Substance Abuse : Information for School Counselors, Social Workers, Therapists, and Counselors

by Fisher, Gary L.; Harrison, Thomas C.

Edition: 4th

ISBN13: 9780205591763

ISBN10: 0205591760

Format: Paperback

Pub. Date: 2009-01-01

Publisher(s): Allyn & Bacon

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Summary

Weaving actual clinical examples with solid research, Substance Abuse continues to provide helping professionals with a detailed overview of the alcohol and other drug (AOD) field. Now in its Third Edition, this text provides updated coverage and practical clinical examples to reflect the rapid changes in the field of addiction. In a reader-friendly style, the authors present balanced coverage of various treatment models as well as objective discussions of the controversies in the field.Provides readers with a broad view of the AOD field as well as the pervasiveness of the problem in all areas of behavioral health and general fields.The text covers topics spanning the entire fieldpharmacology, assessment and diagnosis, treatment, recovery, prevention, children, families, and other addictions.Pre-service and in-service counselors, social workers and other helping professionals.

Author Biography

Gary L. Fisher is professor of Health and Human Sciences at the University of Nevada, Reno.

Preface	p. xv
The Role of the Mental Health Professional in Prevention and Treatment	p. 1
The Need for Generalist Training	p. 3
Philosophical Orientation	p. 5
Attitudes and Beliefs	p. 6
Denial, Minimization, Projection, and Rationalization	p. 7
Helping Attitudes and Behaviors	p. 8
Overview of the Book	p. 10
Classification of Drugs	p. 12
Comprehensive Drug Abuse Prevention and Control Act	p. 12
The Concept of Dangerousness	p. 13
Definitions	p. 14
Central Nervous System Depressants	p. 15
Central Nervous System Stimulants	p. 18
Opioids	p. 21
Hallucinogens	p. 23
Cannabinols	p. 25
Inhalants and Volatile Hydrocarbons	p. 27
Anabolic Steroids	p. 28
Club Drugs	p. 30
Drugs Used in the Treatment of Mental Disorders	p. 31
Summary	p. 33
Additional Reading	p. 33
Internet Resources	p. 33
Further Discussion	p. 34
Models of Addiction	p. 35
The Moral Model	p. 36
Sociocultural and Psychological Models of Addiction	p. 37
Disease Concept of Addiction	p. 39
Biopsychosocial Model of Addiction	p. 46
Summary	p. 49
Internet Resources	p. 49
Further Discussion	p. 50
MyHelpingLab Assignment	p. 50
Culturally and Ethnically Diverse Groups	p. 51
Native Americans and Alaska Natives	p. 52
Asian Americans and Pacific Islanders	p. 58
African Americans	p. 63
Latino and Hispanic Populations	p. 69
Persons with Disabilities and the Elderly	p. 74
Helping Culturally and Ethnically Diverse Populations	p. 75
Summary	p. 79
Internet Resources	p. 81
Further Discussion	p. 81
Confidentiality and Ethical Issues	p. 82
Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR)	p. 83
Health Insurance Portability and Accountability Act (HIPAA)	p. 89
Drug Testing	p. 89
Documentation	p. 90
Ethics	p. 91
Application of Confidentiality Regulations	p. 93
Summary	p. 95
Internet Resources	p. 95
Further Discussion	p. 96
MyHelpingLab Assignment	p. 96
Assessment and Diagnosis	p. 97
Definitions of Use, Misuse, Abuse, and Dependence or Addiction	p. 98
Psychosocial History	p. 100
Signs of Adolescent Substance Abuse	p. 106
Self-Report Inventories	p. 107
Referral	p. 112
Diagnosis	p. 114
Summary	p. 118
Internet Resources	p. 118
Further Discussion	p. 119
MyHelpingLab Assignments	p. 119
Client Engagement and Brief Interventions	p. 120
Client Engagement	p. 122
Motivational Interviewing	p. 122
Brief Interventions	p. 129
Summary	p. 131
Internet Resources	p. 131
Further Discussion	p. 131
MyHelpingLab Assignments	p. 132
Treatment of AOD Problems	p. 133
How Many Are in Treatment? How Many Need Treatment?	p. 133
What Happens in Treatment?	p. 134
Treatment Strategies and Techniques	p. 138
Treatment Settings	p. 144
Principles of Effective Treatment	p. 147
Evidence-Based Treatment	p. 149
Treatment and Special Populations	p. 149
Treatment Effectiveness	p. 155
Client-Treatment Matching	p. 157
Special Problems in Treatment	p. 158
Summary	p. 162
Internet Resources	p. 163
Further Discussion	p. 163
MyHelpingLab Assignment	p. 163
Relapse Prevention and Recovery	p. 164
Need for Generalist Training in Relapse Prevention	p. 165
Definitions of Slip and Relapse	p. 165
Frequency of Slips and Relapse	p. 166
Is Relapse in Addiction Similar to Other Chronic Conditions?	p. 167
Models of Relapse Prevention	p. 167
Essential Components of Relapse Prevention	p. 171
Preventing Slips from Escalating	p. 178
Recovery	p. 179
Summary	p. 180
Internet Resources	p. 181
Further Discussion	p. 181
MyHelpingLab Assignment	p. 181
Twelve-Step and Other Types of Support Groups	p. 182
Alcoholics Anonymous	p. 183
Other Twelve-Step Groups	p. 190
Advantages and Disadvantages of Twelve-Step Groups	p. 191
Other Types of Support Groups	p. 193
Summary	p. 197
Internet Resources	p. 197
Further Discussion	p. 198
MyHelpingLab Assignments	p. 198
Children and Families	p. 199
Children's Exposure to Alcohol and Other Drugs	p. 200
Family Exposure to Alcohol and Other Drugs	p. 204
Intergenerational Transmission of Alcoholism	p. 215
Women and Alcoholism	p. 216
Stepfamilies: System and Structure	p. 220
Helping Families	p. 221
Summary	p. 226
Internet Resources	p. 227
Further Discussion	p. 227
Adult Children and Codependency	p. 228
Adult Children of Alcoholics (ACOAs)	p. 229
Assessment and Treatment Considerations	p. 231
ACOAs and Diversity	p. 233
Codependency	p. 234
Implications for Mental Health Professionals	p. 240
Relationship of ACOA, AA, Al-Anon, and Codependency	p. 243
Codependency and Diversity	p. 245
Summary	p. 252
Internet Resources	p. 253
Further Discussion	p. 254
HIV/AIDS	p. 255
Incidence and Prevalence	p. 255
Myths and Facts about HIV and AIDS	p. 256
Risk Factors and High-Risk Populations	p. 260
Assessment of Clients for HIV and AIDS: Signs and Symptoms	p. 265
Helping HIV-Infected Clients	p. 265
HIV-Related Issues Specific to the Helping Professional	p. 272
Summary	p. 273
Internet Resources	p. 274
Further Discussion	p. 275
Gambling and Other Addictions	p. 276
Prevalence of Gambling and Gambling Problems	p. 277
Definitions of Gamblers and Problem Gambling	p. 280
Assessment and Diagnosis	p. 281
Treatment, Resources, and Support	p. 284
Other Addictions	p. 286
Food Addiction: The Eating Disorders	p. 289
Addiction to Sex and Love	p. 296
Internet Addiction	p. 297
Addiction to Work: Workaholism	p. 300
Assessment and Treatment Issues	p. 303
Summary	p. 308
Internet Resources	p. 310
Further Discussion	p. 310
Prevention	p. 311
Why Are Prevention Efforts Needed?	p. 311
Policy Issues in Prevention	p. 312
Prevention Classification Systems	p. 317
What Works in Prevention	p. 320
Evidence-Based Prevention	p. 328
Prevention Resources	p. 328
Summary	p. 329
Internet Resources	p. 329
Further Discussion	p. 329
References	p. 330
Index	p. 367
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