This volume proposes that prevailing clinical approaches to treating addictive behaviors are actually best suited to a minority of the population with problems--in the case of substance abusers, those with substantial functional impairment and physical dependence. But what about persons with mild to moderate addictive behavior problems, for whom intensive treatment may prove unnecessarily costly, disruptive, and stigmatizing? Or those substance abusers who are unable or unmotivated to abstain, but want to reduce the harm associated with drug use? Contributors draw upon cutting-edge theory and research to examine ways that traditional therapeutic treatments can be supplemented by public health interventions that extend the reach and effectiveness of care. Timely and pragmatic, the book points the way toward necessary evolution in the roles of behavior change specialists in today's challenging health care environment.
Table of Contents
Preface. Foreword, Glaser.
I. Reformulating the Addictive Behavior Change Process
1. Changing Addictive Behavior: Historical and Contemporary Perspectives, Tucker
2. From Hindsight to Foresight: A Commentary on Project MATCH, Marlatt
3. Public Health Perspectives on Access and Need for Substance Abuse Treatment, Schmidt and Weisner
4. Resolving Alcohol and Drug Problems: Influences on Addictive Behavior Change and Help-Seeking Processes, Tucker and King
5. Motivation for Behavior Change and for Treatment among Substance Abusers, Donovan and Rosengren
6. Critical Perspectives on the Transtheoretical Model and Stages of Change, Joseph, Breslin, and Skinner
7. Behavioral Economics as a Framework for Organizing the Expanded Range of Substance Abuse Interventions, Vuchinich
II. Expanding the Range of Behavior Change Initiatives
8. Public Health Perspective on Addictive Behavior Change Interventions: Conceptual Frameworks and Guiding Principles, Curry and Kim
9. Brief Interventions for Alcohol and Drug Abuse Problems, Zweben and Fleming
10. Potential Contributions of the Community Reinforcement Approach and Contingency Management to Broadening the Base of Substance Abuse Treatment, Higgins
11. Increasing the Impact of Nicotine Dependence Treatment: Conceptual and Practical Considerations in a Stepped-Care Plus Treatment-Matching Approach, Abrams, Clark, and King
12. Stepped Care for Alcohol Problems: An Efficient Method for Planning and Delivering Clinical Services, M. B. Sobell and L. C. Sobell
13. Evaluation of Substance Abuse Treatment Programs in the Era of Managed Care: The Role of Cost Benefit Analysis, McEldowney and Heilman
"The importance of a combined clinical and public health approach is demonstrated in this book....The chapters are well organized and clearly written, and contain specific examples and extensive bibliographies."
"This forward-looking book provides a unique contemporary perspective on the key issues involved in changing addictive behavior. It moves beyond a focus on treatment to address help-seeking processes, concepts of motivation and stages of change, brief intervention and stepped care, public health frameworks, and behavior economics and cost benefit analysis....[It] will be a valuable resource for students and practitioners in the field as well as for program managers and evaluators."
-Rudolph Moos, PhD, Stanford University School of Medicine
"This is a genuinely interesting and informative book that will contain nuggets of information even for researchers and clinicians well versed in the field. It will also provide a very useful teaching aid at graduate and undergraduate levels."
from the publisher's website