TREATING DRUG PROBLEMS
CHAPTER 1: DRUG PROBLEMS: AN OVERVIEW PREVALENCE OF DRUG ABUSE WHAT EXACTLY IS A DRUG PROBLEM? THE THREE C’S COMPULSIVE USE LOSS OF CONTROL CONTINUED USE IN SPITE OF CONSEQUENCES MYTHS VERSUS FACTS CONCERNING DRUG PROBLEMS PATTERNS TO DRUG PROBLEMS TRANSIENT VERSUS CHRONIC PROBLEMS DEPENDENCE VERSUS ABUSE PSYCHOLOGICAL VERSUS PHYSICAL DEPENDENCE SPONTANEOUS REMISSION AND MATURING OUT CLINICAL VERSUS NONCLINICAL POPULATIONS: WHY SOME DO NOT MATURE OUT PROGRESSION DRUG PROBLEMS: A BIOPSYCHOSOCIAL MODEL BIOLOGICAL RISK FACTORS ENVIRONMENTAL RISK FACTORS BEHAVIORAL RISK FACTORS COGNITIVE RISK FACTORS COGNITIVE PROBLEMS RELATED TO SUBSTANCE ABUSE EMOTIONAL RISK FACTORS CONTENTS EPIDEMIOLOGY OF CERTAIN AT-RISK POPULATIONS INFLUENCES OF AGE AND GENDER FAMILIAL CONSIDERATIONS TREATMENT SUCCESS/FAILURE RECOVERY/RELAPSE RATES THE UNRECOGNIZED TREATMENT: PREVENTION PROGRAMS WHAT THE FUTURE HOLDS: WHAT IS NEXT FOR TREATMENT? SUMMING UP KEY TERMS RECOMMENDED READING CHAPTER 2: RECOGNIZING A DRUG PROBLEM SYMPTOMS OF A DRUG PROBLEM: WHAT FAMILY, FRIENDS, AND COWORKERS MAY OBSERVE SIGNS OF A DRUG PROBLEM: WHAT PROFESSIONALS MAY OBSERVE WHEN COLLATERALS COME FOR HELP FIRST RECOGNIZING THE EXISTENCE OF MORE THAN ONE PROBLEM CO-OCCURRING MENTAL HEALTH SYMPTOMS CO-OCCURRING PHYSICAL HEALTH SYMPTOMS WHEN PROFESSIONALS MAY BE IMPAIRED HOW ATTITUDES INFLUENCE DRUG PROBLEMS PROFESSIONAL COLLABORATION PROFESSIONAL OBLIGATIONS TO INTERVENE OBLIGATIONS TOWARD OTHER PROFESSIONALS PROFESSIONAL REFERRALS CHAPTER 3: UTILIZING OPTIMAL PROFESSIONAL RESOURCES DEVELOPING A PROFESSIONAL NETWORK MATCHING CLIENTS TO THERAPISTS REFERRAL DOS AND DON’TS MOTIVATING CHANGE MOTIVATIONAL STRATEGIES MOTIVATIONAL INTERVIEWING THE TRANSTHEORETICAL MODEL OVERCOMING CLIENT OBSTACLES OVERCOMING THERAPIST OBSTACLES PREVENTING AND DEALING WITH CRISES AGGRESSION AND ANGER SUICIDAL BEHAVIOR PSYCHIATRIC DECOMPOSITION RISK MANAGEMENT STRATEGIES CHAPTER 4: DEVELOPING AN EFFECTIVE TREATMENT PLAN INTAKE INTERVIEW TREATMENT PLANNING PRIORITIZING ITEMS ON THE TREATMENT PLAN THE IMPORTANCE OF ASSESSMENT IN TREATMENT ASSESSING HISTORY AND DIAGNOSIS ASSESSING SUBSTANCE USE PATTERNS, CONSEQUENCES, AND CONTEXTS ASSESSING CLIENT POTENTIAL FOR BEHAVIOR CHANGE ASSESSING COGNITIVE FUNCTION ASSESSING PSYCHIATRIC SYMPTOMS ASSESSING INTERPERSONAL RELATIONS ASSESSMENT AS INTERVENTION PROBLEMS WITH ASSESSMENT ACROSS CULTURES INVOLVING FAMILY AND FRIENDS IN TREATMENT ASSESSING PROGRESS CHAPTER 5: RECOVERY TOOLS, PROGRAMS, AND THEORIES TOOLS FOR MOTIVATING CHANGE AND PROMOTING COMMITMENT TOOLS FOR TREATING THE BIOLOGICAL/PHYSIOLOGICAL ASPECTS OF A DRUG PROBLEM TOOLS FOR TREATING THE PSYCHOLOGICAL ASPECTS OF A DRUG PROBLEM BEHAVIOR-MODIFICATION STRATEGIES TEACHING YOUR CLIENT TO MONITOR AND CHANGE DRUG-USE BEHAVIOR CHAINS SHAPING BEHAVIOR TEACHING YOUR CLIENT HOW TO SHAPE PERSONAL BEHAVIOR AND SEEK ALTERNATIVE ACTIVITIES MOVING FROM EXTRINSIC REINFORCEMENT TO INTRINSIC REINFORCEMENT CUE EXPOSURE AND RESPONSE PREVENTION COGNITIVE-MODIFICATION STRATEGIES EXPECTANCY CHALLENGES EXAMINING CONSEQUENCES PROBLEM SOLVING AND PLANNING AHEAD IMAGERY MEDITATIVE PRACTICES INCLUDING MINDFULNESS THOUGHT STOPPING MODIFYING OTHER KINDS OF THINKING ERRORS ALL-OR-NOTHING THINKING ANTICIPATING A NEGATIVE OR POOR OUTCOME DISCOUNTING THE POSITIVE EMOTIONAL REASONING LABELS THAT TRAP CLIENTS NEGATIVE-THINKING FILTER MIND READING OVERGENERALIZATION MALADAPTIVE THOUGHTS SHOULDS VERSUS WANTS: RULE-GOVERNED BEHAVIOR SKILLS TRAINING SUPPORT GROUPS HELPING YOUR CLIENT CHOOSE A SUPPORT GROUP RECOVERY THEORIES AND MODELS PSYCHOEDUCATION WITHIN THE DIFFERENT RECOVERY MODELS DISEASE-MODEL PSYCHOEDUCATION SPIRITUAL-MODEL PSYCHOEDUCATION FAMILY-MODEL PSYCHOEDUCATION BEHAVIORAL-MODEL PSYCHOEDUCATION ENVIRONMENTAL-MODEL PSYCHOEDUCATION HELPING YOUR CLIENT UNDERSTAND THE MODELS OF RECOVERY EMPIRICALLY VALIDATED THERAPIES FOR CO-OCCURRING DISORDERS EMPIRICALLY VALIDATED THERAPIES FOR DEPRESSION AND BIPOLAR DISORDER EMPIRICALLY VALIDATED THERAPIES FOR SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS EMPIRICALLY VALIDATED THERAPIES FOR ANXIETY DISORDERS EMPIRICALLY VALIDATED THERAPIES FOR PERSONALITY DISORDERS EMPIRICALLY VALIDATED THERAPY FOR CHRONIC PAIN COGNITIVE REHABILITATION HOW THE TECHNOLOGICAL REVOLUTION WILL CHANGE THERAPY CULTURAL PATHWAYS TO RECOVERY CHAPTER 6: CONTINUING CARE RECOVERY CRITERIA USED BY THERAPISTS SUGGESTED CRITERIA FOR DISCHARGING FROM TREATMENT INTO AFTERCARE PHASES OF RECOVERY SPHERES OF RECOVERY CONTINUING CARE PLANS STRUCTURING THE CONTINUING CARE PLAN AFTERCARE GOALS CAN LEAD TO A LITTLE DREAMING MODELS FOR AFTERCARE SPIRITUAL MODEL FOR AFTERCARE: MOVEMENT FROM HEALED TO HEALER FAMILY MODEL FOR AFTERCARE PARTNER INVOLVEMENT AND COUPLES’ ISSUES AFTER TREATMENT FAMILY INVOLVEMENT AND FAMILY ISSUES PHASES OF FAMILY RECOVERY BEHAVIORAL MODEL FOR AFTERCARE: TAPERING THERAPY AND BOOSTER SESSIONS CRISES IN AFTERCARE MORAL AND ETHICAL ISSUES RELATED TO TREATMENT, THERAPY, AND CONTINUING CARE MANDATED TREATMENT AND AFTERCARE CHAPTER 7: POSTTREATMENT RECOVERY MANAGEMENT RELAPSE MODEL VULNERABILITIES FOR RELAPSE HIGH-RISK SITUATIONS: THE TRIGGERS HOW WELL THE CLIENT COPES DETERMINES WHAT HAPPENS NEXT LAPSES RELAPSE PREVENTION STRATEGIES RESTORING LIFESTYLE BALANCE SUBSTITUTE INDULGENCES COPING IMAGERY STIMULUS CONTROL AND CUE EXPOSURE LABELING AND DETACHMENT SELF-MONITORING BEHAVIORAL ASSESSMENT RELAPSE FANTASIES RELAPSE ROADMAPS RELAPSE REHEARSAL SKILLS FOR COPING WITH HIGH-RISK SITUATIONS DECISION MATRIX IDENTIFYING WARNING SIGNS RELAPSE CONTRACTS REMINDER CARDS IN CASE OF EMERGENCY PROGRAMMED RELAPSE COGNITIVE RESTRUCTURING MINNESOTA-MODEL RELAPSE PREVENTION RELAPSE PREVENTION AMONG DIVERSE POPULATIONS RELAPSE PREVENTION AS PART OF TREATMENT, AFTERCARE, AND PSYCHOTHERAPY DEVELOPING RELAPSE PREVENTION PLANS RELAPSE MANAGEMENT CHRONIC RELAPSE PREVENTION RECOVERY PLANS FOLLOWING AFTERCARE FAMILY INVOLVEMENT IN RELAPSE PREVENTION CHAPTER 8: NEW BEGINNINGS: MOVING BEYOND ADDICTIONS BIOPSYCHOSOCIAL RECOVERY RECOVERY OR RECOVERED? PHYSICAL HEALTH AND WELL-BEING INTELLECTUAL PURSUITS: EXERCISE FOR THE MIND EMOTIONAL GROWTH IMPROVING RELATIONSHIPS SPIRITUAL GROWTH MENTORING AND LEGACIES REFERENCES