Filling a crucial need, this manual presents the Women's Recovery Group (WRG), an empirically supported treatment approach that emphasizes self-care and developing skills for relapse prevention and recovery. Grounded in cognitive-behavioral therapy, the WRG is designed for a broad population of women with alcohol and drug use disorders, regardless of their specific substance of abuse, age, or co-occurring disorders. Step-by-step intervention guidelines are accompanied by 80 reproducible clinical tools, including participant handouts, session outlines, bulletin board materials, and more. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials.

Substance addiction is a chronic, relapsing disorder characterized by a compulsion to take a substance despite potential consequences. Addiction, second edition offers a clear and succinct overview of the brain science underpinning substance addiction. Focusing on the nature of addiction as a brain disorder, this resource discusses a range of different behavioural traits such as impulsivity and reward dependence, and looks at the critical role of kinetic and pharmacological factors. All chapters have been fully updated to provide readers with a quick-reference guide to the latest research on pharmacological and non-pharmacological treatments for addition, and feature helpful key points and further reading sources. In addition, two new chapters on nicotine addiction and appetite hormones have been added to ensure the reader is kept abreast of the most recent discussions in the field of research.

Drug use is a major challenge for public services, healthcare professionals and policy-makers all over the world. This book offers a complete overview of the issues associated with substance misuse from an interdisciplinary perspective. It begins by providing a reference guide to the different psychoactive substances, looking at the biological and psychological impact of their use. Key issues in the effect drugs have on society are then addressed, before outlining methods of recovery and therapy. Chapters include: Reflective questions to challenge readers' assumptions Case studies to help students understand the impact of substances on individuals Links to further resources to expand readers' knowledge It will be valuable reading for those studying on degrees in criminology, health, nursing, social work and counselling.

'SUCH AN IMPORTANT BOOK... ESSENTIAL READING FOR PARENTS' Gabby Logan 'INCREDIBLY POWERFUL... A MUST-READ' Victoria Derbyshire When Dan died, I realised many things. I realised drugs were closer to our door than I'd thought. I realised drugs have become normalised for young people. I realised drugs are more affordable, accessible and available than ever before. And I realised I didn't know enough, and nor did Dan, to navigate the choices and come back alive. When Daniel Spargo-Mabbs was 16, he went to a party and never came home. The party was an illegal rave and Daniel - bright, popular, big-hearted prom king Dan - died from a fatally strong overdose of MDMA. In the seven years since, the range of substances has become wider, the levels of exposure higher, and the threat to young people's physical and mental health from drugs greater than ever before. Despite this, there is almost no guidance for parents to help their children navigate this perilous landscape and to stay safe. To come home at night. To grow up. This book is everything Fiona Spargo-Mabbs wishes she'd known, everything she wishes she'd done, before she lost her son. Because however you parent, and whatever you do, at some point your child is likely to be in a situation where they have to make a decision about drugs. What if that decision is 'yes'? Do they know what the risks are? Do they have strategies they can bring to bear if things go wrong? I Wish I'd Known interweaves the story of one family's terrible loss with calm, measured and practical advice for parents. It explores the risks posed by illegal drugs, and explains the way the adolescent brain makes decisions. There is practical advice for saying safe, information on reducing harm, and 'talking points' for parents and their children to do, talk about, look at, look up or consider. A life lost to drugs is a loss like no other. Throughout the book, Daniel's story - his life, his death and what happened afterwards - not only provides a compelling reminder of the importance of those conversations, but also serves as an unforgettable eulogy to a son, brother, boyfriend and friend whose legacy continues to touch, and perhaps even save, the lives of other young people.

ARE YOU REALLY IN CONTROL OF YOUR RELATIONSHIP WITH ALCOHOL? ARE YOU FINDING YOUR NEED TO DRINK GETTING STRONGER? DO YOU DEPEND ON ALCOHOL TO MANAGE DAILY LIFE? In his role as a consultant psychiatrist, Dr Tim Cantopher has worked with countless people to help them overcome dependency, and this book distils his decades of experience into a series of practical, achievable, straightforward steps to reduce your own intake, or give up altogether. Problem Drinking explains why you are drinking too much, what alcohol does to you physiologically, the influence of environment and personality, and the long-term consequences of alcohol addiction. It offers supportive strategies to help you cut down or do without, including advice on relaxation and sleep, problem-solving approaches, time management skills, and insight into drug treatments, the disease concept and the role of Alcoholics Anonymous. Read this book, take it one day at a time, and don't look back.

How do smokers evaluate evidence that smoking harms health? Some evidence suggests that smokers overestimate health risks from smoking. This book challenges this conclusion. The authors find that smokers tend to be overly optimistic about their longevity and future health if they quit later in life.

Older adults' decisions to quit smoking require personal experience with the serious health impacts associated with smoking. Smokers over fifty revise their risk perceptions only after experiencing a major health shock--such as a heart attack. But less serious symptoms, such as shortness of breath, do not cause changes in perceptions. Waiting for such a jolt to occur is imprudent.

The authors show that well-crafted messages about how smoking affects quality of life can greatly affect current perceptions of smoking risks. If smokers are informed of long-term consequences of a disease, and if they are told that quitting can indeed come too late, they are able to evaluate the risks of smoking more accurately, and act accordingly.

Driving With Care: Alcohol, Other Drugs, and Driving Safety Education-Strategies for Responsible Living: The Participant's Workbook, Level 1 Education, 2e is a six-session, 12-hour DWI education program for first time offenders who indicate minimal if any problems, other than impaired driving, associated with AOD use, who have no prior offenses, no prior diagnosis of Substance Abuse or Substance Dependence, and no other problems related to AOD use or misuse. The key outcomes for this protocol are to prevent recidivism into DWI behavior and to prevent future AOD related problems.

Christopher Dines has profound experience of recovery and personal growth; he struggled with drug addiction for most of his young adult life, and came into recovery in 2004, after a career as a music producer and well-known electronic house DJ. In this book, he shares insights, epiphanies and practical strategies for anyone struggling with their wellbeing, but most particularly those in recovery from addiction, those in toxic relationships or those with destructive lifestyles and behaviours. Covering such resonant themes as feelings of unworthiness, the need for gentle compassion and the power of authentic relationships, this book offers an abundance of exercises to unlock a deeper understanding, and nearly 200 questions to enable a true self-appraisal. This is self-care at its most profound, resonant and visceral level - as more than just a regular yoga habit, Super Self Care offers a chance to rewrite the script that ties us to co-dependency, addictive behaviours and shame.

In 2015, 20.8 million people aged 12 years or older (7.8 percent of the United States population) had a substance use disorder (SUD) in the previous year. Approximately 75 percent of this group, or 15.7 million Americans, had an alcohol use disorder, 2.0 million had a prescription opioid use disorder (OUD), and about 0.6 million had a heroin use disorder. Even though evidence-based SUD treatments are effective, rates of treatment receipt are quite low. Only about 48 percent of patients who enter SUD treatment actually complete it. One measure of treatment receipt is the Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) performance measure, which is commonly reported by health plans and used by health systems and Medicaid and Medicare programs .Chapter 1 examines how these factors affect health plan performance on the IET measures for both commercial and Medicaid health plans and how initiation and engagement may be improved. According to the Centers for Disease Control, more than 115 people in the U.S. die after overdosing on opioids every day. In 2017, more than 72,000 Americans died from drug overdoses, overall. It is clear that we need safe and effective recovery options to combat this epidemic to ensure that people have the opportunity to get the help they need. One popular option is known as a sober living home as discussed in chapter 2.

Twisted Wires refers to the crazy mixed up world of addiction. Twisted thinking and behaviour and attitudes abound about this subject. Surely in this day and age we could have a more cohesive attitude about it all? If this were to happen, maybe, just maybe we could have a better way of treating the problem, or detecting it before it became a problem. You have to agree the statistics about this disease are devastating, to live with it or to love someone who has it is the most perplexing thing ever. Addicts are the modern day lepers of society. Shunned, despised and most definitely misunderstood.

This updated and revised second edition on substance abuse in adolescents and young adults provides information on this global public health topic. We cover a wide variety of subjects within the paradigm of drug abuse and agree with the 21st century message of integrating substance abuse management with primary care services. The editors thank the many experts who so graciously and lambently provided their time and knowledge in these areas. The editors hope that the readers of this treatise find useful and beneficial information that will help them in their work seeking to understand and ameliorate the negative effects of these plants of paradise and of other chemicals that are part of the drug addiction pharmacopeia of the 21st century. The science of this field continues to evolve and this edition looks at a wide variety of concepts in this regard----including neurobiology, genetics, the role of the primary care clinicians, the US opioid epidemic, and psychosocial management. Specific drugs of abuse include tobacco, cannabis, alcohol, opioids, prescription drugs, illicit stimulant drug abuse, hallucinogens, and date rape drugs. We also look at concepts related to prenatal drug exposure, substance abuse in adolescent females, co-occurring substance use with psychiatric disorders, prescription stimulant abuse in college students, and performance enhancing drugs in sports. We conclude with a consideration of new drugs of abuse in the 21st century, the societal burden of substance abuse, and the pros as well as cons of drug legalization.

Research in the past decade has shown that substance abuse and substance dependence are treatable. The field has witnessed the introduction of evidence-based psychological and specific pharmacological treatments. Unfortunately, many of the empirical supported therapies for addictions are still not widely applied by practitioners. The third volume in the "Practical Clinical Guidebooks Series (PCG), Evidence-Based Treatment in Substance Abuse "and Dependence would encompass the developments in the field over the last decade, blending theory, techniques and clinical flexibility. The book will provide case illustrations on assessment as well as therapy, and will be suitable for practitioners and students training in clinical and counseling psychology, psychiatry, social work and related fields.
The book would define the characteristics, classification, and prevalence of substance use disorders, and provide the clinician with practical guidelines applicable across a variety of treatment settings and patient groups. Drawing on the recent research in the field, the authors will provide the practicing clinician and student with an up-to-date understanding of the epidemiology, etiology, course and prognosis of substance abuse disorders that would be relevant to clinical practice. In addition to describing phenomenology and etiology, the book provides a comprehensive guide to the assessment and treatment of DSM-IV-TR substance abuse disorders (SUDs), including abuse and dependence of alcohol, stimulants, opiates, hallucinogens, cannabis/marijuana, sedative, and party drugs. Illustrative case histories will help the reader to understand the phenomenology and assessment of SUDs. Lastly, thepresentation of empirically-based therapeutic approaches will help the clinician to decide with treatment will match his/her patient's needs.

In this book, based on profound clinical experiences in supervising and educating practitioners to work with clients with substance abuse and mental illness, the writer suggests an integrated dynamic recovery model in helping clients with substance abuse. In doing so, a multi-dimensional model in the re-anchoring of various humanistic dimensions for persons with substance abuse and mental problems is articulated. Instead of focusing merely on detoxification of persons with substance abuse, the individual's meaning of life, self-system, emotion, body and stress and coping are re-engaged. By means of case vignettes and extracts of clients' self-narration, the whole book provides a humanistic, practical and reflective, working guideline for related professionals, family members and other parties to understand and implement effective, multi-dimensional interventions for people with drug addiction and substance abuse.

An estimated 6.5 million individuals currently abuse prescription drugs in the United States. Unlike policy on street drugs, federal policy on prescription drug abuse is complicated by the need to maintain access to prescription controlled substances (PCS) for legitimate medical use. Prescription drug abuse is not limited to addiction; it includes, for example, taking a medication for the purpose of getting high or taking a medication that was prescribed for someone else. This book discusses reduction efforts and the federal role in prescription drug abuse.

The clinical course of nicotine dependence, nicotine withdrawal and smoking cessation varies significantly between men and women smokers. Recent research has also suggested that certain personality traits and experiences predict and help maintain smoking behavior, thus leading to dependence and negative health consequences. The chapters in this book include research on the correlation between people's early engagement in smoking behavior and later problematic levels of use, the role of hormone therapy (HT) to treat smoking / nicotine dependence; the association between active and passive water pipe tobacco smoking and health issues that might develop later on (as well as the similarities and differences between tobacco smoking and cigarette smoking). Worldwide tobacco use, production and consumption are continuing. Of approximately 1.2 billion smokers in the world, about half of them will die from diseases caused by smoking. The authors' describe the extent of nicotine dependence, the neurobiology of nicotine dependence, which is important for understanding tobacco addiction and its treatment, and describe the pharmacological and non-pharmacological treatments of nicotine dependence, including electronic cigarettes. The final two chapters detail the chemical composition and health risks associated with secondhand smoke (SHS) exposure. These chapters address the impact of SHS on children in particular, as well as the deleterious effect on workers' health that often takes place in indoor environments, and finally, recent global public policies that have been implemented on tobacco control are addressed.

Mag lives in a rustic cabin in the Canadian wilds, far from neighbours and further from her past. It's an unremarkable life, save for the enormous bear carcass on the kitchen table. But when her estranged daughter Beth turns up on the doorstep having been freshly released from prison, the past becomes terrifyingly present - and the bear isn't the only thing with a dangerous bite.

This book examines the early identification of children and adolescents with mental health and substance use problems in order to provide guidance, tools, and resources for early identification -- including a compendium of the most developmentally, culturally, and environmentally appropriate screening instruments. The U.S. Preventive Services Task Force, which evaluates the evidence on the efficacy of various preventive practices, has recommended screening adolescents for depression in primary care; however, it has not yet reviewed the evidence for general, multi-condition screening instruments, such as those discussed in this book. However, it is likely that many families -- especially those whose children fall into groups at elevated risk for mental health or substance use problems -- would prefer to know as soon as possible if their child or adolescent shows indications of these problems. Early identification and intervention would allow caregivers to promptly address any identified problems. Programs and services for youths who are at elevated risk for mental health and substance use problems should, as much as possible, offer caregivers the opportunity to identify any such problems. Because caregivers are the decision makers for their children, the guide emphasises that informed parental consent must always be obtained before any formal identification or screening process is conducted; it also reinforces that parental involvement from the beginning is appropriate and encouraged.

In 2004, over 23 million Americans age 12 and older needed speciality treatment for alcohol or illicit drug problems. Of those in need, only 10 percent received treatment at a speciality facility. There are a number of factors that contribute to low treatment participation rates. One of the most fundamental is the lack of an adequate human infrastructure to support current and future demands for treatment. The addictions treatment field is facing a workforce crisis. Worker shortages, inadequate compensation and stigma currently challenge the field. Increasingly, treatment and recovery support providers also struggle with issues related to recruitment, retention and professional development of staff. The ability to provide quality addictions treatment and recovery support services is severely hampered by these conditions. Without investment in human infrastructure, this critical public health function will not be equipped to respond effectively to the overwhelming need for services. This book includes a discussion of both long-term and emergent issues impacting the addictions treatment workforce and provides a context for understanding the challenges facing the addictions treatment workforce and a background for the recommendations that follow.

Over the past several decades, the population of the United States has become increasingly diverse. According to the U.S. Census Bureau, about one third of the population belongs to a racial/ethnic minority group; this percentage is projected to increase to 54 percent by 2050. As the country becomes more diverse, it becomes increasingly important to address health and health care disparities related to race/ethnicity, as well as age and gender, socio-economic status, geography, and disability. The Nation's success in reducing these disparities today, to a large extent, will determine the health of our Nation tomorrow. One area of concern is assessing substance use and abuse and ensuring access to substance abuse treatment. Substance abuse affects millions of people every year and has untold health, social, and economic costs for individuals, families, and communities. Although it affects people in all racial/ethnic groups, research has shown that there is considerable variation among these groups. Gaining a better under-standing of the behavioural health needs of particular racial/ethnic groups can help inform public health policy, build prevention and treatment programs that target the different needs of these populations, and ultimately ensure that services are available to all individuals who need them. This book uses data from the National Survey on Drug Use and Health (NSDUH) to examine substance use and treatment need among African-American adults and adolescents; American Indian or Alaska Native adults and adolescents; Hispanic adults and adolescents; and Asian adults and adolescents.

The Substance Abuse and Mental Health Services Administration (SAMHSA) has prepared these reports to Congress to provide an overview of the facts and issues affecting the substance abuse and mental health workforce in America. SAMHSA's reports cover the behavioural health workforce in its entirety because many data sources and programs report by profession or discipline rather than population served (eg: social workers, psychologists, and counsellors), whether providing prevention services or treatment and whether serving persons with substance use disorders, mental health conditions, or both. Data specific to the substance use disorder treatment workforce will be provided wherever available. This book also includes demographic data as well as a discussion of key issues and challenges such as staff turnover, ageing of the workforce, inadequate compensation, worker shortages, licensing and credentialing issues, and recruitment, and retention and distribution of the workforce. The misunderstandings and often inaccurate perceptions of society about mental illness and addiction as these relate to workforce challenges are also discussed.

The concept of recovery lies at the core of the Substance Abuse and Mental Health Services Administration (SAMHSA's) mission, and fostering the development of recover-oriented systems of care and services is a Center for Substance Abuse Treatment (CSAT) priority. In support of that commitment, in 2005, SAMHSA's CSAT convened a National Summit on Recovery. Participants at the Summit represented a broad group of stakeholders, policy-makers, advocates, consumers, clinicians, and administrators from diverse ethnic and professional backgrounds. Although the substance use problems and disorders treatment and recovery field has discussed and lived recovery for decades, the Summit represented the first broad-based national effort to reach a definition of recovery and a common understanding of the guiding principles of recovery and the elements of recovery-oriented systems of care. This book reviews the research related to the 12 guiding principles of recovery and the 17 elements of recovery-oriented systems of care developed through the National Summit on Recovery. It also offers an appraisal of scientific literature discussing the recovery-oriented systems of care conceptual framework and literature on recovery-oriented service and systems implementation.

In this thought-provoking book, Laura Tappata brilliantly guides the reader from a description of the existential problem of psychological addictions to a possible solution leading to a potentially positive outcome for the individual. The central theme of the book is anchored in the dismal nature of "post-modern identity" with a focus on searching for meaning in what we are and who we are. This identity is characterised as being narcissistic and fragile, suggesting from the outset that we need to somehow strive for a stronger and more well-defined self in order to, first, survive and, then, possibly thrive emotionally. Living in this post-modern world naturally leads to a superficial existence and the seemingly blind quest of acquiring non-essential and meaningless things designed to bolster our ill-defined, weak and vulnerable self. Although this leads to a false sense of happiness, it does not generate true contentment let alone a sense of well-being. As such, many of us are left to drift with few essential values, certainties and stable points of reference. This book attempts to lead the reader on the path from "the post-modern dependence on psychological addictions" to freedom, the expression of one's identity and a true sense of well-being.

Drug court programs were established beginning in the late 1980s as a local response to increasing numbers of drug-related cases and expanding jail and prison populations nationwide. A drug court is a specialized court-based program that targets criminal offenders who have alcohol and other drug addiction and dependency problems. Drug courts have implemented deferred prosecution or post-adjudication case-processing approaches, or have blended both in their organizational structures. In drug courts, using deferred prosecution, defendants waive rights to a trial and enter a treatment program shortly after being charged; those who subsequently fail to complete the treatment program have their charges adjudicated, while those who complete the program are not prosecuted further. This book provides an overview and assessment of the adult drug court system, with a focus on the rate of recidivism and performance measure revision efforts.

In this book the editor presents a collection of state-of-the-art, authoritative overviews in the field of treatment for drug and behavioural addictions. Both clinical and basic research perspectives are integrated in the book, covering recent findings in the field of stimulant, cannabis and opioid abuse, as well as non-drug addictions, with an emphasis in novel pharmacological interventions and potential receptor targets recently identified. The intended audience of this exciting selection is broad, encompassing clinicians, researchers and graduate students who seek advanced knowledge and up-to-date information in this rapidly moving field of enquiry.