Substance Use Disorders: Assessment and Treatment
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Table of contents
- TABLE OF CONTENTSvii
- PREFACExv
- ACKNOWLEDGMENTSxvii
- Chapter 1. Clinical Pharmacology and Clinical Epidemiology of Psychoactive Substances1
- Definitions and General Concepts of Pharmacology1
- Pharmacology of Individual Drugs6
- Clinical Epidemiology of Psychoactive Substances22
- References27
- Chapter 2. Etiology of Psychoactive Substance Use Disorders29
- Overview29
- Theories of Etiology30
- References34
- Chapter 3. Initiation, Progression, and Maintenance of Psychoactive Substance Use Disorders37
- Stage Models of Adolescent Substance Use37
- Risk Factors39
- Adult Model of Substance Use41
- References41
- Chapter 4. Course/Natural History of Psychoactive Substance Use Disorders43
- The Disease Model43
- Models of Progression of Substance Use46
- References48
- Chapter 5. Prevention, Early Intervention, and Harm Reduction51
- General Perspective51
- Types of Prevention52
- Supply Reduction/Legal Interventions53
- Risk and Protective Factors54
- Skills Training55
- Community-Based Prevention56
- School-Based Programs57
- Parenting/Family Interventions58
- Related Risks/Harm Reduction59
- References60
- Chapter 6. Screening and Assessment of Psychoactive Substance Use63
- Overview of the Assessment Process63
- Alcohol Screening Instruments67
- Drug Screening Instruments71
- Biological Screening Measures71
- Diagnostic Instruments75
- Areas to Assess for Treatment Planning Purposes82
- References98
- Chapter 7. Diagnosis and Comorbidity103
- Definition and Prevalence103
- Diagnostic Issues of the Dually Impaired104
- Treatment of the Dually Diagnosed109
- References111
- Chapter 8. Treatment I: Models and Approaches113
- Treatment Settings and Services113
- Major Theoretical Treatment Approaches115
- Additional Psychological Therapies121
- Role of Pharmacotherapy126
- Treatment Effectiveness/Outcome Studies130
- Alternative Treatments133
- References134
- Chapter 9. Treatment II: Planning, Implementing, and Managing Treatment and the Course of Recovery139
- Phases of Recovery139
- Relapse Parameters140
- Treatment Goals140
- Detoxification141
- Engagement of Patients in Treatment142
- Client–Treatment Matching142
- Treatment of Family Members of Substance Abusers143
- Linkage of Services144
- Treatment of Criminal Offenders144
- Self-Help Groups145
- References146
- Chapter 10. Issues in Specific Populations149
- Impaired Physicians149
- Ethnic Minorities150
- Women152
- HIV/AIDS153
- The Elderly Population154
- The Homeless Population155
- References155
- Chapter 11. Legal and Ethical Issues157
- Confidentiality157
- Responsibility to Diagnose and Treat Substance Use Disorders160
- Coerced Treatment161
- Americans with Disabilities Act (ADA)162
- References164
- EPILOGUE165
- INDEX167
Substance Use Disorders: Assessment and Treatment is a summary of everything a therapist should know about substance abuse in one easy-to-read comprehensive book. The book begins with a discussion of the pharmacology of specific drug classes (opioids, hallucinogens, etc.) and the epidemiology of abuse. It then presents psychological theories of substance abuse, the initiation and progression of substance abuse disorders, issues of prevention and early intervention, and screening and assessment for substance abuse (including specific tests for assessment) and discusses in detail the various treatment methodologies available. Two final chapters explore issues relevant to special populations and legal and ethical considerations, regarding issues such as confidentiality and coerced treatment.
Key Features
* A synthesis of the current research and clinical literature
* Includes strengths and weaknesses of commonly used psychometric assessment measures
* Presentation and review of a complete Psychosocial/Substance Use Assessment form
* Discussion of treatment settings and criteria for placement decisions
* Discussion of treatment alternatives and effectiveness of major pharmacological and psychotherapeutic approaches
* Discussion of factors leading to Relapse, and components of Relapse Prevention programs
Key Features
* A synthesis of the current research and clinical literature
* Includes strengths and weaknesses of commonly used psychometric assessment measures
* Presentation and review of a complete Psychosocial/Substance Use Assessment form
* Discussion of treatment settings and criteria for placement decisions
* Discussion of treatment alternatives and effectiveness of major pharmacological and psychotherapeutic approaches
* Discussion of factors leading to Relapse, and components of Relapse Prevention programs