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Synopsis
Offers a comprehensive review of the research on both standard approaches to continuing care and adaptive models that emphasize more flexible protocols, less treatment burden and greater convenience for patients and more attention to patient preference with regard to components of care.
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Review
Some people who have substance use disorders (alcohol and drugs) respond positively to brief therapeutic intervention. However, other people are not able to sustain sobriety without intensive long-term treatment. As psychologist James R. McKay states in the introduction to his book, "There is now widespread acceptance that addiction is often a chronic problem characterized by increased vulnerability to relapse that can persist over many years." McKay wrote the book primarily for clinical researchers and program directors specializing in the treatment of substance use disorders and addictions. He also believes that clinicians will benefit from the book by learning about specific therapy methods, their effectiveness and how they are applied. True to its objectives, the book covers a lot of ground in the areas of program administration and large scale intervention. Early chapters in the book introduce us to the concept of adaptive continuing care by tracing the evolution of contemporary substance use and addiction treatment. There has been a distinct shift from an acute care orientation to models variously described as aftercare, step-down care and continuum of care in which, quoting McKay, "patients receive interventions designed to help them manage their disorders more effectively over time." McKay details many of the components that comprise adaptive continuing care, including but not limited to, transitional services from residential treatment settings to community-based clinics, establishment of social support networks, participation in self-help groups and strategic relapse prevention. He closely examines the process of implementing comprehensive continuing care and importantly, the research evidence that has emerged from correlational, quasi-experimental and controlled research. Indeed, the book has a research focus that will resonate with scientist-practitioner professionals. The substance use and addiction treatment approach presented in the book is not static. Rather, the concept of adaptive continuing care continues to expand within the criminal justice system, public assistance programs, child and youth services and vocational training job-sites. The task of coordinating these many avenues of service delivery is carefully considered throughout the book. McKay's clinical acumen and sophistication is evident in his presentation of therapeutic procedures common to adaptive continuing care. He advocates, among many recommendations, that clinicians embrace "low burden" interventions, computerized service delivery modalities, portable monitoring devices and procedural protocols that can be adapted as circumstances warrant. No single procedure dominates - instead, the best strategy is to combine multiple procedures that are matched to each person's presenting problems. This book is a must read for students, clinicians, researchers and program administrators concerned about substance use and addiction treatment. McKay is an exemplary research scientist and recognized expert who never strays from the empirical evidence. He has compiled a vast clinical and research literature in a book full of useful ideas and practical guidance that will challenge you to re-think established treatment approaches in favor of new and still evolving methods of care. A valuable resource, the book will inform the mental health community for years to come. By James K. Luiselli, Ed.D., ABPP, BCBA-D S --New England Psychologist, March 2010
"Recent reviews of the dominant approaches to addiction treatment are filled with calls for a `seismic shift rather than mere tinkering', a `quantum leap' [1], a `fundamental shift in thinking' [2], a `paradigm shift' [3] and a `sea change in the culture of addiction service delivery' [4]. Central to these critiques is the perceived need to shift the focus of addiction treatment from intensity (acute biopsychosocial stabilization) to extensity (sustained monitoring and support, assertive linkage to indigenous recovery communities, stage-appropriate recovery education and, when needed, early re-intervention) [5]. As `systems transformation' efforts unfold at national, regional and local levels to achieve this shift, treatment leaders are searching for a cogent synthesis of the scientific research relevant to these redesign efforts. James McKay's Treating Substance Use Disorders with Adaptive Continuing Care stands as the best singular summary of such research. McKay's text is rigorously researched and written in an accessible style that will find appreciative audiences among fellow scientists, behavioural health care policy makers and administrators, as well as those working on the front lines of addiction treatment and peer-based recovery support services. The book establishes the scientific rationale for sustained recovery management, summarizes studies to date on various approaches to longterm recovery support and suggests future directions for enhancing long-term recovery outcomes. Treating Substance Use Disorders with Adaptive Continuing Care notes the emergence of new service institutions (grass-roots recovery community organizations), new recovery support roles (recovery coaches), new service delivery media (e.g. telephone- and internet-based recovery support services) and new technologies of long-termcare management (e.g. use of algorithms to adapt ongoing care, recovery check-ups)." --Addiction
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Treating Substance Use Disorders with Adaptive Continuing Care
Seller: The Book Spot, North Branch, MN, U.S.A.
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