Counseling the Alcohol and Drug Dependent Client: A Practical Approach » (1st Edition)

“The authors practice and many years of work in the substance abuse field is evident by his inclusion of many discreet, important, yet generally overlooked areas, whether in his helpful hints or in his identification and discussion of special populations.”

Scarlett A. Benjamin, Keuka College

“It is gratifying to see a text emerge that is comprehensive in its emphasis on treatment, rather than focusing primarily on pharmacology and brain chemistry.”

Peggy D. Campbell, Florence Darlington Technical College

Counseling the Alcohol and Drug Dependent Client: A Practical Approach, 1/e provides a practical approach for assessing and treating alcohol and drug-abusing/dependent patients. Providing state-of-the-art concepts and methods, Dr. Craig provides practical examples and suggestions for working with patients and their families to promote and maintain recovery. This text presents a variety of views, perspectives, philosophies, and intervention methodologies dealing with drug and alcohol abuse in an understandable language that can be quickly and clearly adapted to a practice setting.

Special Features:

• Chapters 1-3 introduce and explore the consequences, costs and ideas for understanding substance abuse and addictive behavior, and include a detailed examination of the scope, risk factors, and etiology of substance abuse.
• A full chapter is dedicated to assessment methods and techniques.
• A thorough discussion of principles of treatment combines latest research on treatment consequences with clinical consensus on what really works.
• A full chapter is devoted to the subject of treating special populations.
• Chapter 9 includes an evaluation of public policy approaches to substance abuse problems, allowing reader to consider controversial ideas to address the problem of substance abuse in society.
• True to life vignettes throughout the text make the struggles and successes of persons addicted to substances come alive.

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Preface.

1. The Cost of Substance Abuse in Society.

Sources of Epidemiological Data.

Extent of the Problem.

Cost of the Problem.

Cost Effectiveness of Treatment.

2. Etiology of Substance Abuse.

Risk Factors for Initial Use.

Risk Factors for Abuse/Dependence.

Theoretical Models.

3. Drugs and Their Effects.

Characteristics of Drugs.

Drug Classification Systems.

4. Assessment and Diagnosis.

Assessment Problems and Issues.

Recommended Interview Format.

Screening Interviews.

Motivational Interviewing.

Laboratory Tests.

Psychological Tests.

Michigan Alcoholism Screening Test (MAST).

Diagnosis.

Assessment Results.

Appendix.

5. Treatment: Principles and Modalities.

Principles of Treatment.

Problems in Counseling Patients with Acting-Out Disorders.

Preparing to Counsel.

Formulating a Treatment Plan.

Counseling Techniques.

General Treatment Categories.

Treatment Matching.

Brief Interventions.

How Patients Sabotage Treatment.

Appendix.

6. Counseling Techniques: Group.

Curative Factors in Group Therapy.

Types of Groups.

Models of Group Counseling.

Factors to Consider in Developing a Group.

Group Interventions.

Specific Problems.

7. Counseling the Family of Substance Abusers.

Family Systems Theory.

Families of Substance Abusers.

Enabling Behaviors.

Co-Dependence.

Children of Alcoholics.

Adult Children of Alcoholics.

8. Working with Special Populations.

Adolescents.

Women.

Minorities.

Military Personnel.

Dual Diagnosis.

9. Public Policy.

General.

Social Interventions.

Law Enforcement Interventions.

Government Intervention.

List of Tables.

1.1 Prevalence of Alcohol Use Among High School Seniors, 1975-1999.

1.2 Prevalence of Marijuana Use at Selected Grade Levels, 1990-1999.

List of Figures.

1.1 Monthly Cocaine Use.

1.2 Average Age of Initial Cocaine Use.

1.3 Average Age of Initial Heroin Use.

1.4 Average Age of Initial Marijuana Use.

1.5 Economic Costs of Alcohol Abuse.

1.6 Economic Costs of Drug Abuse.

4.1 Confidentiality Statement for Substance Abusing Clients.

4.2 Recommended Content for Diagnostic Interview with Substance Abusers.

4.3 Periods of Detection for Illicit Drugs.

4.4 Michigan Alcoholism Screening Test.

4.5 Blood Alcohol Levels and Expected Behavior.

4.6 Addiction Severity Index.