| |
| |
| Introduction | |
| |
| |
| |
| |
| |
| |
| Defining Substance Abuse and Dependence | |
| |
| |
| Continuum of Substance Use Behaviors | |
| |
| |
| DSM IV Criteria | |
| |
| |
| Additional Considerations | |
| |
| |
| |
| Characteristics and Classification of Substances | |
| |
| |
| Characteristics of Substances | |
| |
| |
| Substance Use and Conditioning | |
| |
| |
| Physiological Functioning | |
| |
| |
| Physiological Characteristics or Factors of the Substance User | |
| |
| |
| Psychological Characteristics of the User | |
| |
| |
| Sociocultural Environment | |
| |
| |
| Classification of Substances | |
| |
| |
| |
| Development of Substance Abuse and Dependence | |
| |
| |
| Models of Substance Dependence | |
| |
| |
| Causal Factors of Substance Abuse and Dependence | |
| |
| |
| Biological Mechanisms | |
| |
| |
| Early Onset Variables | |
| |
| |
| Late Onset Variables | |
| |
| |
| |
| Stages of Substance Dependence and Recovery | |
| |
| |
| A Causal Model for Substance Abuse | |
| |
| |
| Problematic Behavior and Thought Patterns | |
| |
| |
| Patterns of Use | |
| |
| |
| Developmental Stages of Dependence | |
| |
| |
| Recovery stages | |
| |
| |
| Experience of Object Loss | |
| |
| |
| Relapse Symptoms | |
| |
| |
| Relapse Autopsy | |
| |
| |
| Process of Relapse | |
| |
| |
| Special Issues of Substance Dependence | |
| |
| |
| |
| |
| |
| |
| Assessment | |
| |
| |
| Purpose of Assessment | |
| |
| |
| Motivational Interviewing | |
| |
| |
| Individualized Treatment Plan | |
| |
| |
| Assessment Questions | |
| |
| |
| Multivariate Treatment Planning | |
| |
| |
| Important Components of a Substance Abuse History | |
| |
| |
| Objective Assessment | |
| |
| |
| Psychological and Neuropsychological Assessment | |
| |
| |
| Substance-Related Assessment Inventories | |
| |
| |
| Mnemonic Screening Devices | |
| |
| |
| Functional Importance of Substance Use | |
| |
| |
| Follow-up Assessment | |
| |
| |
| Conceptual Assessment of Substance Abuse | |
| |
| |
| Questionnaires | |
| |
| |
| Factors Indicating a Need for Adolescent Substance Use Assessment | |
| |
| |
| Adolescent Screening and Assessment | |
| |
| |
| Diagnostic Criteria for Codependency | |
| |
| |
| Special Topic: Employment Setting | |
| |
| |
| Prevention | |
| |
| |
| |
| |
| |
| |
| Treatment Guidelines | |
| |
| |
| Biopsychosocial Perspective | |
| |
| |
| A Simple Comparison of Recovery and Mental Health Models | |
| |
| |
| Theoretical Orientation | |
| |
| |
| The Role of 12-Step and Other Self-Help Programs | |
| |
| |
| Harm Reduction | |
| |
| |
| Special Considerations for Dual Diagnosis | |
| |
| |
| The Individual Entering Treatment | |
| |
| |
| Treatment Concerns | |
| |
| |
| Rational Emotive Therapy Philosophy | |
| |
| |
| Therapist Guidelines | |
| |
| |
| Preparation of Individuals, Couples, and Families for Recovery | |
| |
| |
| Treatment Prioritization | |
| |
| |
| Course of Treatment | |
| |
| |
| Agents of Change | |
| |
| |
| Areas of Personal Vulnerability for those in Treatment | |
| |
| |
| Obstacles to Change | |
| |
| |
| Overcoming Obstacles to Change | |
| |
| |
| Individualized Treatment Planning | |
| |
| |
| Guidelines for an Intervention | |
| |
| |
| Legal Issues Associated with Screening and Assessing Adolescent Substance Use | |
| |
| |
| Role of Americans with Disabilities Act | |
| |
| |
| |
| Continuum of Care | |
| |
| |
| Key Aspects of Treatment | |
| |
| |
| Substance Abuse-Dependence Continuum of Care Services | |
| |
| |
| ASAM-PPC-2 Assessment Criteria | |
| |
| |
| Specific Substance Class Treatment Considerations Associated with Continuum of Care | |
| |
| |
| Community Reinforcement | |
| |
| |
| Controlled Drinking: A Treatment Alternative | |
| |
| |
| |
| |
| |
| |
| Solution-Focused Therapy | |
| |
| |
| Potential Problems | |
| |
| |
| Strategies for Improving Motivation (Miller & Rollnick, 1991) | |
| |
| |
| Predictive Measures of Outcome | |
| |
| |
| Therapist Responses to Slips | |
| |
| |
| Decreasing Treatment Dropout Rate | |
| |
| |
| Role of Family Treatment | |
| |
| |
| Inpatient Treatment | |
| |
| |
| Patient-Treatment Matching | |
| |
| |
| Discharge and Aftercare | |
| |
| |
| Treatment Interventions Supported by Research | |
| |
| |
| Treatment Models | |
| |
| |
| Medical Treatment for Substance Dependence | |
| |
| |
| Integration of Psychotherapy and Pharmacotherapy | |
| |
| |
| Evidence for Effectiveness of Combined Treatment | |
| |
| |
| Individual Therapy | |
| |
| |
| Importance and Usefulness of the Support Group Forum | |
| |
| |
| Benefits of Support Groups | |
| |
| |
| Therapeutic Group | |
| |
| |
| Basic Areas of Education | |
| |
| |
| Stages of Solution-Focussed, Outcome-Oriented Treatment | |
| |
| |
| Group Topics | |
| |
| |
| Marital and Family Therapy | |
| |
| |
| Family Therapy | |
| |
| |
| Family Patterns of Substance Dependency | |
| |
| |
| Stages of Family Intervention | |
| |
| |
| Relapse | |
| |
| |
| Aversion Therapy for Alcohol Dependence | |
| |
| |
| Moderation of Use | |
| |
| |
| Recommendations for Improving Substance Abuse Treatment | |
| |
| |
| |
| Special Populations and Dual Diagnosis | |
| |
| |
| Key Issues for Treating Dual Diagnosis Individuals | |
| |
| |
| Dual Diagnosis | |
| |
| |
| Adolescents | |
| |
| |
| Geriatrics | |
| |
| |
| AIDS-HIV | |
| |
| |
| Adults Molested as Children | |
| |
| |
| Women and Minorities | |
| |
| |
| Court-Mandated Treatment | |
| |
| |
| |
| |
| |
| |
| Skill Building Resources | |
| |
| |
| Risk Factors for Substance Abuse | |
| |
| |
| Consequences of Substance Abuse | |
| |
| |
| Six Cardinal Signs Indicating Substance Dependence | |
| |
| |
| Symptoms of Alcoholism | |
| |
| |
| Do I Have a Drinking Problem? | |
| |
| |
| Problem Drinker | |
| |
| |
| Substance Use or Abuse: Diagnosing Dependency | |
| |
| |
| Self-Diagnosis: Do You Have a Problem with Substance Use? | |
| |
| |
| Relationship Addiction | |
| |
| |
| Compulsive Gambling | |
| |
| |
| Sexual Addiction | |
| |
| |
| Substance Dependency: A Family Illness | |
| |
| |
| Understanding the Dynamics of the Chemically Dependent Family | |
| |
| |
| Recovery Needs of Family Members | |
| |
| |
| Identifying Patterns of Codependency | |
| |
| |
| Does Someone You Know Have a Problem with Substances? | |
| |
| |
| Stages of Recovery | |
| |
| |
| Recovery is a Choice | |
| |
| |
| Your Choice | |
| |
| |
| Why is Substance Abstinence Important? | |
| |
| |
| How has Substance Abuse Affected Your Life? | |
| |
| |
| How to Cut Down on Your Drinking | |
| |
| |
| An Overview of Where I am and Where I am Going | |
| |
| |
| Recovery Inventory | |
| |
| |
| My Recovery Plan | |
| |
| |
| Reviewing Your Recovery Program | |
| |
| |
| Preparation for Attending a 12-Step Meeting | |
| |
| |
| The 12 Traditions of Alcoholics Anonymous | |
| |
| |
| Twelve Steps Outline | |
| |
| |
| Ten Steps (Modification of 12 Steps) | |
| |
| |
| Twelve Steps | |
| |
| |
| Twelve Steps to Recovery | |
| |
| |
| Taking Inventory | |
| |
| |
| An Outline for Making Amends | |
| |
| |
| The Five S's of Recovery | |
| |
| |
| Understanding Craving | |
| |
| |
| Coping with Craving | |
| |
| |
| Assessing High-Risk Situations | |
| |
| |
| Self-Monitoring Journal | |
| |
| |
| Daily Log | |
| |
| |
| Experience Log | |
| |
| |
| Daily Recovery Schedule | |
| |
| |
| Journal Writing as Part of Your Recovery | |
| |
| |
| Evening and Weekend Schedule and Journal | |
| |
| |
| Consequences | |
| |
| |
| Relapse Prevention | |
| |
| |
| Maintaining Progress | |
| |
| |
| Interrupting Potential Relapse | |
| |
| |
| Choices--Learning More About Yourself | |
| |
| |
| Practicing Change | |
| |
| |
| Increasing Self-Understanding | |
| |
| |
| Lingering Withdrawal | |
| |
| |
| What to do When Confronted with the Urge to Use | |
| |
| |
| Points to Consider When Confronted with the Urge to Use Substances | |
| |
| |
| Planning How to Cope with a Lapse | |
| |
| |
| Dealing with a Slip, Lapse, or Relapse | |
| |
| |
| Anticipating How to Cope with an Emergency | |
| |
| |
| Getting Unstuck | |
| |
| |
| Beast | |
| |
| |
| Help Me | |
| |
| |
| Refusal Skills | |
| |
| |
| Substance Use Aggravates Stress | |
| |
| |
| Self-Care Plan | |
| |
| |
| Relaxing Without Substances | |
| |
| |
| Excitement without Substances | |
| |
| |
| Deep Breathing: A Relaxation Skill | |
| |
| |
| Monitoring Use of Relaxation | |
| |
| |
| Self-Control | |
| |
| |
| Modified Drinking | |
| |
| |
| What is Responsibility? | |
| |
| |
| Coping with Disappointment | |
| |
| |
| Surviving the Holiday Blues | |
| |
| |
| Stinking Thinking | |
| |
| |
| Understanding the Role of Thinking and Relapse | |
| |
| |
| Coping with Negative Thinking | |
| |
| |
| Managing Thoughts about Using Substances | |
| |
| |
| List of Symptoms Leading to Relapse | |
| |
| |
| Symptoms of Relapse | |
| |
| |
| Early Warning Signs | |
| |
| |
| Reviewing Personal Risks of Relapse | |
| |
| |
| Feeling Like Your Life is Out of Control | |
| |
| |
| Dealing With Feeling Emotionally Overwhelmed | |
| |
| |
| Prevention | |
| |
| |
| Developing and Utilizing Social Support | |
| |
| |
| How to Build a Recovery Support System | |
| |
| |
| Maintaining a Support System | |
| |
| |
| Factors that Interfere with Developing a Social Support System | |
| |
| |
| The Role of Relationships and Substance Use | |
| |
| |
| Defense Mechanism Definitions | |
| |
| |
| Defense Mechanisms | |
| |
| |
| Dealing with Fear | |
| |
| |
| Breaking Through the Negative Thoughts Cycle | |
| |
| |
| Thought Stopping | |
| |
| |
| Fifteen Rules for Emotional Health | |
| |
| |
| Dealing with Difficult People | |
| |
| |
| Surviving the Loss of a relationship | |
| |
| |
| The Art of Negotiation | |
| |
| |
| Self-Confidence | |
| |
| |
| Coping with Confrontations | |
| |
| |
| Dealing with Embarrassment or Being Self-Conscious | |
| |
| |
| Coping with Embarrassment | |
| |
| |
| Emotional First Steps for Dual Diagnosis | |
| |
| |
| The Twelve Steps and Dual Diagnosis | |
| |
| |
| Identifying Depression | |
| |
| |
| Managing Depression | |
| |
| |
| Understanding Grief | |
| |
| |
| Daily Activity Schedule | |
| |
| |
| Identifying Anxiety | |
| |
| |
| Managing Anxiety | |
| |
| |
| Anxiety Relapse | |
| |
| |
| Identifying Feelings | |
| |
| |
| Understanding Your Feelings | |
| |
| |
| Self-Honesty | |
| |
| |
| Communication | |
| |
| |
| Communicating Difficult Feelings | |
| |
| |
| Constructively Expressing Angry Feelings | |
| |
| |
| Dealing With Criticism and Giving Feedback | |
| |
| |
| Understanding Anger | |
| |
| |
| Managing Anger | |
| |
| |
| Ways of Dealing with Anger | |
| |
| |
| The Steps for Letting Go of Anger | |
| |
| |
| Goal Setting | |
| |
| |
| Goal Development | |
| |
| |
| Setting Priorities | |
| |
| |
| Problem Solving | |
| |
| |
| Decision Making | |
| |
| |
| Time Management | |
| |
| |
| How to Budget | |
| |
| |
| Your Personal Budget | |
| |
| |
| Applying for a Job | |
| |
| |
| How to Give a Good Job Interview | |
| |
| |
| Setting Career Goals | |
| |
| |
| Work Ethics | |
| |
| |
| Survey of Personal Strengths | |
| |
| |
| Writing a Thank you Letter | |
| |
| |
| Sample Letter | |
| |
| |
| Coping Skills for Caregivers | |
| |
| |
| Guidelines for Family Members-Significant Others of the Alcoholic-Chemically Dependent Individual | |
| |
| |
| Detaching with Love Versus Controlling | |
| |
| |
| The Enabler--The Companion to the Dysfunctional-Substance Abusing Person | |
| |
| |
| Healing for the Substance Abusing Family: From Enabling to Recovery | |
| |
| |
| No Talk Rule | |
| |
| |
| Stages of Family Adjustment to Substance Dependence | |
| |
| |
| Ten Steps to Feeling Better if You are an Adolescent Living with Someone Who Uses Substances | |
| |
| |
| First Step for Family Members and Significant Other | |
| |
| |
| Functional Vs. Dysfunctional Families | |
| |
| |
| Parenting Style and Adolescent Substance Use | |
| |
| |
| Healthy Parenting, Healthy Family | |
| |
| |
| The Healthy Family is a Parent-Centered Family | |
| |
| |
| Parents Helping Children | |
| |
| |
| Summary of Substances | |
| |
| |
| I Think My Child may be Using Substances | |
| |
| |
| A Parent's Checklist about Adolescent Substance Use | |
| |
| |
| Adolescent Substance Abuse Quiz | |
| |
| |
| Actions to take if Your Child is Using Substances | |
| |
| |
| Dealing with Peer Pressure | |
| |
| |
| Dealing with Peer Pressure | |
| |
| |
| Dealing with Peer Pressure | |
| |
| |
| Dealing with Peer Pressure | |
| |
| |
| Family Rules and Expectations | |
| |
| |
| Tips for Parents | |
| |
| |
| Keeping Children Drug-Free | |
| |
| |
| How Substance Abuse Harms an Unborn Child or Nursing Child | |
| |
| |
| Fetal Alcohol Syndrome (FAS) | |
| |
| |
| Identifying Children of Substance Abusing Parents | |
| |
| |
| Self-Esteem and Mentoring | |
| |
| |
| Characteristics Often Found in Members of Substance-Dependent Families | |
| |
| |
| How to Help Children Through a Crisis | |
| |
| |
| A Parents' Pledge | |
| |
| |
| The House with the Pink Elephant | |
| |
| |
| Parents, Teenagers, and Honest Communication | |
| |
| |
| Skills for Positive Parenting | |
| |
| |
| Understanding the Experience of the Significant Other | |
| |
| |
| Twelve Things You can do if Your Loved One is a Substance Abuser | |
| |
| |
| Eight Steps for Feeling Better if You Live with Someone Who Abuses Substances | |
| |
| |
| Breaking the Codependency Cycle | |
| |
| |
| Signs of an Unhealthy Relationship | |
| |
| |
| Ten Ways to Improve Your Marriage | |
| |
| |
| Working Together | |
| |
| |
| Being a Healthy Couple | |
| |
| |
| Self-Acceptance | |
| |
| |
| Stop the Rescuing | |
| |
| |
| Adult Children of Alcoholics | |
| |
| |
| Children of Alcoholics | |
| |
| |
| The Consequences of Codependency | |
| |
| |
| Feelings | |
| |
| |
| Behaviors of the Codependent | |
| |
| |
| How to Deal with Codependency | |
| |
| |
| Couples Homework | |
| |
| |
| Couples Learning to Solve Problems | |
| |
| |
| Relationship Challenges | |
| |
| |
| Improving Relationships by Using Clear Communication | |
| |
| |
| Communication Guidelines | |
| |
| |
| A Senior's Guide for Using Medications Wisely | |
| |
| |
| Nail in the Fence | |
| |
| |
| Information Sheets | |
| |
| |
| National Helplines | |