Substance Abuse Counseling: Theory and Practice (2nd Edition)

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9780130212856: Substance Abuse Counseling: Theory and Practice (2nd Edition)

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.

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About the Author:

PATRICIA STEVENS, Ph.D., is the director of the Marriage and Family Training in the Counseling Psychology and Counselor Education Division at the University of Colorado at Denver. She is currently the president of the International Association of Marriage and Family Counselors (IAMFC), a past board member of the Council for Accreditation of Counseling and Related Educational Programs, the past chair of the Ethics Committee of the IAMFC, and the past cochair of the Women's Mentoring and Interest Network of the Association for Counselor Education and Supervision. Dr. Stevens is a Fulbright Scholar who spent several months in Malavsia developing a marriage and family curriculum at the University Kenbangsaan. She has presented extensively at the local, regional, national, and international levels in the areas of marriage and family training, substance abuse, gender issues, and ethical and legal issues in marriage and family training. She is the author of four books and numerous professional articles in the counseling field.

ROBERT L. SMITH, Ph.D., is the chair of the Counseling Psychology and Counselor Education Division at the University of Colorado at Denver. He completed his Ph.D. at the University of Michigan. As a licensed psychologist, he has worked as a private practitioner and has taught and administered graduate-level courses. He is the author of three books and more than 50 professional articles in counseling and family therapy and the field of mental health. He is the executive director of the International Association of Family Counseling and founder of the National Academy for Certified Family Therapists. Dr. Smith's professional research interests include the efficacy of treatment modalities in individual psychotherapy, family therapy, and substance abuse counseling.

LINA CHAMBERLAIN, Psy.D., is a clinical psychologist in private practice and the coordinator of clinical training for the Licensed Professional Counselor program at Regis University in Denver, Colorado. She has authored numerous articles and co-authored several books related to addictions, chaos theory, family therapy, and compulsive gambling.

SHARON H. ERICKSON, Ph.D., is a marriage and family therapist in private practice in Bozeman, Montana. She is former director of the Human Development Training and Research Clinic and adjunct professor at Montana State University. Dr. Erickson is a member of the Ethics Committee for the International Association of Marriage and Family Counseling, is a member of the Standards and Policies Board for the Ethics Committee of AAMFT, is on the editorial board of The Family Journal, and is a former board member of the Mississippi Association for Marriage and Family Therapy. She is a clinical member and approved supervisor in the American Association for Marriage and Family Therapy and a trained clinical hypnotist with training and experience in crisis intervention and disaster counseling. She worked as a pediatric and school nurse prior to receiving her master's degree in marriage, family, and child counseling and her Ph.D. in counselor education.

CYNTHIA L. JEW, Ph.D., is the director of the Pupil Personnel Services Counseling program and an assistant professor at the University of Redlands (Redlands, CA). Her professional research interest is in resiliency. She is the author of Resiliency Skill and Abilities Scale (RSAS). Dr. Jew is a licensed psychologist and a certified school psychologist.

OLIVER J. MORGAN, Ph.D., NCC, is associate professor and chair of the Department of Counseling and Human Services at the University of Scranton (Scranton, PA). He has worked in the area of substance abuse prevention for almost 20 years. Dr Morgan is a National Certified Counselor (NCC), a clinical member of the American Association for Marriage and Family Therapy (AAMFT), and a diplomat in the American Psychotherapy Association (DAPA). He has a number of publications in the area of substance abuse and addition.

JOHN JOSEPH PEREGOY, Ph.D., is a member of the confederated Salish and Kootenai Tribes of Montana (Flathead Nation). He is an assistant professor in the Department of Education Psychology at the University of Utah and has over 15 years of experience in diversity issues. He is a past member of the executive board of directors for the Indian Recovery Center and Health Clinic of Salt Lake City, Utah. Research interests include minority identity development, issues in American Indian/Alaskan Native mental health, ethnic/minority experiences in the educational system (K-12), and how people seek assistance when in crisis (help-seeking pathways). He received his doctorate in counselor education, with a specialty in multicultural counseling, from Syracuse University.

PHILIP J. PEREZ, Ph.D., is a Colorado and Florida licensed marriage and family therapist currently residing in Fort Lauderdale, Florida, with expertise in family system approaches to substance abuse, lesbian/gay marginalization issues, and HIV/AIDS-impacted families.

CONNIE SCHLIEBNER TAIT, Ph.D., is an assistant research professor in the Department of Health Promotion and Education at the University of Utah. She holds a doctorate from Syracuse University in counselor education with a concentration in multicultural counseling. Her research interests include high-risk youth, women, substance-abusing families, and culturally appropriate counseling for ethnic and nonethnic minorities.

Excerpt. Reprinted by permission. All rights reserved.:

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 presenting a history 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.

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