Addiction is a significant health and social problem and one of the largest preventable causes of disease globally. Neuroscience promises to revolutionise our ability to treat addiction, lead to recognition of addiction as a 'real' disorder in need of medical treatment and thereby reduce stigma and discrimination. However, neuroscience raises numerous social and ethical challenges: * If addicted individuals are suffering from a brain disease that drives them to drug use, should we mandate treatment? * Does addiction impair an individual's ability to consent to research or treatment? * How will neuroscience affect social policies towards drug use? Addiction Neuroethics addresses these challenges by examining ethical implications of emerging neurobiological treatments, including: novel psychopharmacology, neurosurgery, drug vaccines to prevent relapse, and genetic screening to identify individuals who are vulnerable to addiction. Essential reading for academics, clinicians, researchers and policy-makers in the fields of addiction, mental health and public policy.

Heroin is a worldwide scourge and a seemingly intractable one. The Life of the Heroin User: Typical Beginnings, Trajectories and Outcomes is the first book to apply a biographical approach to the lifecycle of the heroin user from birth until death. Chapters address each stage of the user's life, including childhood, routes to use, the development of dependence, problems arising from addiction, death and options for treatment and prevention. Drawing on over two decades of experience in the field of opiate research, Shane Darke examines major theoretical approaches to the development of opiate dependence and the efficacy of treatment options for opiate dependence. Key points are presented at the end of each chapter. The most detailed review available of what is likely to happen to the dependent heroin user, this is an important book for clinicians, researchers and students in the fields of drug and alcohol studies and public health.

Self-help organizations across the world, such as Alcoholics Anonymous, Croix D'Or, The Links, Moderation Management, Narcotics Anonymous, and SMART Recovery, have attracted tens of millions of individuals seeking to address addiction problems with drugs or alcohol. This book provides an integrative, international review of research on these organizations, focusing in particular on the critical questions of how they affect individual members and whether self-help groups and formal health care systems can work together to combat substance abuse. Keith Humphreys reviews over 500 studies into the efficacy of self-help groups as an alternative and voluntary form of treatment. In addition to offering a critical review of the international body of research in this area, he provides practical strategies for how individual clinicians and treatment systems can interact with self-help organizations in a way that improves outcomes for patients and for communities as a whole.

The book is unique in bringing a female perspective to the field of addictions.

1. This book brings the large fields of policing and drugs together; two distinct areas rarely studied together. 2. This book also has a market among public health scholars, given the overlapping areas of interest.

Negative Affective States and Cognitive Impairments in Nicotine Dependence is the only book of its kind that addresses nicotine use and abuse in the context of negative reinforcement mechanisms. Written and edited by leading investigators in addiction, affective, genetic, and cognitive research, it provides researchers and advanced students with an overview of the clinical bases of these effects, allowing them to fully understand the various underlying dysfunctions that drive nicotine use in different individuals. In addition, this book examines animal models that researchers have utilized to investigate the biological bases of these dysfunctions. The combination of clinical and preclinical approaches to understanding nicotine dependence makes this book an invaluable resource for researchers and practitioners seeking to develop targeted treatments aimed at ameliorating symptoms of nicotine dependence, as well as identifying premorbid differences in affective or cognitive function.

Employing Deleuzo-Guattarian orientations to assemblage and feminist approaches to care, this book offers a critique of neoliberal approaches to recovery from drugs and alcohol, while collapsing the dualities of harm reduction and recovery. This monograph empirically explores the practices of care emerging in two drug recovery services in Liverpool and Athens. Following the flows of the participants' desires, it argues that it is not the lack of the substance that holds the recovery assemblage together, but the production of connections that enhance a body's power of acting, constituting recovery a practice of collective care. The outcome of the analysis of the lived experiences of people in recovery is a call for the dismissal of policy as an intervention coming from outside, and its reconstitution as a practice produced inside the recovery assemblage. Focusing on the value of the assemblage as a viable methodological, ontological and epistemological orientation for critical drug studies, this volume contributes to the sociology of health and illness and will appeal to students and researchers interested in fields such as Deleuzian Studies, Science and Technology Studies, Sociology and Social Policy, Drugs and Addiction, Public Health and Medical Anthropology.

Research increasingly suggests that addiction has a genetic and neurobiological basis, but efforts to translate research into effective clinical treatments and social policy needs to be informed by careful ethical analyses of the personal and social implications. Scientists and policy makers alike must consider possible unintended negative consequences of neuroscience research so that the promise of reducing the burden and incidence of addiction can be fully realized and new advances translated into clinically meaningful and effective treatments. This volume brings together leading addiction researchers and practitioners with neuroethicists and social scientists to specifically discuss the ethical, philosophical, legal and social implications of neuroscience research of addiction, as well as its translation into effective, economical and appropriate policy and treatments. Chapters explore the history of ideas about addiction, the neuroscience of drug use and addiction, prevention and treatment of addiction, the moral implications of addiction neuroscience, legal issues and human rights, research ethics, and public policy.

Focussing on end-of-life care for people who use, or have used, substances, this book explores their social and health care needs and the multiple disadvantages they have often experienced, discussing the complexities around access to care that result. Presenting models of good practice, case studies and empirically based evidence, Substance Use, End-of-Life Care is informative, rigorous and useful for policy and practice development. The first section foregrounds the personal experiences of people living with substance use, their families and friends, and the health and social care professionals who work with them. The second section looks at how health inequalities can impact people in need of palliative care, including chapters on health literacy, mental health and learning disabilities. The final section explores social challenges that may be experienced, including homelessness, sex work, racism and incarceration. This interdisciplinary volume is essential for researchers, practitioners, students and educators working around substance use, mental health and palliative and end-of-life care, who are looking for guidance and a reference for their work in supporting people at the end of their lives who have multiple and often complex needs.

Developing Competencies for Recovery aims to help people struggling with addiction realize recovery by developing core competencies that will equip, enable, and empower them to master addiction, live well, and do good. Competencies are clusters of related knowledge, skills, and attitudes (KSAs) that prepare a person to act effectively and reflect cognitive, affective, and psychomotor domains of learning. This book provides a cutting-edge guide to recovery by clearly depicting these core competencies in a manner that will prepare the reader with the ability to clearly understand and develop a course of action on how to manage recovery successfully. The first section of each chapter presents facts, concepts, principles, and theories about a particular competency, and it shares real stories about real people and their own recovery journeys. The following section suggests applications of the competency with questions, worksheets, exercises, and projects. In the final section, readers can evaluate their recovery work and competency development. Resources for recovery and references can be found at the end of the book. Behavioral health practitioners and instructors and students of addiction studies will find this book a best-practice template for recovery work.

Developing Competencies for Recovery aims to help people struggling with addiction realize recovery by developing core competencies that will equip, enable, and empower them to master addiction, live well, and do good. Competencies are clusters of related knowledge, skills, and attitudes (KSAs) that prepare a person to act effectively and reflect cognitive, affective, and psychomotor domains of learning. This book provides a cutting-edge guide to recovery by clearly depicting these core competencies in a manner that will prepare the reader with the ability to clearly understand and develop a course of action on how to manage recovery successfully. The first section of each chapter presents facts, concepts, principles, and theories about a particular competency, and it shares real stories about real people and their own recovery journeys. The following section suggests applications of the competency with questions, worksheets, exercises, and projects. In the final section, readers can evaluate their recovery work and competency development. Resources for recovery and references can be found at the end of the book. Behavioral health practitioners and instructors and students of addiction studies will find this book a best-practice template for recovery work.

* The Recovery Cycle is the positive mirror image of the Addiction Cycle, and the first and only simple and relatable model for positive change in recovery * Written with both therapists and clients in mind - by a clinician in recovery herself - the easy, pragmatic, and conversational style plays to the resistance known to addicted people while gently encouraging sober relationships and spiritual connection * It speaks to all addiction disorders and discusses what every addicted person must go through to fall in love with their sober life, no matter what program they choose, no matter what addiction

Paths to Recovery for Gay and Bisexual Drug Addicts: Healing Weary Hearts reflects and provides practical advice on the problems that confront counselors, friends, and family members in their efforts to help gay or bisexual men with drug and alcohol addiction. Paul Schulte explores the different medical, psychological, psychiatric, and spiritual issues that contribute to both addiction and treatment. His advice and programs for recovering addicts addresses a range of issues from health problems to the gay self-image, in particular dealing with shame and the all too frequent issue of adolescent sexual abuse. Schulte offers fresh, concise advice and programs for recovery providing hope for a population which is three times more likely to have issues with drugs and alcohol than the general population.

This book provides a comprehensive, state of the art overview that covers both the diagnosis and the treatment of dual disorders - joint psychiatric and substance use disorders associated with a worse outcome and disease progression than single psychiatric or addictive disorders. The book is designed to be highly relevant to clinical work and the organization of care systems and meets the real need for a European perspective on dual disorders that takes into account the realities of European treatment organization. All chapters have been written by European authors on the basis of existing European treatment programs or guidelines and European research. The book will be invaluable for all health professionals working in mental health and addiction care, who are increasingly confronted with patients suffering from dual disorders.

The Neuroscience of Autism provides a comprehensive accounting of autism spectrum disorders by integrating scientific findings from behavioral, cognitive and neurobiological research. The book begins by defining autism, identifying characteristics and prevalence, exploring its history, and then moving on to the cognitive and social bases of behavioral symptoms, the brain bases of behavioral and cognitive symptoms, and finally, intervention practices. It examines theoretical models such as weak central coherence, enhanced perceptual functioning, and the extreme male brain hypothesis. Finally, the book addresses the increased attention on the brain connectivity model of autism, looking at the synchronization of brain activity across different brain areas, the causal influence of a brain region on another, and white matter cable connections in the brain.

This book provides professionals with the confidence and know-how to build a complete substance misuse management programme and deliver it within their respective workplace, regardless of sector or discipline. Organizations are frequently in the dark about their rights and obligations where substance misuse takes place in their workplace, affects performance or employee wellbeing, or in extreme cases has a devastating impact on both the company and its employees. There is no formal training for HR, Occupational Health or Health and Safety professionals, solicitors, union representatives and many more situations. This book is written in such a way that as to help those professions, as well as individuals, understand the step-by-step process for building a complete workplace substance and alcohol misuse programme. Managing Workplace Substance Misuse is written by the UK's only registered expert witness for substance misuse policy writing, implementation and mediation. With decades of expertise and first-hand experience of implementing effective policies in some of the UK and world's biggest organizations, Trevor Hall helps all organizations navigate this complex problem, offering consultancy advice and a roadmap to policy development and its implementation, providing you with a comprehensive consultancy in one volume. He explains, too, the central role industry and commerce plays in the identification of substance misuse and the rehabilitation of staff, as well as what organizations can do to protect themselves from the culpability of getting things wrong in a litigious society.

This book reviews the challenges and opportunities in the implementation of the WHO Framework Convention on Tobacco Control (FCTC) at the regional and national levels in Africa. It contains an analysis of the relevant norms and monitoring mechanisms at the regional level, and case studies from selected African and other developing countries. The WHO has noted that tobacco use or exposure to tobacco is a major health risk factor for non-communicable diseases (NCDs). This volume highlights the importance of taking measures to control tobacco use in Africa with a view to preventing these risks. With contributions from experts from the Global South, the book provides a critical analysis of the role that human rights can play in mitigating the impact of tobacco use and NCDs, and the implementation of the FCTC. The book contains a systematic and in-depth analysis of how efforts to realise the right to health under international and regional law can help to address the incidence of tobacco use in the developing world. The collection will be an important resource for academics, researchers and policymakers working in the areas of public health law and international human rights.

Anabolic Steroid Abuse in Public Safety Personnel: A Forensic Manual provides readers with information on both the history and overwhelming evidence relating to steroid abuse in the law enforcement subculture. The text raises awareness regarding the pervasiveness of the problem that has grown into a systemic and nationwide phenomenon, and then addresses the consequences of anabolic steroid abuse on individual health, agency liability, and public safety. Particular attention is paid to forensic issues, including investigative, evidentiary, and legal concerns, facilitating just and lawful outcomes when these crimes are suspected or exposed.

* Since the inception of the Prevention Specialist credential in 1994, there remain few resources available to assist a professional in preparing for the credentialing exam. This book serves as a comprehensive guide to understanding the competencies and knowledge necessary to become a Certified Prevention Specialist * Divided into five domains, each module contains a self-assessment, practice questions, and suggested reading, in addition to a review of the information covered in the PS exam * Substance abuse professionals around the world looking to become a Certified Prevention Specialist will find this one-of-a-kind resource indispensable

PsychoNeuroPlasticity Protocols for Addictions: A Clinical Companion for the Big Book is a book that represents a tipping point in the translation of addiction science into practical, real-world applications for practitioners. It translates brain research into patient deliverables by explaining how to use the brain to fight addiction and improve recovery outcomes. It does so while embracing the long-standing recovery culture that has been the only source of hope for addicts and alcoholics in the past fifty years. The contents of the book reveal the transformational aspects of recovery along with the scientific principles of what Dr. Lawlis has coined as "PsychoNeuroPlasticity," along with many of the barriers to transformation. More specifically it covers brain patterns that relate to depression, anxiety, OCD, mood and even brain development issues noted in premature development of adjustment in young addicts. The approaches are not singular in nature, but cover a wide range of effective modes of treatment, including diet, exercise, meditation, and biofeedback. The reader and treatment specialist will be re-energized by witnessing the changes in patient care, staff training, and outcomes. Digging deeper, however, this book is about hope-hope that the work of two decades of brain science will finally reach those who need it most; hope that we finally have a tool that will give us a true advantage in the war on addiction; and hope that lives lost to this disease every year will someday be stymied.

Mindfulness-Based Substance Abuse Treatment for Adolescents is a group-based curriculum incorporating mindfulness, self-awareness, and substance-abuse treatment strategies for use with adolescents dealing with substance use. The evidence-based, how-to format provides a curriculum for professionals to implement either partially, by picking and choosing sections that seem relevant, or in full over a number of weeks. Each session comes equipped with clear session agendas, example scripts and talking points, what-if scenarios that address common forms of resistance, and optional handouts for each session. Sections cover the major principles of working with adolescents-relationship building, working with resistance, and more-along with a full curriculum. The book is a natural fit for psychotherapists, but addiction counselors, school counselors, researchers, mentors, and even teachers will find that Mindfulness-Based Substance Abuse Treatment for Adolescents changes the way they work with young people.

* The Recovery Cycle is the positive mirror image of the Addiction Cycle, and the first and only simple and relatable model for positive change in recovery * Written with both therapists and clients in mind - by a clinician in recovery herself - the easy, pragmatic, and conversational style plays to the resistance known to addicted people while gently encouraging sober relationships and spiritual connection * It speaks to all addiction disorders and discusses what every addicted person must go through to fall in love with their sober life, no matter what program they choose, no matter what addiction

Little coverage of addictions in the psychoanalytic literature * Analysts see addiction often in their patients but have little guidance on treatment * Covers key theory and clinical practice