Fundamentals of Substance Abuse Practice

ISBN-10: 053462667X

ISBN-13: 9780534626679

Edition: 2004

Authors: Jerry L. Johnson

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Description:

This approachable, interdisciplinary text reflects the author's twenty-plus years of experience in the substance abuse field. Comprehensive and broad in its scope, the book parallels the practice process with substance abuse clients, offering a four-stage organization (an overview that includes theoretical foundations, pharmacology, and models; client engagement; screening and assessment; and treatment) that walks students through this process. The book's highly applied nature ensures that students will find an abundance of specific information they can put to use in daily practice.
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Book details

List price: $195.95
Copyright year: 2004
Publisher: Wadsworth
Publication date: 3/13/2003
Binding: Paperback
Pages: 480
Size: 7.32" wide x 9.25" long x 0.87" tall
Weight: 1.694
Language: English

To the Instructor
To the Student
About the Author and Contributors
Theoretical Foundation
Social Work and Substance Abuse Practice
Challenges of Working with Substance Abusers
Professional Challenges
Personal Challenges
An Attempt to Clarify Key Terms
Working Definitions: Use, Abuse, and Dependency
Traditional Concept of Addiction
The Difference Between Dependency and Abuse
Drug Use Trends
Substance-Related Accidents and Death
Prevalence of Substance-Related Problems in Practice
Substance Abuse and Psychiatric Disorders
Gender Considerations
Substance Use During Pregnancy
Age and Risk of Substance Abuse
Human Diversity
Social Class (Education, Employment, Income)
Fields of Practice
Do You Know What Chemical Dependency Feels Like?
Summary
Pharmacology
Pharmacology (Drug Effects)
Drug Variability
Individual Factors
Environmental/Situational Factors
Dose
Drug Mixing
Methods of Administering Drugs
Oral
Inhalation or Smoking
Injection (IV)
Mucous Membranes
Drug Tolerance
Physical Tolerance
Psychological Tolerance
Behavioral Tolerance
Cross-Tolerance
Drug Categories
Central Nervous System (CNS) Depressants
CNS Stimulants
Cannabis
Opiates
Hallucinogens
Inhalants
Summary
Models of Chemical Dependency
What Approach Will You Choose?
The Models
Moral Model
Community Model
Biological Model
Social Learning Theory Model
Cognitive-Behavioral Model
Disease Model
Summary of Models
Substance Abuse from a Multi-Systemic, Ecological Perspective
Systems and Ecological Systems Theory
A Multi-Systemic Framework for Substance Abuse Practice
Summary
Client Engagement
The Art of Client Engagement
Definition of Engagement in Substance Abuse Practice
Client Engagement as an Art
How Well Do You Communicate?
Paulo Freire and Dialogue
Semiotic of Communication
Tourism as Metaphor for Self-Exploration
How Should We Treat Our Clients?
Five Characteristics of Effective Helping Professionals
Special Issues Involved in Engaging Substance Abuse Clients
Denial
Assessing Client Motivation
The Use of Confrontation to Deal with Denial
An Alternative Way to Approach Denial
Summary
Understanding the Family
Why Do We Need to Understand Families?
What Is a Family?
The Changing Role of Families in Substance Abuse Treatment
Working with Family Systems
Definitions of Terms
Family System
Subsystem
Boundaries
Family Structure
What Is a Functional Family?
The Competing Demands of Stability and Change
How Families Adapt to Chemical Dependency
Family Resilience
Chemically Dependent Families
Family Survival Roles
The Family Life Cycle
Other Issues to Consider in a Family Assessment
Codependency
Shame
Effects of Parental Substance Abuse on Older Children
Emotional Abuse
Sexual Abuse
Domestic Violence
Substance Abuse in Family History
Summary
Macro Context for Substance Abuse Assessment
The Power of Community
What Is "Community"?
Symbolic Interactionism and Community Influence
The Social Self
Self and Others
Is the Right to Self-Determination Equally Available to Everyone?
Self and Community
Local Community
Assessing Multiple Communities
Geographic Community
Communities of Identification
Community Resources
Macro Influences on Substance Abuse Treatment
Structural and Historical Systems of Oppression: Who Holds the Power?
Drug Laws and Public Opinion
Drug Control Policy--A Primer
Comprehensive Drug Abuse Prevention and Control Act
Federal Sentencing Reform Act of 1984
The Anti-Drug Abuse Act of 1986
The Anti-Drug Abuse Act of 1988
Impact of Anti-Drug Legislation on Substance Abuse Practice
Macro Influences on Social Work Practice
Reimbursement Policies in Substance Abuse Practice
The Role of Social Workers in the Substance Abuse Field
Is It Necessary for Helpers to Be in Recovery?
Summary
Screening and Assessment
Introduction to Screening and Assessment
Definition of Assessment
How Screening Differs from Assessment
Substance Abuse Screening Instruments
The Michigan Alcoholism Screening Test (MAST)
CAGE
Addiction Severity Index (ASI)
Substance Abuse Subtle Screening Inventory-3 (SASSI-3)
Other Substance Abuse Screening Instruments
Screening for Problems Related to Substance Abuse
Physical Problems
Depression
Suicidal Ideation
How Assessment Differs from Diagnosis
Operating Principles of Substance Abuse Assessment
Summary
Substance Abuse Assessment
Dimensions of Assessment
Step-by-Step Assessment Process
Client Description, Presenting Problem, and Context of Referral
Treatment History
Substance Use History
Medical History
Basic Needs
Psychological and Emotional Functioning
Family History and Structure
Community/Macro Context
Motivation
Diagnosis
The Case History Report
Summary
Treatment
The Substance Abuse Treatment System
Levels of Substance Abuse Treatment
Education/Prevention Services (Early Intervention)
Intervention
Twelve-Step Support Groups
Outpatient Treatment
Intensive Outpatient/Day Treatment
Inpatient Treatment
Types of Inpatient/Residential Services
Making a Referral for Substance Abuse Treatment
Least Restrictive Environment
Matching Treatment to Client Needs
Confidentiality
Assessing Substance Abuse Treatment Providers
Follow-Up to Referral
Summary
Substance Abuse Treatment Methods
Recovery: The Holy Grail of Substance Abuse Treatment
Abstinence
Confrontation
Growth
Transformation
Recovery for the Substance Abuser
General Principles of Substance Abuse Treatment
Chemical Dependency Is an Illness
Engagement Is Necessary for Successful Treatment
A Multi-Systemic Approach Works Best
Aftercare Is Essential
Clients Need Help in Developing a Social Support Network
Treatment Planning
Treatment Plan Format
Issues in Treatment Planning
Specific Treatment Methods
Individual Therapy/Counseling
Group Therapy/Counseling
Family Therapy/Counseling
Community Practice
Relapse Prevention
Treatment Issues
Summary
Populations at Risk
African Americans
Treatment Issues
Latino Americans
Treatment Issues
Native Americans
Treatment Issues
Gay, Lesbian, Bisexual, and Transgendered (GLBT) Persons
Treatment Issues
Adolescents
Treatment Issues
Older Persons
Treatment Issues
Persons with Co-occurring Disorders
Treatment Issues
Summary
Appendixes
Substance Abuse Assessment/Case History Format
Sample Substance Abuse Assessment/Case History Report
African American Women: Oppression, Depression, Rage, and Self-Medication, by Lois Smith Owens
References
Index
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