Treating Adolescent Substance Abuse Using Family Behavior Therapy: A Step–by–Step Approach

Praise for Treating Adolescent Substance Abuse Using Family Behavior Therapy

"This is an extremely positive and strength–focused text that provides therapists with a structure and the tools to implement interventions that have a long history of promoting the types of clinical changes desired by family members and community stakeholders." From the Foreword by Scott W. Henggeler, PhD, Professor, Department of Psychiatry and Behavioral Sciences, and Director, Family Services Research Center, Medical University of South Carolina

"Kudos to Donohue and Azrin for writing a book that includes all the materials needed to implement FBT with adolescents, including prompting checklists, handouts, and worksheets." Karol Kumpfer, PhD, Professor, Health Promotion & Education, and Chair, International Study Abroad Committee, College of Health, University of Utah, and former director, SAMHSA′s Center for Substance Abuse Prevention

"Treating Adolescent Substance Abuse Using Family Behavior Therapy is an important resource for those who wish to provide an empirically supported, strengths–based, behavioral treatment for adolescents with substance–use problems and their parents." Susan Harrington Godley, RhD, Senior Research Scientist and EBT Coordinating Center Director, and Mark D. Godley, PhD, Director, Research & Development, Chestnut Health Systems

"In my practice with adolescents, FBT has proven exceptionally effective in drawing families closer together and yielding improved outcomes. This remarkably supportive approach helps young people develop critical skills necessary to live a fulfilling and drug–free lifestyle. This book clearly illustrates how to implement the interventions with ease and exemplifies the deeply gratifying experience of FBT." Stephen A. Culp, MEd, NCC, LPCC, Addiction Services Therapist, Comprehend, Inc., Maysville, KY

Listed in multiple national clearinghouses, including SAMHSA′s National Registry of Evidence–based Programs and Practices and the CEBC, Family Behavior Therapy (FBT) is a scientifically supported treatment for adolescent substance abuse and its many associated problems. Written by Brad Donohue and Nathan Azrin the premier researchers and practitioners of FBT Treating Adolescent Substance Abuse Using Family Behavior Therapy is the first book of its kind to provide mental health professionals with the practical, step–by–step guidance needed to use this evidence–based treatment.

Filled with case studies, checklists, worksheets, and handouts, this essential guide features:

Strategies to assist in effective goal–setting, treatment plans, and family management

Motivational enhancement exercises to encourage youth into a problem–free lifestyle

Methods to effectively address contextual issues such as noncompliance and culture

Standardized treatments to assist in eliminating problems that coexist with substance abuse, including unemployment, depression, behavioral misconduct, and family dysfunction

An accompanying CD–ROM contains all the book′s record–keeping forms, checklists, assignments, progress notes, agendas, and worksheets in a customizable format.

Preface viii

Acknowledgments xi

Chapter 1 Introduction to Family Behavior Therapy 1

Chapter 2 Infrastructure 29

Chapter 3 Therapeutic Style, Techniques, and Implementation Strategies 59

Chapter 4 Establishing Effective Agendas for Treatment Sessions 77

Chapter 5 Probing Negative and Positive Consequences to Determine Core Motivation 85

Chapter 6 Establishing and Rewarding Goal Attainment With Family Support 103

Chapter 7 Developing a Successful Treatment Plan 133

Chapter 8 Reviewing Past Appreciations to Improve Current Relationships 141

Chapter 9 Improving Communication With Positive Requests 155

Chapter 10 Restructuring the Environment to Facilitate a Drug–Free Lifestyle 171

Chapter 11 Using Self–Control to Manage Negative Behaviors, Thoughts, and Feelings 203

Chapter 12 Gaining Employment 231

Chapter 13 Concluding Treatment and Planning for Success 249

References 255

About the Authors 261

Author Index 263

Subject Index 265

About the CD–ROM 273

BRAD DONOHUE is a licensed clinical psychologist and Professor in the Department of Psychology at the University of Nevada, Las Vegas. He is director of the Family Research Services, which is focused on developing evidence–based treatments that include family support.

NATHAN H. AZRIN is retired from Nova Southeastern University′s Center for Psychological Studies, where he was professor for thirty years. He has received numerous awards, including the Distinguished Scientific Award for the Applications of Psychology from the American Psychological Association.