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Written with easy-to-approach language for beginners in the field, SUBSTANCE ABUSE COUNSELING, Fourth Edition, provides a good, practical overview of substance abuse counseling. It addresses key issues early, including the designing of specialized treatments to fit the individual needs of a client. This book also emphasizes the tendency of substance-abusing clients and their families to form a heterogeneous group that must be treated from an individualized perspective. The authors believe strongly that clients differ not only in the specific 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, showing you how to select the most effective ways to help treat people with substance abuse problems.

New in this Edition	p. ix
Introduction	p. 1
Substance Abuse Counseling for the 21st Century	p. 2
Substance Abuse: A Working Definition	p. 4
Principles for 21st Century Substance Abuse Counseling	p. 5
Counselor Roles and Settings	p. 20
Summary	p. 27
Questions for Thought and Discussion	p. 28
References	p. 28
Drugs and Their Effects	p. 32
Introduction	p. 32
Factors That Affect a Drug's Effects	p. 32
Characteristics of Drugs	p. 33
Physiological Functioning of the User	p. 39
Psychological Characteristics of the User	p. 49
Sociocultural Environment	p. 51
Drug-Classification Systems	p. 52
Summary	p. 58
Questions for Thought and Discussion	p. 59
References	p. 60
Motivational Internetting	p. 61
The Meaning of Motivational Interviewing	p. 62
MI Spirit	p. 63
Motivational Interviewing Principles	p. 65
Motivational Interviewing Across Settings	p. 69
Summary	p. 74
Questions for Thought and Discussion	p. 74
References	p. 75
The Process of Behavior Change	p. 77
Assessment and Treatment Planning	p. 78
The Comprehensive Assessment Process	p. 81
Assessment Devices	p. 84
Treatment Planning	p. 90
Summary	p. 91
Questions for Thought and Discussion	p. 96
References	p. 97
Helping Clients Change	p. 98
The Counseling Relationship	p. 98
Interrupting Substance Use Behaviors	p. 104
Linking Clients to 12-Step and Other Self-Help Groups	p. 121
Co-Occurring Substance Abuse and Mental Health Problems	p. 126
Summary	p. 127
Questions for Thought and Discussion	p. 128
References	p. 129
Empowering Clients Through Group Work	p. 130
The Collaborative Style	p. 132
Support for Change	p. 134
Transferable Skills	p. 136
Supfortiveness and Multicultural Competence	p. 141
Surrtfnary	p. 143
Questions for Thought and Discussion	p. 143
References	p. 143
Mamtaining Change in Substance Use Behaviors	p. 145
Relapse Prevention Models	p. 147
Determinants of Relapse	p. 153
Relapse Prevention Strategies	p. 157
Summary	p. 164
Questions for Thought and Discussion	p. 164
References	p. 165
The Context of Change	p. 167
Working with Families	p. 168
Systems Theory	p. 170
Substance Abuse and the Family System	p. 171
Stages in Family Recovery	p. 171
Family Counseling Competencies	p. 182
Summary	p. 185
Questions for Thought and Discussion	p. 186
References	p. 187
Program Planning and Evaluation	p. 189
Environmental Contingencies	p. 189
Accountability for Outcomes	p. 190
Program Planning	p. 198
Evaluation	p. 204
Summary	p. 210
Questions for Thought and Discussion	p. 211
References	p. 211
Preventing Substance Abuse	p. 213
The Concept of Prevention	p. 213
General Model of Prevention	p. 215
Determining the Purpose of Prevention	p. 217
Developing a Causal Model	p. 218
Producing Change	p. 219
Effectiveness of Prevention Programs	p. 225
Summary	p. 228
Questions for Thought and Discussion	p. 229
References	p. 229
Appendixes	p. 233
Psychosocial and Substance Use History	p. 234
Initial Behavioral Assessment and Functional Analysis	p. 245
Comprehensive Drinker Profile	p. 250
Family Drinking Survey	p. 273
Useful Web Sites	p. 275
Valuable Treatment Manuals	p. 277
Name Index	p. 280
Subject Index	p. 283
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