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. Of special utility, the companion Web page features more than 25 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.
Reviews and Endorsements:
"A wide spectrum of professionals—both specialists and nonspecialists—are increasingly treating people with substance use disorders. This book succeeds admirably in the important aim of encouraging and assisting frontline workers to better understand and effectively help people with addictive disorders. Written in clear and accessible language, this is a comprehensive and authoritative guide for anyone wishing to enter this demanding but highly rewarding field of work."
-Nick Heather, PhD, FBPsS, Emeritus Professor of Alcohol and Other Drug Studies, Northumbria University, United Kingdom
"This is an excellent integrative guide from authors who include the originator of motivational interviewing, one of the most useful innovations in the care of patients with addictive behavior problems. Clearly written, the book will enhance the knowledge, skills, and attitudes of any student or teacher of addiction treatment. More experienced addiction therapists also will find many nuggets of wisdom well worth the read."
-Richard J. Frances, MD, Department of Psychiatry, New York University Medical School
"The authors have blended superb clinical acumen with an exceptional grasp of cutting-edge research to produce this practical, scholarly, and client-centered book. The book captures the complexities of addiction treatment in an engaging manner. A major strength is the way the authors move beyond their strong presentation of evidence-based practices to thoroughly discuss the process and context of treatment, ably addressing the necessary conditions for therapeutic change. Addiction treatment specialists and other clinicians will be well served by this book. It can be used as a primary text in graduate-level courses on addiction treatment or as a supplemental text in virtually any advanced clinical practice course."
-Meredith Hanson, DSW, Graduate School of Social Service, Fordham University
"This book gives particular emphasis to the practical things clinicians need to know and do to treat addiction successfully. The authors are world leaders in treatment who describe an approach that is comprehensive, evidence based, multidisciplinary, holistic, and collaborative. A terrific text for courses that train professionals to deal with addiction problems, this book is destined to become a classic. I highly recommend it!"
-Timothy J. O'Farrell, PhD, ABPP, Department of Psychiatry, Harvard Medical School
"Written by well-respected addiction researchers and skilled clinicians, this book is a one-stop shop for those interested in learning about the latest evidence-based treatments. Students and practicing clinicians will find both basic scientific information and an arsenal of evidence-based practices that can improve client outcomes. The book provides helpful how-to examples, resources, and tools, emphasizing ways to plan individualized treatment that incorporates motivational factors. This comprehensive book will appeal to a broad audience."
-Carrie Randall, PhD, Distinguished University Professor and Director, Alcohol Research Center, Medical University of South Carolina
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
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's 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's Center on Alcoholism, Substance Abuse, and Addictions. Dr. Forcehimes's 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.