Treating Addiction A Guide for Professionals

An indispensable practitioner reference and text, this engaging book focuses on how to provide effective help to clients with substance use disorders. The authors, leading authorities on addiction treatment, present a state-of-the-art framework for assessment and treatment. They describe and illustrate evidence-based treatment methods, including cognitive-behavioral, 12-step, motivational, pharmacological, and family approaches. Also addressed are such crucial clinical issues as resistance, maintenance of change, treating co-occurring disorders, and spirituality. Reproducible clinical tools can be photocopied from the book or downloaded and printed in a convenient 8 1/2" x 11" size (www.guilford.com/p/miller11). Of special utility, the companion Web page features more than two dozen additional widely used, ready-to-download assessment tools, assembled in one place for the first time, together with the authors' guidance for using them throughout the process of treatment.

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Throughout his career he has developed and evaluated various methods for addiction treatment, including motivational interviewing, behavior therapies, and pharmacotherapies. More generally interested in the psychology of change, Dr. Miller has also focused on the interface of spirituality and psychotherapy. Having authored more than 40 books and 400 professional and scientific articles and chapters, Dr. Miller is listed by the Institute for Scientific Information as one of the world\u2019s most cited scientists. Alyssa A. Forcehimes, PhD, is a clinical psychologist on the faculty of Psychiatry at the University of New Mexico Health Sciences Center. She coordinates the Southwest Node of the National Institute on Drug Abuse Clinical Trials Network, which is located at the University\u2019s Center on Alcoholism, Substance Abuse, and Addictions. Dr. Forcehimes\u2019s research focuses on processes of motivation for change and on effective methods for disseminating and teaching evidence-based behavioral treatments for addiction to mental health, substance abuse, and health care providers. Allen Zweben, PhD, is Professor and Associate Dean for Research and Academic Affairs at the Columbia University School of Social Work. Dr. Zweben has been a principal investigator on numerous federally and privately funded behavioral and medication trials, including two landmark studies funded by the National Institute on Alcohol Abuse and Alcoholism: Project MATCH, a patient–treatment matching study, and the COMBINE study, a project examining the efficacy of combining pharmacotherapy and psychotherapy interventions for alcohol problems.

Preface I. An Invitation to Addiction Treatment 1. Why Treat Addiction? 2. What Is Addiction? 3. How Do Drugs Work? II. A Context for Addiction Treatment 4. A Client-Centered Foundation 5. Screening, Evaluation, and Diagnosis 6. Detoxification and Health Care Needs 7. Matching: Individualizing Treatment Plans 8. Case Management III. A Menu of Evidence-Based Options for Addiction Treatment 9. Brief Interventions 10. Enhancing Motivation for Change 11. A Community Reinforcement Approach 12. Strengthening Coping Skills 13. Involving and Working with Family 14. Mutual Help Groups 15. Pharmacological Adjuncts IV. Issues That Arise in Addiction Treatment 16. Responding to Resistance 17. Enhancing Adherence 18. Treating Co-Occurring Disorders 19. Promoting Maintenance 20. Working with Groups 21. Addressing the Spiritual Side 22. Professional Ethics 23. Promoting Prevention Postscript: Looking Forward, A. Thomas McLellan