Evidence-Based Addiction Treatment

ISBN-10: 0123743486
ISBN-13: 9780123743480
Edition: 2009
Authors: Peter M. Miller
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Book details

Copyright year: 2009
Publisher: Elsevier Science & Technology
Publication date: 7/8/2009
Binding: Hardcover
Pages: 488
Size: 6.00" wide x 9.00" long x 1.00" tall
Weight: 1.694
Language: English

Preface
Contributors
Introduction to Evidence-Based Practices
What Is Evidence-Based Treatment?
Summary points
What does "evidence based" mean?
Evaluating the evidence
Examples of key studies and findings
Examples of evidence-based treatments
Conclusions and future directions
References
The Clinical Course of Addiction Treatment: The Role of Nonspecific Therapeutic Factors
Summary points
Introduction
Accessing treatment
Treatment engagement and outcomes
Conclusions
References
Clinical Assessment and Treatment Monitoring
History and Current Substance Use
Summary points
Self-report/interview methods of alcohol and other drug consumption
Biomarker measures of alcohol and illicit drug consumption
General summary and conclusions
References
Dependence and Diagnosis
Summary points
Introduction
Defining substance use disorders
Screening methods
Diagnostic assessment
Summary
References
Assessment of Co-occurring Addictive and Other Mental Disorders
Summary points
Definitions
Features of co-occurring disorders that inform assessment
Screening for AMDS
References
Individualized Problem Assessment I: Assessing Cognitive and Behavioral Factors
Summary points
Antecedents to substance use and/or relapse
Self-efficacy
Expectancies
Motivation
Assessment of craving
Summary
References
Individualized Problem Assessment II: Assessing Clients from a Broader Perspective
Summary points
Coping skills
Consequences
Social support
Treatment-related needs and preferences
Alcoholics anonymous involvement
Spirituality and religiosity
Multidimensional measures
Summary
References
Treatment Methods
Cognitive Behavioral Treatments for Substance Use Disorders
Summary points
Summary
Review of behavioral therapy and cognitive therapy
Cognitive behavioral therapy for substance use disorders
General format of CBT for substance use disorders
Evidence for efficacy of CBT for substance use disorders
Summary
References
Motivational Interviewing for Addictions
Summary points
Introduction: The counselor's dilemma
What is motivational interviewing?
Four principles of motivational interviewing: "Common ingredients"
Client language: A unique ingredient in MI
The spirit of motivational interviewing
Revisiting the initial consultation
The transtheoretical model of change
Common misconceptions about motivational interviewing
Does motivational interviewing work?
Training and evaluating motivational interviewing
Conclusions
Motivational interviewing resources
Further reading
References
Brief Intervention
Summary points
Introduction
Background
Origins and theory base
The evidence base
Delivering screening and brief intervention in primary care settings
Implementation issues
Conclusion
References
Relapse Prevention: Evidence Base and Future Directions
Summary points
Background of relapse prevention
Theoretical models behind relapse prevention
Empirical evidence supporting relapse prevention
Therapeutic components of relapse prevention interventions
Specific intervention strategies
Global intervention strategies
Summary and conclusions
References
Behavioral Couples Therapy in the Treatment of Alcohol Problems
Summary points
Introduction to alcohol behavioral couples therapy
How well does ABCT work?
Some criticisms of the ABCT approach
Expanding ABCT to fit innovations in EFT
Conclusions
Acknowledgment
References
Contingency Management and the Community Reinforcement Approach
Summary points
Introduction
Conceptualizing treatment
Community reinforcement approach
Contingency management
Empirical support
Initial study
Extending CRA to treatment of patients with cocaine and opioid use disorders
Further extensions
Conclusions
Acknowledgment
References
How Much Treatment Does a Person Need? Self-Change and the Treatment System
Summary points
Professional help and lay help-treatment systems in crisis
Self-organized quitting, self-change from addictive behaviors
Creating a societal climate friendly to individual change: Advice for policy makers
References
Adjunctive Pharmacotherapy in the Treatment of Alcohol and Drug Dependence
Introduction
The neurobiology of addictions
Pharmacotherapy of addictions
Pharmacotherapy as an "adjunctive" therapy
Conclusions
References
Special Populations and Applications
Addiction Treatment Disparities: Ethnic and Sexual Minority Populations
Summary points
Addiction treatment disparities
Conditions that create disparities
Assessment issues
Treatment issues
Difference in cultural values may impact treatment outcomes
Prejudice, racism, and homophobia
Empirically based treatment and minority clients
Summary
References
Treating the Patient with Comorbidity
Summary points
Empirically supported treatment and comorbidity
Is psychiatric comorbidity an indicator of poor prognosis?
What happens over time with comorbid symptoms?
Treatment of comorbid mental illness and substance abuse
References
Evidence-Based Interventions for Adolescent Substance Users
Summary points
Introduction
Systematic reviews and meta-analyses
Interventions
Where do we go from here
References
College Student Applications
Summary points
Prevention/brief intervention focus versus treatment
Delivery methods of intervention
Conclusions
References
Internet Evidence-Based Treatments
Summary points
What do internet-based interventions look like?
Considerations for creating an evidence base
Looking to the future
References
Evidence-Based Treatment in Action
Evidence-Based Treatment Planning for Substance Abuse Therapy
Summary points
Overview of treatment planning
Steps in the individual treatment planning process
Advances toward the goal of evidence-based treatment planning
References
Adoption and Implementation of Evidence-Based Treatment
Summary points
Background and introduction
Adoption and implementation
Leadership
Implementation science: A model for program change
Practical applications: Assessing the organization
Guidelines for administration
Interpretation
Reformative strategies
Conclusions and implications
Future directions
Acknowledgments
References
A Look Toward the Future
Challenges of an Evidence-Based Approach to Addiction Treatment
Summary points
Ongoing issues and challenges
Conclusions
References
Index

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