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9781849051170

Counselling Older People With Alcohol Problems

by ; ;
  • ISBN13:

    9781849051170

  • ISBN10:

    1849051178

  • Format: Paperback
  • Copyright: 2011-02-15
  • Publisher: Jessica Kingsley Pub
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Summary

Alcohol misuse is becoming an increasingly significant issue for people aged 55 and over, and providing effective counselling services to this growing client group requires a unique and specialised approach. This practical guide explores the factors that differentiate older drinkers and introduces an innovative person-centred model that will help counsellors and other healthcare professionals to give older people with alcohol problems the support they need. Older people with alcohol problems often have complex personal histories, and are particularly vulnerable to long-term dependency, social isolation and self-medication. This book explores the influences, patterns and triggers that affect the development and progression of alcohol dependency in this age group, and provides a detailed description of a theoretical model and therapeutic process that has proved successful in practice. Informative case studies demonstrate the approach in action and guidance is also given for working with clients with dementia or mental health problems. This book will prove an invaluable resource for counsellors and other healthcare professionals who encounter alcohol problems in their clinical practice, including clinical psychologists, social workers, occupational therapists and community psychiatric nurses.

Author Biography

Mike Fox is Senior Practitioner and manager of the Older Person's Service in an alcohol agency in North London. He also works as Lead Clinician for Dementia at another counselling service in the same area. Lesley Wilson in currently a lecturer and course leader in occupational therapy. Prior to this she was a practising occupational therapist and has many years' experience of working with older people, both in the NHS and in the community.

Table of Contents

Acknowledgementsp. 9
Forewordp. 11
Prefacep. 15
A Guide to Understanding the Client Group and an Outline of the Theoretical Modelp. 17
What Distinguishes This Client Group?p. 19
Where to Begin? Alcohol and Identity: Am I an 'Alcoholic'?p. 23
Reasons for Drinking: Alcohol and Paradoxp. 31
A Non-directive Approach: Abstinence or Moderation?p. 43
The Therapeutic Process: A Linear Descriptionp. 47
First Session/Assessmentp. 49
Working with Types and Patterns of Drinkingp. 59
Addressing the Problem: Alcohol and the Hierarchy of Needsp. 75
Detoxification (Detox)p. 93
After the Drinking Ceases/Working with Relapsep. 107
Endingsp. 127
Self Care and the Therapistp. 137
Working with Complex Needs/Dual Diagnosisp. 149
Dementia and Alcoholp. 151
Depression and Alcoholp. 163
Bipolar Disorder and Alcoholp. 179
Appendix: Exercisesp. 193
Referencesp. 199
Indexp. 201
Table of Contents provided by Ingram. All Rights Reserved.

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