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The Paradigm Developmental Model of Treatment incorporates themes from the twelve-steps of Alcoholics Anonymous. These themes provide clinical goals for the counselor to guide clients in the treatment process. For those clients that attend AA/NA, this model will strengthen their program. For those clients that cannot relate to the spiritual aspects of the Twelve-Steps it provides an alternative perspective that is cognitive-behavioral in nature. This model utilizes motivational interviewing techniques and cognitive-behavioral interventions. Both MI and CBT are considered evidenced-based therapies and are utilized widely for chemical dependency treatment. This model provides an assessment scale that pinpoints where a client is in regards to their thinking about their alcohol and drug use and which interventions will be most useful and appropriate given this information. This model is very useful for supervisors to collaborate and provide guidance to their counseling staff. It is very exciting to share this new model with our professional community. It has been featured in both Alcoholism Treatment Quarterly Journal and Counselor Magazine.
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Georgi DiStefano, LCSW, received her BA with highest honors from Richmond College, City University of New York and her Masters in Social Work from State University of New York at Stony Brook. Currently Ms. DiStefano is the Executive/Clinical Director for the San Diego State University s Center for Alcohol & Drug Studies & Services, Driving Under the Influence Program. Ms. DiStefano provides corporate wellness trainings and substance abuse seminars for a wide variety of organizations, including the National Association of Social Workers, Viejas Enterprises, Horizon HealthCare, City of Temecula, California, County of San Diego and SeaWorld. Ms. DiStefano has also provided consultation to organizations such as Kaiser Permanente, Cooper Iverson Corp, Pacific Exchange as well as the A.S.K. Organization, Japan. Ms. DiStefano is the only American recognized as an honorary member of the Japanese Social Work Association, having completed five lecture tours in Japan, training doctors, nurses and social workers in chemical dependency treatment. In 1991 Ms. DiStefano was awarded the Clinical Social Worker of the Year by the Society of Clinical Social Work, San Diego Chapter. At the 2005 70th Annual Alcoholics Anonymous International Convention in Toronto, Canada, Ms. DiStefano was honored for her professional contribution in the field of Addiction Medicine; one of only twenty other attendees from around the world honored at that convention.
Melinda Hohman is Professor at the School of Social Work, San Diego State University, San Diego, where she has worked since 1995. Dr. Hohman teaches courses in substance abuse treatment, research, and social work practice. She also coordinates the undergraduate social work program. Dr. Hohman s research interests include substance abuse assessment and treatment services and the overlap of substance abuse treatment and Child Welfare services. She has been a trainer in Motivational Interviewing (MI) since 1999, training community social workers, Child Welfare workers, probation officers, and addiction counselors across Southern California. Currently Dr. Hohman is a Co-PI on a treatment intervention study with multiple DUI offenders that is being conducted at the School's DUI Program. Dr. Hohman also currently is the Project Director of the Cal-METRO (California Motivational Enhancement Towards Rehabilitative Outcomes)Project that is being conducted through the UCSD Department of Psychiatry/Center for Criminality, Addiction, Research and Training Application (CCARTA). This project involves training over 2000 California Department of Corrections/Division of Juvenile Justice staff in motivational interviewing.Review:
At once brilliant and practical, this book will be an invaluable resource for novices, experienced clinicians and for the mentors who supervise them. To engage each client as they come, we have to respect their personal paradigm, AKA their set of assumptions, concepts, values, and practices that constitute their way of viewing reality. PDMT provides a logical system to understand where our clients are coming from and a guide for healing and transformation to what they could become. Clark Smith, MD, DFAPA Medical Director, Sharp Vista Pacifica Chemical Dependency Recovery Hospital San Diego, California --Clark Smith, MD, DFAPA
This book is a superb combination of theory and practice in treating addiction. It provides a long-needed bridge between psychological and 12-Step program approaches to treatment. This paradigm shift is an important step forward in assessing and treating chemically dependent clients. It provides excellent guidance for treatment professionals and clinical supervisors in working with addicted clients. While the major emphasis is on chemical dependency the principles and techniques are also relevant to the treatment of behavioral addictions such as gambling, sexual compulsivity, and eating disorders. Jan Parker, PhD Professor, National University, San Diego, CA Co-author of The Clinician s Guide to 12-Step Programs How, When, and Why to Refer a Client --Jan Parker, PhD
This book is excellent. It provides a great framework for therapists to use when evaluating and working with substance abusers. The PDMT scale is also a valuable tool for EAP providers to utilize for early detection and motivation during pre-treatment. I highly recommend this model to treatment providers of all disciplines. Stephen H. Heidel M.D, MBA Heidel and Associates, La Jolla, CA 1979-2003 Founder, CEO Integrated Insights A licensed behavioral health plan including substance abuse and employee assistance programs. --Stephen H. Heidel M.D, MBA
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