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.

*The bestselling addiction treatment manual, fully updated: 50% new material includes eight new sessions. *Tremendous need: counselors want to apply the stages-of-change model (also known as the transtheoretical model, or TTM) in their work. *Uniquely qualified authors have decades of experience; DiClemente is the co-developer of the model. *Provides easy-to-use, flexible, highly practical materials, with a lay-flat binding. *Online resources: all handouts are available to download and print.

A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.

A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.