The manner in which genetic research associated with addiction is conducted, interpreted and translated into clinical practice and policy initiatives raises important social, ethical and legal issues. Genetic Research on Addiction fulfils two key aims; the first is to identify the ethical issues and requirements arising when carrying out genetically-based addiction research, and the second is to explore the ethical, legal and public policy implications of interpreting, translating and applying this research. The book describes research guidelines on human protection issues such as improving the informed consent process, protecting privacy, responsibilities to minors and determining whether to accept industry funding. The broader public health policy implications of the research are explored and guidelines offered for developing effective social interventions. Highly relevant for clinicians, researchers, academics and policy-makers in the fields of addiction, mental health and public policy.

A gritty but well-written real-life success story of a father passing on the gift of recovery to his grown son. The author describes in gritty detail his path to recovery from the mean streets of New York, where he traveled to avoid incarceration by enrolling in a treatment center for the indigent, to a new life in recovery in Seattle, where he settles with his second wife and establishes a new family as well as a new career, without ever breaking faith with the little boy. Twelve-step principles not only keep the author in recovery, they help him repair and remake the relationship with his son, and allow him to be of unique service to that young man when he needs a father the most.

Presenting the latest conclusions about the psychological processes leading to impaired self-control, this book challenges the current harm-prevention policy of "responsible gambling." The authors present the most recent and evolving research into gambling, demonstrating the psychological variables that govern the erosion or maintenance of self-control over gambling behavior. These studies provide an empirical basis for a model of impaired control of gambling. Impaired control, in its broadest sense, is considered to be the defining psychological construct of all the addictive behaviors and occupies a central position in conceptualizing the addictive aspects of gambling.

Are you in a significant relationship with someone who has an addiction? Are you frustrated with watching your addicted loved ones destroy their lives? Whether your relationship is with a family member, friend, or partner, caring about an addicted person can feel like a nightmare. If someone you love is abusing drugs or alcohol or is engaging in addictive behaviors such as disordered eating, problem gambling, smoking, Internet addiction, a controlling relationship, or compulsive overspending, there is hope. Loving an Addict, Loving Yourself: The Workbook will show you how your life can improve by helping you to understand what will and won't work in your relationship with your addicted loved one--and in your relationship with yourself. As you become familiar with the top ten survival tips for loving someone with an addiction, you will learn how to offer healthier and more effective choices to your addicted loved one. Once you do this, you will feel a sense of realistic control in your life. In turn, this will increase your self-respect, which is, without a doubt, the most important thing you can change about yourself.

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.

Project MATCH was a large-scale treatment evaluation study established by the US National Institute on Alcohol Abuse to determine whether the treatment of alcoholism could be improved by matching different types of alcoholics with the most appropriate kinds of treatment. This book, edited by the two principal investigators, was the first comprehensive report of Project MATCH, the largest treatment study ever conducted with alcoholics. It describes the rationale, methods, results and implications of the study, and presents findings about how treatment works, for whom it is most effective, and who does best in different kinds of treatment. It also offers some of the first scientific evidence on the effectiveness of Alcoholics Anonymous. The audience for this book is broad, including researchers, clinicians and policy makers in the field of alcoholism and addiction.

This classic text provides a comprehensive, accessible overview of substance misuse and dependence with an emphasis on practical and evidence-based approaches to the assessment, management and prevention of a wide range of drug-related problems, in a variety of clinical and social settings. The book includes definitions of terms, and describes the effects and clinical characteristics of all substances of misuse. The theoretical background to these topics is clearly explained. For the fourth edition, every chapter has been revised to include the most up-to-date information, with the latest international data on the extent of the world drug problem. There is detailed emphasis on harm minimization, AIDS and hepatitis C and entirely new coverage of tobacco addiction and its management. This is an essential guide for all healthcare workers, health policy specialists, counselors and those seeking to train in areas related to addiction and substance misuse.

Alcohol consumption patterns are characterized as mild, moderate, social, heavy drinking, problem drinking, binge drinking and heavy episodic drinking may or may not lead to alcohol dependence. Excessive alcohol consumption has been associated with a variety of negative health consequences, acute or chronic, both the alcohol user and for society to which this drinker is inserted, ranging from injuries resulting from traffic accidents to diseases chronic such as cancer and cardiovascular disease. This book discusses alcohol consumption patterns, influences and health effects. The first chapter describes the epidemiology of global alcohol consumption, classification patterns of alcohol consumption, the influences and the deleterious effects of excessive consumption of these licit drugs can cause to the human body, and finally, the nutritional implications of this consumption. Chapter Two elucidates the risk factors associated with binge drinking from different approaches and presents the advances in prevention strategies and intervention programs for adolescents and young adults. Chapter Three discusses underlying theoretical constructs associated with alcohol-related group norms, outlines the empirical impact of social norms on binge drinking behavior, and presents secondary data analyses of two distinct nationally representative datasets. Chapter Four examines the relationship between electronic-cigarette use, alcohol consumption and smoking prohibition where alcohol is consumed. Chapter Five uses the curious case of Dr Jekyll and Mr Hyde to describe the ways individuals drink and why regular drinking (ie: our Dr Jekyll) may be very different to our event-specific drinking. Chapter Six summarizes the evidence suggesting that an unfavorable mixture of higher overall level of alcohol consumption and binge drinking pattern is a major risk factor for cardiovascular mortality in Russia. Chapter Seven is an expert commentary on current research and future directions of text message interventions for alcohol use.

Methadone has been used successfully as a substitution agent for heroin dependency for more than 30 years. As a result of its success, other effective methods of treatment have been neglected. Established as a key text on all treatment options for drug misusers, Community Treatment of Drug Misuse: More Than Methadone has been highly praised for its practical orientation based on a solid research background. For the second edition, all the main evidence-based and more pragmatic treatment approaches are reviewed, not only in the management of opiate dependence, but across the range of drugs. It focuses extensively on developments in the last few years as a result of policy initiatives and research findings, including coverage of buprenorphine treatment, the systematic treatment of cocaine abuse and work with special patient groups. This is of direct relevance to medical as well as non-medical practitioners undertaking clinical work in the addictions.

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 promote a healthier lifestyle. It is of proven effectiveness, and should be more widely used. This 2001 book presents 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 treatment approach to all involved with the support and treatment of those with alcohol and drug problems.

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.

From inhalants and alcohol to synthetic drugs and opiates, CONCEPTS OF CHEMICAL DEPENDENCY, 10th Edition, reflects the explosion of information regarding the understanding, identification and treatment of substance use disorders. Author Harold Doweiko also examines the use and misuse of tobacco, barbiturates, amphetamines, cocaine and hallucinogens as well as chemicals frequently left out of other books--such as aerosols, steroids and over-the-counter analgesics. One thing you won't find is a judgmental approach preaching that "drugs are bad for you." By studying the facts and concepts in this book, you get the information you need to understand relevant research related to misused substances and help your clients overcome substance misuse challenges.

Digital Therapeutics for Mental Health and Addiction: The State of the Science and Vision for the Future presents the foundations of digital therapeutics with a broad audience in mind, ranging from bioengineers and computer scientists to those in psychology, psychiatry and social work. Sections cover cutting-edge advancements in the field, offering advice on how to successfully implement digital therapeutics. Readers will find sections on evidence for direct-to-consumer standalone digital therapeutics, the efficacy of integrating digital treatments within traditional healthcare settings, and recent innovations currently transforming the field of digital therapeutics towards experiences which are more personalized, adaptable and engaging. This book gives a view on current limitations of the technology, ideas for problem-solving the challenges of designing this technology, and a perspective on future research directions. For all readers, the content on cultural, legal and ethical dimensions of digital mental health will be useful.

Project MATCH was a large-scale treatment evaluation study established by the U.S. National Institute on Alcohol Abuse to determine whether the treatment of alcoholism could be improved by matching different types of alcoholics with the most appropriate kinds of treatment. This book, edited by the two principal investigators, is the first comprehensive report of Project MATCH, the largest alcoholism treatment study ever conducted. It describes the rationale, methods, results and implications of the study, and presents new findings about how treatment works, for whom it is most effective, and who does best in different kinds of treatment. It also offers some of the first scientific evidence of the effectiveness of Alcoholics Anonymous^DCO.

The field of addictions treatment and recovery is facing a crisis. The need for addictions treatment surpasses the treatment resources currently available. In 2006, the 21.1 million people in the U.S. needed treatment but did not receive it (SAMHSA OAS, 2006). One reason for this gap is that the current treatment workforce is too small and unprepared to meet the growing need for services. At the same time, the treatment and recovery field is part of a profession that is undergoing profound changes. Many of the treatment programs, government agencies, and professional associations that exist today were started in the 1970s, a time when the nation was just beginning to confront an unprecedented prevalence of drug abuse. Since then, the workforce has changed. Counsellor requirements are different. Knowledge and understanding about addictions and recovery have advanced. Laws have changed. New drugs of abuse have emerged. So have new treatments. The only constant is the fact that addiction continues to devastate individuals, families, and communities. This book addresses the specific needs of addictions treatment and recovery professionals and will help in understanding the current challenges and future directions of the addictions field and how they apply to workforce development.

This book examines the early identification of children and adolescents with mental health and substance use problems in order to provide guidance, tools, and resources for early identification -- including a compendium of the most developmentally, culturally, and environmentally appropriate screening instruments. The U.S. Preventive Services Task Force, which evaluates the evidence on the efficacy of various preventive practices, has recommended screening adolescents for depression in primary care; however, it has not yet reviewed the evidence for general, multi-condition screening instruments, such as those discussed in this book. However, it is likely that many families -- especially those whose children fall into groups at elevated risk for mental health or substance use problems -- would prefer to know as soon as possible if their child or adolescent shows indications of these problems. Early identification and intervention would allow caregivers to promptly address any identified problems. Programs and services for youths who are at elevated risk for mental health and substance use problems should, as much as possible, offer caregivers the opportunity to identify any such problems. Because caregivers are the decision makers for their children, the guide emphasises that informed parental consent must always be obtained before any formal identification or screening process is conducted; it also reinforces that parental involvement from the beginning is appropriate and encouraged.

In this thought-provoking book, Laura Tappata brilliantly guides the reader from a description of the existential problem of psychological addictions to a possible solution leading to a potentially positive outcome for the individual. The central theme of the book is anchored in the dismal nature of "post-modern identity" with a focus on searching for meaning in what we are and who we are. This identity is characterised as being narcissistic and fragile, suggesting from the outset that we need to somehow strive for a stronger and more well-defined self in order to, first, survive and, then, possibly thrive emotionally. Living in this post-modern world naturally leads to a superficial existence and the seemingly blind quest of acquiring non-essential and meaningless things designed to bolster our ill-defined, weak and vulnerable self. Although this leads to a false sense of happiness, it does not generate true contentment let alone a sense of well-being. As such, many of us are left to drift with few essential values, certainties and stable points of reference. This book attempts to lead the reader on the path from "the post-modern dependence on psychological addictions" to freedom, the expression of one's identity and a true sense of well-being.

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.

Anne McTiernan begins her second memoir at age twenty-nine, soon after completing her doctoral training in public health research at the University of Washington. She and her husband are now parents to four-year-old and three-month-old girls. She realizes that jobs in her field are scarce, especially for women and decides she needs better credentials to land a job. Overcoming her fear and life-long struggle with inadequacy, Anne moves the family 3,000 miles to New York, where she begins medical school. Within a few months of starting this new life, Anne is in deep trouble. She cannot handle the competing demands and feels isolated. The stress builds, until Anne suffers a series of paralyzing panic attacks that threaten her ability to function. She begins psychotherapy and starts on a journey of self-discovery, realizing she has to change to survive. Cured is the follow-up to her 2016 release Starved and differs from other physician memoirs in its themes of motherhood, mental illness, and the perspective of a female physician on how she turned adversity into a strength and set of skills.

This theoretical but highly accessible book helps develop understanding about the philosophy of recovery, what the supporting evidence is and how workers and managers can apply this in a more recovery friendly way as well as what they can do to assess and evidence these changes. It will examine evidence from a number of international recovery studies and examples of successes in the UK where established recovery communities and groups, some peer projects and some services that have changed their philosophy to a recovery-oriented one. Topics include: mutual aid and the history of the addiction recovery movement recovery and treatment recovery and public policy analysis of 'mature' recovery systems in England what works in recovery in the UK what now?

Helping Men Recover is the first gender-responsive, trauma-informed treatment program for men. The materials, based on the widely used, evidence-based women's curriculum, Helping Women Recover, are grounded in research, theory, and clinical practice. Included in this package are a facilitator's guide and a participant's workbook.

This version of Helping Men Recover has been specifically developed for men in the criminal justice system. Presented in an eighteen-session format, the facilitator's guide offers a step-by-step manual that contains the theory, structure, and content needed to run effective groups. The participant's workbook is designed so that men can process, record, and refer back to their therapeutic experience.

The program model is organized into four modules: self, relationships, sexuality, and spirituality. These are the four areas that recovering men have identified as triggers for relapse and as necessary for growth and healing. In addition, all the materials are designed to be user-friendly and self-instructive.

Praise for Helping Men Recover

"This is a needed tool for every prison and jail administrator who is determined to release individuals from custody with a better chance of success."--Martin F. Horn, distinguished lecturer, John Jay College, New York City; former Commissioner of Corrections and Probation, City of New York; former Secretary of Corrections, Pennsylvania

"This unique gender-responsive approach offers a practical guide to the successful treatment of the often overlooked trauma that many incarcerated males have experienced."--Tom Combs, administrator, Substance Abuse Services Section, Michigan Department of Corrections

"Helping Men Recover is an excellent, easy-to-use resource for any professional working with men in residential and nonresidential treatment programs."--Paul Kivel, author, Men's Work: How to Stop the Violence that Tears Our Lives Apart and the Men's Work curriculum

Substance abuse disorders are among the most prevalent psychiatric disorders and are frequently comorbid with other psychiatric and health conditions and accompanied by social problems; however, they remain under-recognized and under-treated. Many physicians and mental health practitioners receive little-to-no training in the identification and treatment of these disorders. Approaches to their prevention include some of the major success stories in modern public health as well as some of the deepest controversies in public life. This new title in the WPA series "Evidence and Experience in Psychiatry" informs psychiatrists and a wide range of professional groups from health and social services about these disorders and their treatment and control.

'Highly Commended' in the Psychiatry section of the 2012 BMA Book Awards