Preface | p. xv |
The Role of the Mental Health Professional in Prevention and Treatment | p. 1 |
The Need for Generalist Training | p. 3 |
Philosophical Orientation | p. 5 |
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 |
Comprehensive Drug Abuse Prevention and Control Act | p. 12 |
The Concept of Dangerousness | p. 13 |
Definitions | p. 14 |
Central Nervous System Depressants | p. 15 |
Central Nervous System Stimulants | p. 18 |
Opioids | p. 21 |
Hallucinogens | p. 23 |
Cannabinols | p. 25 |
Inhalants and Volatile Hydrocarbons | p. 27 |
Anabolic Steroids | p. 28 |
Club Drugs | p. 30 |
Drugs Used in the Treatment of Mental Disorders | p. 31 |
Summary | p. 33 |
Additional Reading | p. 33 |
Internet Resources | p. 33 |
Further Discussion | p. 34 |
Models of Addiction | p. 35 |
The Moral Model | p. 36 |
Sociocultural and Psychological Models of Addiction | p. 37 |
Disease Concept of Addiction | p. 39 |
Biopsychosocial Model of Addiction | p. 46 |
Summary | p. 49 |
Internet Resources | p. 49 |
Further Discussion | p. 50 |
MyHelpingLab Assignment | p. 50 |
Culturally and Ethnically Diverse Groups | p. 51 |
Native Americans and Alaska Natives | p. 52 |
Asian Americans and Pacific Islanders | p. 58 |
African Americans | p. 63 |
Latino and Hispanic Populations | p. 69 |
Persons with Disabilities and the Elderly | p. 74 |
Helping Culturally and Ethnically Diverse Populations | p. 75 |
Summary | p. 79 |
Internet Resources | p. 81 |
Further Discussion | p. 81 |
Confidentiality and Ethical Issues | p. 82 |
Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR) | p. 83 |
Health Insurance Portability and Accountability Act (HIPAA) | p. 89 |
Drug Testing | p. 89 |
Documentation | p. 90 |
Ethics | p. 91 |
Application of Confidentiality Regulations | p. 93 |
Summary | p. 95 |
Internet Resources | p. 95 |
Further Discussion | p. 96 |
MyHelpingLab Assignment | p. 96 |
Assessment and Diagnosis | p. 97 |
Definitions of Use, Misuse, Abuse, and Dependence or Addiction | p. 98 |
Psychosocial History | p. 100 |
Signs of Adolescent Substance Abuse | p. 106 |
Self-Report Inventories | p. 107 |
Referral | p. 112 |
Diagnosis | p. 114 |
Summary | p. 118 |
Internet Resources | p. 118 |
Further Discussion | p. 119 |
MyHelpingLab Assignments | p. 119 |
Client Engagement and Brief Interventions | p. 120 |
Client Engagement | p. 122 |
Motivational Interviewing | p. 122 |
Brief Interventions | p. 129 |
Summary | p. 131 |
Internet Resources | p. 131 |
Further Discussion | p. 131 |
MyHelpingLab Assignments | p. 132 |
Treatment of AOD Problems | p. 133 |
How Many Are in Treatment? How Many Need Treatment? | p. 133 |
What Happens in Treatment? | p. 134 |
Treatment Strategies and Techniques | p. 138 |
Treatment Settings | p. 144 |
Principles of Effective Treatment | p. 147 |
Evidence-Based Treatment | p. 149 |
Treatment and Special Populations | p. 149 |
Treatment Effectiveness | p. 155 |
Client-Treatment Matching | p. 157 |
Special Problems in Treatment | p. 158 |
Summary | p. 162 |
Internet Resources | p. 163 |
Further Discussion | p. 163 |
MyHelpingLab Assignment | p. 163 |
Relapse Prevention and Recovery | p. 164 |
Need for Generalist Training in Relapse Prevention | p. 165 |
Definitions of Slip and Relapse | p. 165 |
Frequency of Slips and Relapse | p. 166 |
Is Relapse in Addiction Similar to Other Chronic Conditions? | p. 167 |
Models of Relapse Prevention | p. 167 |
Essential Components of Relapse Prevention | p. 171 |
Preventing Slips from Escalating | p. 178 |
Recovery | p. 179 |
Summary | p. 180 |
Internet Resources | p. 181 |
Further Discussion | p. 181 |
MyHelpingLab Assignment | p. 181 |
Twelve-Step and Other Types of Support Groups | p. 182 |
Alcoholics Anonymous | p. 183 |
Other Twelve-Step Groups | p. 190 |
Advantages and Disadvantages of Twelve-Step Groups | p. 191 |
Other Types of Support Groups | p. 193 |
Summary | p. 197 |
Internet Resources | p. 197 |
Further Discussion | p. 198 |
MyHelpingLab Assignments | p. 198 |
Children and Families | p. 199 |
Children's Exposure to Alcohol and Other Drugs | p. 200 |
Family Exposure to Alcohol and Other Drugs | p. 204 |
Intergenerational Transmission of Alcoholism | p. 215 |
Women and Alcoholism | p. 216 |
Stepfamilies: System and Structure | p. 220 |
Helping Families | p. 221 |
Summary | p. 226 |
Internet Resources | p. 227 |
Further Discussion | p. 227 |
Adult Children and Codependency | p. 228 |
Adult Children of Alcoholics (ACOAs) | p. 229 |
Assessment and Treatment Considerations | p. 231 |
ACOAs and Diversity | p. 233 |
Codependency | p. 234 |
Implications for Mental Health Professionals | p. 240 |
Relationship of ACOA, AA, Al-Anon, and Codependency | p. 243 |
Codependency and Diversity | p. 245 |
Summary | p. 252 |
Internet Resources | p. 253 |
Further Discussion | p. 254 |
HIV/AIDS | p. 255 |
Incidence and Prevalence | p. 255 |
Myths and Facts about HIV and AIDS | p. 256 |
Risk Factors and High-Risk Populations | p. 260 |
Assessment of Clients for HIV and AIDS: Signs and Symptoms | p. 265 |
Helping HIV-Infected Clients | p. 265 |
HIV-Related Issues Specific to the Helping Professional | p. 272 |
Summary | p. 273 |
Internet Resources | p. 274 |
Further Discussion | p. 275 |
Gambling and Other Addictions | p. 276 |
Prevalence of Gambling and Gambling Problems | p. 277 |
Definitions of Gamblers and Problem Gambling | p. 280 |
Assessment and Diagnosis | p. 281 |
Treatment, Resources, and Support | p. 284 |
Other Addictions | p. 286 |
Food Addiction: The Eating Disorders | p. 289 |
Addiction to Sex and Love | p. 296 |
Internet Addiction | p. 297 |
Addiction to Work: Workaholism | p. 300 |
Assessment and Treatment Issues | p. 303 |
Summary | p. 308 |
Internet Resources | p. 310 |
Further Discussion | p. 310 |
Prevention | p. 311 |
Why Are Prevention Efforts Needed? | p. 311 |
Policy Issues in Prevention | p. 312 |
Prevention Classification Systems | p. 317 |
What Works in Prevention | p. 320 |
Evidence-Based Prevention | p. 328 |
Prevention Resources | p. 328 |
Summary | p. 329 |
Internet Resources | p. 329 |
Further Discussion | p. 329 |
References | p. 330 |
Index | p. 367 |
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