Clinical health psychologists often encounter patients needing interventions for substance use, yet rarely do practitioners receive specialized training in this area. Psychological Treatment of Medical Patients With Harmful Substance Use is designed for mental health providers in medical settings who need the knowledge and skills to assess and treat conditions relevant to substance use. This book is especially useful for mental health providers who treat adult medical outpatients for whom substance use is not their primary presenting problem. The authors clarify the distinction between nonharmful and harmful substance use, describe the signs and symptoms of substance use disorders, epidemiology, current models denoting biological and socio-cultural causes, and contributing factors (with an emphasis on cardiac, cancer, women's health, and primary care settings). They offer best-practice assessment strategies, and psychological, self-help and pharmacological treatments. Chapters also describe assessment and intervention for conditions that are often comorbid with substance use, including depression, anxiety, and sleep dysregulation, as well as treatment for family members who are dealing with a loved one's harmful substance use, relapse prevention and continuing care.

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.

Integrated Approaches to Drug and Alcohol Problems: Action on Addiction provides a pathway through the field of addiction, giving a clear description of points along that path, from the beginning of problematic use of drugs and alcohol, to treatment, support, recovery and reintegration in society. The book illustrates the principle of integrated approaches to tackling the rise in problems with addiction. Practical applications of these approaches are demonstrated in the work of UK charity Action on Addiction, one organisation which has been influenced by, and contributed to, the research and practice of the authors. The interventions illustrated within Integrated Approaches to Drug and Alcohol Problems demonstrate how the findings of international research can be brought together to provide effective services for individuals, families and communities suffering from addiction-related problems. Some of the foremost internationally recognized addiction researchers, clinicians and trainers from the UK, USA and Canada have contributed chapters to this book. It will be of interest to all those working in the field of drug and alcohol addiction, including counsellors and therapists, as well as GPs, nurses and public health officers. Integrated Approaches to Drug and Alcohol Problems will also have general appeal to anyone studying Psychology and Mental Health courses at undergraduate or postgraduate level, plus those affected by addiction.

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.

After decades of the American "war on drugs" and relentless prison expansion, political officials are finally challenging mass incarceration. Many point to an apparently promising solution to reduce the prison population: addiction treatment. In Addicted to Rehab, Bard College sociologist Allison McKim gives an in-depth and innovative ethnographic account of two such rehab programs for women, one located in the criminal justice system and one located in the private healthcare system-two very different ways of defining and treating addiction. McKim's book shows how addiction rehab reflects the race, class, and gender politics of the punitive turn. As a result, addiction has become a racialized category that has reorganized the link between punishment and welfare provision. While reformers hope that treatment will offer an alternative to punishment and help women, McKim argues that the framework of addiction further stigmatizes criminalized women and undermines our capacity to challenge gendered subordination. Her study ultimately reveals a two-tiered system, bifurcated by race and class.

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.

The first edition of Addictions established itself as a valuable resource for students and professionals alike. This authoritative new edition builds on the success of the previous book, incorporating advances in research and practice over the last ten years.

The book includes material on:

• the nature of addiction and who becomes addicted
• health consequences of alcohol and other drug dependence
• theories and causes of addiction.

The authors, experts in the field, also include new material on the controversy surrounding the possible positive effects of alcohol and cannabis use, the increased risk of interpersonal violence, and new research on theories of addiction.

Addictions will be essential reading for students, professionals and researchers seeking state of the art information about this rapidly growing field.

In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction-that it is a disease, a compulsion beyond conscious control-is wrong. Drawing on psychiatric epidemiology, addicts' autobiographies, treatment studies, and advances in behavioral economics, Heyman makes a powerful case that addiction is voluntary. He shows that drug use, like all choices, is influenced by preferences and goals. But just as there are successful dieters, there are successful ex-addicts. In fact, addiction is the psychiatric disorder with the highest rate of recovery. But what ends an addiction? At the heart of Heyman's analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. The conditions that promote quitting a drug addiction include new information, cultural values, and, of course, the costs and benefits of further drug use. Most of us avoid becoming drug dependent, not because we are especially rational, but because we loathe the idea of being an addict. Heyman's analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices-from obesity to McMansionization-all rooted in our deep-seated tendency to consume too much of whatever we like best. As wealth increases and technology advances, the dilemma posed by addictive drugs spreads to new products. However, this remarkable and radical book points to a solution. If drug addicts typically beat addiction, then non-addicts can learn to control their natural tendency to take too much.

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 important work elucidates why relapse is so common for people recovering from addictive behavior problems--and what can be done to keep treatment on track. It provides an empirically supported framework for helping people with addictive behavior problems develop the skills to maintain their treatment goals, even in high-risk situations, and deal effectively with setbacks that occur. The expert contributors clearly identify the obstacles that arise in treating specific problem behaviors, review the factors that may trigger relapse at different stages of recovery, and present procedures for teaching effective cognitive and behavioral coping strategies.

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.

Working with clients who abuse drugs or alcohol poses formidable challenges to the clinician. Addicted persons are often confronting multiple, complex problems, from the denial of the addiction itself, to legacies of early trauma or abuse, to histories of broken relationships with parents, spouses, and children. Making matters more confusing, the treatment field is too often splintered into different approaches, each with its own competing claims. This eloquently written book proposes a narrative approach that builds a much-needed bridge between family therapy, psychodynamic therapy, and addictions counseling. Demonstrated are innovative, flexible ways to help clients form new understandings of what has happened in their lives, explore their relationships to drugs and alcohol, and develop new stories to guide and nourish their recovery.

Edited and with contributions by Lois Badey 'I have a secret. Secrets can be dangerous. They make tell lies. You can lie to others, but mostly, you lie to yourself...' - Janet Drawing from his 35,000-member strong community, one of the country's most successful sobriety coaches, Simon Chapple brings us real, raw, relatable stories from individuals who've found joy in an alcohol-free life. Powerful, healing, resonant and true, the experiences in this unforgettable book will make a real impact on anyone who is exploring their relationship with alcohol, or who needs support, inspiration, or a reason to go sober. Featuring contributions from some of the most well-known personalities in the Sober Space, sharing their own extraordinary journies, some of these stories are shocking, some are moving, some will make you cringe and others will make you laugh out loud; all are inspiring and powerfully motivating. The hope is that readers will see their own lives reflected in these incredible narratives, and find the courage to take a step forward into a new life. With a full commentary from the author alongside each chapter, to provide an easy understanding of the takeaways from each story, the book will also carry QR codes that link directly to Simon's popular YouTube channel to further help you on your journey to sober joy. Why not invest in THE SOBER JOURNAL - a space for your own reflections, marking your own journey to freedom and joy?

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.