Clinicians are now facing new substance use-related challenges such as the opioid crisis, a changing political landscape regarding marijuana, and the emergence of new delivery devices such as e-cigarettes. Unfortunately, it is more critical than ever that clinicians caring for adolescents have a proficiency in treating substance use. This book is a comprehensive clinical guide that discusses the prevalence of substance use among adolescents and young adults, as well as prevention strategies, available screening methods, practical treatment applications and their outcomes. Using a multidisciplinary approach with inclusion of authors from diverse clinical backgrounds, this definitive guide provides the best practices for treating adolescent substance use disorders from medical, behavioral, and social standpoints. Supplemented with case examples and written by experts in the field, Treating Adolescent Substance Use appeals to all clinicians that treat adolescent patients.

Through Homelessness Prevention in Treatment of Substance Abuse and Mental Illness: Logic Models and Implementation of Eight American Projects, psychiatrist, psychologists, and social workers will discover the results of eight, three-year long development projects funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to prevent homelessness in high- risk populations who have problems with alcoholism, drug abuse, and/or mental illness. Through this informative book, you will examine the theory or logic guiding each program, including an up-to-date review of the literature supporting each theory. You will also find a description of the implementation of the program as well as its history, the practical issues involved in delivering services, the pitfalls, lessons learned, and recommendations for the future so you can use the best ideas to implement in your own community and stop these individuals from reaching the streets. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides insight into how to deal with many common issues that you are faced with every day, such as matching clients to appropriate services, preventing relapse, case management, training in independent living skills and money management, acquiring and maintaining housing, and benefits and employment for your disadvantaged clients. Compelling and informative, this unique book provides you with many tips and suggestions on how you can help the disadvantaged in our population avoid the added trauma of becoming homeless, such as: examining a new modified therapeutic community (TC) intervention program for mothers recovering from substance abuse who live with their children so you can learn to treat the family as a whole and not just treat the person with a "problem" gaining insight into a new intervention program for families caring for another family member with serious mental illness or substance abuse disorders so you can address such issues as the importance of respite for the family and home visits for relationship building among the entire household discovering a new, independent living model which allows clients with serious mental illnesses to select their own apartments learning about a new program in Philadelphia that offers support services to clients with serious mental illnesses and substance use disorders and provides several levels of housing from emergency shelter to highly supportive permanent housing discovering a community counseling center in Chicago that operates a "bank" that helps mentally ill clients or those with substance use disorders develop skills to independently manage their financial affairs through the use of "vouchers" that can be redeemed for cash for the payment of monthly bills Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides you with new insights into how you can help your clients overcome political, economic, and environmental barriers to treatment that can lead to homelessness. This essential book will help you improve your services to your clients as well as give you step-by-step guide to implement these new programs in your community.

For decades, American hungers sustained Tijuana. In this scientific detective story, a public health expert reveals what happens when a border city's lifeline is brutally severed.

Despite its reputation as a carnival of vice, Tijuana was, until recently, no more or less violent than neighboring San Diego, its sister city across the border wall. But then something changed. Over the past ten years, Mexico's third-largest city became one of the world's most dangerous. Tijuana's murder rate skyrocketed and produced a staggering number of female victims. Hundreds of women are now found dead in the city each year, or bound and mutilated along the highway that lines the Baja coast.

When Dan Werb began to study these murders in 2013, rather than viewing them in isolation, he discovered that they could only be understood as one symptom among many. Environmental toxins, drug overdoses, HIV transmission: all were killing women at overwhelming rates. As an epidemiologist, trained to track epidemics by mining data, Werb sensed the presence of a deeper contagion targeting Tijuana's women. Not a virus, but some awful wrong buried in the city's social order, cutting down its most vulnerable inhabitants from multiple directions.

Werb's search for the ultimate causes of Tijuana's femicide casts new light on immigration, human trafficking, addiction, and the true cost of American empire-building. It leads Werb all the way from factory slums to drug dens to the corridors of police corruption, as he follows a thread that ultimately leads to a surprising turn back over the border, looking northward.

Dual diagnosis is the concurrent existence of substance misuse and psychiatric disorders in an individual. There has been an increase in the number of people being dual diagnosed and this impacts psychiatry services in primary care and general hospital settings. This book will provide practitioners with a comprehensive text on the contemporary issues of working with dual diagnosis patients from both clinical and theoretical perspectives.

*AN OBSERVER BOOK OF THE YEAR 2021* **Selected as one of TIME's 100 Must-Read Books of 2021** 'Profound and singular, smart and sad and funny. . . We need Pilgrim Bell.' TOMMY ORANGE With formal virtuosity and ruthless precision, Kaveh Akbar's second collection takes its readers on a spiritual journey of disavowal, fiercely attendant to the presence of divinity where artifacts of self and belonging have been shed. How does one recover from addiction without destroying the self-as-addict? And if living justly in a nation that would see them erased is, too, a kind of self-destruction, what does one do with the body's question, "what now shall I repair?" Here, Akbar responds with prayer as an act of devotion to dissonance - the infinite void of a loved one's absence, the indulgence of austerity, making a life as a Muslim in an Islamophobic nation - teasing the sacred out of silence and stillness. Richly crafted and generous, Pilgrim Bell's linguistic rigour is tuned to the register of this moment and any moment. As the swinging soul crashes into its limits, against the atrocities of the American empire, and through a profoundly human capacity for cruelty and grace, these brilliant poems dare to exist in the empty space where song lives - resonant, revelatory, and holy. America, I warn you, if you invite me into your home I will linger, kissing my beloveds frankly, pulling up radishes and capping all your pens. There are no good kings, only burning palaces. -from 'The Palace' 'Very few living writers write so achingly toward God as Kaveh Akbar . . . each of the poems in this collection finds its target' LAUREN GROFF

The community reinforcement approach (CRA) to treating alcohol and other drug problems is designed to make changes in the client's daily environment, to reduce substance abuse, and to promote a healthier lifestyle. This is the first book to present research on the effectiveness of the CRA for a clinical readership. It includes the original study comparing CRA with traditional treatments of alcohol dependence, and summarizes other trials with alcohol, cocaine, and heroin users. The CRA program provides basic guidelines for clinicians, focusing on communication skills, problem solving and drink refusal strategies, and addresses the needs of the client as part of a social community. Combining practical advice on such matters with a scientific survey of CRA in use, this book offers a new treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

Flexible Applications of Cognitive Processing Therapy: Evidence-Based Treatment Methods provides a detailed roadmap on how to apply therapy to a wide-range of complex patients. Starting with an exploration of the development of CPT, the book then segues into a practical discussion on flexible adaptations of therapy. Dissemination and implementation of CPT is covered next, and the book concludes with directions for future research. It provides clinical guidance on treating PTSD with patients who express high levels of anger, shame, guilt, and other forms of emotionality, while also providing insight on research on the effectiveness of CPT on other comorbid disorders. The book also reviews the outcomes of clinical trials of CPT inside and outside the United States, including examining modifications and outcomes in a diverse array of patient populations.

Addiction to drugs and alcohol is an increasing problem that all clinicians have to deal with. This "Cochrane Handbook of Alcohol and Drug Misuse" serves as a concise guide to the evidence base for relevant interventions, highlighting the key points of Cochrane reviews for the busy practitioner. It covers a wide range of pharmacological and psychosocial treatments for opioid, alcohol, cocaine and other stimulant and drug misuse, offering comprehensive coverage of interventions for drug and alcohol addiction.

At the heart of Richard Bryant-Jefferies' work with problem drinkers is his belief in the power and effectiveness of the person-centred approach to counselling. He suggests that many alcohol problems develop out of, or are connected with, relationship difficulties. He highlights the importance of building a therapeutic relationship with the person, and of engaging with their individuality to encourage sustainable lifestyle change underpinned by personal growth. This practical book shows how such client-focused counselling can support problem drinkers who are seeking to develop and sustain a less alcohol-centred way of life. Demonstrating how the client-counsellor relationship can be harnessed to empower the individual to help themselves, Richard * describes the health risks and effects on family life of alcohol dependency * considers the differences between young and old problem drinkers * analyses the support services available to those seeking change * suggests ways of coping with relapse. Supported by contributions from clients who have undergone counselling for alcohol reliance, this is a comprehensive and positive guide for people working with those who have a problematic relationship with alcohol.

It is during the critical first session with substance abusers that clinicians have the first, and all too often the last, opportunity to break through the wall of denial and create an atmosphere of trust that is so crucial to changing behavior. Written by a father-daughter team of clinical psychologists, The First Session with Substance Abusers outlines a proven plan for conducting an initial session that can uncover substance abuse problems with clients no matter how resistant or manipulative they may be. Applying the methods outlined in this book, psychologists and health professionals can use the first session to assess and evaluate the depth and duration of the substance abuse problem and motivate the client to begin the most appropriate form of treatment.

How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?

Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.

"Cognitive-Behavioural Integrated Treatment(C-BIT)" provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts:

Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.

Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you.

Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.

Each Part has supporting worksheets clearly displayed in the Appendices.

This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.

Drug addictions are often difficult to treat. The most successful treatments begin with studying why individuals become addicted to drugs and how to change their thinking and behaviour. Cognitive, Clinical, and Neural Aspects of Drug Addiction focuses on the theories that cause drug addiction, including avoidance behavior, self-medication, reward sensitization, behavioral inhibition and impulsivity. Dr. Moustafa takes this book one step further by reviewing the psychological and neural causes of relapse including the role of stress, anxiety and depression. By examining both the causes of drug addiction and relapse, this book will help clinicians create individualized treatment options for patients suffering from drug addiction.

Through more than 20 years of recovery from addiction, noted yoga teacher Tommy Rosen learned a lot about what works and what doesn't work in recovery. From his explorations on the yoga mat and in 12-Step rooms, he found a path to sustainable recovery that includes mind-body practices, a profound look at diet, and a more holistic and inclusive perspective on the 12 Steps. This led him to realize that recovery happens in stages, and that by utilizing the best practices of the 12 Steps in combination with yoga and meditation, he could achieve lasting freedom from addition. In Recovery 2.0, Tommy shares his own past struggles with addiction and the powerful insights that helped him to identify and break free from the obstacles that stand in the way of recovery. Building off the key tenets of the 12-Step program, he lays out an innovative approach where deeper levels of detoxification and transformation allow you to uproot addiction and thrive. In these pages, you'll find: * A new way of looking at addiction as a vibratory frequency that has roots in family history and one's 'Addiction Story,' which helps to destigmatize addiction and remove associated guilt and shame. * Fresh perspectives on how to get the most out of the 12-Step teachings and community, while avoiding pitfalls. * Daily practices in breathing, meditation, and yoga that will give you access to the extraordinary power within you. * A pathway to a newer, healthier relationship with food designed to boost immunity, increase vitality, support recovery, and prevent relapse. * Inspiration to help you discover your personal mission and be of service to others. The point is not to survive addiction. The point is to thrive in recovery and live a life second to none. 'Tommy Rosen has given us what I unreservedly regard as the best book I have ever read on the subject of recovery from addiction.' Gabor Mate, M.D., author of In the Realm of Hungry Ghosts: Close Encounters with Addiction 'Recovery 2.0 offers transformational guidance for anyone ready and willing to release the chains of addiction. This book is a true service to the world.' Gabrielle Bernstein, New York Times best-selling author of Miracles Now 'Tommy Rosen has written something extraordinary that is going to change the way people look at addiction and how to approach recovery from it.' Christopher Kennedy Lawford, New York Times best-selling author of Symptoms of Withdrawal, activist, and actor

A fully updated new edition of the popular text that separates the facts from the myths about drug and substance use and provides practical, evidence-based guidance on dealing with them.The literature on diagnosis and treatment of drug and substance abuse is filled with successful, empirically based approaches, but also with controversy and hearsay. Health professionals in a range of settings are bound to meet clients with troubles related to drugs - and this text helps them separate the myths from the facts. It provides trainees and professionals with a handy, concise guide for helping problem drug users build enjoyable, multifaceted lives using approaches based on decades of research. Readers will improve their intuitions and clinical skills by adding an overarching understanding of drug use and the development of problems that translates into appropriate techniques for encouraging clients to change behavior themselves. This highly readable text explains not only what to do, but when and how to do it. Seasoned experts and those new to the field will welcome the chance to review the latest developments in guiding self-change for this intriguing, prevalent set of problems.

Addictions are responsible for vast and growing morbidity, mortality, and misery in society. Until now, not only has the theoretical underpinning of the most commonly practised treatment approaches in the addictions field been scant, but the evidence for the effectiveness of these methods has also been generally lacking. In the cue exposure paradigm there is a rare opportunity to make a vital connection between theory and practice in the rational development of new treatment approaches. Cue exposure has become a routine clinical procedure in the treatment of phobic and obsessive-compulsive disorders and shows promise in the additions field. There is always a danger, however, that new approaches will become adopted into routine practice in an uncritical fashion. This book, therefore, brings together a series of invited reviews specially prepared by addictions experts from around the world. Together these reviews provide a much needed critical analysis of the evidence. The primary audience for the book is clinical psychologists and psychiatrists interested in addictions. However, it will also appeal to all graduates in these fields as a teaching and reference work.

This is the basic text of the Narcotics Anonymous fellowship. Just as with alcoholism, there is no 'cure' for narcotic addiction, but recovery is possible through a program adapted from the ""Twelve Steps and Twelve Traditions"" of Alcoholics Anonymous. This book, written by addicts, for addicts, about addicts, sets forth the spiritual principles of Narcotics Anonymous that hundreds of thousands of addicts have used in recovery. Intended as a complete textbook for every addict seeking recovery, ""Narcotics Anonymous"" describes the N.A. program and how it works. It includes the ""N.A. Twelve Steps and Twelve Traditions"", as well as many personal stories of men and women who have found freedom from addiction through Narcotics Anonymous.

This introductory textbook covers the biochemical, behavioural and social factors which influence the mind. It discusses all major groups of drugs which are commonly misused, including drugs normally available only on prescription, hallucinogenic drugs, narcotics, and socially acceptable drugs such as caffeine and nicotine. Alcohol, as the most widely used drug of abuse in most developed countries, is considered in detail: the biological effects of alcohol, the problems resulting from alcohol use, and the means by which alcohol abuse can be controlled, are all discussed. The final chapters deal with mental health and mental illness. An excellent introduction to the topic for advanced school and beginning undergraduate biology students.

Drinking during pregnancy can cause a range of disabilities that have lifelongeffects yet are 100% preventable. A variety of brief motivational behavioral interventionsdeveloped for nonpregnant women of childbearing age can effectivelyprevent alcohol-exposed pregnancies (AEP).This book outlines clinical definitions and the history of fetal alcohol spectrumdisorders (FASD), epidemiology and effects across the lifespan, evidence-basedprevention practices such as CHOICES and CHOICES-like interventions, andopportunities for dissemination.Based on decades of scientific research and clinical refinement, this volume ispacked with helpful illustrative case vignettes, therapist-patient dialogues, sampleforms, and handouts. The information and resources presented will help awide variety of practitioners in diverse settings, ranging from high-risk settingssuch as mental health and substance abuse treatment centers to primary careclinics and universities, deliver interventions targeting behavior change.

Anger Management Based Alcohol Treatment: Integrated Therapy for Anger and Alcohol Use Disorder is an innovative, hands-on guide that introduces clinicians to research-based anger management skills for treating clients with alcohol use disorder. Research has demonstrated an important infl uence of anger-related emotions on drinking behavior and risk for relapse among individuals with drinking problems. This book will empower clinicians to address clients' alcohol use and anger emotions through an effective blend of cognitive, relaxation, and sober coping skills. This combination of skills offers clinicians a concrete method for helping clients manage anger-related emotions and disconnect the anger-alcohol linkage, thereby improving clinical outcomes. The book also features useful ideas for client self-monitoring and accessible tools for evaluating progress in treatment. Three case studies are presented and followed to illustrate the full course of treatment. Practical therapeutic techniques are explained and demonstrated through clinical dialogue examples. This book is ideal for developing clinicians, for experienced clinicians looking to enhance skills, and as an instructional text in training programs.

One of the Washington Post's Ten Best Books of 2013

More than twenty-three thousand women die from heavy drinking in the United States each year. Incidents of binge drinking and so-called drunkorexia are on the rise, contributing to an exponential increase in the number of health conditions and cancers among women.

Combining in-depth research with her own personal story of recovery, the award-winning journalist Ann Dowsett Johnston tells of maintaining her high-powered career as a vice principal of McGill University while wrestling with the demon that defeated her own mother: alcohol addiction. After a very private exit from her professional life, Dowsett Johnston went to rehab; now sober, she has dedicated her career to examining the relationship between women and high-risk drinking.

In Drink, Dowsett Johnston dissects the psychological, social, and workplace factors that contribute to this crisis, and explores its far-reaching effect on both society at large and individual lives. Comprehensive and emotionally compelling, Drink is a brave and powerful story, beautifully told, and an important investigation into an epidemic that we can no longer afford to ignore.

For anyone who's ever sensed that there must be something more . . . let the adventure begin.

Using her own personal, professional, and exotic travel experiences, Laurie Gardner shows how we can derive life-changing insights and essential personal growth from any situation. Most importantly, we discover how to connect with our deepest desires and our highest selves, learning to honor our own intuition and truth.

Laurie Gardner has Harvard degrees in comparative world religions, psychology, and education. She dedicated her career to spearheading an international public school reform movement and is a master practitioner in body/mind/spirit wellness.