Study Guide to Substance Abuse Treatment is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fifth Edition. The Study Guide is made up of questions divided into individual quizzes of 10-20 questions each that correspond to the chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that addresses the correct response and also (when appropriate) explains why other responses are not correct.

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 bestselling addiction treatment manual, fully updated: 50% new material includes eight new sessions. *Tremendous need: counselors want to apply the stages-of-change model (also known as the transtheoretical model, or TTM) in their work. *Uniquely qualified authors have decades of experience; DiClemente is the co-developer of the model. *Provides easy-to-use, flexible, highly practical materials, with a lay-flat binding. *Online resources: all handouts are available to download and print.

This book selectively discusses recent advances in human experimental models relating to the treatment of opioid dependence. The author critically reviewed three independent lines of research conducted during the past decade with heroin-dependent volunteers. One research strategy involves studying the -opioid receptor ( OR), which is the molecular target for the reinforcing and physical dependence producing effects of heroin-like drugs. This has been accomplished by varying medication dose conditions, measuring the availability of brain -receptors in vivo and plasma pharmacokinetics, then correlating these biological concentration measures with clinically relevant endpoints including opioid withdrawal symptoms, heroin craving, and blockade of the euphoric and respiratory depressant effects of -agonist challenges. These studies provide an initial benchmark for estimating OR occupancy or plasma concentration requirements for effective pharmacotherapy. A second research strategy determines the conditions under which -agonist medications function as reinforcers, and the ability of medication dose and the availability of non-drug alternative reinforcement to attenuate opioid choice. Taken together, these studies provide information relevant to the ability of the medication to stimulate adherence and reduce drug demand. A third research strategy seeks to determine whether non-opioid medications can attenuate the naloxone-precipitated (i.e. withdrawal related) discriminative stimulus, subjective and/or physiological effects in opioid-maintained individuals. These studies aim to identify compounds that may be safe and effective adjuncts during opioid detoxification and, potentially, anti-relapse agents. Evidence is also reviewed concerning individual differences identified in these models. Implications of these findings for clinical treatment are also discussed.

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.

*Practical and contemporary work on the evidence-based Community Reinforcement and Family Training (CRAFT) model for addictions. *Loved ones can have an outsized impact on a person's decision to get treatment; CRAFT shows therapists how to work effectively with family and friends. *User-friendly features include checklists, boxes, downloadable forms, and illustrative clinical dialogues. *An ideal graduate text or clinical reference for therapists and counselors, regardless of expertise in addictions.

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.

Addiction and trauma are two of the most common and difficult issues that people face. In this motivating book, leading expert Lisa Najavits explains the link between addiction and trauma and presents science-based self-help strategies that you can use no matter where you are in your recovery. Every chapter features inspiring words from people who have "been there," plus carefully designed reflection questions, exercises, and other practical tools. Learn how you can: *Build coping skills so that the future is better than the past. *Keep yourself safe and find support. *Set your own goals and make a plan to achieve them at your own pace. *Choose compassion over self-blame and shame. *Move toward your best self--the person you want to be. If you are a family member or friend seeking to support a loved one--or a helping professional--this book is also for you. Now in a convenient large-size format, the revised edition features added materials for professional and peer counselors. First edition title: Recovery from Trauma, Addiction, or Both. Mental health professionals, see also the author's Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, which presents an evidence-based treatment approach developed specifically for PTSD and substance abuse.

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.

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.

Ambivalence, poor adherence to treatment, serious psychiatric and medical comorbidities-the difficulties posed by patients of substance use disorders are among the most challenging for practitioners to face. Given that only 10% of patients with these disorders actually receive specialized addiction treatment, it's clear that physicians in all medical and surgical specialties need to become comfortable assessing and treating substance use disorders. The Pocket Guide to Addiction Assessment and Treatment is designed specifically to aid a wide range of clinicians, regardless of their training in addiction, to more confidently assess and treat this patient population. The book's practical, actionable content is divided into three sections-Fundamentals of Addiction, Substances and Behaviors, and Treatment-that address topics including: * The neurobiology of addiction* How to recognize and treat intoxication, withdrawal from, and addiction to substances such as alcohol, anabolic-androgenic steroids, benzodiazepines, cannabis, opioids, stimulants, and tobacco, as well as hallucinogens, inhalants, and caffeine* Special issues with psychiatric and medical comorbidities, as well as with specific populations* Behavioral addictions, with a special focus on gambling disorder* Cognitive-behavioral therapy; 12-step programs; nutrition and exercise; spirituality, mindfulness, and meditation; and other treatment options, with examples of how each can be used with patients facing addictions With an accessible, easily referenced format, the Pocket Guide to Addiction Assessment and Treatment serves as a go-to resource for general psychiatrists, internists, family practitioners, pediatricians, emergency medicine physicians, psychiatric nurses, residents, medical students, and other practitioners involved in the addiction treatment field. And because all of the diagnostic discussions are DSM-5-based, readers can be confident that they're getting the most relevant and up-to-date guidance on the topic.

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.

What is the nature of addiction? Neither of the two dominant models (disease or choice) adequately accounts for the experience of those who are addicted or of those who are seeking to help them. In this interdisciplinary work, Kent Dunnington brings the neglected resources of philosophical and theological analysis to bear on the problem of addiction. Drawing on the insights of Aristotle and Thomas Aquinas, he formulates an alternative to the usual reductionistic models. Going further, Dunnington maintains that addiction is not just a problem facing individuals. Its pervasiveness sheds prophetic light on our cultural moment. Moving beyond issues of individual treatment, this groundbreaking study also outlines significant implications for ministry within the local church context.

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.

Addictive behaviors beg for an informed explanation to guide patients, families, students, and clinicians through the maddening and often incomprehensible nature of the addictions. Too often addiction is perceived to be merely a moral weakness or purely a brain disease, ignoring the deep personal pain that can permeate the lives of the addicted. But taking an honest look at the underlying emotional or mental issues can more clearly illuminate not only the causes of the addiction, but also the cure. Doctors Edward J. Khantzian and Mark J. Albanese, leading researchers in the field of addiction, see addictions primarily as a kind of self medication a self medication that can temporarily soothe anxiety or pain, but that ultimately wreaks havoc on the lives and health of both the addicted and their loved ones. With practical advice, compelling case studies, and nuanced theory drawn from their years in clinical practice, Doctors Khantzian and Albanese look at the core reasons behind many addictions and provide a pathway to hope. Understanding Addiction as Self Medication looks at a range of addictions, including alcohol and substance abuse, and clearly explains how to understand other addictive behaviors through the lens of the Self Medication Hypothesis. This book provides a much-needed guide to both understanding addictions and working towards healing."

Even while many states have passed legislation pertaining to "medical marijuana" and others have decriminalized or even legalized recreational use, a debate continues within society as to whether marijuana is simply a harmless substance that should be fully legalized, a possibly beneficial treatment for patients with certain illnesses, or a drug with the potential to worsen addiction and cause mental health problems. The controversy persists in the medical community as well, where accumulating evidence implicates marijuana use, especially in adolescence, as a risk factor for poor educational achievement and substance use disorders, as well as schizophrenia and related psychotic disorders-all of which complicates the heated discourse on legalization. Although other books have explored the medical marijuana and the neuroscience behind marijuana, no single source of comprehensive information on marijuana and mental health in modern American society has existed to date. Balanced, focused, and highly readable, Marijuana and Mental Health fills this void. It provides an academic foundation for further study while also informing clinical mental health practice as well as policy decisions by articulating the connection between marijuana and mental health, particularly in the United States. Chapters offer a concise compilation of research in this area, discussing topics such as: * The effects of marijuana on the brain and mind* Marijuana-related legislation* Medical marijuana* Comorbidities between marijuana misuse and mood and anxiety disorders* The complex link between marijuana use and psychotic disorders* Synthetic cannabinoids* Treatment and prevention of marijuana misuse Relatable clinical vignettes that contextualize these issues and illustrate the clinical applicability of the content, as well as key chapter points that emphasize major takeaways, make Marijuana and Mental Health the authoritative reference for clinical and research psychiatrists, psychiatric residents and fellows, clinical psychologists, and psychiatric nurses.

Pregnant drug users are the focus of this new study that argues that women who abuse substances should not be treated differently during their pregnancies but should instead be treated the same way as women who have medical problems with obstetric consequences. The social issues that produce drug abuse during pregnancy are discussed, and valuable information about top practices and policies for caring for maternal drug users is provided.

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.