The Rehabilitation Model of Substance Abuse Counseling

by ;
Format: Hardcover
Pub. Date: 1999-12-01
Publisher(s): Cengage Learning
List Price: $230.95

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Summary

This book provides readers with practical skills and treatment strategies and is unique in its conceptualization of substance abuse treatment from a rehabilitation perspective, and its perspective of substance abuse as a disability. The authors treat substance abuse as a complex problem, with a diverse etiological basis stressing that recovery is a process that is holistic, individualized, and functionally based.

Table of Contents

Preface xii
History and Background of Rehabilitation
1(20)
History and Rehabilitation Legislation
2(9)
Turn of the Century
2(2)
Rehabilitation Legislation
4(7)
Three Sectors of Rehabilitation Counseling Practice
11(4)
Public Sector
12(1)
Private-Not-for-Profit Sector
13(1)
Private For-profit Sector
14(1)
The Rehabilitation Philosophy
15(2)
Terminology and Important Concepts
17(2)
Summary
19(2)
Drug and Alcohol History
21(33)
Alcohol and Drugs in the 18th and 19th Centuries
22(3)
The Legislative Era-1900 to 1936
25(4)
Treatment Emerges---The Sixties
29(13)
Emergence of the Drug Culture
30(3)
Legislative Changes
33(4)
Involvement of Business and Industry
37(5)
The Diseasing of Alcoholism and Addiction
42(4)
The Reagan-Bush Years: Populism and Government Intervention
46(4)
The Current Situation: Is It Different from the Past?
50(2)
Summary
52(2)
Conceptualizing Substance Abuse and Dependence: A Rehabilitation Perspective
54(21)
Overview of Addiction Treatment and Rehabilitation
55(2)
Rehabilitation Field
56(1)
Disability and Handicap Criteria
57(2)
ADA Definitions
58(1)
Qualifiers
58(1)
Functional Limitations
59(3)
Disease Versus Symptoms
59(1)
Characteristics of the Disease
60
The Functional Limitations Approach
00(62)
Developmental-Environmental Realm
62(11)
Developmental Issues
63(4)
Environmental Issues
67(5)
Issues of Choice
72(1)
Summary
73(2)
Drugs and the Central Nervous System
75(22)
The Human Nervous System
76(6)
Neuron Structure
76(3)
The Central Nervous System
79(3)
Brain Chemistry and Neurotransmitters
82(4)
Psychoactive Drugs and Body Functioning
86(4)
The Neurochemistry of Addiction
90(5)
Summary
95(2)
Drugs of Abuse
97(27)
Stimulants
98(7)
Amphetamines and Cocaine
98(3)
Caffeine and Nicotine
101(3)
Other Recreational Stimulants
104(1)
Depressants
105(12)
Alcohol
105(7)
Opiates and Opioids
112(2)
Sedative-Hypnotics
114(2)
Inhalants
116(1)
Hallucinogens
117(5)
Indoles
118(1)
Catehols
119(1)
Marijuana and Hashish
120(1)
Other Hallucinogens
121(1)
Summary
122(2)
Group Counseling
124(22)
A Primary Treatment Modality
125(1)
Types of Groups
126(2)
Necessary Elements for Effective Group Counseling
128(2)
The Stages of Group Development
130(3)
Getting Started: Guidelines for Forming and Leading a Group
133(1)
A Model for Conducting Activities in a Group
134(2)
Group Leadership
136(3)
Leadership Styles
137(2)
Basic Rules and Functions of the Group Leader
139(4)
Characteristics Important for Group Leadership
143(1)
Summary
143(3)
Family Counseling
146(34)
What Is a Family?
147(2)
How Do Families Function?
149(4)
The Ideal Roles of the Family
153(4)
Codependency: A Matter of Definition
157(5)
Current Definitions of Codependence
160(2)
The Wegscheider-Cruse Model of Family Dysfunction
162(4)
Why Families Enter Counseling
166(1)
Assessing Dependence Problems in Families
167(5)
Family Counseling Practices
172(3)
Unique Ethical and Professional Concerns About Working with Families
175(3)
Summary
178(2)
Treatment
180(27)
Treatment Programs
181(1)
Treatment Resources
182(11)
Detoxification
182(2)
Residential Treatment
184(7)
Outpatient Treatment
191(2)
Peer Self-Help Groups
193(10)
Alcoholics Anonymous
194(5)
Narcotics Anonymous
199(1)
Cocaine Anonymous
199(1)
Other Peer Self-Help Groups
200(3)
The Effectiveness of Treatment and Peer Self-Help Groups
203(2)
Summary
205(2)
Assessment
207(28)
Assessment Concepts and Terminology
208(3)
Intake and Initial Interviews
211(7)
Standardized Tests
218(7)
Cage
220(1)
Michigan Alcohol Screening Test
220(1)
Substance Abuse Problem Checklist
221(1)
MacAndrew Alcoholism Scale
222(1)
Substance Abuse Subtle Screening Instrument
223(2)
Diagnosing Substance Abuse and Dependence
225(5)
Assessment Issues for People with Other Disabilities
230(3)
Testing Issues
232(1)
Summary
233(2)
Treatment Planning, Case Management, and Managed Care
235(20)
Treatment Planning
236(3)
Case Management
239(8)
Definitions and Background
239(2)
Case Management and Substance Abuse Treatment
241(1)
Major Models of Case Management
242(2)
Components of Effective Case Management
244(3)
Managed Care Issues
247(6)
Case Management Under Managed Care
248(1)
Cost Effectiveness
249(1)
Patient-Treatment Matching
250(2)
Facility Standards
252(1)
Summary
253(2)
Special Populations
255(41)
Culture and Acculturation
256(3)
Culture Concepts
259(4)
Counselor Culture Sensitivity
263(1)
Ethnicity as a Definer of Culture
264(9)
African Americans
264(3)
Hispanic Americans
267(3)
Native Americans
270(3)
Society as a Definer of Special Populations
273(20)
Women
273(6)
The Elderly
279(5)
Adolescents
284(4)
Sexual Orientation
288(5)
Summary
293(3)
Substance Abuse as a Coexisting Disability
296(33)
Substance Abuse/Dependence Coexisting with Physical Disabilities
299(22)
Traumatic Brain Injury
299(4)
Mobility Disabilities
303(5)
Sensory Disabilities
308(7)
Mental Illness
315(6)
Empowerment as a Strategy for Change
321(6)
Summary
327(2)
Alcohol, Drugs, and Work
329(23)
The Importance of Work
330(1)
Definition of Work
330(1)
Psychological Benefits of Work
331(2)
Substance Abuse and Work-Related Behaviors
333(4)
Critical Vocational Behaviors
334(3)
Vocational Counseling
337(4)
Approaches
337(2)
Vocational Counseling with Substance Abusers
339(2)
Vocational Planning and Job Placement
341(4)
Exploration
341(4)
Goal Identification and Placement Planning
345(3)
Job Placement
348(2)
Job-Seeking Skills
348(2)
Summary
350(2)
References 352(23)
Index 375

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