Gary L. Fisher is Professor in the College of Health Sciences at the University of Nevada, Reno. He was the founder and first director of the Center for the Application of Substance Abuse Technologies where he developed undergraduate, graduate, and continuing education activities for addiction counselors, prevention specialists, and allied professionals. Dr. Fisher’s career has spanned 38 years and includes work as a private practice clinician and a public school psychologist. In addition to this textbook, he is the author of Rethinking Our War on Drugs: Candid Talk about Controversial Issues (2006), the senior editor of the Encyclopedia of Substance Abuse Prevention, Treatment, and Recovery (2009), and the author of Understanding Why Addicts are Not All Alike: Recognizing the Types and How Their Differences Affect Intervention and Treatment (2011).
Thomas Harrison is Associate Dean in the College of Education and Professor of Counseling and Educational Psychology at the University of Nevada, Reno. He developed the initial drug testing program for the University of Florida Athletic Department and has been a consultant for the State of Nevada Bureau of Alcohol and Drug Abuse. Dr. Harrison’s career has spanned 35 years in the field, including private counseling, sports psychology, and consulting practice. He is the author of Consultation for Contemporary Helping Professionals (2004) and several articles in professional journals.
The Role of the Mental Health Professional in Prevention and Treatment | p. 1 |
The Need for Generalist Training | p. 3 |
Philosophical Orientation | p. 4 |
Professional Orientation | p. 6 |
Attitudes and Beliefs | p. 6 |
Denial, Minimization, Projection, and Rationalization | p. 7 |
Helping Attitudes and Behaviors | p. 8 |
Overview of the Book | p. 10 |
Classification of Drugs | p. 12 |
Case Examples | p. 12 |
Comprehensive Drug Abuse Prevention and Control Act | p. 13 |
The Concept of Dangerousness | p. 13 |
Definitions | p. 14 |
The Neurobiology of Drugs | p. 15 |
Central Nervous System Depressants | p. 16 |
Central Nervous System Stimulants | p. 21 |
Opioids | p. 24 |
Hallucinogens | p. 26 |
Cannabinols | p. 27 |
Inhalants and Volatile Hydrocarbons | p. 29 |
Anabolic Steroids | p. 30 |
Club Drugs | p. 31 |
Drugs Used in the Treatment of Mental Disorders | p. 32 |
Summary | p. 34 |
Additional Reading | p. 35 |
Internet Resources | p. 35 |
Further Discussion | p. 35 |
Models of Addiction | p. 36 |
Case Examples | p. 36 |
The Moral Model | p. 39 |
Sociocultural Models of Addiction | p. 39 |
Psychological Models of Addiction | p. 40 |
Biopsychosocial Models of Addiction | p. 48 |
Summary | p. 50 |
Internet Resources | p. 50 |
Further Discussion | p. 50 |
Culturally and Ethnically Diverse Populations | p. 51 |
Case Examples | p. 51 |
Native Americans and Alaska Natives | p. 53 |
Asian Americans and Pacific Islanders | p. 58 |
African Americans | p. 64 |
Latino and Hispanic Populations | p. 71 |
The Elderly, Disabled, and Sexual Minority Populations | p. 75 |
Helping Culturally and Ethnically Diverse Populations | p. 78 |
Summary | p. 84 |
Internet Resources | p. 85 |
Further Discussion | p. 85 |
Confidentiality and Ethical Issues | p. 86 |
Case Examples | p. 86 |
Confidentiality: | p. 42 |
Code of Federal Regulations, Part 2 (42 CFR) | p. 87 |
Confidentiality and School Counseling | p. 93 |
Health Insurance Portability and Accountability Act (HIPAA) | p. 93 |
Drug Testing | p. 94 |
Documentation | p. 95 |
Ethics | p. 95 |
Application of Confidentiality Regulations | p. 98 |
Summary | p. 100 |
Internet Resources | p. 100 |
Further Discussion | p. 100 |
Screening, Assessment, and Diagnosis | p. 101 |
Case Examples | p. 101 |
Definitions of Use, Misuse, Abuse, and Dependence or Addiction | p. 103 |
Screening | p. 104 |
Psychosocial History | p. 105 |
Signs of Adolescent Substance Abuse | p. 111 |
Self-Report Inventories | p. 112 |
Referral | p. 114 |
Diagnosis | p. 116 |
Summary | p. 121 |
Internet Resources | p. 121 |
Further Discussion | p. 121 |
Motivational Interviewing and Brief Interventions | p. 122 |
Case Examples | p. 122 |
Client Engagement | p. 124 |
Motivational Interviewing | p. 124 |
Ml Applications to Case Examples | p. 131 |
Brief Interventions | p. 132 |
Summary | p. 135 |
Internet Resources | p. 135 |
Further Discussion | p. 135 |
Treatment of Aod Problems | p. 136 |
Case Examples | p. 136 |
Recovery-Oriented Systems of Care | p. 137 |
How Many Are in Treatment? How Many Need Treatment? | p. 138 |
What Happens in Treatment? | p. 138 |
Treatment Strategies and Techniques | p. 142 |
Treatment Settings | p. 147 |
Principles of Effective Treatment | p. 150 |
Evidence-Based Treatment | p. 152 |
Treatment and Special Populations | p. 153 |
Case Example Applications | p. 160 |
Treatment Effectiveness | p. 160 |
Special Problems in Treatment | p. 162 |
Summary | p. 166 |
Internet Resources | p. 167 |
Further Discussion | p. 167 |
Relapse Prevention and Recovery | p. 168 |
Case Example | p. 168 |
Need for Generalist Training in Relapse Prevention | p. 169 |
Definition of Slip and Relapse | p. 169 |
Frequency of Slips and Relapses | p. 170 |
Is Relapse in Addiction Similar to Other Chronic Conditions? | p. 170 |
Models of Relapse Prevention | p. 171 |
Essential Components of Relapse Prevention | p. 175 |
Preventing Slips from Escalating | p. 182 |
Recovery | p. 182 |
Summary | p. 185 |
Internet Resources | p. 186 |
Further Discussion | p. 186 |
Twelve-Step and Other Types of Support Groups | p. 187 |
Case Examples | p. 187 |
Alcoholics Anonymous | p. 189 |
Other Twelve-Step Groups | p. 195 |
Advantages and Disadvantages of Twelve-Step Groups | p. 196 |
Other Types of Support Groups | p. 198 |
Case Example Applications | p. 201 |
Summary | p. 202 |
Internet Resources | p. 202 |
Further Discussion | p. 202 |
Children and Families | p. 203 |
Case Examples | p. 203 |
Children's Exposure to Alcohol and Other Drugs | p. 205 |
Family Exposure to Alcohol and Other Drugs | p. 211 |
Intergenerational Transmission of Alcoholism | p. 221 |
Women and Alcoholism | p. 221 |
Stepfamilies: System and Structure | p. 225 |
Helping Families | p. 226 |
Summary | p. 231 |
Internet Resources | p. 232 |
Further Discussion | p. 232 |
Adult Children and Codependency | p. 233 |
Case Examples | p. 233 |
Adult Children of Alcoholics (ACOAs) | p. 235 |
Assessment and Treatment Considerations | p. 237 |
Codependency | p. 239 |
Implications for Mental Health Professionals | p. 244 |
Relationship of ACOA, AA, Al-Anon, and Codependency | p. 246 |
Codependency and Diversity | p. 248 |
Summary | p. 254 |
Internet Resources | p. 255 |
Further Discussion | p. 255 |
HIV/AIDS | p. 256 |
Case Examples | p. 256 |
Incidence and Prevalence | p. 257 |
Myths and Facts about HIV and AIDS | p. 258 |
Risk Factors and High-Risk Populations | p. 262 |
Assessment of Clients for HIV and AIDS: Signs and Symptoms | p. 267 |
Helping HIV-infected Clients | p. 267 |
HIV-Related Issues Specific to the Helping Professional | p. 273 |
Summary | p. 276 |
Internet Resources | p. 276 |
Further Discussion | p. 277 |
Gambling and Other Addictions | p. 278 |
Case Examples | p. 278 |
Prevalence of Gambling and Gambling Problems | p. 279 |
Definitions of Gamblers and Problem Gambling | p. 282 |
Assessment and Diagnosis | p. 283 |
Treatment, Resources, and Support | p. 286 |
Other Addictions | p. 288 |
Food Addiction: The Eating Disorders | p. 290 |
Addiction to Sex and Love | p. 296 |
Internet Addiction | p. 298 |
Addiction to Work: Workaholism | p. 301 |
Assessment and Treatment Issues | p. 302 |
Summary | p. 308 |
Internet Resources | p. 309 |
Further Discussion | p. 310 |
Prevention | p. 311 |
Case Examples | p. 311 |
Why Are Prevention Efforts Needed? | p. 312 |
Policy Issues in Prevention | p. 313 |
Prevention Classification Systems | p. 316 |
What Works in Prevention | p. 320 |
Case Example Applications | p. 327 |
Evidence-Based Prevention | p. 327 |
Prevention Resources | p. 328 |
Prevention Specialists | p. 328 |
Summary | p. 329 |
Internet Resources | p. 329 |
Further Discussion | p. 329 |
References | p. 330 |
Index | p. 364 |
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