Smoking tobacco presents serious social problems with major impacts on public health. It is estimated that 25-30% of the general population in western countries are currently smoking. Tobacco use is the major preventable cause of death in the United States, responsible for more than 400,000 deaths annually. Within the USA and Europe, 70% of all smokers have tried to quit smoking at least once, but only about 6% of these succeeded in maintaining abstinence. This book covers the latest nicotine-related research. The selection of chapters has a certain unity as physiologic, pathologic and psychological themes run through the book and supply the logical connections between the various authors. This work is intended as a contribution to the reversal of the current tobacco epidemic and thereby to preventing many of the deaths attributable to tobacco predicted in this century.

People with substance abuse problems often depend on Medicaid to pay for treatment. Health Care Reform, as specified in the Patient Protection and Affordable Care Act of 2010, will increase the importance of Medicaid as a payment system for chemical dependency care. Now entering its second 50 years, Medicaid is a unique partnership of federal and state agencies financing health care services for low income people. This book is an invaluable resource for patients, family members, clinicians, administrators, and policy-makers concerned about ways to pay for addiction treatment. Written by national experts, the book summarises the provisions of Medicaid of most relevance to substance abuse treatment, reviews the pertinent history of this complex and ever changing program, and describes key findings from numerous "natural experiments" such as the implementation of Medicaid managed behavioural health care as well as cutbacks in Medicaid coverage.

The Office of the US Surgeon General, in a detailed report entitled "Women and Smoking," made the following statement: "When calling attention to public health problems, we must not misuse the word 'epidemic.' But there is no better word to describe the 600-percent increase since 1950 in women's death rates for lung cancer, a disease primarily caused by cigarette smoking. Clearly, smoking-related disease among women is a full-blown epidemic." -- David Satcher, MD, PhD Tobacco use accounts for nearly one third of all cancer deaths. Tens of thousands of women will die this year from lung cancer, which has greatly surpassed breast cancer as the leading cause of cancer death among women. More than 90% of these deaths will be due to smoking. In addition to increasing the risk for lung cancer, smoking is a risk factor for cancers of the cervix, mouth, larynx (voice box), pharynx (throat), esophagus, kidney, bladder, pancreas, and stomach. It is also connected to some forms of leukemia. This book presents the latest research in this field from around the world.

This book covers both sides of the debate over amphetamine prescription and use. It discusses the history of amphetamine and related stimulants; ADHD and the use of Ritalin and Adderall to treat it; related neuroenhancers; methamphetamine from Desoxyn to crystal meth; the nature of addiction and side effects; sociological effects of amphetamine compounds; and expert opinions for and against amphetamine use.

This book presents an integrated approach for concurrently treating chronic pain and opioid use. Many patients who suffer from chronic pain are also managing opioid medications. Because this population often requires a higher level of care, it is critical for providers to address pain and opioid management together. This book presents an integrated healthcare team approach that helps patients manage opioid use in a structured, safe, and supportive environment while also exploring all of the factors that impact the patients' pain experience. This whole-person approach to care allows for cross-cutting strategies to be applied and maximizes the reduction of suffering. The behavioral treatment strategies in this book can help providers assist patients who are struggling with chronic pain and have relied on opioids at one point. This includes individuals that are considering de-prescribing, are in the process of opioid tapering, have recently discontinued from opioids, or are currently using opioids effectively for pain. Combining expert clinical guidance with the latest research and practical case examples, the book helps practitioners across healthcare disciplines understand their patients, improve rapport and engagement, and implement treatment strategies to help patients live their best lives.

This acclaimed clinical guide, now substantially revised and updated, has helped thousands of clinicians put the proven principles of harm reduction into practice with therapy clients who have substance use problems. Written by pioneers in the field, the book shows how to do effective therapeutic work with people still using alcohol or other drugs. It provides clear guidelines for conducting comprehensive assessments, making collaborative treatment decisions, and implementing interventions that combine motivational, cognitive-behavioral, and psychodynamic strategies. The focus is reducing drug-related harm while also addressing co-occurring psychological and emotional difficulties. Detailed clinical illustrations are featured throughout. New to This Edition *Reflects over a decade of research advances and the tremendous growth of harm reduction clinical practice and training. *Section on applications, with chapters on community-based settings, harm reduction groups, and working with families and friends. *Chapters on biological and psychodynamic aspects of treatment. *Expanded discussions of trauma, cultural sensitivity, and ethics. *Supplemental resources and training information at the authors' website: www.harmreductiontherapy.org. See also the authors' related self-help guide, Over the Influence, Second Edition, an ideal client recommendation.

The Medicare program serves as the healthcare coverage provider to over 58 million beneficiaries. In serving the over age 65 population, Medicare accounts for a large share of total opioid prescriptions. In 2016, one out of every three beneficiaries was prescribed an opioid through Medicare Part D. While many Medicare beneficiaries with serious pain-related conditions are being properly prescribed opioids, there is mounting evidence of opioid misuse in the Medicare system. This book looks at a proposed programs which seek to increase screening and thus, early detection of potential opioid use disorder upon entry into the Medicare program.

'A gracefully written book about the inner strength we all have within us' Wim Hof ________________________________________________________________________________ Do you feel held back by your own thoughts? Have you gone through years of therapy but never quite resolved your problems? Whether you struggle with mental health or want to achieve more in life, this revolutionary book is your key to finally making positive changes. It's common to feel a loss of control and even feel out of touch with our own identity when we go through periods of stress or trauma. Our brains are conditioned to form beliefs about ourselves and the world around us, so when we experience adversity thoughts such as 'I'm not good enough', 'I don't deserve to be happy' and 'I don't belong here' can develop and start to hold us back in life. Left unchecked, these thoughts can leave us feeling stuck, incapable and unfulfilled but this life-changing book shows how we can de-hypnotize ourselves of those beliefs and re-discover the capable and confident person within us. Having practised as a therapist for almost thirty years, Andrew Parr has helped thousands of people to break free of their self-sabotaging thoughts and achieve things they never thought possible: from pay rises to weight loss, and from quitting smoking to overcoming insomnia. In The Real You he shares his transformative approach, combining the most effective aspects of hypnotherapy, psychotherapy, coaching and CBT, that will help you to identify and resolve problematic mental patterns more easily than with traditional talking therapy. No matter what you want to achieve, the simple, practical exercises in this book will put you back control of your thoughts, transform your self-confidence and make success possible. ________________________________________________________________________________ 'A truly unique and transformational book' Paul Hewitt, Sports Performance Specialist

Critics of narcology-as addiction medicine is called in Russia-decry it as being "backward," hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years. Raikhel's book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the postSoviet world, particularly in Putin's Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.

The only current resource for APPs caring for people with SUDs in clear, concise format This greatly needed resource is the first to provide evidence-based information and strategies for APRNs and PAs who work with individuals with substance use disorders (SUDs). Written in a concise, bulleted style for easy access to critical information, the reference addresses often-undiagnosed medical and psychiatric conditions which may accompany SUDs and the ethical considerations of working with affected patients and families. Written by noted substance abuse experts, the resource distills key information about SUDs, explaining what they are and what they are not, and the role of APPs in helping afflicted individuals to recover. It discusses how to identify SUDs regarding signs and symptoms, emergency response, and specific disorders. Also addressed is the use of pharmacology to treat SUDs including complementary and alternative medications, person-centered care for individuals with SUDs across the lifespan, and how to care for afflicted individuals in a variety of settings. Key Features: Distills current, evidence-based information in a concise, bulleted, pocket-sized format Organized for quick access to information Delivers proven strategies for successful nursing interventions Defines substance abuse disorders across the lifespan Discusses how to de-stigmatize people with substance abuse disorders Explores legal and ethical implications surrounding provision of health care to patients with SUDs

Mental health practitioners must be prepared to treat addiction-related issues-affecting up to 50% of mental health clients-whether or not clients present with addiction as a primary concern. This practical roadmap to the treatment of addictions advocates an underutilized-yet highly effective-method of intervention: eye movement desensitization and reprocessing (EMDR) therapy. It is the first book to integrate the Stages of Change Model with EMDR's phases for successful treatment outcome. The book addresses the scope of problems relating to addiction, including relevant statistics and descriptions of substance and process addictions, and considers the connection between addiction and trauma. While focusing on the use of EMDR therapy in treating addictions, the book also considers traditional models for each stage of treatment so interventions can be individualized according to the needs of each client.

The authors describe in detail the Transtheoretical Model, tracing its development and theoretical foundations. They discuss each of its stages in depth, presenting and integrating EMDR interventions used by therapists in each stage. The interventions are useful for helping clients at any motivational level. Case vignettes in each chapter illustrate how EMDR techniques are used, and several detailed cases are provided at the end of the book. The appendix features additional resources and EMDR protocols. The text will be useful for therapists currently using EMDR for addiction treatment as well as those using other modalities who are seeking an effective alternative. Key Features:

Provides a practical roadmap to using the Stages of Change Model and EMDR therapy for effectively treating addictions Addresses substance and process addictions in depth Focuses on the trauma-addiction connection and treatment options Describes each Stage of Change and EMDR protocols and interventions for each stage Includes case vignettes and detailed case examples

This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. Designed in a convenient 8 " x 11" format, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most of which include permission to photocopy. Photocopy Rights: The Publisher grants individual book purchasers nonassignable permission to reproduce selected materials in this book for professional use. For details and limitations, see copyright page. Key Features: * The first book to present an evidence-based integrated treatment framework for dual disorders. * Authors have national reputation; Mueser speaks often. * Tons of reproducibles, handouts, assessments for real clinical practice. * Comprehensive: every aspect of treatment addressed. * For both psychiatric and addictions professionals.

Whether it involves drugs, alcohol, smoking, or food, addiction is an overwhelming and destructive force. While many rehabilitation programs are available, the truth is that too many people return to their old habits. Why? "End Your Addiction Now "not only explores the biochemical factors that are the real cause of this problem, but offers proven advice on how to break addictions once and for all.

Based upon the research and experience of Dr. Charles Gantand other pioneers, this practical handbook provides simple step-by-step directions for kicking the habit. Perhaps most

unique, "End Your Addiction Now "is designed both to guide its readers to effective physicians and treatment facilities, and to provide a path for those who wish to seek wellness

on their own.

At the heart of Dr. Gant s approach is a distinctive program of nutritional supplements designed to jump-start recovery by reducing substance cravings. Dr. Gant then walks readers

through a natural process of detoxification and biochemical testing that pinpoints the specific deficiencies that must be addressed to achieve complete recovery. "

Solution-Focused Substance Abuse Treatment describes the standard of care for substance abuse treatment, demonstrates how solution-focused brief therapy exceeds this standard, and shows how it can effectively be used in substance abuse evaluation, case management, and both individual and group treatment. Beginning and advanced concepts are provided to address the questions of even the most advanced clinician, all placed in the context of cultural awareness.

Most importantly, the author answers the many questions professionals may have about how solution-focused brief therapy can be successfully integrated into the field of substance abuse. It provides a thorough understanding of the issues that therapists face when working with this at times challenging population, and demonstrates how the use of solution-focused brief therapy can minimize power struggles and enhance client success. Sample forms and handouts are included, as are additional resources for effective evaluation and treatment.

This book is the first complete guide to implementing the Community Reinforcement Approach (CRA), an empirically based, highly effective cognitive-behavioral program for treating alcohol problems. An ideal program for any practitioner trying to reconcile the needs of their clients with mandates of HMOs and insurance providers, this approach has been deemed one of the most cost-effective treatments available by recent research. CRA acknowledges the powerful role of environmental contingencies in encouraging or discouraging drinking, and attempts to rearrange these contingencies so that a non-drinking lifestyle is more rewarding than a drinking one. Unique in its breadth, the approach utilizes social, recreational, familial, and vocational strategies to aid clients in the recovery process. This authoritative manual is a hands-on guide to applying these therapeutic procedures. Opening with an account of the history of CRA and the empirical support for its efficacy, the book addresses the clinical concerns of those treating substance abusing clients. Specific instructions are provided for conducting detailed assessments of the client and interviewing concerned others. Sobriety sampling and disulfiram use within CRA are discussed in chapters of their own. The authors then present a step-by-step guide to each component of the treatment plan, many of which have been shown to be effective forms of treatment in themselves. Topics include * behavioral skills training * social and recreational counseling * marital therapy * motivational enhancement * job counseling * relapse prevention Each chapter provides detailed instructions for conducting a procedure, describes what difficulties to expect, and presents strategies for overcoming them. Sample dialogues between clients and therapists, annotated by the authors, further illuminate the treatment process. The book concludes with a chapter that both addresses the common mistakes made when implementing CRA, and emphasizes the flexibility and benefits of this total treatment plan. An accessible and practical program, CRA can be implemented by all clinicians who treat alcohol abusing clients, regardless of orientation. Providing a cost-effective approach that is highly efficacious, Clinical Guide to Alcohol Treatment is an invaluable resource for the wide range of practitioners working in today's managed-care environment, including psychologists, psychiatrists, substance abuse counselors, and social workers.

Widely adopted, this state-of-the-art text and clinical resource captures the breadth of current knowledge about substance abuse and its treatment. For each of the major evidence-based treatment approaches, a chapter on basic assumptions and theories is followed by a chapter on clinical applications, including illustrative case material. Expert contributors cover motivational, contingency management, cognitive-behavioral, 12-step, family, and pharmacological approaches. Concluding chapters discuss effective ways to integrate different treatments in a range of clinical settings. New to this edition: reflects significant advances in research and clinical practice restructured to follow the typical sequence of treatment chapter on the biology of substance use disorders chapter on an additional treatment setting: primary care chapter on case management.

It has long been established that addiction or SUD - Substance Use Disorder - ruins lives and leads to illness, destruction of families, and death. Chasing the "high" often brings the user closer to death each time the use is increased even though the person may choose to ignore the risk. Effective treatment is essential to help recovering addicts change their lives and become productive citizens, leading happy lives in perpetual sobriety. Helping them adjust their focus from shame and guilt to improved self-esteem and renewed sense of purpose in life is essential for avoiding prolonged substance abuse. In addition to traditional approaches, the use of creative writing as a treatment modality can help the addicted person obtain and deploy the tools necessary to remain sober. In this way, creative writing can help actualize the whole person. Inviting people with addictions to share their creative writing with the world helps them to connect their experiences, observations, and recommendations to others. This book is a collaborative effort between research, facilitation, and contributions of the creative men at St. Christopher's Inn. Adding to the variety and depth of the creative productions is the incorporation of post-program writing from men who have completed the program at St. Christopher's and have remained connected in this special endeavor. This allows a window into the minds of the longer-term recovering addicts, especially relating to the tools that help them through life's persistent challenges. With this book, we hope to show that writing does help in the treatment of chemical addiction.

As the controversial field of sex addiction treatment reaches for legitimacy across the disciplines of medicine, psychiatry and psychotherapy, Getting Real About Sex Addiction: A Psychodynamic Approach to Treatment applies psychoanalytic framework to concepts of addiction and sex, as well as related concepts of personality and attachment development. Authors Graeme Daniels and Joe Farley explore the intersection of sex and culture and address social undercurrent relating to gender, such as objectification and sexual aggression and how those influence conceptualization goals and procedures in treatment. Through number case illustrations and vignettes, this text demonstrates psychodynamic method across treatment contexts, in formats of individual, couples, and group therapy. The result is a work that critiques theoretical, intervention, and gender biases that have infiltrated this important yet embattled field, and provides a fresh, alternative approach from a source with the oldest pedigree in modern psychology.

As the controversial field of sex addiction treatment reaches for legitimacy across the disciplines of medicine, psychiatry and psychotherapy, Getting Real About Sex Addiction: A Psychodynamic Approach to Treatment applies psychoanalytic framework to concepts of addiction and sex, as well as related concepts of personality and attachment development. Authors Graeme Daniels and Joe Farley explore the intersection of sex and culture and address social undercurrent relating to gender, such as objectification and sexual aggression and how those influence conceptualization goals and procedures in treatment. Through number case illustrations and vignettes, this text demonstrates psychodynamic method across treatment contexts, in formats of individual, couples, and group therapy. The result is a work that critiques theoretical, intervention, and gender biases that have infiltrated this important yet embattled field, and provides a fresh, alternative approach from a source with the oldest pedigree in modern psychology.

Syringe exchange programs and safe injection services are outside-the-box interventions increasingly being used by governments, nonprofits and citizens to address dire issues percolating in tandem with America's burgeoning opioid epidemic. People who inject drugs (PWID)-almost a million Americans annually-commonly use painkillers such as heroin and fentanyl, as well as methamphetamine, benzodiazepines, barbiturates and cocaine. Yet the users themselves are often obscured or marginalized by the bigger picture. This collection of essays covers policies and practices aimed at preventing both opioid-related deaths and related infections of hepatitis and HIV.

With rising rates of morbidity and mortality from substance abuse, addictions and mental health professionals are called upon to integrate innovative treatment modalities that are effective in supporting health and well-being, managing stress, decreasing cravings, supporting abstinence, and addressing the mental health issues that commonly occur with substance use disorders. An approach that blends the best of conventional treatment with complementary therapies and techniques, can bring optimal health and wellness based on the unique needs, preferences, and goals of each person. This book details complementary and integrative health modalities that promote physical, emotional, cognitive, and spiritual health, and recommends self-care and healthy lifestyle practices for sustainable recovery from substance use disorders. These modalities were chosen based on a body of scientific research supporting their inclusion, and with a focus on the whole person, mind, body and spirit. Practitioner delivered therapies are presented, such as Acupuncture, Healing Touch and Art Therapy. Modalities that are learned in formal treatment and then translated to personal practice after discharge, such as Meditation, Eating for Recovery, and Emotional Freedom Technique are reviewed. Case studies explore these modalities to illustrate applications and integration into conventional treatment. The book concludes a plan for self-care that can bring improved health, quality of life and vitality for long term recovery.