Substance Use Disorders: Assessment and Treatment

Substance Use Disorders: Assessment and Treatment is a summary of everything a therapist should know about substance abuse in one easy-to-read comprehensive book. The book begins with a discussion of the pharmacology of specific drug classes (opioids, hallucinogens, etc.) and the epidemiology of abuse. It then presents psychological theories of substance abuse, the initiation and progression of substance abuse disorders, issues of prevention and early intervention, and screening and assessment for substance abuse (including specific tests for assessment) and discusses in detail the various treatment methodologies available. Two final chapters explore issues relevant to special populations and legal and ethical considerations, regarding issues such as confidentiality and coerced treatment.

A synthesis of the current research and clinical literatureIncludes strengths and weaknesses of commonly used psychometric assessment measuresPresentation and review of a complete Psychosocial/Substance Use Assessment formDiscussion of treatment settings and criteria for placement decisionsDiscussion of treatment alternatives and effectiveness of major pharmacological and psychotherapeutic approachesDiscussion of factors leading to Relapse, and components of Relapse Prevention programs

Clinical Pharmacology and Clinical Epidemiology of Psychoactive Substances
Definitions and General Concepts of Pharmacology
Pharmacology of Individual Drugs
Clinical Epidemiology of Psychoactive Substances
Etiology of Psychoactive Substance Use Disorders
Overview
Theories of Etiology
Initiation, Progression, and Maintenance of Psychoactive Substance Use Disorders
Stage Models of Adolescent Substance Use
Risk Factors
Adult Model of Substance Use
Course/Natural History of Psychoactive Substance Use Disorders
The Disease Model
Models of Progression of Substance Use
Prevention, Early Intervention, and Harm Reduction
General Perspective
Types of Prevention
Supply Reduction/Legal Interventions
Risk and Protective Factors
Skills Training
Community-Based Prevention
School-Based Programs
Parenting/Family Interventions
Related Risks/Harm Reduction
Screening and Assessment of Psychoactive Substance Use
Overview of the Assessment Process
Alcohol Screening Instruments
Drug Screening Instruments
Biological Screening Measures
Diagnostic Instruments
Areas to Assess for Treatment Planning Purposes
Diagnosis and Comorbidity
Definition and Prevalence
Diagnostic Issues of the Dually Impaired
Treatment of the Dually Diagnosed
Treatment I: Models and Approaches
Treatment Settings and Services
Major Theoretical Treatment Approaches
Additional Psychological Therapies
Role of Pharmacotherapy
Treatment Effectiveness/Outcome Studies
Alternative Treatments
Treatment II: Planning, Implementing, and Managing Treatment and the Course of Recovery
Phases of Recovery
Relapse Parameters
Treatment Goals
Detoxification
Engagement of Patients in Treatment
Client-Treatment Matching
Treatment of Family Members of Substance Abusers
Linkage of Services
Treatment of Criminal Offenders
Self-Help Groups
Issues in Specific Populations
Impaired Physicians
Ethnic Minorities
Women
HIV/AIDS
The Elderly Population
The Homeless Population
Legal and Ethical Issues
Confidentiality
Responsibility to Diagnose and Treat Substance Use Disorders
Coerced Treatment
Treatment of Pregnant Mothers
Americans with Disabilities Act (ADA)