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9780205404407

Diagnosis and Treatment of Substance-Related Disorders The DECLARE Model

by
  • ISBN13:

    9780205404407

  • ISBN10:

    0205404405

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2004-08-05
  • Publisher: Pearson
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List Price: $64.80

Summary

This eloquently simple text provides a "cutting edge" philosophy for those dealing with the assessment, diagnosis, treatment and aftercare of individuals suffering from issues with chemical dependency.Diagnosis and Treatment of Substance Abusefollows the D.E.C.L.A.R.E model of treatment--a model in which each letter represents one of the seven bio-psychosocial modalities, or points of entry, for viewing the problems of a dependent client. This model takes the student through every phase of the acronym, which employs a therapeutic approach aimed at facilitating the improvement of drug-abusing behavior.Throughout the text, the student is provided with helpful suggestions regarding treatment impasses, assessing strengths and weaknesses, developing a treatment plan and prioritizing intervention strategies. Transcripts from actual sessions and case vignettes provide rich clinical material to the text. Also, the student/clinician is provided with actual clinical instruments, not seen in other books, to conduct assessment evaluations of clients.CONVENIENT SUPPLEMENT FOR CLINICAL PRACTICE OR INTERNSHIP USE WITH CLIENTS AVAILABLE!3-hole punched clinical Assessment Instruments booklets are available separately (in bundles of 10) to conduct assessment evaluations of clients.

Author Biography

Dr. Purcell Taylor is currently the Director of the Sex Offender Program for the Center for Children and Families and was formerly the Clinical Service Director of Saint Francis Academy's Sex Offender and Victims Programs in Cincinnati, Ohio

Table of Contents

Preface xi
About the Author xiii
Introduction xv
Overview
1(22)
High-Tech, Low-Contact Reality
2(1)
The DECLARE Model
2(19)
Micropsychological Perspective
5(3)
Macropsychosocial Perspective
8(10)
Metapsychological Perspective
18(3)
Recapping
21(2)
Basic Methods and Techniques
23(18)
A Multifaceted Approach
23(2)
Modality Profile
25(2)
Procedural Questions
27(2)
Personal Socialization Process
29(1)
Detoxification
29(1)
Procedural Techniques
30(8)
Personal Surgery Technique
30(2)
Stress Reduction
32(1)
Dapir Anxiety Scale-Revised
32(1)
The Empty Chair Technique
33(1)
Self-Hypnosis
33(1)
Guided Imagery
34(1)
Life Boat Fantasy Technique
34(1)
Self-Monitoring: BARS
35(1)
Taylor Historical Questionnaire-Revised
36(1)
The MAC-D-R
36(1)
Thought-Stopping
36(1)
Goal Rehearsal
37(1)
Diversion
37(1)
Time Projection
37(1)
Drug and Alcohol Education
37(1)
Self-Esteem Exercise
38(1)
Write Your Drug Story Technique
38(1)
Do I Hate You? Technique
38(1)
Recapping
38(3)
The Initial Interview
41(24)
Assessing the Client
41(3)
Establishing Rapport and Relaxation
44(1)
Reading Signals from the Client
45(1)
Assessing the Level of Suffering: Compassion
46(1)
Communicating Understanding: Empathy
47(1)
Determining the Degree of Insight
48(1)
Partial Insight
48(1)
No Insight
49(1)
Addressing Denial
49(3)
Management of Denial
50(1)
Declaration of Denial
50(2)
Confronting the Client
52(1)
Case Studies
53(7)
Case Study No. 1
53(3)
Case Study No. 2
56(4)
Inpatient or Outpatient Services?
60(1)
Assessment: Two Scales
61(1)
THQ-R Assessment
61(1)
DAPIR-R Assessment
62(1)
Recapping
62(3)
Diagnosis and Treatment
65(24)
Preliminary Evaluation: A Review
65(2)
Assessing the Client
65(1)
Making Contact
66(1)
Developing the Modality Profile
67(1)
Diagnosis: Using the DSM-IV-TR
67(1)
Treatment Plan
68(7)
Degree of Treatment
70(1)
Prognosis
70(2)
Ongoing Assessment
72(3)
Post-Treatment
75(3)
Stages and Warning Signs of Relapse
76(2)
The Case of M.K.
78(5)
The Case of W.R.
83(4)
Recapping
87(2)
Challenges and Choices
89(18)
Managing Recovery Challenges
89(3)
Decide: What Is Your Most Immediate Challenge?
90(1)
Establish a Challenge Checklist
90(1)
Choose What Works
91(1)
Lose the Fear of Recovery
91(1)
Act Upon the Plan
92(1)
Record Results
92(1)
Evaluate Results
92(1)
Motivation
92(2)
Recall the Reason Why
93(1)
Rethinking Sobriety
94(1)
Reassessing Choices
94(1)
Client Recovery Expectations
94(3)
Developing Incentives
95(1)
Handling Feelings
95(1)
Inpatient Counseling
96(1)
Managing Stress
97(2)
Journal Keeping
97(1)
Imagery and Self-Hypnosis
97(1)
Guided Imagery
98(1)
Diversion Techniques
98(1)
Need for Support
99(2)
Selection of Support Persons
99(1)
Effectiveness of Support
100(1)
Support Meetings
100(1)
Managing Others Who Are Unsupportive
100(1)
Craving
101(4)
Craving Intervention Plan
102(1)
Relapses and Slips
103(2)
Managing Change
105(1)
Recapping
106(1)
Epilogue 107(2)
Bibliography 109(6)
Index 115

Supplemental Materials

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