Broadening the Base of Treatment for Alcohol Problems

Broadening the Base of Treatment for Alcohol Problems PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040388
Category : Medical
Languages : en
Pages : 640

Get Book

Book Description
In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there. Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.

Broadening the Base of Treatment for Alcohol Problems

Broadening the Base of Treatment for Alcohol Problems PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309040388
Category : Medical
Languages : en
Pages : 640

Get Book

Book Description
In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there. Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.

Broadening the Base of Treatment of Alcohol Problems

Broadening the Base of Treatment of Alcohol Problems PDF Author: Institute of Medicine
Publisher:
ISBN: 9780608062006
Category :
Languages : en
Pages : 639

Get Book

Book Description


Alcohol Problems in the United States

Alcohol Problems in the United States PDF Author: Thomas F Mcgovern
Publisher: Routledge
ISBN: 1317825349
Category : Psychology
Languages : en
Pages : 291

Get Book

Book Description
Alcohol Problems in the United States: Twenty Years of Treatment Perspective presents an overview of trends in the treatment of alcohol problems over a 20-year period from three vantage points: broader treatment perspectives, experienced views from the field, and personal perspectives. Some of the field's foremost experts, including Alcoholics Anonymous historian Dr. Ernest Kurtz and Dr. Robert Sparks, who chaired the committee that authored the Institute of Medicine’s highly influential study, “Broadening the Base of Treatment for Alcohol Problems,” provide practical information on the vital treatment issues you deal with every day. By detailing treatment histories of the recent past, contributors offer a look at likely future trends that will help keep your treatment methods up to date. Treatment topics addressed in Alcohol Problems in the United States: Twenty Years of Treatment Perspective include: alcoholism as a disease alcohol dependence and mental illness the role of spirituality the growth and decline of treatment programs at the Mayo Clinic and Timberlawn Hospital and the special treatment needs of women, youths, African Americans, Native Americans, the Latino community, and the incarcerated. Alcohol Problems in the United States: Twenty Years of Treatment Perspective chronicles the story of alcohol treatment from historical and personal perspectives, offering the opportunity to anticipate future trends in the many challenges associated with alcohol problems. The book is an essential resource for professional alcoholism counselors, social workers, psychologists, physicians, clergy, nurses, employee assistance professionals, and anyone who provides care and service to those struggling with alcohol.

The Essential Handbook of Treatment and Prevention of Alcohol Problems

The Essential Handbook of Treatment and Prevention of Alcohol Problems PDF Author: Nick Heather
Publisher: John Wiley & Sons
ISBN: 0470862971
Category : Psychology
Languages : en
Pages : 392

Get Book

Book Description
The last three decades have seen an explosion of social, psychological and clinical research to identify effective strategies to prevent and treat alcohol-related problems. This “Essential Handbook” contains an updated selection of reviews of “what works” drawn from the critically acclaimed International Handbook of Alcohol Dependence and Problems. Selected specifically for health and other professionals, who need to provide effective responses in their work, these authoritative, science-based reviews are a distillation of the more practical elements, designed to save time for the busy practitioner.

Clinical Guide to Alcohol Treatment

Clinical Guide to Alcohol Treatment PDF Author: Robert J. Meyers
Publisher: Guilford Press
ISBN: 9780898628579
Category : Psychology
Languages : en
Pages : 228

Get Book

Book Description
This book is the first complete guide to implementing the Community Reinforcement Approach (CRA), an empirically based, highly effective cognitive-behavioral program for treating alcohol problems. CRA acknowledges the powerful role of environmental contingencies in encouraging or discouraging drinking, and attempts to rearrange these contingencies so that a non-drinking lifestyle is more rewarding than a drinking one. Unique in its breadth, the approach utilizes social, recreational, familial, and vocational strategies to aid clients in the recovery process. This authoritative manual is a hands-on guide to applying these therapeutic procedures. The authors present a step-by-step guide to each component of the treatment plan, many of which have been shown to be effective forms of treatment in themselves. Topics include behavioral skills training, social and recreational counseling, marital therapy, motivational enhancement, job counseling, and relapse prevention. Each chapter provides detailed instructions for conducting a procedure, describes what difficulties to expect, and presents strategies for overcoming them. Sample dialogues between clients and therapists, annotated by the authors, further illuminate the treatment process. The book concludes with a chapter that both addresses the common mistakes made when implementing CRA, and emphasizes the flexibility and benefits of this total treatment plan. This book is an invaluable resource for a wide range of practitioners including psychologists, psychiatrists, substance abuse counselors, and social workers.

Fetal Alcohol Syndrome

Fetal Alcohol Syndrome PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176123
Category : Medical
Languages : en
Pages : 230

Get Book

Book Description
It sounds simple: Women who drink while pregnant may give birth to children with defects, so women should not drink during pregnancy. Yet in the 20 years since it was first described in the medical literature, fetal alcohol syndrome (FAS) has proved to be a stubborn problem, with consequences as serious as those of the more widely publicized "crack babies." This volume discusses FAS and other possibly alcohol-related effects from two broad perspectives: diagnosis and surveillance, and prevention and treatment. In addition, it includes several real-life vignettes of FAS children. The committee examines fundamental concepts for setting diagnostic criteria in general, reviews and updates the diagnostic criteria for FAS and related conditions, and explores current research findings and problems associated with FAS epidemiology and surveillance. In addition, the book describes an integrated multidisciplinary approach to research on the prevention and treatment of FAS. The committee Discusses levels of preventive intervention. Reviews available data about women and alcohol abuse and treatment among pregnant women. Explores the psychological and behavioral consequences of FAS at different ages. Examines the current state of knowledge about medical and therapeutic interventions, education efforts, and family support programs. This volume will be of special interest to physicians, nurses, mental health practitioners, school and public health officials, policymakers, researchers, educators, and anyone else involved in serving families and children, especially in high risk populations.

Pathological Gambling

Pathological Gambling PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309065712
Category : Medical
Languages : en
Pages : 353

Get Book

Book Description
As states have moved from merely tolerating gambling to running their own games, as communities have increasingly turned to gambling for an economic boost, important questions arise. Has the new age of gambling increased the proportion of pathological or problem gamblers in the U.S. population? Where is the threshold between "social betting" and pathology? Is there a real threat to our families, communities, and the larger society? Pathological Gambling explores America's experience of gambling, examining: The diverse and frequently controversial issues surrounding the definition of pathological gambling. Its co-occurrence with disorders such as alcoholism, drug abuse, and depression. Its social characteristics and economic consequences, both good and bad, for communities. The role of video gaming, Internet gambling, and other technologies in the development of gambling problems. Treatment approaches and their effectiveness, from Gambler's Anonymous to cognitive therapy to pharmacology. This book provides the most up-to-date information available on the prevalence of pathological and problem gambling in the United States, including a look at populations that may have a particular vulnerability to gambling: women, adolescents, and minority populations. Its describes the effects of problem gambling on families, friendships, employment, finances, and propensity to crime. How do pathological gamblers perceive and misperceive randomness and chance? What are the causal pathways to pathological gambling? What do genetics, brain imaging, and other studies tell us about the biology of gambling? Is there a bit of sensation-seeking in all of us? Who needs treatment? What do we know about the effectiveness of different policies for dealing with pathological gambling? The book reviews the available facts and frames the intriguing questions yet to be answered. Pathological Gambling will be the odds-on favorite for anyone interested in gambling in America: policymakers, public officials, economics and social researchers, treatment professionals, and concerned gamblers and their families.

Bridging the Gap Between Practice and Research

Bridging the Gap Between Practice and Research PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309173922
Category : Medical
Languages : en
Pages : 286

Get Book

Book Description
Today, most substance abuse treatment is administered by community-based organizations. If providers could readily incorporate the most recent advances in understanding the mechanisms of addiction and treatment, the treatment would be much more effective and efficient. The gap between research findings and everyday treatment practice represents an enormous missed opportunity at this exciting time in this field. Informed by real-life experiences in addiction treatment including workshops and site visits, Bridging the Gap Between Practice and Research examines why research remains remote from treatment and makes specific recommendations to community providers, federal and state agencies, and other decision-makers. The book outlines concrete strategies for building and disseminating knowledge about addiction; for linking research, policy development, and everyday treatment implementation; and for helping drug treatment consumers become more informed advocates. In candid language, the committee discusses the policy barriers and the human attitudesâ€"the stigma, suspicion, and skepticismâ€"that often hinder progress in addiction treatment. The book identifies the obstacles to effective collaboration among the research, treatment, and policy sectors; evaluates models to address these barriers; and looks in detail at the issue from the perspective of the community-based provider and the researcher.

A Guide to Substance Abuse Services for Primary Care Clinicians

A Guide to Substance Abuse Services for Primary Care Clinicians PDF Author: Eleanor J. Sullivan
Publisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 192

Get Book

Book Description
EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) PDF Author: U.S. Department of Health and Human Services
Publisher: Lulu.com
ISBN: 1794755136
Category : Reference
Languages : en
Pages : 208

Get Book

Book Description
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.