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Substance Use Disorders


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Table of Contents

Clinical Pharmacology and Clinical Epidemiology of Psychoactive Substances Definitions and General Concepts of Pharmacology Pharmacology of Individual Drugs Clinical Epidemiology of Psychoactive Substances Etiology of Psychoactive Substance Use Disorders Overview Theories of Etiology Initiation, Progression, and Maintenance of Psychoactive Substance Use Disorders Stage Models of Adolescent Substance Use Risk Factors Adult Model of Substance Use Course/Natural History of Psychoactive Substance Use Disorders The Disease Model Models of Progression of Substance Use Prevention, Early Intervention, and Harm Reduction General Perspective Types of Prevention Supply Reduction/Legal Interventions Risk and Protective Factors Skills Training Community-Based Prevention School-Based Programs Parenting/Family Interventions Related Risks/Harm Reduction Screening and Assessment of Psychoactive Substance Use Overview of the Assessment Process Alcohol Screening Instruments Drug Screening Instruments Biological Screening Measures Diagnostic Instruments Areas to Assess for Treatment Planning Purposes Diagnosis and Comorbidity Definition and Prevalence Diagnostic Issues of the Dually Impaired Treatment of the Dually Diagnosed Treatment I: Models and Approaches Treatment Settings and Services Major Theoretical Treatment Approaches Additional Psychological Therapies Role of Pharmacotherapy Treatment Effectiveness/Outcome Studies Alternative Treatments Treatment II: Planning, Implementing, and Managing Treatment and the Course of Recovery Phases of Recovery Relapse Parameters Treatment Goals Detoxification Engagement of Patients in Treatment Client-Treatment Matching Treatment of Family Members of Substance Abusers Linkage of Services Treatment of Criminal Offenders Self-Help Groups Issues in Specific Populations Impaired Physicians Ethnic Minorities Women HIV/AIDS The Elderly Population The Homeless Population Legal and Ethical Issues Confidentiality Responsibility to Diagnose and Treat Substance Use Disorders Coerced Treatment Treatment of Pregnant Mothers Americans with Disabilities Act (ADA)

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Key Features * A synthesis of the current research and clinical literature * Includes strengths and weaknesses of commonly used psychometric assessment measures * Presentation and review of a complete Psychosocial/Substance Use Assessment form * Discussion of treatment settings and criteria for placement decisions * Discussion of treatment alternatives and effectiveness of major pharmacological and psychotherapeutic approaches * Discussion of factors leading to Relapse, and components of Relapse Prevention programs

About the Author

Charles E. Dodgen, Ph.D. is a clinical psychologist in private practice in Caldwell, NJ. Dr. Dodgen has treated over one thousand substance abusing patients in inpatient and outpatient settings. He authored What Should I Know About Someone Who Abuses Alcohol or Other Drugs?, a publication for patients and family members. He is the former Director of Psychology and Clinical Coordinator of the Adult Inpatient Substance Abuse Treatment Unit at Fair Oaks Hospital in Summit, NJ. Dr. Dodgen is currently on staff at Saint Barnabas Medical Center, Department of Psychiatry, in Livingston, NJ. W. Michael Shea, Ph.D. is a clinical psychologist practicing in Morristown, NJ. Dr. Shea has over ten years experience in the field of substance abuse, as well as child abuse and neglect. Dr. Shea is the former Assistant Director of the Family Enrichment Program, and the Coordinator of the Counseling Center at Morristown Memorial Hospital. Dr. Shea is presently the Program Director, and Supervisor of the Family Crisis Intervention Unit, at the Center for Evaluation and Counseling in Morristown, NJ.


"...the information is easy to read and despite its diminutive size offers a comprehensive summary of the fundamental knowledge necessary to effectively understand psyoactive substance use disorders. The two authors, Dodgen & Shea, have managed to organise a large amount of information about psychoactive substance use disorders into a compact cohesive format... it has been directed from a clinical perspective that makes the information contained readily applicable to contemporary practice. I would definitely recommend this book as a basic text for clinicians whether or not working in the substance use field. If... you want a clear concise overview of salient issues for understanding psychoactive substance use disorders this book fits the bill." --DRUG AND ALCOHOL REVIEW Prepublication Praise "An excellent resource that provides up-to-date information on alcohol and other psychoactive substance use disorders. It illuminates the facts and substantiates them with a myriad of references. This text is useful not only for clinicians working in the field of addictions but for all therapists who will encounter individuals with such a problem. Should be considered essential reading for various additional audiences such as students in graduate or nursing schools. It is well organized and very comprehensive." --RAYMOND F. HANBURY, JR., Ph.D., C.A.S.; Past President, Division 50 (Addictions), American Psychological Association; International Advisory Board, American Academy of Health Care Providers in the Addictive Disorders; President, New Jersey Psychological Association

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