Substance Abuse Counseling: Theory and Practice / Edition 5

by Patricia Stevens

Overview

This book provides information regarding the enormity of substance abuse problems in the population, how to assess the problems, and how to treat individuals and families who seek assistance. It educates beginning clinicians and counselors about substance abuse by guiding them through the process of working with substance-abuse clients. Written in an understandable, and easy-to-grasp manner, it covers the basics of substance use and abuse—Terminology, physiology, psychokinetics, and psychodynamics. Case histories are used in selected chapters to help readers integrate the various approaches by offering a sample of the types of issues presented when working with this population. An emphasis on special populations includes minority populations, women, elderly, special needs groups, and children/youth. For substance abuse counselors seeking information on the stages of counseling—from assessment and diagnosis through relapse prevention.

Product Details

ISBN-13:	2900132615647
Publisher:	Pearson
Publication date:	08/17/2012
Edition description:	NE
Pages:	432
Product dimensions:	7.30(w) x 9.10(h) x 0.90(d)

About the Author

Dr. Patricia Stevens, a retired Counselor Educator, is currently in private practice in Louisville, CO and consults in a variety of venues. Dr. Stevens has published and presented at the local, state, regional, national and international levels in the areas of substance abuse, gender implications in counseling, training counselors, and ethical and legal issues in counseling. She is a Fulbright Scholar and a Mental Health Disaster Relief volunteer for Red Cross and has been honored by her professional organizations and by her university for her teaching, scholarship, service and mentoring of students and staff. Dr. Stevens’ professional career in substance abuse issues has included clinical practice as well as research and publications throughout her career.

Robert L. Smith, Ph.D., FPPR, is professor, Chair of the Counseling and Educational Psychology Department, and Doctoral Program Coordinator at Texas A&M University-Corpus Christi. He completed his Ph.D. at the University of Michigan. As a licensed psychologist, he has worked as a private practitioner in addition to serving as the chair of three counselor education programs. He is the author of several books and more than 60 professional articles. He serves as the Executive Director, and was one of the founders of, the International Association of Marriage and Family Counselors. He is also the founder of the National Credentialing Academy for Family Therapists. His research interests include the efficacy of treatment modalities in individual psychotherapy, family therapy, and substance abuse counseling. He is a Diplomate-Fellow in Psychopharmacology with the International College of Prescribing Psychologists. Dr. Smith is an international lecturer. He is currently involved in the development and implementation of graduate programs in counseling and psychology in Latin America.

Read an Excerpt

Substance abuse ranks as one of the major public health issues in today's society. Whether directly or indirectly, abuse is responsible for increased risk of violence in the home, suicide, mental illness, work-related accidents, and approximately half of all fatal automobile crashes. The use and abuse of substances span gender, socioeconomic levels, ethnicity, age, religion, profession, geography, and most dimensions of human existence and background. All people during their lifetimes will be touched by substance abuse or addiction; therefore, clinicians should be adequately trained to recognize the enormity of this problem, how to assess it, and ultimately how to treat individuals and families who come for assistance. Comprehensive programs at undergraduate and graduate levels are now in place in many settings, systematically studying substance abuse and subsequent treatment modalities.

This book was developed to be helpful for the general clinician as well as for students in beginning substance abuse classes and as an adjunct to, but not a replacement for, counseling theory and techniques books and coursework. Contributors to this edition have extensive backgrounds in substance abuse work as well as special knowledge in a particular segment of the field.

Space and time limitations prevent us from examining many of the issues in the field: public policy, working in a school setting, substance abuse in the workplace, HIV/AIDS and drug use, and a more in-depth study of the dualdiagnosis issues of mental illness and substance abuse.

The book takes the reader through the process of working with substanceabusing clients. Chapters build on each other, yet can be usedindependently as resources for information. Because it is impossible to portray a "real" client, case histories were developed and are used to offer a sense of practical application in each chapter. These case discussions provide a sample of the types of issues presented when working with this population.

The authors believe that knowing about all aspects of the treatment process are essential to assisting clients toward recovery. We have endeavored to structure the book in a manner that reflects treatment from first contact to recovery. We hope that you find this book to be an enjoyable and practical read as well as helpful in your practice.

Table of Contents

1. Introduction to Substance Abuse Counseling.
2. The Major Substances of Abuse and the Body.
3. Etiological Theories of Substance Abuse.
4. Assessment and Diagnosis.
5. Treatment Setting and Treatment Planning.
6. Individual and Group Treatment.
7. Family Therapy in Substance Abuse Treatment.
8. Working with Selected Populations: Treatment Issues and Characteristics.
9. Issues in Prevention and Intervention: Working with Diverse Cultures.
10. Maintaining Behavior Change: Relapse Prevention Strategies.
11. Prevention.
12. Research and Contemporary Issues.
Index.

Preface

PREFACE:

Preface

Substance abuse itself still ranks as one of the major public health issues in today's society. The use and abuse of substances cross gender, socioeconomic levels, ethnicity, age, religion, profession, geography, and most dimensions of human existence and background. Comprehensive programs at undergraduate and graduate levels are now in place in many settings, systematically studying substance abuse and subsequent treatment modalities. Everyone during their lifetime will be touched by substance abuse or addiction; therefore, clinicians should be adequately trained to recognize the enormity of this problem, how to assess it, and, ultimately, how to treat individuals and families who come for assistance.

Contributors to this edition have extensive backgrounds in substance abuse work as well as a special knowledge in a particular segment of the field. Space and time limitations prevented us from examining many of the issues in the field: public policy, working in a school setting, substance abuse in the workplace, and a more in-depth study of the dual-diagnosis issues of mental illness and substance abuse. This text was developed to be helpful for the general clinician as well as the beginning substance abuse counselor. It is intended to serve as the major text for substance abuse classes and as an adjunct to, not a replacement for, counseling theory and techniques texts and coursework.

This textbook takes the reader through the process of working with substance-abusing clients. Chapters build on each other but yet can be used independently as resource information. Chapter 1 provides the foundation for the text by presentingahistory of drug use, basic terminology, references to subsequent chapters, and case studies that are used throughout the text. Chapter 2 examines major drugs and their addictive properties, providing essential knowledge for anyone entering this field. Chapter 3 presents the etiology and theories common to drug use and abuse. The beginning of treatment starts with Chapter 4 by emphasizing assessment and diagnosis, again using cases from earlier chapters to understand assessment and diagnosis on a more applied basis.

Treatment is emphasized in Chapters 5 and 6. First, treatment settings are discussed, followed by a closer look at treatment modalities most often used alone or with other methods in treating substance abuse clients. "Family Therapy in Substance Abuse Treatment," Chapter 7, is new to this text and emphasizes the importance of systemic work with substance abusers. Chapters 8 and 9 provide an in-depth analysis of substance abuse prevention and intervention with selected cultures and specific groups: women, children and adolescents, people with disabilities, the elderly, African Americans, American Indians, Asian Americans, and Hispanics. Relapse is seen as an element of the treatment process and is the focus of Chapter 10. Chapter 11, "Prevention," was also added to this edition, emphasizing a proactive approach to substance abuse. Finally, Chapter 12 presents a synopsis of research findings as well as contemporary issues in the field that are currently being studied.

Because it was impossible to portray a "real" client, case histories were developed and are used in selected chapters to offer a sense of the practical application of information in each chapter. These case histories provide a sample of the types of issues presented when working with this population.

ACKNOWLEDGMENTS

The first edition of Substance Abuse Counseling evolved after a detailed survey was conducted with professors across the country who teach in the areas of substance abuse counseling, addictions, and chemical dependency. This second edition continues to build on earlier responses, as well as feedback from those who used the first text. Special thanks and appreciation go to the professors and their institutions who helped shape this text. Furthermore, we appreciate the insights and comments from the reviewers of this edition: Michael Cohn, University of Phoenix; Tom Cornille, Florida State University; Mary C. Fitzgerald, Loyola Marymount University; Loren H. Froehlich, Chadron State College; Charles L. Guest, University of South Alabama; Mark L. Kilwein, Clarion University of Pennsylvania; John E Koscinlek, University of Missouri-Columbia; and James E Scorzelli, Northeastern University. We appreciate also the still valuable input from the reviewers of the first edition: David Couch, Southwest Texas State University; J. Scott Hinkle, University of North Carolina-Greensboro; Gerald A. Juhnke, University of North Carolina-Greensboro; Richard C. Page, University of Georgia; Michael J. Taleff, Pennsylvania State University; and R. Craig Williams, Northern Illinois University.

We wish again to thank our contributors for their efforts. We express appreciation to each of the students who have used the first edition as part of their coursework and subsequently provided suggestions and feedback. We would also like to thank Kevin Davis for his patience and perseverance. A special thanks to Linda Bayma, senior production editor, and to Laura Larson for a magnificent editing job. And, again, we thank family and friends who have been supportive throughout this process.