Therapists' guide to substance abuse intervention / Sharon L. Johnson.

Format:

Book

Author/Creator:

Johnson, Sharon L.

Series:

Practical resources for the mental health professional

Language:

English

Subjects (All):

Substance abuse.

Psychotherapy.

Psychotherapy--Forms.

Substance-Related Disorders--therapy.

Substance-Related Disorders--diagnosis.

Psychotherapy--methods.

Medical Subjects:

Substance-Related Disorders--therapy.

Substance-Related Disorders--diagnosis.

Psychotherapy--methods.

Genre:

Blank forms.

Physical Description:

xix, 669 pages : illustrations ; 28 cm.

Other Title:

Substance abuse intervention

Place of Publication:

Amsterdam ; San Diego : Academic Press, [2003]

Summary:

Therapist's Guide to Substance Abuse Intervention is a must have reference for clinicians specializing in substance abuse as well as therapists with a more general practice. Presenting information in easy to read outline form, the guide identifies how to assess, diagnose, and treat substance abuse or substance dependence. Like Johnson's best selling book on clinical intervention, this guide similarly presents relevant forms, checklists, and business documents to cover both informational needs, as well as providing practical tools toward improving one's practice. Divided into five sections, Part I provides information for understanding substance classification and diagnostic criteria. Part II focuses on assessment, discussing diagnostic instruments, samples of biopsychosocial questionnaires, and guidelines on patient interviewing. Part III discusses treatment guidelines and continuum of care, discussing the creation of a treatment plan and how best to select from different types of therapy as a treatment option. Part IV covers solution-focused therapy and special populations (e.g. teenagers, the elderly, patients with comorbid diagnoses, etc.). Part V presents skill-building resources and offers abundant tools for therapists to use directly from the book, or that can be reformulated and personalized for use with patients.

Contents:

Chapter 1 Defining Substance Abuse and Dependence 3

Continuum of Substance Use Behaviors 5

DSM IV Criteria 6

Chapter 2 Characteristics and Classification of Substances 11

Characteristics of Substances 11

Substance Use and Conditioning 13

Physiological Functioning 14

Physiological Characteristics or Factors of the Substance User 17

Psychological Characteristics of the User 18

Sociocultural Environment 19

Classification of Substances 19

Chapter 3 Development of Substance Abuse and Dependence 39

Models of Substance Dependence 40

Causal Factors of Substance Abuse and Dependence 41

Biological Mechanisms 42

Early Onset Variables 50

Late Onset Variables 51

Chapter 4 Stages of Substance Dependence and Recovery 53

A Causal Model for Substance Abuse 54

Problematic Behavior and Thought Patterns 54

Patterns of Use 55

Developmental Stages of Dependence 56

Recovery stages 58

Experience of Object Loss 59

Relapse Symptoms 60

Relapse Autopsy 61

Process of Relapse 62

Special Issues of Substance Dependence 62

Chapter 5 Assessment 75

Purpose of Assessment 76

Motivational Interviewing 76

Individualized Treatment Plan 77

Assessment Questions 78

Multivariate Treatment Planning 79

Important Components of a Substance Abuse History 79

Objective Assessment 81

Psychological and Neuropsychological Assessment 82

Substance-Related Assessment Inventories 83

Mnemonic Screening Devices 86

Functional Importance of Substance Use 86

Follow-up Assessment 87

Conceptual Assessment of Substance Abuse 87

Questionnaires 89

Factors Indicating a Need for Adolescent Substance Use Assessment 132

Adolescent Screening and Assessment 132

Diagnostic Criteria for Codependency 133

Special Topic: Employment Setting 134

Prevention 142

Chapter 6 Treatment Guidelines 153

Biopsychosocial Perspective 154

A Simple Comparison of Recovery and Mental Health Models 155

Theoretical Orientation 157

The Role of 12-Step and Other Self-Help Programs 157

Harm Reduction 159

Special Considerations for Dual Diagnosis 161

The Individual Entering Treatment 162

Treatment Concerns 163

Rational Emotive Therapy Philosophy 164

Therapist Guidelines 165

Preparation of Individuals, Couples, and Families for Recovery 166

Treatment Prioritization 169

Course of Treatment 170

Agents of Change 170

Areas of Personal Vulnerability for those in Treatment 172

Obstacles to Change 172

Overcoming Obstacles to Change 173

Individualized Treatment Planning 174

Guidelines for an Intervention 183

Legal Issues Associated with Screening and Assessing Adolescent Substance Use 185

Role of Americans with Disabilities Act 185

Chapter 7 Continuum of Care 191

Key Aspects of Treatment 191

Substance Abuse-Dependence Continuum of Care Services 192

ASAM-PPC-2 Assessment Criteria 196

Specific Substance Class Treatment Considerations Associated with Continuum of Care 201

Community Reinforcement 206

Controlled Drinking: A Treatment Alternative 207

Chapter 8 Solution-Focused Therapy 219

Potential Problems 221

Strategies for Improving Motivation (Miller & Rollnick, 1991) 222

Predictive Measures of Outcome 222

Therapist Responses to Slips 222

Decreasing Treatment Dropout Rate 223

Role of Family Treatment 223

Inpatient Treatment 224

Patient-Treatment Matching 224

Discharge and Aftercare 225

Treatment Interventions Supported by Research 226

Treatment Models 227

Medical Treatment for Substance Dependence 234

Integration of Psychotherapy and Pharmacotherapy 235

Evidence for Effectiveness of Combined Treatment 236

Individual Therapy 237

Importance and Usefulness of the Support Group Forum 238

Benefits of Support Groups 239

Therapeutic Group 240

Basic Areas of Education 241

Stages of Solution-Focussed, Outcome-Oriented Treatment 242

Group Topics 245

Marital and Family Therapy 264

Family Therapy 266

Family Patterns of Substance Dependency 267

Stages of Family Intervention 267

Relapse 271

Aversion Therapy for Alcohol Dependence 279

Moderation of Use 280

Recommendations for Improving Substance Abuse Treatment 282

Chapter 9 Special Populations and Dual Diagnosis 289

Key Issues for Treating Dual Diagnosis Individuals 292

Dual Diagnosis 295

Adolescents 303

Geriatrics 316

AIDS-HIV 331

Adults Molested as Children 342

Women and Minorities 344

Court-Mandated Treatment 359

Chapter 10 Skill Building Resources 375

Risk Factors for Substance Abuse 376

Consequences of Substance Abuse 377

Six Cardinal Signs Indicating Substance Dependence 378

Symptoms of Alcoholism 379

Do I Have a Drinking Problem? 380

Problem Drinker 382

Substance Use or Abuse: Diagnosing Dependency 383

Self-Diagnosis: Do You Have a Problem with Substance Use? 384

Relationship Addiction 386

Compulsive Gambling 387

Sexual Addiction 388

Substance Dependency: A Family Illness 389

Understanding the Dynamics of the Chemically Dependent Family 390

Recovery Needs of Family Members 391

Identifying Patterns of Codependency 393

Does Someone You Know Have a Problem with Substances? 394

Stages of Recovery 395

Recovery is a Choice 396

Your Choice 397

Why is Substance Abstinence Important? 398

How has Substance Abuse Affected Your Life? 399

How to Cut Down on Your Drinking 400

An Overview of Where I am and Where I am Going 401

Recovery Inventory 403

My Recovery Plan 404

Reviewing Your Recovery Program 405

Preparation for Attending a 12-Step Meeting 406

The 12 Traditions of Alcoholics Anonymous 407

Ten Steps (Modification of 12 Steps) 409

Twelve Steps to Recovery 413

Taking Inventory 426

An Outline for Making Amends 427

The Five S's of Recovery 429

Understanding Craving 430

Coping with Craving 431

Assessing High-Risk Situations 432

Self-Monitoring Journal 433

Daily Log 434

Experience Log 436

Daily Recovery Schedule 437

Journal Writing as Part of Your Recovery 438

Evening and Weekend Schedule and Journal 440

Consequences 441

Relapse Prevention 443

Maintaining Progress 448

Interrupting Potential Relapse 449

Choices

Learning More About Yourself 450

Practicing Change 452

Increasing Self-Understanding 453

Lingering Withdrawal 454

What to do When Confronted with the Urge to Use 455

Points to Consider When Confronted with the Urge to Use Substances 456

Planning How to Cope with a Lapse 457

Dealing with a Slip, Lapse, or Relapse 458

Anticipating How to Cope with an Emergency 459

Getting Unstuck 460

Beast 461

Help Me 462

Refusal Skills 463

Substance Use Aggravates Stress 464

Self-Care Plan 465

Relaxing Without Substances 466

Excitement without Substances 468

Deep Breathing: A Relaxation Skill 469

Monitoring Use of Relaxation 470

Self-Control 471

Modified Drinking 472

What is Responsibility? 473

Coping with Disappointment 475

Surviving the Holiday Blues 476

Stinking Thinking 477

Understanding the Role of Thinking and Relapse 479

Coping with Negative Thinking 480

Managing Thoughts about Using Substances 481

Symptoms of Relapse 483

Early Warning Signs 486

Reviewing Personal Risks of Relapse 486

Feeling Like Your Life is Out of Control 488

Dealing With Feeling Emotionally Overwhelmed 489

Prevention 490

Developing and Utilizing Social Support 491

How to Build a Recovery Support System 493

Maintaining a Support System 495

Factors that Interfere with Developing a Social Support System 498

The Role of Relationships and Substance Use 500

Defense Mechanism Definitions 501

Defense Mechanisms 502

Dealing with Fear 504

Breaking Through the Negative Thoughts Cycle 506

Thought Stopping 507

Fifteen Rules for Emotional Health 508

Dealing with Difficult People 509

Surviving the Loss of a

relationship 510

The Art of Negotiation 511

Self-Confidence 512

Coping with Confrontations 514

Dealing with Embarrassment or Being Self-Conscious 515

Coping with Embarrassment 516

Emotional First Steps for Dual Diagnosis 518

The Twelve Steps and Dual Diagnosis 529

Identifying Depression 544

Managing Depression 545

Understanding Grief 546

Daily Activity Schedule 547

Identifying Anxiety 548

Managing Anxiety 549

Anxiety Relapse 550

Identifying Feelings 551

Understanding Your Feelings 552

Self-Honesty 553

Communication 554

Communicating Difficult Feelings 555

Constructively Expressing Angry Feelings 556

Dealing With Criticism and Giving Feedback 557

Understanding Anger 558

Managing Anger 559

Ways of Dealing with Anger 561

The Steps for Letting Go of Anger 562

Goal Setting 563

Goal Development 564

Setting Priorities 565

Problem Solving 566

Decision Making 567

Time Management 568

How to Budget 569

Your Personal Budget 570

Applying for a Job 571

How to Give a Good Job Interview 572

Setting Career Goals 573

Work Ethics 574

Survey of Personal Strengths 575

Writing a Thank you Letter 576

Sample Letter 577

Coping Skills for Caregivers 578

Guidelines for Family Members-Significant Others of the Alcoholic-Chemically Dependent Individual 579

Detaching with Love Versus Controlling 580

The Enabler

The Companion to the Dysfunctional-Substance Abusing Person 581

Healing for the Substance Abusing Family: From Enabling to Recovery 583

No Talk Rule 584

Stages of Family Adjustment to Substance Dependence 585

Ten Steps to Feeling Better if You are an Adolescent Living with Someone Who Uses Substances 586

First Step for Family Members and Significant Other 587

Functional Vs. Dysfunctional Families 589

Parenting Style and Adolescent Substance Use 590

Healthy Parenting, Healthy Family 591

The Healthy Family is a Parent-Centered Family 592

Parents Helping Children 593

Summary of Substances 594

I Think My Child may be Using Substances 595

A Parent's Checklist about Adolescent Substance Use 596

Adolescent Substance Abuse Quiz 597

Actions to take if Your Child is Using Substances 600

Dealing with Peer Pressure 601

Family Rules and Expectations 609

Tips for Parents 610

Keeping Children Drug-Free 611

How Substance Abuse Harms an Unborn Child or Nursing Child 613

Fetal Alcohol Syndrome (FAS) 615

Identifying Children of Substance Abusing Parents 616

Self-Esteem and Mentoring 618

Characteristics Often Found in Members of Substance-Dependent Families 620

How to Help Children Through a Crisis 622

A Parents' Pledge 623

The House with the Pink Elephant 624

Parents, Teenagers, and Honest Communication 625

Skills for Positive Parenting 627

Understanding the Experience of the Significant Other 628

Twelve Things You can do if Your Loved One is a Substance Abuser 630

Eight Steps for Feeling Better if You Live with Someone Who Abuses Substances 631

Breaking the Codependency Cycle 632

Signs of an Unhealthy Relationship 635

Ten Ways to Improve Your Marriage 636

Working Together 637

Being a Healthy Couple 638

Self-Acceptance 639

Stop the Rescuing 640

Adult Children of Alcoholics 641

Children of Alcoholics 642

The Consequences of Codependency 643

Feelings 644

Behaviors of the Codependent 645

How to Deal with Codependency 646

Couples Homework 647

Couples Learning to Solve Problems 648

Relationship Challenges 649

Improving Relationships by Using Clear Communication 650

Communication Guidelines 651

A Senior's Guide for Using Medications Wisely 653

Nail in the Fence 654

National Helplines 662.

Notes:

Includes bibliographical references and index.

ISBN:

0123875811

OCLC:

53013332