Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors

by Fisher, Gary L.; Harrison, Thomas C.

• ISBN13: 9780205306220
• ISBN10: 0205306225
• Edition: 2nd
• Format: Paperback
• Copyright: 2000-01-01
• Publisher: Allyn & Bacon

Summary

Substance Abuse, Second Edition, continues to provide counseling, social work, and other students with a detailed overview of the alcohol and other drug field. The new edition provides updated coverage and clinical examples to reflect the rapid changes in this area. New information includes the discussions of the latest edition of the Substance Abuse Subtle Screening Inventory, co-occurring disorders, and a section on the effect of managed care on professional ethics. The authors present balanced coverage of different treatment models as well as objective discussions of the controversies in the field.

Table of Contents

Preface	ix
1 The Role of the Mental Health Professional in Prevention and Treatment	1	(12)
The Need for Generalist Training	3	(2)
Philosophical Orientation	5	(1)
Attitudes and Beliefs	6	(1)
Denial, Minimization, Projection, and Rationalization	7	(2)
Helping Attitudes and Behaviors	9	(2)
Overview of the Book	11	(2)
2 Classification of Drugs	13	(23)
Comprehensive Drug Abuse Prevention and Control Act	13	(1)
The Concept of Dangerousness	14	(1)
Definitions	15	(1)
Central Nervous System Depressants	16	(3)
Central Nervous System Stimulants	19	(4)
Opioids	23	(2)
Hallucinogens	25	(2)
Cannabinols	27	(3)
Inhalants and Volatile Hydrocarbons	30	(1)
Anabolic Steroids	31	(2)
Drugs Used in the Treatment of Mental Disorders	33	(2)
Additional Reading	35	(1)
3 Models of Addiction	36	(16)
The Moral Model	37	(1)
Sociocultural and Psychological Models of Addiction	38	(3)
Medical Model of Addiction: The Disease Concept	41	(7)
The Biopsychosocial Model of Addiction	48	(3)
Summary	51	(1)
4 Culturally and Ethnically Diverse Groups	52	(31)
Native Americans and Alaska Natives	54	(7)
Asian Americans	61	(5)
African Americans	66	(7)
Latino/Hispanic Populations	73	(6)
Helping Culturally and Ethnically Diverse Populations	79	(3)
Summary	82	(1)
5 Assessment and Diagnosis	83	(25)
Definitions of Use, Misuse, Abuse, and Dependence/Addiction	84	(2)
Psychosocial History	86	(8)
Signs of Adolescent Substance Abuse	94	(1)
Self-Report Inventories	95	(5)
Referral	100	(2)
Diagnosis	102	(5)
Summary	107	(1)
6 Intervention	108	(16)
Definition of Intervention	110	(1)
The Johnson Model of Intervention	110	(4)
Effectiveness of Intervention and Coercive Treatment	114	(1)
Motivational Interviewing	114	(8)
Summary	122	(2)
7 Treatment of AOD Problems	124	(31)
What Happens in Treatment?	124	(4)
Treatment Strategies and Techniques	128	(7)
Treatment Settings	135	(3)
Substance Abuse Treatment and Managed Care	138	(3)
Treatment and Special Populations	141	(6)
Treatment Effectiveness	147	(1)
Client-Treatment Matching	148	(2)
Special Problems in Treatment	150	(4)
Summary	154	(1)
8 Twelve-Step and Other Types of Support Groups	155	(17)
Alcoholics Anonymous	156	(8)
Other Twelve-Step Groups	164	(1)
Advantages and Disadvantages of Twelve-Step Groups	165	(2)
Other Types of Self-Help Groups	167	(4)
Summary	171	(1)
9 Families	172	(25)
Family Homeostasis	173	(1)
Roles	174	(3)
Family Rules	177	(3)
Underlying Family Themes	180	(2)
Family Subsystems and Boundaries	182	(5)
Stepfamilies: System and Structure	187	(2)
Helping Families	189	(4)
Case Example	193	(3)
Summary	196	(1)
10 Children from Chemically Dependent Families	197	(18)
Children of Alcoholics (COAs)	198	(4)
Children Interpersonally Exposed to Alcohol and Drug Abuse	202	(3)
Adult Children of Alcoholics (ACOAs)	205	(7)
Assessment and Treatment Considerations	212	(2)
Summary	214	(1)
11 Codependency	215	(21)
Definitions of Codependency	217	(1)
Characteristics of Codependent Individuals	218	(2)
Criticisms of Codependency	220	(4)
Two Case Examples	224	(6)
Implications for Mental Health Professionals	230	(5)
Summary	235	(1)
12 Relapse Prevention	236	(17)
Need for Generalist Training in Relapse Prevention	237	(1)
Definition of Slip and Relapse	238	(1)
Frequency of Slips and Relapse	238	(1)
Models of Relapse Prevention	239	(5)
Essential Components to Relapse Prevention	244	(7)
Preventing Slips from Escalating	251	(1)
Summary	252	(1)
13 HIV/AIDS	253	(24)
Prevalence and Incidence	253	(3)
Myths and Facts about HIV and AIDS	256	(3)
Risk Factors and High-Risk Populations	259	(6)
Assessment of Clients for HIV and AIDS: Signs and Symptoms	265	(2)
Helping HIV-Infected Clients	267	(6)
HIV-Related Issues Specific to the Helping Professional	273	(3)
Summary	276	(1)
14 Other Addictions	277	(29)
Two Points of View about Other Addictions	277	(3)
Food Addiction: The Eating Disorders	280	(6)
Gambling Addictions	286	(2)
Addiction to Sex and Love	288	(2)
Addiction to Work: Workaholism	290	(3)
Theoretical Paradigms and Other Addictions	293	(7)
Assessment and Treatment Issues	300	(4)
Summary	304	(2)
15 Prevention	306	(23)
Why Are Prevention Efforts Needed?	306	(2)
Policy Issues in Prevention	308	(4)
Prevention Classification Systems	312	(6)
What Works in Prevention	318	(9)
Prevention Resources	327	(1)
Summary	327	(2)
16 Confidentiality and Ethical Issues	329	(14)
Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR)	330	(6)
The Family Educational Rights and Privacy Act (FERPA) and the Hatch Amendment	336	(1)
Documentation	337	(1)
Ethics	338	(2)
Application of Confidentiality Regulations	340	(2)
Summary	342	(1)
References	343	(23)
Index	366