Foundations of Addictions Counseling (The Merrill Counseling Series)

A practical collection of tools and strategies for prospective addictions counselors that includes a solid foundation of research, theory, and history. Practical and comprehensive, Foundations of Addiction Counseling explores an array of techniques and skills that a new practitioner will need in the real world while providing a thorough review of the research, theory, and history of addiction counseling. With chapters written by expert scholars, this text covers many topics in depth often ignored by other comparable books, such as multiple chapters on cross-cultural counseling, professional issues in addictions counseling, the assessment of client strengths, gender issues in substance use, working in rehabilitation centers, and working with clients with disabilities. Combining practice, research, and theory, the 4th Edition of this unique text offers students the tools and strategies they need for successful practice. The revised edition includes new case studies, extended discussion in the chapters dedicated to substance and process addictions (Chs. 2-3), a thoroughly updated chapter on maintenance and relapse prevention (Ch. 13), and an expanded chapter on substance use and families (Ch 14). Also available with MyLab Counseling By combining trusted author content with digital tools and a flexible platform, MyLab personalizes the learning experience and improves results for each student. MyLab Counseling organizes all assignments around essential learning outcomes and the CACREP standards – enabling easy course alignment and reporting. Note: You are purchasing a standalone product; MyLab Counseling does not come packaged with this content. Students, if interested in purchasing this title with MyLab Counseling, ask your instructor to confirm the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information. If you would like to purchase both the physical text and MyLab Counseling, search for: 013516687X / 9780135166871 Foundations of Addictions Counseling plus MyLab Counseling with Pearson eText -- Access Card Package, 4/e Package consists of: 0135166934 / 9780135166932 Foundations of Addictions Counseling 013518455X / 9780135184554 MyLab Counseling with Pearson eText -- Access Card -- Foundations of Addictions Counseling , 4/e Welcome Welcome Copyright Preface Contributors Contents 1: History and Etiological Models of Addiction Introduction: History and Etiological Models of Addiction Approaches to the Prevention of Addiction in the United States Current Policies Influencing Prevention Models for Explaining the Etiology of Addiction Family Models The Public Health Model Sociocultural Models Multicausal Models Summary and Some Final Notations 2: Substance Addictions Introducton: Substance Addictions Substances of Addiction Sedatives/Hypnotics Opioids Stimulants Cannabinoids Neurobiology and the Physiology of Addiction Neurobiological Research: Understanding Loss of Control and Continued Use Summary and Some Final Notations 3: Process Addictions Introduction: Process Addictions Gambling Addiction Technology Addiction Internet Gaming Disorder Sexual Addiction Work Addiction Compulsive Buying Food Addiction and Disordered Eating Summary and Some Final Notations 4: Professional Issues in Addictions Counseling Introduction: Professional Issues in Addictions Counseling Counselor Competence Clinical Knowledge of Polysubstance Disorder Boundary Violation Issues Counselors in Recovery Counselors Who Have Never Been Users Credentialing Licensure Treatment and Research Issues Measuring Outcomes and Efficacy of Treatment Future Trends Summary and Some Final Notations 5: Introduction to Assessment Introduction: Introduction to Assessment Philosophical Foundations of Addictions Counseling Holistic Approaches: Assessing the Whole Person ASAM and The Physiology of Addiction Client Collaboration in Addictions Counseling The Role of an Addictions Assessor Key Points About Human Assessment External Consequences of Addiction Assessmensst Across the Treatment Process Addictions Assessment Process Client Presentation and Functioning Current and Past Use and Addictive Behaviors Summary and Some Final Notations 6: Assessment and Diagnosis of Substance-Related and Addictive Disorders Introduction: Assessment and Diagnosis of Substance-Related and Addictive Disorders Diagnosing Using DSM-5 Why Use Standardized Assessments? Philosophical Underpinning of Instrument Construction How to Know Which Screen to Use Substance Use Disorder Instruments Counselor-Initiated Comprehensive Substance Abuse Assessment Summary of Substance Use Disorder Screens Gambling Disorder Instruments Other Process Addiction Instruments Summary and Some Final Notations 7: Motivational Interviewing Introduction: Motivational Interviewing Overview: Motivational Interviewing The Stages-of-Change Model Change and Resistance Motivational Interviewing: Helping Clients Achieve Change Motivational Interviewing Techniques: Early in the Change Process The Role of Resistance in the Change Process Reducing Resistance Guiding the Change Process: More Motivational Interviewing Techniques Advantages and Disadvantages of Motivational Interviewing Summary and Some Final Notations 8: Psychotherapeutic Approaches Introduction: Psychotherapeutic Approaches Counselor Beliefs and Behaviors Empirically Supported Treatment Approaches Behavioral and Cognitive-Behavioral Assumptions and Practices Cognitive-Behavioral Interventions that Target Triggers Contingency Management and Behavior Contracting Mindfulness-Based Approaches Brief Interventions Solution-Focused Counseling Solution-Focused Assumptions and Practices Useful in Addictions Counseling Notice the Difference Harm Reduction Summary and Some Final Notations 9: Treatment of Comorbid Disorders Introduction: Treatment of Comorbid Disorders How Mental Health Systems Have Adapted to Clients With Co-Occurring Disorders Prevalence of Comorbidity Assessment Treatment and Care Needs Comorbid Treatment Models Alternative Models Other Treatment Issues Multidisciplinary Treatment Team A Brief Description of the Counseling Process that Leads to Treatment Planning Biopsychosocial History from Interview and Sessions Mental Status Evaluation Issues-Based Diagnostic Summary Summary and Some Final Notations 10: Group Counseling for Treatment of Addictions Introduction: Group Counseling for Treatment of Addictions Theory Behind Group Work Group Treatment of Addiction An Overview of Types of Groups Psychotherapeutic Groups Self-Help Groups Ethical and Legal Issues with Groups Confidentiality Group Conflict Managing Diversity in Group Settings Sexuality Group Counseling for Family Members of Addicts Issues Commonly Addressed In Group Counseling Diversity Considerations for Group Leaders Strategies for Effective Group Treatment Summary and Some Final Notations 11: Addiction Pharmacotherapy Introduction: Addiction Pharmacotherapy Rationale for a Chapter on Pharmacotherapy of Addiction Terms and Concepts Key Concepts of Neurology in Pharmacotherapy Diversity and Pharmacotherapy Key Concepts of Neurotransmitters in Pharmacotherapy Key Concepts of Pharmacokinetics in Pharmacotherapy Key Concepts of Pharmacodynamics in Pharmacotherapy A Biological Theory of Craving The Professional Counselor’s Role in Addiction Pharmacotherapy Application Example: Pharmacotherapy of Alcohol Use Disorder Alcohol Use Disorder: Mainline Pharmacotherapy Alcohol Use Disorder: Comparative Efficacy of Pharmacotherapies Glossary of Pharmacotherapy Terms Summary and Some Final Notations 12: 12-Step Facilitation of Treatment Introduction: 12-Step Facilitation of Treatment History: Development of 12-Step Groups The Group Process: How 12-Step Groups Work The Role of Sponsors in Recovery Do 12-Step Programs Really Work? Specific Advantages and Disadvantages of 12-Step Groups Addressing Spirituality in 12-Step Groups Using the 12-Step Group as Part of Treatment The Role of the Counselor How Can I Learn More About Groups? Summary and Some Final Notations 13: Maintenance and Relapse Prevention Introduction: Maintenance and Relapse Prevention Maintenance Pharmacotherapy and Medication Management Lapses and Relapses Conceptualization of Relapse Stages of Relapse Relapse Prevention Relapse Prevention Considerations Developing a Management Plan Cognitive-Behavioral Therapy Peer Recovery Support Specialists Technology-Assisted Recovery and RP Summary and Some Final Notations 14: Substance Addiction and Families Introduction: Substance Addiction and Families Addiction and the Family Stages in Addicted Family Systems Substance Use and Addiction and the Couple Substance Use and Addiction and Children Psychosocial Outcomes Counseling Addicted Family Systems Treatment Approaches for Addicted Family Systems Summary and Some Final Notations 15: Persons with Disabilities and Substance-Related and Addictive Disorders Introduction: Persons with Disabilities and Substance-Related and Addictive Disorders Characteristics and Status of People with Disabilities and Addictions Risk Factors for Persons with Disabilities Economic and Employment Risk Factors Sociocultural Factors Treatment Utilization and Outcomes Summary and Some Final Notations 16: Substance Addiction Prevention Programs Across the Lifespan Introduction: Substance Addiction Prevention Programs Across the Lifespan Evidence-Based Prevention Programs Program Needs Assessment Substance Use and Addiction by the Numbers Prevention Programs Targeting Children and Adolescents Prevention Programs Targeting Schools Operation Prevention Prevention Programs Targeting Higher Education Brief Alcohol Screening and Intervention for College Students Prevention and Treatment Programs for Pregnant Adolescents and Adults Prevention Programs Targeting the Military and their Families Prevention Programs Targeting Older Adults Summary and Some Final Notations 17: Cross-Cultural Counseling: Engaging Ethnic Diversity Introduction: Cross-Cultural Counseling: Engaging Ethnic Diversity Why Does Culture Matter in Substance Addiction Treatment? Definitions Treatment Needs and Issues for Racial and Ethnic Minorities Disparities in Use and Access to Treatment African Americans Theoretical Frameworks Client Worldview Summary and Some Final Notations 18: Gender, Sex, and Addictions Introduction: Gender, Sex, and Addictions Gender and Addiction in the United States Women and Addiction Social Considerations Men and Addiction Social Considerations Treatment Considerations Gender-Specific Treatment Needs: Men Gender-Specific Treatment Needs: Clients with Disorders of Sex Development (DSD) Summary and Some Final Notations 19: Lesbian, Gay, Bisexual, Transgender, and Queer Affirmative Addictions Treatment Introduction: Lesbian, Gay, Bisexual, Transgender, and Queer Affirmative Addictions Treatment Common Terms for and Myths About LGBTQ People Coming Out, Cultural Differences, and Addiction LGBTQ-Affirmative Addictions Treatment and Assessment LGBTQ-Specific Assessment of Addiction LGBTQ-Specific Treatment of Addiction Role of Addictions Counselors Working with LGBTQ Clients How to Be an Advocate for LGBTQ-Affirmative Treatment Summary and Some Final Notations 20: Inpatient and Outpatient Addiction Treatment Introduction: Inpatient and Outpatient Addiction Treatment Inpatient Treatment Types of Inpatient Services Use of Motivational Interviewing to Assess Readiness to Change Client Inpatient Experience Outpatient Treatment Residential Substance Use Disorder Programs Cost to Society Summary and Some Final Notations Video and Interactive Resources Video and Interactive Resources Print Version Print Version «Foundations of Addiction Counseling combines an array of real-world techniques and skills with a thorough review of addiction counseling research, theory and history. The authors cover many topics often ignored in comparable texts, such as cross-cultural counseling, the assessment of client strengths, gender issues in substance use and working with clients with disabilities. The 4th Edition includes new case studies, an updated chapter on maintenance and relapse prevention, and an expanded chapter on substance use and families. Extended discussions of sexual, gambling, work and buying addictions offer an in-depth look at non-ingestive addictions. Additional case studies located throughout the text further illustrate points and enliven class discussions.» -- Résumé de l'éditeur