| |
| |
| 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 | |