Substance Abuse Counseling : An Individualized Approach

by LEWIS/BLEVINS/DANA

• ISBN13: 9780534200534
• ISBN10: 0534200532
• Edition: 2nd
• Format: Paperback
• Copyright: 1993-08-05
• 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 on, including designing treatment to fit the individual needs of a client and defining chemical dependency as a continuum, rather than a dichotomy.

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

1 AN INTRODUCTION TO SUBSTANCE ABUSE COUNSELING	1	(34)
Substance Abuse: A Working Definition	2	(1)
Counseling Guidelines	2	(18)
Counselor Roles and Settings	20	(9)
Summary	29	(1)
Questions for Thought and Discussion	30	(1)
References	31	(4)
2 DRUGS AND THEIR EFFECTS	35	(32)
Characteristics of Drugs	36	(8)
Physiological Functioning of the User	44	(10)
Psychological Characteristics of the User	54	(2)
Sociocultural Environment	56	(2)
Drug-Classification Systems	58	(6)
Summary	64	(1)
Questions for Thought and Discussion	64	(1)
References	65	(2)
3 ASSESSMENT AND TREATMENT PLANNING	67	(26)
The Comprehensive Assessment Process	71	(3)
Assessment Devices	74	(4)
Diagnosis	78	(3)
Treatment Planning	81	(1)
Summary	82	(7)
Questions for Thought and Discussion	89	(1)
References	90	(3)
4 CHANGING SUBSTANCE-USE BEHAVIORS	93	(33)
The Counseling Relationship	93	(7)
Behavioral Techniques and Substance Abuse	100	(19)
Alcoholics Anonymous and Narcotics Anonymous	119	(3)
Summary	122	(1)
Questions for Thought and Discussion	122	(2)
References	124	(2)
5 EMPOWERING CLIENTS THROUGH GROUP WORK	126	(17)
The Collaborative Style	129	(4)
Transferable Skills	133	(7)
Mutual Supportiveness	140	(1)
Summary	140	(1)
Questions for Thought and Discussion	141	(1)
References	141	(2)
6 WORKING WITH FAMILIES	143	(26)
Systems Theory	144	(1)
Substance Abuse and the Family System	145	(1)
Stages in Family Recovery	146	(13)
Effects on Children	159	(5)
Summary	164	(1)
Questions for Thought and Discussion	165	(1)
References	166	(3)
7 MAINTAINING CHANGE IN SUBSTANCE-USE BEHAVIORS	169	(23)
Relapse-Prevention Models	171	(4)
Determinants of Relapse	175	(5)
Relapse-Prevention Strategies	180	(7)
Case Example	187	(2)
Summary	189	(1)
Questions for Thought and Discussion	189	(1)
References	190	(2)
8 PREVENTING SUBSTANCE ABUSE	192	(27)
The Concept of Prevention	193	(2)
General Models of Prevention	195	(3)
Determining the Purpose of Prevention	198	(2)
Developing a Causal Model	200	(2)
Producing Change	202	(9)
Developing Effective Prevention Programs	211	(3)
Summary	214	(1)
Questions for Thought and Discussion	215	(1)
References	216	(3)
9 PROGRAM PLANNING AND EVALUATION	219	(25)
Program Planning	219	(10)
Evaluation	229	(11)
Summary	240	(1)
Questions for Thought and Discussion	241	(1)
References	242	(2)
APPENDIXES	244	(37)
A. Psychosocial and Substance-Use History	244	(17)
B. Initial Behavioral Assessment and Functional Analysis	261	(7)
C. Comprehensive Drinker Profile	268	(6)
D. Michigan Alcoholism Screening Test	274	(3)
E. Questionnaire on Drinking and Drug Abuse	277	(4)
AUTHOR INDEX	281	(4)
SUBJECT INDEX	285