It is well-known that alcohol abuse can have a devastating effect on a person's entire life, from work to social life to family relationships. However, men and women experience substance abuse problems in different ways. Most of the literature currently on the market does not make this distinction, and treats men's and women's problems as identical. This treatment program acknowledges the differences between the two, and presents gender-specific options for each step of the treatment. Publication of this manual represents an important new step in understanding and treating alcohol abuse. Cognitive-Behavioural Therapy (CBT) has been proven to be an extremely effective method of treatment for alcohol abuse. This treatment program uses new research by the authors that include a female-specific study as well as generalised treatment for individuals. Gender-specific topics addressed include assertiveness training, coping with other drinkers in one's social network, recognising anxiety or depression as triggers for alcohol abuse, and anger management. Designed to be used in conjunction with this therapy program, this Workbook contains monitoring forms and homework that will reinforce the skills learned in therapy.

It is well-known that alcohol abuse can have a devastating effect on a person's entire life, from work to social life to family relationships. However, men and women experience substance abuse problems in different ways. Most of the literature currently on the market does not make this distinction, and treats men's and women's problems as identical. This treatment program acknowledges the differences between the two, and presents gender-specific options for each step of the treatment. Publication of this manual represents an important new step in understanding and treating alcohol abuse. Cognitive-Behavioural Therapy (CBT) has been proven to be an extremely effective method of treatment for alcohol abuse. This treatment program uses new research by the authors that include a female-specific study as well as generalised treatment for individuals. Gender-specific topics addressed include assertiveness training, coping with other drinkers in one's social network, recognising anxiety or depression as triggers for alcohol abuse, and anger management. Like all Treatments That Work books, this treatment is completely evidence-based. The 12-week program is outlined session by session in this easy-to-follow Therapist Guide.

"Dual Diagnosis: Practice in Context" is a practical evidence-based guide for practitioners working in multi-disciplinary mental health and substance misuse service settings. Divided into three sections, this comprehensive and international text first explores the contemporary contextual issues surrounding the subject area. It then goes on to review dual diagnosis in some of the 'special' populations (including people diagnosed with personality disorders, women, young people, and older adults) and contemporary issues (e.g. crystal methamphetamine and mental health).
Part three reviews the development of international service responses to dual diagnosis and discusses the development and commissioning of service models, research and practice development. The text concludes with a chapter outlining priorities for the development of interventions, service approaches, research and education.

KEY FEATURES: A authoritative in-depth review of both theoretical, clinical and policy issues within a single textDraws together a range of established contributors from a variety of disciplines, including mental health nurses, occupational therapists, social workers and psychiatristsInternational in focus, with contributors from the UK, USA, Europe and Australia

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.

Shooting Up: A Short History of Drugs and War examines how intoxicants have been put to the service of states, empires and their armies throughout history. Since the beginning of organized combat, armed forces have prescribed drugs to their members for two general purposes: to enhance performance during combat and to counter the trauma of killing and witnessing violence after it is over. Stimulants (e.g. alcohol, cocaine, and amphetamines) have been used to temporarily create better soldiers by that improving stamina, overcoming sleeplessness, eliminating fatigue, and increasing fighting spirit. Downers (e.g. alcohol, opiates, morphine, heroin, marijuana, barbiturates) have also been useful in dealing with the soldier's greatest enemy - shattered nerves. Kamienski's focuses on drugs "prescribed" by military authorities, but also documents the widespread unauthorised consumption by soldiers themselves. Combatants have always treated with various drugs and alcohol, mainly for recreational use and as a reward to themselves for enduring the constant tension of preparing for. Although not officially approved, such "self-medication" is often been quietly tolerated by commanders in so far as it did not affect combat effectiveness. This volume spans the history of combat from the use of opium, coca, and mushrooms in pre-modern warfare to the efforts of modern militaries, during the Cold War in particular, to design psychochemical offensive weapons that can be used to incapacitate rather than to kill the enemy. Along the way, Kamienski provides fascinating coverage of on the European adoption of hashish during Napolean's invasion of Egypt, opium use during the American Civil War, amphetamines in the Third Reich, and the use of narcotics to control child soldiers in the rebel militias of contemporary Africa.

Millions of individuals diagnosed with severe mental illness also suffer from an equally powerful substance use disorder. If you or someone you love has been diagnosed with dual disorders, this book can help.
Addiction and Mood Disorders: A Guide for Clients and Families is designed primarily to educate individuals with dual disorders and their families about mood and addictive use disorders. It not only gives a message of hope, but also provides practical suggestions on ways to manage these disorders. The author provides guidelines and strategies for recovery from dual disorders based on, and adapted from various treatments that have proven effective for addiction, mood disorders, or both. This book is filled with case examples that show growth and positive change, as well as the difficulties many individuals struggling with a dual diagnosis face. Advocating a recovery model in which the affected individual takes responsibility for getting the most out of professional treatment and self-help programs, this book shows that being an active participant is the key to getting the most out of your recovery.
This book is for use not only by those individuals who suffer from addiction and mental illness, but also by their family, friends, and other members of their support system. Professionals who work with these individuals will find this book to be a useful guide in their clinical work as well.

Written by an experienced academic author, lecturer and practitioner, this comprehensive textbook provides an introduction to alcohol and drug misuse. It presents: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as culturally and linguistically diverse communities, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community and hospitals a framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with alcohol and drug misuse. This new edition is fully updated and includes new material on: evidence-based pharmacological interventions; recent global strategies in alcohol and drug; dual diagnosis and women; shisha smoking; and current statistics on prevalence of alcohol and drug misuse Alcohol and Drug Misuse takes into account current policy and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing, health and social work students taking substance misuse modules, as well as related CPD courses for health and social care professionals.

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.

Have you ever wondered what really happens in rehab

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.

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.

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.

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.

A middle-aged transvestite presents his unusual life story in a fiction-inspired-by-fact account, describing his complex struggles with crossdressing and gender identity and his efforts to deal with various chronic addictions, including those involving alcohol, call girls, strippers, sex, and spending money. The diverse stories in the book range from serious to funny to outrageous and are written in an unflinchingly personal style that is also earthy, sexy, and sometimes politically incorrect.

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.

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

People with substance abuse problems often depend on Medicaid to pay for treatment. Health Care Reform, as specified in the Patient Protection and Affordable Care Act of 2010, will increase the importance of Medicaid as a payment system for chemical dependency care. Now entering its second 50 years, Medicaid is a unique partnership of federal and state agencies financing health care services for low income people. This book is an invaluable resource for patients, family members, clinicians, administrators, and policy-makers concerned about ways to pay for addiction treatment. Written by national experts, the book summarises the provisions of Medicaid of most relevance to substance abuse treatment, reviews the pertinent history of this complex and ever changing program, and describes key findings from numerous "natural experiments" such as the implementation of Medicaid managed behavioural health care as well as cutbacks in Medicaid coverage.

Problems related to substance use, abuse and dependence are a major concern on societies today, persisting to require considerable attention from the community. For decades studies have been showing that drug consumption represents a main risk factor for physical, social and mental health problems. Unfortunately, reality shows that in many cultures and fractions of population, heavy substance use is the norm. This book examines the cognitive-behavioural indicators of substance abuse and various corresponding treatment techniques.

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.

This book selectively discusses recent advances in human experimental models relating to the treatment of opioid dependence. The author critically reviewed three independent lines of research conducted during the past decade with heroin-dependent volunteers. One research strategy involves studying the -opioid receptor ( OR), which is the molecular target for the reinforcing and physical dependence producing effects of heroin-like drugs. This has been accomplished by varying medication dose conditions, measuring the availability of brain -receptors in vivo and plasma pharmacokinetics, then correlating these biological concentration measures with clinically relevant endpoints including opioid withdrawal symptoms, heroin craving, and blockade of the euphoric and respiratory depressant effects of -agonist challenges. These studies provide an initial benchmark for estimating OR occupancy or plasma concentration requirements for effective pharmacotherapy. A second research strategy determines the conditions under which -agonist medications function as reinforcers, and the ability of medication dose and the availability of non-drug alternative reinforcement to attenuate opioid choice. Taken together, these studies provide information relevant to the ability of the medication to stimulate adherence and reduce drug demand. A third research strategy seeks to determine whether non-opioid medications can attenuate the naloxone-precipitated (i.e. withdrawal related) discriminative stimulus, subjective and/or physiological effects in opioid-maintained individuals. These studies aim to identify compounds that may be safe and effective adjuncts during opioid detoxification and, potentially, anti-relapse agents. Evidence is also reviewed concerning individual differences identified in these models. Implications of these findings for clinical treatment are also discussed.

The Office of the US Surgeon General, in a detailed report entitled "Women and Smoking," made the following statement: "When calling attention to public health problems, we must not misuse the word 'epidemic.' But there is no better word to describe the 600-percent increase since 1950 in women's death rates for lung cancer, a disease primarily caused by cigarette smoking. Clearly, smoking-related disease among women is a full-blown epidemic." -- David Satcher, MD, PhD Tobacco use accounts for nearly one third of all cancer deaths. Tens of thousands of women will die this year from lung cancer, which has greatly surpassed breast cancer as the leading cause of cancer death among women. More than 90% of these deaths will be due to smoking. In addition to increasing the risk for lung cancer, smoking is a risk factor for cancers of the cervix, mouth, larynx (voice box), pharynx (throat), esophagus, kidney, bladder, pancreas, and stomach. It is also connected to some forms of leukemia. This book presents the latest research in this field from around the world.