Therapist's Guide to Substance Abuse Intervention
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Table of contents
- Contentsv
- Introductionxvii
- Part I:1
- Chapter 1. Defining Substance Abuse and Dependence3
- Continuum of Substance Use Behaviors5
- DSM IV Criteria6
- Additional Considerations8
- Chapter 2. Characteristics and Classification of Substances11
- Characteristics of Substances11
- Substance Use and Conditioning13
- Physiological Functioning14
- Physiological Characteristics or Factors of the Substance User17
- Psychological Characteristics of the User18
- Sociocultural Environment19
- Classification of Substances19
- Chapter 3. The Development of Substance Abuse and Dependence39
- Models of Substance Dependence40
- Causal Factors of Substance Abuse and Dependence41
- Biological Mechanisms42
- Early Onset Variables50
- Late Onset Variables51
- References51
- Chapter 4. Stages of Substance Dependence and Recovery53
- A Causal Model for Substance Abuse54
- Problematic Behavior and Thought Patterns54
- Patterns of Use55
- Developmental Stages of Dependence56
- Recovery stages58
- Experience of Object Loss59
- Relapse Symptoms60
- Relapse Autopsy61
- Process of Relapse62
- Special Issues of Substance Dependence62
- Part II:73
- Chapter 5. Assessment75
- Purpose of Assessment76
- Motivational Interviewing76
- Individualized Treatment Plan77
- Assessment Questions78
- Multivariate Treatment Planning79
- Important Components of a Substance Abuse History79
- Objective Assessment81
- Psychological and Neuropsychological Assessment82
- Substance-Related Assessment Inventories83
- Mnemonic Screening Devices86
- Functional Importance of Substance Use86
- Follow-up Assessment87
- Conceptual Assessment of Substance Abuse87
- Questionnaires89
- Factors Indicating a Need for Adolescent Substance Use Assessment132
- Adolescent Screening and Assessment132
- Diagnostic Criteria for Codependency133
- Special Topic: Employment Setting134
- Prevention142
- Part III:151
- Chapter 6. Treatment Guidelines153
- Biopsychosocial Perspective154
- A Simple Comparison of Recovery and Mental Health Models155
- Theoretical Orientation157
- The Role of 12-Step and Other Self-Help Programs157
- Harm Reduction159
- Special Considerations for Dual Diagnosis161
- The Individual Entering Treatment162
- Treatment Concerns163
- Rational Emotive Therapy Philosophy164
- Therapist Guidelines165
- Perparation of Individuals, Couples, and Families For Recovery166
- Treatment Prioritization169
- Course of Treatment170
- Agents of Change170
- Areas of Personal Vulnerability for those in Treatment172
- Obstacles to Change172
- Overcoming Obstacles to Change173
- Individualized Treatment Planning174
- Guidelines for an Intervention183
- Legal Issues Associated with Screening and Assessing Adolescent Substance Use185
- Role of Americans with Disabilities Act185
- Chapter 7. Continuum of care191
- Key Aspects of Treatment191
- Substance Abuse–Dependence Continuum of Care Services201
- ASAM-PPC-2 Assessment Criteria196
- Specific Substance Class Treatment Considerations Associated with Continuum of Care
- Community Reinforcement206
- Controlled Drinking: A Treatment Alternative207
- References212
- Part IV:217
- Chapter 8. Solution- Focused Therapy219
- Potential problems221
- Strategies for Improving Motivation (Miller & Rollnick, 1991)222
- Predictive Measures of Outcome222
- Therapist Responses to Slips222
- Decreasing Treatment Dropout Rate223
- Role of Family Treatment223
- Inpatient Treatment224
- Patient–Treatment Matching224
- Discharge and Aftercare225
- Treatment Interventions Supported by Research226
- Treatment Models227
- Medical Treatment for Substance Dependence234
- Integration of Psychotherapy and Pharmacotherapy235
- Evidence for Effectiveness of Combined Treatment236
- Individual Therapy237
- Importance and Usefulness of the Support Group Forum238
- Benefits of Support Groups239
- Therapeutic Group240
- Basic Areas of Education241
- Stages of Solution-Focussed, Outcome-Oriented Treatment242
- Group Topics245
- Marital and Family Therapy264
- Family Therapy266
- Family Patterns of Substance Dependency267
- Stages of Family Intervention267
- Relapse271
- Aversion therapy for Alcohol Dependence279
- Moderation of Use280
- Recommendations for Improving Substance Abuse Treatment282
- Chapter 9. Special Populations and Dual Diagnosis289
- Key Issues for Treating Dual Diagnosis Individuals292
- Dual Diagnosis295
- Adolescents303
- Geriatrics316
- AIDS–HIV331
- Adults Molested as Children342
- Women and Minorities344
- Court-Mandated Treatment359
- Part V:373
- Chapter 10. Skill Building Resources375
- Risk Factors for Substance Abuse376
- Consequences of Substance Abuse377
- Six Cardinal Signs Indicating Substance Dependence378
- Symptoms of Alcoholism379
- Do I Have a Drinking Problem?380
- Problem Drinker382
- Substance Use or Abuse Diagnosing Dependency383
- Self-Diagnosis: Do You Have a Problem With Substance Use?384
- Relationship Addiction386
- Compulsive Gambling387
- Sexual Addiction388
- Substance Dependency: A Family Illness389
- Understanding The Dynamics of the Chemically Dependent Family390
- Recovery Needs of Family Members391
- Identifying Patterns of Codependency Does Someone You Know Have a Problem with Substances?393
- Does someone you know have a problem with substances?394
- Stages of Recovery395
- Recovery is a Choice396
- Your Choice397
- Why is Substance Abstinence Important?398
- How has Substance Abuse Affected Your Life?399
- How to Cut Down on Your Drinking400
- An Overview of Where I am and Where I am Going401
- Recovery Inventory403
- My Recovery Plan404
- Reviewing your recovery program405
- Preparation for Attending a 12-Step Meeting406
- The 12 Traditions of Alcoholics Anonymous407
- Twelve Steps Outline408
- Ten Steps (Modification of 12 Steps)409
- Twelve Steps410
- Twelve Steps to Recovery413
- Taking Inventory426
- An Outline for Making Amends427
- The Five S’s of Recovery429
- Understanding Craving430
- Coping with Craving431
- Assessing High-Risk Situations432
- Self-monitoring journal433
- Daily log434
- Experience Log436
- Daily Recovery Schedule437
- Journal Writing as Part of Your Recovery438
- Evening and Weekend Schedule and Journal440
- Consequences441
- Relapse Prevention443
- Maintaining Progress448
- Interrupting Potential Relapse449
- Choice-learning more about yourself450
- Practicing Change452
- Increasing Self-Understanding453
- Lingering withdrawal454
- What to do When Confronted with the Urge to Use455
- Points to Consider When Confronted with the Urge to Use Substances456
- Planning How to Cope with a Lapse457
- Dealing with a slip, lape, or relapse458
- Anticipating How to Cope with an Emergency459
- Getting Unstuck460
- Best461
- Help Me462
- Refusal Skills463
- Substance Use Aggravates Stress464
- Self-Care Plan465
- Relaxing Without Substances466
- Excitement without Substances468
- Deep Breathing: A Relaxation Skill469
- Monitoring Use of Relaxation470
- Self-Control471
- Modified Drinking472
- What is Responsibility?473
- Coping with Disappointment475
- Surviving the Holiday Blues476
- Stinking Thinking477
- Understanding the Role of Thinking and Relapse481
- Coping with negative thinking480
- Managing Thoughts about Using Substances481
- List of Symptoms Leading to Relapse482
- Symptoms of Relapse483
- Early Warning Signs486
- Reviewing Personal Risks of Relapse486
- Feeling like your life is out of control488
- Dealing With Feeling Emotionally Overwhelmed489
- Prevention490
- Developing and Utilizing Social Support491
- How to Build a Recovery Support System493
- Maintaining a Support System495
- A social suppport sysetem498
- The Role of Relationships and Substance Use500
- Defense Mechanism Definitions501
- Defense Mechanisms502
- Dealing with Fear504
- Breaking Through the Negative Thoughts Cycle506
- Thought Stopping507
- Fifteen Rules for Emotional Health508
- Dealing with Difficult People509
- Surviving the Loss of a relationship510
- The Art of Negotiation511
- Self-Confidence512
- Coping with Confrontations514
- Dealing with Embarrassment or Being Self-Conscious515
- Coping with Embarrassment516
- Emotional First Steps for Dual Diagnosis518
- The Twelve Steps and Dual Diagnosis529
- Identifying Depression544
- Managing Depression545
- Understanding Grief546
- Daily Activity Schedule547
- Identifying Anxiety548
- Managing Anxiety549
- Anxiety Relapse550
- Identifying Feelings551
- Understanding Your Feelings552
- Self-Honesty553
- Communication554
- Communicating Difficult Feelings555
- Constructively Expressing Angry Feelings556
- Dealing With Criticism and Giving Feedback557
- Understanding Anger558
- Managing Anger559
- Ways of dealing with anger561
- The Steps for Letting Go of Anger562
- Goal Setting563
- Goal Development564
- Problem Solving566
- Decision Making567
- Time Management568
- How to Budget569
- Your Personal Budget570
- Applying for a Job571
- How to Give a Good Job Interview572
- Setting Career Goals573
- Work Ethics574
- Survey of Personal Strengths575
- Writing a Thank you Letter576
- Sample Letter577
- Coping Skills for Caregivers578
- Guidelines for Family Members–Significant Others of the Alcoholic–Chemically Dependent Individua579
- Detaching with Love Versus Controlling580
- The enabler-the companiont to the dysfunctional-substance abusing person581
- Healing for the substance abusing family: from enabling to recovery583
- No Talk Rule584
- Stages of Family Adjustment to Substance Dependence585
- Ten Steps to Feeling Better if You are an Adolescent Living with Someone Who Uses Substances586
- First step for family members and significant other587
- Functional Vs. Dysfunctional Families589
- Parenting Style and Adolescent Substance Use590
- Healthy Parenting, Healthy Family591
- The Healthy Family is a Parent-Centered Family Parents Helping Children592
- Parents helping children593
- Summary of Substances594
- I Think My Child may be Using Substances595
- A Parent’s Checklist about Adolescent Substance Use596
- Adolescent Substance Abuse Quiz597
- Actions to take if Your Child is Using Substances600
- Dealing with Peer Pressure601
- Dealing with Peer Pressure603
- Dealing with Peer Pressure605
- Dealing with Peer Pressure607
- Family Rules and Expectations609
- Tips for Parents610
- Keeping Children Drug-Free611
- How Substance Abuse Harms an Unborn Child or Nursing Child613
- Fetal Alcohol Syndrome (FAS)615
- Identifying Children of Substance Abusing Parents616
- Self-Esteem and Mentoring618
- Characteristics Often Found in Members of Substance- Dependent Families620
- How to Help Children Through a Criss622
- A Parents’ Pledge623
- The House with the Pink Elephant624
- Parents, Teenagers, and Honest Communication625
- Skills for Positive Parenting627
- Understanding the Experience of the Significant Other628
- Twelve things you can do if your loved one is a substance abuser630
- Eight Steps for Feeling Better if You Live with Someone Who Abuses Substances631
- Breaking the Codependency Cycle632
- Signs of an Unhealthy Relationship635
- Ten Ways to Improve Your Marriage636
- Working Together637
- Being a Healthy Couple638
- Self-Acceptance639
- Stop the Rescuing640
- Adult Children of Alcoholics641
- Children of Alcoholics642
- The Consequences of Codependency643
- Feelings644
- Behaviors of the Codependent645
- How to deal with codependency646
- Couples Homework647
- Couples Learning to Solve Problems648
- Relationship Challenges649
- Improving Relationships by Using Clear Communication650
- Communication guidelines651
- A Senior’s Guide for Using Medications Wisely653
- Nail in the Fence654
- Information Sheets655
- National Helplines662
- Index663
Author of AP's bestselling "Therapist's Guide to Clinical Intervention" now turns her attention to substance abuse intervention. The book will follow a similar format to her previous book, presenting information in easy to read outline form, with relevant forms, patient questionnaires, checklists, business documents, etc.
Part I discusses the social impact of substance abuse and provides a general overview of the physiological and psychological characteristics of abuse, DSM IV definition of abuse, and classifications of the varying types of drugs. Part II is the main section of the book and covers assessment, different stages of abuse/recovery, and treatment choices. Coverage includes the discussion of myriad self help choices (e.g. AA), group therapy, brief therapy, and more. Discussion will also include making a determination of treatment as inpatient or outpatient, and issues relevant to special populations (teenagers, geriatrics, comorbidity patients, etc.). Part III presents skill building resources. Part IV covers prevention, quality assurance, and also includes a glossary.
* Outlines treatment goals and objectives
* Outlines for assessing special circumstances
* Offers skill building resources to supplement treatment
Part I discusses the social impact of substance abuse and provides a general overview of the physiological and psychological characteristics of abuse, DSM IV definition of abuse, and classifications of the varying types of drugs. Part II is the main section of the book and covers assessment, different stages of abuse/recovery, and treatment choices. Coverage includes the discussion of myriad self help choices (e.g. AA), group therapy, brief therapy, and more. Discussion will also include making a determination of treatment as inpatient or outpatient, and issues relevant to special populations (teenagers, geriatrics, comorbidity patients, etc.). Part III presents skill building resources. Part IV covers prevention, quality assurance, and also includes a glossary.
* Outlines treatment goals and objectives
* Outlines for assessing special circumstances
* Offers skill building resources to supplement treatment