Managing Substance Use Disorder Practitioner Guide

Managing Substance Use Disorder: Your Substance Use Disorder: Client Workbook Practitioner Guide provides practical and empirically-based strategies for addressing and stopping substance use, and for changing daily lifestyle and behaviors that contribute to continued use. Healthcare practitioners in medical, psychiatric, addiction, and social services settings will find comprehensive information on substance use disorders, current trends, DSM-5 substance related disorders, and causes and effects of these disorders. Designed to accompany Managing Your Substance Use Disorder: Client Workbook, this manualized guide provides a detailed description of screening and assessment strategies and treatment approaches (medications and psychosocial), integrating evidenced-based interventions with the authors' extensive clinical experiences. Mutual support programs and the impact on the family and concerned significant others are also discussed, as are the most common challenges faced by individuals with a substance use disorder, such as managing cravings, resisting social pressures to use substances, coping with negative emotions and moods, building a social support network, involving family or concerned significant others, and reducing relapse risk. This expanded third edition also includes a new chapter on the management of co-occurring psychiatric disorders.

Dennis C. Daley, PhD is Sr. Clinical Director of Substance Use Services in the Behavioral Health Integration Division at the UPMC Insurance Division. He is also a Professor of Psychiatry at the University of Pittsburgh School of Medicine. Dr. Daley has been involved in clinical care, research, and teaching about addiction for nearly 40 years. Dr. Daley previously served for 14 years as Chief of Addiction Medicine Services at Western Psychiatric Institute and Clinic (WPIC), and 11 years as the Director and Principal Investigator of the Appalachian Tri-State (ATS) Node of the National Institute on Drug Abuse's (NIDA) Clinical Trials Network, housed at WPIC. He published the first book in the U.S. for counselors, and the first recovery workbooks for individuals and families on substance use disorders and co-occurring psychiatric disorders. He was also one of the first in the US to publish interactive workbooks on recovery from addiction. Dr. Daley has over 400 publications, which include books, chapters, articles, and recovery guides. He has also published material for children on understanding substance use problems.

Antoine Douaihy, MD, is Professor of Psychiatry and Medicine at the University of Pittsburgh School of Medicine. He also serves as the senior academic director of Addiction Medicine Services and director of the Addiction Psychiatry Fellowship at Western Psychiatric Hospital of the University of Pittsburgh Medical Center. He has a well-established career in patient care/advocacy, education, training, and research in the areas of motivational inter. He and Dr. Daley have worked together for 20 years providing clinical services, conducting clinical research, teaching and mentoring healthcare practitioners and medical trainees, and publishing. In recognition for his dedication to an academic career, Dr. Douaihy has been the recipient of multiple awards, including the Leonard Tow Humanism in Medicine Award and The Charles Watson Teaching Award, recognizing him for the qualities of a masterful clinician, academician, caretaker of his patients, educator, mentor, and contributor to the medical school community and community at large.

Overview of Substance Use Problems and Assessment

Chapter 1
Introductory Information for Practitioners

Chapter 2
Understanding Substance Use Problems

Chapter 3
Screening, Assessment, and Diagnosis

Treatment Settings and Approaches

Chapter 4
Treatment Settings for Substance Use Problems

Chapter 5
Psychosocial Therapies for Substance Use Disorders

Chapter 6
Medications for Substance Use Disorders

Change Issues and Strategies

Chapter 7
Stages of Change and Using Therapy or Counseling

Chapter 8
Goal Planning in Recovery

Chapter 9
Managing Cravings and Urges to Use Substances

Chapter 10
Managing Thoughts of Using Substances

Chapter 11
Managing Emotions

Chapter 12
Refusing Offers to Use Substances

Chapter 13
Dealing With Family and Interpersonal Problems

Chapter 14
Building a Recovery Support System

Chapter 15
Mutual Support Programs and Recovery Clubs

Assessing and Treating Co-occurring Psychiatric Disorders

Chapter 16
Assessment of Co-occurring Psychiatric Disorders

Chapter 17
Treatment of Co-occurring Psychiatric Disorders

Relapse Prevention and Progress Measurement

Chapter 18
Reducing the Risk of Relapse

Chapter 19
Relapse Management

Chapter 20
Strategies for Balanced Living

Chapter 21
Measuring Progress

Appendix

References and Suggested Readings

About the Authors