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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.
Unique in its breadth of coverage ranging from historical accounts of drug use to clinical and preclinical behavioral studies, Psychopharmacology is appropriate for undergraduates studying the relationships between the behavioral effects of psychoactive drugs and their mechanisms of action. 1. Chapter-opening vignettes foster student engagement 2. Breakout boxes present novel, and, in some cases, controversial topics for special discussion. Box themes include: History of Psychopharmacology; Pharmacology in Action; Clinical Applications; Of Special Interest; and The Cutting Edge. 3. The book is extensively illustrated with full-color photographs and line art depicting important concepts and experimental data 4. Section Summaries highlight key concepts from the section of text just read 5. Chapter-ending Recommended Readings offer suggestions for further study And the enhanced eBook provides an interactive learning pathway through the content. Meyer, Psychopharmacology and it's accompanying enhanced ebook provide engaging features like self-study questions, and clinical case studies, cutting edge research, and applied pharmacology to keep students focused on the content, while providing the scientific depth, breadth, and rigor required for the course.
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
The issue of 'recovery' has been increasingly prioritised by policymakers in recent years, but the meaning of the concept remains ambiguous. This edited collection brings together the thoughts and experiences of researchers, practitioners and service users from the fields of health, addiction and criminal justice and centres on current developments in addiction policy and practice. Tackling Addiction examines what recovery, addiction and dependence really mean, not only to the professional involved in rehabilitation but also to each individual client, and how 'coerced treatment' fails to take account of recovery as a long-term and ongoing process. Chapters cover the influence of crime and public health in UK drug policy; the ongoing emphasis on substitute prescribing; the role of recovery groups and communities; and gendered differences in the recovery process and implications for responses aimed at supporting women. Tackling Addiction will be essential reading for practitioners, researchers, policy makers and students in the fields of addiction, social care, psychology and criminal justice.
Although there is a strong and growing literature in the two areas of desistance and addiction recovery, they have developed along parallel pathways with little systematic assessment of the empirical evidence about the co-occurrence of the relationship or how one area can learn from the other. This book aims to fill that gap by bringing together emerging literature on the relationship between offending and substance use. Instead of focusing on the active period of its onset and persistence, this book examines the mechanisms that support desistance, addiction recovery, and the common themes of reintegration and rehabilitation. With contributions from a wide range of international experts in the fields of desistance and addiction recovery, the book focuses on a strengths-based, relational and community-focused approach to long-term change in offending and drug-using populations, as well as the shared barriers to effective reintegration for both. This book will be highly informative for a wide audience, from academics and students interested in studying desistance and recovery to those working in addiction services and the criminal justice system as well as policy makers and the people undertaking their own journeys to desistance and recovery.
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
The result of the combined efforts of staff at a substance abuse treatment center, this book provides practical, hands-on guidance for working with addicted women. With staff and client training exercises at the end of each chapter, this comprehensive guide places particular emphasis on the women and their special needs and concerns. Special issues and populations addressed include: pregnancy and substance abuse; designing treatment programs; homeless women; and substance abuse in the workplace.