Substance Use Disorders

Assessment and Treatment

By: Charles E. Dodgen, W. Michael Shea

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Hardcover | 31 March 2000

At a Glance

Hardcover
174 Pages

Dimensions(cm)
24.13 x 15.88 x 1.91

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$238.75

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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.

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

Industry Reviews

"...the information is easy to read and despite its diminutive size offers a comprehensive summary of the fundamental knowledge necessary to effectively understand psyoactive substance use disorders. The two authors, Dodgen & Shea, have managed to organise a large amount of information about psychoactive substance use disorders into a compact cohesive format... it has been directed from a clinical perspective that makes the information contained readily applicable to contemporary practice. I would definitely recommend this book as a basic text for clinicians whether or not working in the substance use field. If... you want a clear concise overview of salient issues for understanding psychoactive substance use disorders this book fits the bill." --DRUG AND ALCOHOL REVIEW

Prepublication Praise "An excellent resource that provides up-to-date information on alcohol and other psychoactive substance use disorders. It illuminates the facts and substantiates them with a myriad of references. This text is useful not only for clinicians working in the field of addictions but for all therapists who will encounter individuals with such a problem. Should be considered essential reading for various additional audiences such as students in graduate or nursing schools. It is well organized and very comprehensive." --RAYMOND F. HANBURY, JR., Ph.D., C.A.S.; Past President, Division 50 (Addictions), American Psychological Association; International Advisory Board, American Academy of Health Care Providers in the Addictive Disorders; President, New Jersey Psychological Association

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Non-Fiction Medicine Other Branches of Medicine Therapy & Therapeutics Addiction & Therapy Clinical Psychology Pharmacology Psychopharmacology Clinical & Internal Medicine Neurology & Clinical Neurophysiology

Preface	p. xv
Acknowledgments	p. xvii
Clinical Pharmacology and Clinical Epidemiology of Psychoactive Substances
Definitions and General Concepts of Pharmacology	p. 1
Pharmacology of Individual Drugs	p. 6
Central Nervous System Stimulants	p. 6
Cocaine	p. 7
Amphetamines	p. 9
Caffeine	p. 10
Nicotine	p. 11
Central Nervous System Depressants	p. 12
Alcohol	p. 12
Barbiturates	p. 12
Benzodiazepines	p. 12
Cannabinoids	p. 15
Opioids	p. 17
Heroin	p. 18
Codeine	p. 18
Methadone	p. 18
Hallucinogens	p. 18
Mescaline	p. 18
LSD	p. 19
Psilocybin and Psilocin	p. 20
PCP	p. 20
Solvent and Aerosol Inhalants	p. 21
Steroids	p. 21
Clinical Epidemiology of Psychoactive Substances	p. 22
General Trends	p. 23
Trends of Specific Substance Use	p. 24
Alcohol	p. 24
Other CNS Depressants	p. 24
CNS Stimulants	p. 25
Caffeine	p. 25
Nicotine	p. 25
Marijuana	p. 25
Opioids	p. 26
Hallucinogens	p. 26
Inhalants	p. 26
Steroids	p. 26
References	p. 27
Etiology of Psychoactive Substance Use Disorders
Overview	p. 29
Theories of Etiology	p. 30
Genetic Research	p. 30
Psychological Theories	p. 32
Psychodynamic Theories	p. 32
Behavioral/Cognitive-Behavioral Theories	p. 33
Family Models	p. 34
References	p. 34
Initiation, Progression, and Maintenance of Psychoactive Substance Use Disorders
Stage Models of Adolescent Substance Use	p. 37
Risk Factors	p. 39
Risk Factors for Use versus Abuse	p. 40
Adult Model of Substance Use	p. 41
References	p. 41
Course/Natural History of Psychoactive Substance Use Disorders
The Disease Model	p. 43
Classic Model of Progression of Alcoholism	p. 45
Longitudinal Study of Alcohol Abuse	p. 45
Models of Progression of Substance Use	p. 46
Stage Model of Progression	p. 46
Spontaneous Remission of Substance Abuse	p. 46
Stages of Change Model	p. 46
References	p. 48
Prevention, Early Intervention, and Harm Reduction
General Perspective	p. 51
Types of Prevention	p. 52
Targets of Prevention Efforts	p. 52
Types of Interventions	p. 52
Supply Reduction/Legal Interventions	p. 53
Risk and Protective Factors	p. 54
Risk Factors	p. 54
Broad Social and Cultural Factors Associated with Elevated Risk of Substance Abuse	p. 54
Individual and Interpersonal Environmental Factors Associated with Elevated Risk of Substance Abuse	p. 54
Protective Factors Mitigating Risk of Substance Abuse	p. 55
Skills Training	p. 55
Community-Based Prevention	p. 56
School-Based Programs	p. 57
Parenting/Family Interventions	p. 58
Related Risks/Harm Reduction	p. 59
HIV and Substance Abuse	p. 59
Pregnant Adolescents/Adolescent Mothers	p. 59
Reducing Alcohol Consumption	p. 60
References	p. 60
Screening and Assessment of Psychoactive Substance Use
Overview of the Assessment Process	p. 63
Stage Models of Assessment	p. 63
Illustrative Stage Models of Assessment of Psychoactive Substance Use Disorders	p. 64
Validity of Self-Report Data	p. 64
Factors Associated with Accurate Self-Report of Psychoactive Substance Use	p. 65
Psychometric Properties of Assessment Instruments	p. 65
Alcohol Screening Instruments	p. 67
Michigan Alcohol Screening Test (MAST)	p. 67
CAGE Questionnaire	p. 67
TWEAK	p. 68
Alcohol Use Disorders Identification Test (AUDIT)	p. 68
MacAndrew Alcoholism Scale (MAC)	p. 69
Adolescent-Specific Scales	p. 69
Adolescent Alcohol Involvement Scale (AAIS)	p. 69
MacAndrew Alcoholism Scale for Adolescents (MAC-A)	p. 70
Rutgers Alcohol Problem Index (RAPI)	p. 70
Drug Screening Instruments	p. 70
Drug Abuse Screening Test (DAST)	p. 70
Drug Use Screening Inventory (DUSI)	p. 71
Biological Screening Measures	p. 71
Alcohol-Specific Biological Screening Measures	p. 71
Measurement of Recent Use	p. 71
Measurement of Long-Term Alcohol Abuse	p. 72
Laboratory Assessment of Drugs Other Than Alcohol	p. 73
Methods of Measurement of Recent Use	p. 73
Assessment of Chronic Drug Abuse	p. 74
Diagnostic Instruments	p. 75
The Alcohol Use Disorders and Associated Disabilities Interview Schedule (AUDADIS)	p. 75
Composite International Diagnostic Interview: Authorized Core Version 1.0 (CIDI-Core)	p. 76
Structured Clinical Interview for DSM III-R (SCID)	p. 76
Addiction Severity Index (ASI)	p. 76
Fagerstrom Tolerance Questionnaire (FTQ)	p. 76
Clinical Institute Withdrawal Assessment-Revised (CIWA-AR)	p. 77
Knowledge of Symptoms of Withdrawal and Intoxication	p. 77
Measures of Consumption of Alcohol and Other Substances	p. 78
Lifetime Drinking History (LDH)	p. 78
Quantity-Frequency Methods (QF)	p. 78
Timeline Follow Back (TLFB)	p. 79
Self-Monitoring	p. 79
Knowledge of High-Risk Groups	p. 80
Knowledge of Diagnostic Criteria	p. 81
Areas to Assess for Treatment Planning Purposes	p. 82
Neuropsychological Screening	p. 82
Expectancy Measures	p. 83
Assessment of Motivation for Change	p. 83
Assessment of High-Risk Situations	p. 84
Assessment of Family Functioning	p. 84
Awareness of Common Family Dynamics	p. 84
Illustrative Example and Discussion of a Complete Psychosocial/Substance Use Assessment Form	p. 86
Presentation of the Assessment Form	p. 87
Examples of Specific Questions to Ask and Rationales for Inclusion of Items on the Assessment Form	p. 90
References	p. 98
Diagnosis and Comorbidity
Definition and Prevalence	p. 103
Percentage of Alcohol Abusers Presenting with Comorbid Psychiatric Disorders	p. 104
Percentage of Drug Abusers Presenting with Comorbid Psychiatric Disorders	p. 104
Percentage of Psychiatric Cases Presenting with Substance Abuse or Dependence	p. 104
Diagnostic Issues of the Dually Impaired	p. 104
Complicating Factors	p. 104
Improvement of Diagnostic Validity	p. 106
Illustrative Clinical Cases	p. 107
Treatment of the Dually Diagnosed	p. 109
Traditional Approaches	p. 109
Parallel Treatment Systems	p. 110
Integrated Treatment Systems	p. 110
References	p. 111
Treatment I: Models and Approaches
Treatment Settings and Services	p. 113
Placement Criteria	p. 114
Major Theoretical Treatment Approaches	p. 115
Current Psychoanalytic/Psychodynamic Approaches	p. 116
Neurotic Conflict	p. 116
Ego- and Self-Deficits	p. 116
Deficits in Affective Functioning and Object Relations	p. 117
Psychosomatic Disorders	p. 117
Elements Common to Psychoanalytic Theories of Substance Abuse	p. 117
Strengths and Weaknesses of Psychoanalytic Theories of Substance Abuse	p. 117
Family Therapies	p. 117
Family Disease Model	p. 118
Behavioral Model	p. 118
Family Systems Model	p. 118
Strengths and Weaknesses of Family Theories of Substance Abuse	p. 118
Behavioral/Cognitive Behavioral Approaches	p. 119
Classical Conditioning	p. 119
Operant Conditioning	p. 119
Social Learning Theory	p. 119
Strengths and Weaknesses of Behavioral Approaches to the Treatment of Substance Abuse	p. 119
Client-Centered/Motivational Interviewing	p. 120
Biopsychosocial Model	p. 120
12-Step Programs	p. 121
Therapeutic Community	p. 121
Additional Psychological Therapies	p. 121
Social Skills Training	p. 122
Contingency Management	p. 122
Aversion Therapies	p. 122
Community Reinforcement Approach (CRA)	p. 122
Relapse Prevention	p. 122
Common Elements of Relapse Prevention Programs	p. 124
Cue Exposure	p. 125
Behavioral Self-Control	p. 125
Stress Management	p. 125
Network Therapy	p. 125
Role of Pharmacotherapy	p. 126
Cocaine	p. 126
Alcohol	p. 127
Opioids	p. 127
Nicotine	p. 128
Treatment Effectiveness/Outcome Studies	p. 130
Therapist Factors	p. 130
Patient Factors	p. 131
Program Services	p. 131
Duration of Treatment	p. 132
Theoretical Orientation	p. 132
Alternative Treatments	p. 133
Acupuncture	p. 133
Transcendental Meditation (TM)	p. 134
Concluding Remarks on Acupuncture and TM	p. 134
References	p. 134
Treatment II: Planning, Implementing, and Managing Treatment and the Course of Recovery
Phases of Recovery	p. 139
Relapse Parameters	p. 140
Treatment Goals	p. 140
Traditional Abstinence Goals	p. 140
Controlled Use of Alcohol	p. 141
Detoxification	p. 141
Engagement of Patients in Treatment	p. 142
Client-Treatment Matching	p. 142
Project Match	p. 143
Treatment of Family Members of Substance Abusers	p. 143
Linkage of Services	p. 144
Treatment of Criminal Offenders	p. 144
Driving-Related Offenders	p. 144
Treatment of the Incarcerated	p. 145
Self-Help Groups	p. 145
Alcoholics Anonymous (AA) and Narcotics Anonymous (NA)	p. 145
AL-ANON and ALATEEN/NAR-ANON and NARATEEN	p. 146
Women for Sobriety	p. 146
Rational Recovery	p. 146
References	p. 146
Issues in Specific Populations
Impaired Physicians	p. 149
Definition and Risk Factors	p. 149
Treatment of Physicians	p. 150
Ethnic Minorities	p. 150
Prevalence and Etiological Factors	p. 150
Cultural Influences on Substance Abuse	p. 151
Treatment of Ethnic Minorities	p. 151
Barriers to Treatment for Ethnic Minorities	p. 151
Women	p. 152
Prevalence of Substance Abuse	p. 152
Barriers to Treatment for Women	p. 152
Treatment Needs of Women	p. 153
HIV/AIDS	p. 153
Prevention with Adolescents	p. 153
Barriers to Treatment for Adolescents	p. 153
Barriers to Treatment and Treatment Needs of Those with HIV/AIDS	p. 153
The Elderly Population	p. 154
Diagnostic Issues	p. 154
Treatment of the Elderly Population	p. 154
The Homeless Population	p. 155
Prevalence of Substance Abuse	p. 155
Underutilization of Services	p. 155
References	p. 155
Legal and Ethical Issues
Confidentiality	p. 157
Rationale for Confidentiality	p. 157
Federal Guidelines for Valid Consent to Disclose Information	p. 158
Disclosure without Patient Consent	p. 159
Confidentiality and HIV Status	p. 159
Confidentiality and Illegal Behavior	p. 160
Confidentiality and Minors	p. 160
Responsibility to Diagnose and Treat Substance Use Disorders	p. 160
Coerced Treatment	p. 161
Driving While Intoxicated (DWI) Programs	p. 161
Referral for Treatment by Social Service Agencies	p. 161
Treatment of Pregnant Mothers	p. 161
Americans with Disabilities Act (ADA)	p. 162
Description of the ADA	p. 162
Application of the ADA to Substance Abusers	p. 163
References	p. 164
Epilogue	p. 165
Index	p. 167
Table of Contents provided by Syndetics. All Rights Reserved.

Substance Use Disorders

Assessment and Treatment

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

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