Weaving actual clinical examples with solid research, Substance Abuse continues to provide counseling, psychology, social work, and other students with a detailed overview of the alcohol and other drug (AOD) field. Now in its Third Edition, this text provides updated coverage and practical clinical examples to reflect the rapid changes in the field of addiction. In a reader-friendly style, the authors present balanced coverage of various treatment models as well as objective discussions dealing with the controversies in this field. The text covers topics spanning the entire field--pharmacology, assessment and diagnosis, treatment, recovery, prevention, children, families, and other addictions--providing students with a broad view of the AOD field as well as the pervasiveness of the problem in all areas of behavioral health and general fields.
Table of Contents
Preface. 1. The Role of the Mental Health Professional in Prevention and Treatment. The Need for Generalist Training. Philosophical Orientation. Attitudes and Beliefs. Denial, Minimization, Projection, and Rationalization. Helping Attitudes and Behaviors. Overview of the Book. 2. Classification of Drugs. Comprehensive Drug Abuse Prevention and Control Act. The Concept of Dangerousness. Definitions. Central Nervous System Depressants. Central Nervous System Stimulants. Opioids. Hallucinogens. Cannabinols. Inhalants and Volatile Hydrocarbons. Anabolic Steroids. Club Drugs. Drugs Used in the Treatment of Mental Disorders. Additional Reading. 3. Models of Addiction. The Moral Model. Sociocultural and Psychological Models of Addiction. Disease Concept of Addiction. Biopsychosocial Model of Addiction. 4. Culturally and Ethnically Diverse Groups. Native Americans and Alaska Natives. Asian Americans. African Americans. Latino and Hispanic Populations. Helping Culturally and Ethnically Diverse Populations. 5. Assessment and Diagnosis. Definitions of Use, Misuse, Abuse, and Dependence or Addiction. Psychosocial History. Signs of Adolescent Substance Abuse. Self-Report Inventories. Referral. Diagnosis. 6. Client Engagement and Brief Interventions. Client Engagement. Motivational Interviewing. Brief Interventions. 7. Treatment of AOD Problems. How Many Are in Treatment? How Many Need Treatment. What Happens in Treatment? Treatment Strategies and Techniques. Treatment Settings. Principles of Effective Treatment. Treatment and Special Populations. Treatment Effectiveness. Client-Treatment Matching. Special Problems in Treatment. 8. Relapse Prevention and Recovery. Need for Generalist Training in Relapse Prevention. Definition of Slip and Relapse. Frequency of Slips and Relapse. Is Relapse in Addiction Similar to Other Chronic Conditions? Models of Relapse Prevention. Essential Components of Relapse Prevention. Preventing Slips from Escalating. Recovery. 9. Twelve-Step and Other Types of Support Groups. Alcoholics Anonymous. Other Twelve-Step Groups. Advantages and Disadvantages of Twelve-Step Groups. Other Types of Support Groups. 10. Families. Family Homeostasis. Roles. Family Rules. Underlying Family Themes. Family Subsystems and Boundaries. Intergenerational Transmission of Alcohol. Women and Alcoholism. Stepfamilies: System and Structure. Helping Families. Barons Integrative Cross-Cultural Model (ICM). 11. Children, Adult Children, and Codependency. Relationship of ACOA, AA, Al-Anon, and Codependency. Children of Alcoholics (COAs). Children Interpersonally Exposed to Alcohol and Drug Abuse. Adult Children of Alcoholics (ACOAs). ACOA and Diversity. Assessment and Treatment Considerations. Codependency. Definitions of Codependency. Characterstics of Codependent Individuals. Implications for Mental Health Professionals. Codependency and Diversity. 12. HIV/AIDS. Incidence and Prevalence. Myths and Facts about HIV and AIDS. Risk Factors and High-Risk Populations. Risk Factors for Women. Assessment of Clients for HIV and AIDS: Signs and Symptoms. Helping HIV-Infected Clients. HIV-Related Issues Specific to the Helping Professional. 13. Gambling and Other Addictions. Prevalence of Gambling and Gambling Problems. Definitions of Gamblers and Problem Gambling. Assessment and Diagnosis. Treatment, Resources, and Support. Other Addictions. Food Addiction: The Eating Disorders. Addiction to Sex and Love. Internet Addiction. Addiction to Work: Workaholism. Assessment and Treatment Issues. 14. Prevention. Why Are Prevention Efforts Needed? Policy Issues in Prevention. Prevention Classification Systems. What Works in Prevention. Prevention Resources. 15. Confidentiality and Ethical Issues. Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR). Health Insurance Portability and Accountability Act (HIPAA). Drug Testing. Documentation. Ethics. Application of Confidentiality Regulations. References. Index.