The Rehabilitation Model of Substance Abuse Counseling

by Benshoff, John J.; Janikowski, Timothy P.

• ISBN13: 9780534342234
• ISBN10: 053434223X
• Format: Hardcover
• Copyright: 1999-12-01
• Publisher: Cengage Learning

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