and easy-to-read statistical charts and tables, this book is also essential for graduate students in psychology, social work, chemical dependency, or any of the helping professions.
This volume is the most comprehensive guide for counselors and front-line professionals who work with the chemically dependant in a variety of settings. It is a basic introduction that guides the counselor through treatment from A to Z. Chapters cover the gamut of treatment issues, including developing the therapeutic alliance, screening, detoxification, biopsychosocial assessment, dual-diagnosis, patient orientation, treatment planning, individual therapy, group therapy, case management, crisis intervention, referral, record keeping, discharge planning, and referral. Author Robert R. Perkinson provides case studies and step-by-step instructions with clear explanations and procedures that counselors need to use in all phases of patient care. One of the key features of this volume is the inclusion of over 50 appendices, which includes screening questionnaires, scales, history assessments, personal recovery plans, in-patient and out-patient schedules, and many, many more. The new edition includes more appendicies and updates of existing ones. Inclusion of issues of diversity and working with diverse clients Discussion of new treatment for addiction with detailed plan New discussion of relapse triggers, including negative emotions, social pressure, interpersonal conflict and the recovery community. New discussion of co-occuring disorders
In the 1980s the relationship between alcohol and aggression and violence was a controversial one. Much of previous thinking had been based on anecdotal evidence. In contrast this book, originally published in 1986, is based upon recent scientific evidence from a broad range of studies from animal experimentation to clinical and social research. The initial chapters describe what aggression is, in terms of theories of animal behaviour, how alcohol influences neural and endocrine functions and behaviour and how problematic it often is to extrapolate from animal research to humans. Later chapters give critical reviews of attempts to relate alcohol intake to violence and crime. The book represents a major synthesis of work from many disciplines and will interest workers in animal behaviour, alcohol studies, psychopharmacology and social psychology.
Help your clients find the path to overcoming their addiction Alcoholics are one of the most difficult client groups to treat effectively. To preserve their way of life, they may lie about their problem or deny that one exists; that is the nature of this profoundly powerful disease. Yet if you can guide each of your clients through their own resistance towards the truth, not only will you be rewarded with starting them on the road to recovery, you will no doubt have saved their life as well. Achieving such a victory goes to the heart of being an addiction counselor; it is the experience of healing on a direct and tangible level. Treating Alcoholism provides a complete road map for assessing, diagnosing, and treating this multifaceted and tenacious illness. Detailed clinical information on the disease accompanies ready-to-use tools for practice. With a special emphasis on the 12 Steps of Alcoholics Anonymous, the author walks you through the first five steps of this established methodology in comprehensive detail, showing how to easily apply each one to treatment. Other useful resources in Treating Alcoholism include: * A sample treatment plan * Copies of alcohol screening tests (SMAST and CAGE questionnaires) * Tests for other potentially related problems such as gambling and sexual addiction * A sample behavioral contract for use with adolescents * Listings of additional resources The treatment of alcoholism is fraught with struggles and hazards for both client and caregiver. Written in a lively tone that resonates with the author's compassion for his own clients, Treating Alcoholism gives you reliable, up-to-date, and practice-tested information and materials you need to successfully confront this deadly disease and start your clients on the path to recovery.