Substance Abuse Counseling

by Lewis, Judith A; Dana, Robert Q; Blevins, Gregory A

• ISBN13: 9780534364281
• ISBN10: 0534364284
• Edition: 3rd
• Format: Hardcover
• Copyright: 2001-07-03
• Publisher: Brooks Cole

Summary

Written for beginning level students, this text provides a good, practical overview of substance abuse counseling and addresses key issues early, including designing treatments to fit the individual needs of a client. This text emphasizes that substance-abusing clients and their families form a heterogeneous group that must be treated from an individualized perspective. The authors believe strongly that clients differ not only in the behaviors and consequences associated with their drug use but also in culture, gender, social environments, physical concerns, mental health and a host of other variables. Using an integrated approach, the authors describe innovative methods for meeting clients' needs through personalized assessment, treatment planning, and behavior change strategies and show students how to select the most effective treatment modalities for each client.

Table of Contents

Part One Introduction	1	(31)
An Introduction to Substance Abuse Counseling	2	(29)
Substance Abuse: A Working Definition	4	(1)
Counseling Guidelines	4	(13)
Counselor Roles and Settings	17	(7)
Counseling Competencies	24	(1)
Summary	25	(1)
Questions for Thought and Discussion	26	(1)
References	27	(4)
Part Two The Process of Behavior Change	31	(94)
Assessment and Treatment Planning	32	(23)
The Comprehensive Assessment Process	35	(4)
Assessment Devices	39	(5)
Treatment Planning	44	(2)
Summary	46	(6)
Questions for Thought and Discussion	52	(1)
References	52	(3)
Helping Clients Change	55	(35)
The Counseling Relationship	55	(7)
Interrupting Substance Use Behaviors	62	(9)
Skills Training	71	(9)
Linking Clients to 12-Step and Other Self-Help Groups	80	(4)
Co-Occurring Substance Abuse and Mental Health Problems	84	(2)
Summary	86	(1)
Questions for Thought and Discussion	86	(1)
References	87	(3)
Empowering Clients Through Group Work	90	(15)
The Collaborative Style	93	(3)
Transferable Skills	96	(6)
Mutual Supportiveness	102	(1)
Summary	103	(1)
Questions for Thought and Discussion	103	(1)
References	103	(2)
Maintaining Change in Substance Use Behaviors	105	(20)
Relapse-Prevention Models	107	(3)
Determinants of Relapse	110	(5)
Relapse-Prevention Strategies	115	(6)
Case Example	121	(1)
Summary	122	(1)
Questions for Thought and Discussion	122	(1)
References	123	(2)
Part Three The Context of Change	125	(143)
Working With Families	126	(23)
Systems Theory	129	(1)
Substance Abuse and the Family System	130	(1)
Stages in Family Recovery	131	(10)
Effects on Children	141	(4)
Summary	145	(1)
Questions for Thought and Discussion	146	(1)
References	147	(2)
Program Planning and Evaluation	149	(31)
Environmental Contingencies	149	(10)
Program Planning	159	(7)
Evaluation	166	(11)
Summary	177	(1)
Questions for Thought and Discussion	177	(1)
References	178	(2)
Preventing Substance Abuse	180	(20)
The Concept of Prevention	180	(2)
General Model of Prevention	182	(2)
Determining the Purpose of Prevention	184	(1)
Developing a Causal Model	185	(1)
Producing Change	186	(7)
Effective Prevention Programs	193	(3)
Summary	196	(1)
Questions for Thought and Discussion	197	(1)
References	197	(3)
Drugs and Their Effects	200	(68)
Introduction	200	(1)
Factors That Affect a Drug's Effects	200	(1)
Characteristies of Drugs	201	(7)
Physiological Functioning of the User	208	(10)
Psychological Characteristics of the User	218	(1)
Sociocultural Environment	219	(2)
Drug-Classification Systems	221	(6)
Summary	227	(1)
Questions for Thought and Discussion	228	(1)
References	228	(4)
Appendixes
A Psychosocial and Substance Use History	232	(13)
B Initial Behavioral Assessment and Function Analysis	245	(6)
C Comprehensive Drinker Profile	251	(6)
D Michigan Alcoholism Screening Test	257	(2)
E Questionnaire on Drinking and Drug Abuse	259	(2)
F Family Drinking Survey	261	(2)
G Useful Web Sites	263	(1)
H Valuable Treatment Manuals	264	(3)
I Guide to Self-Help Resources	267	(1)
Credits	268	(1)
Author Index	269	(3)
Subject Index	272