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"Treating substance abuse in adolescents requires a creative integration of individual, group, and family therapy, along with an understanding of addiction and recovery, family dynamics, and adolescent development. This book incorporates all of these elements into its discussion. Its thoroughness makes it a valuable addition to the literature in this relatively new clinical specialty." --Joseph K. Nowinski, Private Practice "This is a hopeful book that promotes a comprehensive view of a complicated difficulty." --Virginia Child Protection Newsletter
Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
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.
By offering unique analysis and synthesis of theory, empirical research, and clinical guidance in an up-to-date and unbiased context, this book assists health and social care professionals in understanding the use of drugs and substances of abuse by children and adolescents. A comprehensive reference for health and social care professionals, the book identifies and corrects related false narratives and, with the use of the authors’ combined experience of over 70 years of clinical and academic experience in drug and substance abuse, provides current pharmacotherapeutic and psychotherapeutic approaches for the treatment of alcohol or other dependence or use disorders among children and adolescents. The book also provides a useful reference for identifying brand/trade and street names of the drugs and substances of abuse commonly used by children and adolescents. Also included is a comprehensive, cross-referenced subject index. Clear, comprehensive, accessible, and fully referenced, this book will be an invaluable resource for professionals and students who aim to treat children and adolescents. Child and Adolescent Drug and Substance Abuse is the 19th clinical pharmacology and therapeutic text that the Pagliaros have written over the past 40 years and is the sixth that deals exclusively with drug and substance abuse.
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.
"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"--
"Principles of Adolescent Substance Use Disorder Treatment" focuses on the unique realities of adolescent substance use-which includes abuse of illicit and prescription drugs, alcohol, and tobacco-and the special treatment needs for people aged 12 to 17. The adolescent years are a key window for both substance use and the development of substance use disorders. Brain systems governing emotion and reward-seeking are fully developed by this time, but circuits governing judgment and self-inhibition are still maturing, causing teenagers to act on impulse, seek new sensations, and be easily swayed by their peers-all of which may draw them to take risks such as trying drugs of abuse. What is more, because critical neural circuits are still actively forming, teens' brains are particularly susceptible to being modified by those substances in a lasting way-making the development of a substance use disorder much more likely. In addition, abusing drugs during adolescence can interfere with meeting crucial social and developmental milestones and also compromise cognitive development. Historically the focus with adolescents has tended to be on steering young people clear of drugs before problems arise. But the reality is that different interventions are needed for adolescents at different places along the substance use spectrum, and some require treatment, not just prevention. Scientific research has now established the efficacy of a number of treatment approaches that can address substance use during the teen years. This guide describes those approaches, as well as presents a set of guiding principles and frequently asked questions about substance abuse and treatment in this age group.
`[This] volume provides a unique and advantageous perspective to the trainees and practitioners in the adolescent substance abuse field. It offers a sophisticated perspective on addiction treatment techniques developed in recent years, with a sensitivity to the social and developmental needs of the adolescent.' Marc Galanter, from the Foreword.
Research has shown that, for many teens, trauma can lead to addiction. Now, for the first time ever, two mental health experts offer a powerful, integrative program to effectively treat teens with these co-occurring issues. Trauma and addiction often present side by side. However, up until now, clinicians have lacked the tools needed to treat these two issues together. Based in cognitive behavioral therapy (CBT) and mindfulness—two proven-effective therapies for addiction and mental health issues—Treating Co-occurring Adolescent PTSD and Addiction is essential for anyone working with adolescents with addiction and post-traumatic stress disorder (PTSD). Developed and researched explicitly for dual diagnosis adolescent clients, this book provides a range of mindfulness practices and tools to help your client be present in what he or she is experiencing—instead of slipping into a pattern of avoidance. In addition, the cognitive behavioral strategies can help adolescents who are at risk of recurrent trauma, and who could therefore benefit from practicing coping strategies to assist them in their current daily situations. This is a must-have resource for any mental health provider treating adolescents with dual diagnosis of PTSD and addiction.