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.

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.

Drug addiction as a brain disease is this book's theme. Among the many volumes on drugs written for lay readers, it is unique in the breadth and depth of its coverage. In clear scientific terms-- with may striking examples from the author's experience as a scientist and clinician --it describes the nature of chemical addiction and addictive behavior, the seven families of addictive drugs, and the muddied effort to develop effective drug control policies and laws.

Adolescent substance use is a serious-and potentially deadly-problem with many repercussions for the adolescent, the family, and society at large. It is also an issue that too few education professionals feel prepared to address even as they see it playing out in their schools and classrooms. Struggling with Substance Use: Supporting Students' Social Emotional Learning presents evidence on the magnitude of the problem and the many underlying factors and commonly co-occurring disorders associated with student substance use. It covers the risk factors for adolescent substance use (e.g., trauma, ADHD, peer pressure, and family dysfunction) and contrasts each with specific protective factors that education professionals need to consider when designing schoolwide programs and classroom initiatives. Each chapter concludes with an example of an evidence-based program that has made a difference for students and families. Armed with knowledge, understanding, and examples of proven programs, school professionals can incorporate the necessary protective factors to provide hope and help for struggling students and their families.

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?

"The Addiction Inoculation is a vital look into best practices parenting. Writing as a teacher, a mother, and, as it happens, a recovering alcoholic, Lahey's stance is so compassionate, her advice so smart, any and all parents will benefit from her hard-won wisdom." -Peggy Orenstein, author of Girls & Sex and Boys & Sex In this supportive, life-saving resource, the New York Times bestselling author of The Gift of Failure helps parents and educators understand the roots of substance abuse and identify who is most at risk for addiction, and offers practical steps for prevention. Jessica Lahey was born into a family with a long history of alcoholism and drug abuse. Despite her desire to thwart her genetic legacy, she became an alcoholic and didn't find her way out until her early forties. Jessica has worked as a teacher in substance abuse programs for teens, and was determined to inoculate her two adolescent sons against their most dangerous inheritance. All children, regardless of their genetics, are at some risk for substance abuse. According to the National Center on Addiction and Substance Abuse, teen drug addiction is the nation's largest preventable and costly health problem. Despite the existence of proven preventive strategies, nine out of ten adults with substance use disorder report they began drinking and taking drugs before age eighteen. The Addiction Inoculation is a comprehensive resource parents and educators can use to prevent substance abuse in children. Based on research in child welfare, psychology, substance abuse, and developmental neuroscience, this essential guide provides evidence-based strategies and practical tools adults need to understand, support, and educate resilient, addiction-resistant children. The guidelines are age-appropriate and actionable-from navigating a child's risk for addiction, to interpreting signs of early abuse, to advice for broaching difficult conversations with children. The Addiction Inoculation is an empathetic, accessible resource for anyone who plays a vital role in children's lives-parents, teachers, coaches, or pediatricians-to help them raise kids who will grow up healthy, happy, and addiction-free.

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.

Treatment of an ever-increasing variety of addictive behaviours owes much to a wide range of psychotherapeutic approaches which have tended to roll continuously in and out of fashion. Over recent years, an initiative has been established to appraise critically the use of psychotherapy in all areas of psychiatry. This work serves as a timely review of psychological treatments in the addictions field and provides a rare combination of expertise both from addiction specialists and those who use psychotherapeutic approaches to solve a wide range of personal problems. Its coverage includes contextual ideas which are basic to the choice of approach to therapy, and an exploration of particular treatment strategies. Throughout, this volume is able both to provide authoritative statements and to engage the reader in the excitement of debate. It forms a valuable reference which is sure to appeal to a wide range of practitioners and researchers concerned with alcohol and drug problems.

Since the first edition of this book in 1996, the addiction treatment field continues to undergo changes that affect the usefulness of this book. In an effort to include information that assists students and practitioners to use best practices, we have added a substantial amount of information and included additional resources for further investigation. Our format integrates current information and research, principles of sound clinical practice and practical experience. Our intention is to outline the procedures and rationale of case management and clinical documentation to give readers some background as well as information regarding current practice.

Art therapy is an effective treatment for individuals with addictions. Working with this unique and often difficult clinical population, however, requires special therapist awareness and knowledge. This handbook provides an in-depth foundation of knowledge for art therapists working with clients with addictions. Drawing on many years' experience working with this population, Libby Schmanke provides valuable insight into this client group and explains how to ensure therapeutic interventions remain personalized and effective, while also meeting program needs. With case vignettes throughout, the book covers everything from common treatment models and how art therapy can be incorporated within them, to the bio-psycho-social aspects of addiction and how to handle a lack of cooperation or resistance to therapy.

Drugs in Society: Causes, Concepts, and Control, Eighth Edition, focuses on the many critical areas of America's drug problem, providing a foundation for rational decision-making within this complex and multidisciplinary field. Lyman offers a comprehensive big-picture examination of the US drug problem, dealing with drugs, abusers, drug enforcement, and public policy. Organized in three sections: Understanding the Problem, Gangs and Drugs, and Fighting Back, topics covered include the business of drugs and the role of organized crime in the drug trade, drug legalization and decriminalization, legal and law enforcement strategies, an analysis of the socialization process of drug use and abuse, and a historical discussion of drug abuse that puts the contemporary drug problem into perspective. Suitable for upper-level undergraduates in Criminal Justice, Criminology, and related programs, Drugs in Society, Eighth Edition, uses logical organization and strong pedagogy (case studies, focused text boxes with related information, critical thinking tasks) to support learning objectives.

"Scripting Addiction" takes readers into the highly ritualized world of mainstream American addiction treatment. It is a world where clinical practitioners evaluate how drug users speak about themselves and their problems, and where the ideal of "healthy" talk is explicitly promoted, carefully monitored, and identified as the primary sign of therapeutic progress. The book explores the puzzling question: why do addiction counselors dedicate themselves to reconciling drug users' relationship to language in order to reconfigure their relationship to drugs?

To answer this question, anthropologist Summerson Carr traces the charged interactions between counselors, clients, and case managers at "Fresh Beginnings," an addiction treatment program for homeless women in the midwestern United States. She shows that shelter, food, and even the custody of children hang in the balance of everyday therapeutic exchanges, such as clinical assessments, individual therapy sessions, and self-help meetings. Acutely aware of the high stakes of self-representation, experienced clients analyze and learn to effectively perform prescribed ways of speaking, a mimetic practice they call "flipping the script."

As a clinical ethnography, "Scripting Addiction" examines how decades of clinical theorizing about addiction, language, self-knowledge, and sobriety is manifested in interactions between counselors and clients. As an ethnography of the contemporary United States, the book demonstrates the complex cultural roots of the powerful clinical ideas that shape therapeutic transactions--and by extension administrative routines and institutional dynamics--at sites such as "Fresh Beginnings."

A former drug addict turned behavioural neuroscientist reveals how drugs work in the brain ― and what we can do to fight addiction.

Judith Grisel was a daily drug user when she began to consider that her addiction might have a cure, one that she herself could perhaps discover by studying the brain. Now, after twenty-five years as a neuroscientist, she shares what she and other scientists have learned about addiction, enriched by captivating glimpses of her personal journey.

In Never Enough, Grisel reveals the unfortunate bottom line of all regular drug use: there is no such thing as a free lunch. All drugs act on the brain in a way that diminishes their enjoyable effects and creates unpleasant ones with repeated use. Delving into the science of one of the world’s most pressing health problems, she reveals what is different about the brains of addicts even before they first pick up a drink or drug, and highlights the changes that take place in the brain and behaviour as a result of chronic using.

With compassion and clarity, Grisel describes what drove her to addiction, what helped her recover, and her belief that a ‘cure’ for addiction will not be found in our individual brains but in the way we interact with our communities.

Dentists have been inundated by patients with an array of complicated medical conditions and pain/sedation management issues. This is in addition to a variety of legal regulations dentists must follow regarding the storage and recordkeeping of controlled substances. Avoid unknowingly putting your practice at risk by becoming victim to a scam or violating a recordkeeping requirement with The ADA Practical Guide to Substance Use Disorders and Safe Prescribing. This Practical Guide is ideal for dentists and staff as they navigate: Detecting and deterring substance use disorders (SUD) and drug diversion in the dental office (drug-seeking patients) Prescribing complexities Treating patients with SUD and complex analgesic and sedation (pain/sedation management) needs and the best use of sedation anxiety medication Interviewing and counselling options for SUD Federal drug regulations Commonly used illicit, prescription, and over-the-counter drugs, as well as alcohol and tobacco, are also covered. Special features include: Clinical tools proven to aid in the identification, interviewing, intervention, referral and treatment of SUD Basic elements of SUD, acute pain/sedation management, and drug diversion Summary of evidence-based literature that supports what, when and how to prescribe controlled substances to patients with SUD Discussion of key federal controlled substance regulations that frequently impact dental practitioners Checklists to help prevent drug diversion in dental practices Chapter on impaired dental professionals Case studies that examine safe prescribing and due diligence

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.

This widely respected text and practitioner guide, now revised and expanded, provides a roadmap for effective clinical practice with clients with substance use disorders. Specialists and nonspecialists alike benefit from the authors' expert guidance for planning treatment and selecting from a menu of evidence-based treatment methods. Assessment and intervention strategies are described in detail, and the importance of the therapeutic relationship is emphasized throughout. Lauded for its clarity and accessibility, the text includes engaging case examples, up-to-date knowledge about specific substances, personal reflections from the authors, application exercises, reflection questions, and end-of-chapter bulleted key points. New to This Edition *Chapters on additional treatment approaches: mindfulness, contingency management, and ways to work with concerned significant others. *Chapters on overcoming treatment roadblocks and implementing evidence-based treatments with integrity. *Covers the new four-process framework for motivational interviewing, diagnostic changes in DSM-5, and advances in pharmacotherapy. *Updated throughout with current research and clinical recommendations.

Not everyone who experiments with substance use or risky behavior becomes addicted, and many who are addicted have been able to recover. This authoritative book, now revised and updated, has given tens of thousands of professionals and students a state-of-the-art framework for understanding the journey both into and out of addiction. From Carlo C. DiClemente, codeveloper of the transtheoretical model (TTM), the book identifies the stages and processes involved in initiating, modifying, maintaining, or stopping any pattern of behavior. Grounded in extensive research, and illustrated with vivid case examples, the book shows how using the TTM can help overcome obstacles to change and make treatment and prevention more effective. New to This Edition *Incorporates 15 years of research advances, contemporary prevention and treatment approaches, and the ongoing development of the TTM. *Chapter on current developments in intervention research. *Expanded discussions of neuroscience; self-regulation; behavioral economics; self-help, mutual help, and spirituality; motivational issues; "process addictions" (gambling and sex addiction); and more. *Deeper coverage of risk and protective factors across adolescent and young adult development.

Providing a framework for treating substance use disorders (SUDs) in office-based psychotherapy, the second edition of this trusted work has been updated throughout and features two entirely new chapters. The authors show how clinicians from any background can leverage the therapeutic skills they already have to address clients' alcohol and drug problems competently and effectively. Vivid case examples demonstrate ways to engage clients at different stages of change; set collaborative treatment goals; address SUDs concurrently with other psychological problems; and interweave motivational, cognitive-behavioral, and other interventions, tailored to each individual's needs. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to This Edition *Chapter on evidence-based principles and interventions. *Chapter on moderation-focused alcohol treatment. *Revised throughout with current data, clinical techniques, and examples. *Reflects over 15 years of important changes in the field--increased demand for integrated treatment, the ongoing opioid crisis, the growth of harm reduction and medication-assisted treatments, and more.

Very Short Introductions: Brilliant, Sharp, Inspiring Addiction is a subject which straddles public and personal interests; societal and criminal justice concerns; and family, social, and medical responses. It is a continuing area of uncertainty and concern for society and professionals trained in the field. This Very Short Introduction presents the basic facts about addiction: what it is, how and why it develops, how it is treated, and how society can respond to it. Addictions to both illicit drugs and licit drugs (e.g., alcohol) are covered, as is the possibility that certain behaviours not involving drug use (e.g., compulsive gambling) can qualify as addictions. Keith Humphreys provides a jargon-free account of our present understanding of addiction, from treatment evaluations to studies on the effects of public policies. He also illuminates the personal experience of addiction and recovery. Humphreys considers why some people become addicted and others do not, what treatments exist to help people who are addicted, and how the laws and regulations society establishes about drugs affects the rate and experience of addiction. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.

Now more than ever, sufferers of opioid use disorder (OUD) need an authoritative guide. Brimming with expert advice and actionable tips from noted addiction psychiatrist Dr. Adam Bisaga, Overcoming Opioid Addiction demystifies addiction and destigmatises medication-assisted treatment. In this book, OUD sufferers, their loved ones, and professionals alike will learn everything they need to know, including: * The science that underlies addiction and why the opioid epidemic has taken hold and become so deadly * The different stages and effective methods of treatment, including detoxification vs. maintenance medications, as well as behavioural therapy * How to deal with relapses and how to thrive despite OUD. Complete with a brief guide tailored to families that offers crucial, life-saving information, such as how to select the best program, manage medications, and reverse an overdose, this is the ultimate guide to identifying, treating, and overcoming OUD - once and for all.