Miller Evidence-Based Addiction Treatment

1. Auflage 2009
ISBN: 978-0-08-092190-7
Verlag: Elsevier Science & Techn.
Format: EPUB
Kopierschutz: 6 - ePub Watermark

E-Book, Englisch, 488 Seiten

The addictions treatment field is currently undergoing a period of increased scrutiny, upheaval and change. The growing emphasis on treatment accountability and cost effectiveness is leading to major changes in standards of care. Inconsistent practices based solely on clinical intuition rather than hard scientific evidence of treatment efficacy are rapidly becoming unacceptable.
Translating science-based treatments into clinical settings is an important priority in the addictions field and has been the subject of an influential Institute of Medicine report. Substance abuse treatment programs are now mandated to provide evidence-based treatments, with funding and insurance reimbursement contingent on their doing so.
Evidence-Based Addiction Treatment provides a state-of-the-art compilation of assessment and treatment practices with proven effectiveness. A substantial body of evidence is presented to provide students, academics and clinicians with specific science-based treatments that work. Written at a level appropriate for a variety of audiences, research studies are discussed but highly sophisticated knowledge in research methodology is not required.
- Treatments that work
- Explicit case examples
- Contributions by well-known researchers on addiction treatment
- Simple ways to evaluate treatment effectiveness
- Accompanying web-site with exam questions

Autoren/Hrsg.

Miller, Peter M.

Inhaltsverzeichnis

1;Front Cover;1
2;Evidence-Based Addiction Treatment;4
3;Copyright Page;5
4;Contents;6
5;Preface;12
6;Contributors;16
7;Part 1 Introduction to Evidence-Based Practices;20
7.1;CHAPTER 1 What Is Evidence-Based Treatment?;22
7.1.1;Summary points;22
7.1.2;What does "evidence based" mean?;24
7.1.3;Evaluating the evidence;25
7.1.4;Examples of key studies and findings;30
7.1.5;Examples of evidence-based treatments;33
7.1.6;Conclusions and future directions;36
7.1.7;References;37
7.2;CHAPTER 2 The Clinical Course of Addiction Treatment: The Role of Nonspecific Therapeutic Factors;40
7.2.1;Summary points;40
7.2.2;Introduction;41
7.2.3;Accessing treatment;44
7.2.4;Treatment engagement and outcomes;48
7.2.5;Conclusions;55
7.2.6;References;55
8;Part 2 Clinical Assessment and Treatment Monitoring;66
8.1;CHAPTER 3 History and Current Substance Use;68
8.1.1;Summary points;68
8.1.2;Self-report/interview methods of alcohol and other drug consumption;71
8.1.3;Biomarker measures of alcohol and illicit drug consumption;86
8.1.4;General summary and conclusions;91
8.1.5;References;92
8.2;CHAPTER 4 Dependence and Diagnosis;96
8.2.1;Summary points;96
8.2.2;Introduction;97
8.2.3;Defining substance use disorders;97
8.2.4;Screening methods;101
8.2.5;Diagnostic assessment;103
8.2.6;Summary;105
8.2.7;References;105
8.3;CHAPTER 5 Assessment of Co-occurring Addictive and Other Mental Disorders;108
8.3.1;Summary points;108
8.3.2;Definitions;109
8.3.3;Features of co-occurring disorders that inform assessment;109
8.3.4;Screening for AMDS;119
8.3.5;References;130
8.4;CHAPTER 6 Individualized Problem Assessment I: Assessing Cognitive and Behavioral Factors;138
8.4.1;Summary points;138
8.4.2;Antecedents to substance use and/or relapse;140
8.4.3;Self-efficacy;143
8.4.4;Expectancies;145
8.4.5;Motivation;146
8.4.6;Assessment of craving;150
8.4.7;Summary;152
8.4.8;References;152
8.5;CHAPTER 7 Individualized Problem Assessment II: Assessing Clients from a Broader Perspective;158
8.5.1;Summary points;158
8.5.2;Coping skills;159
8.5.3;Consequences;161
8.5.4;Social support;164
8.5.5;Treatment-related needs and preferences;166
8.5.6;Alcoholics anonymous involvement;166
8.5.7;Spirituality and religiosity;168
8.5.8;Multidimensional measures;169
8.5.9;Summary;170
8.5.10;References;171
9;Part 3 Treatment Methods;176
9.1;CHAPTER 8 Cognitive Behavioral Treatments for Substance Use Disorders;178
9.1.1;Summary points;178
9.1.2;Summary;179
9.1.3;Review of behavioral therapy and cognitive therapy;179
9.1.4;Cognitive behavioral therapy for substance use disorders;181
9.1.5;General format of CBT for substance use disorders;182
9.1.6;Evidence for efficacy of CBT for substance use disorders;190
9.1.7;Summary;192
9.1.8;References;192
9.2;CHAPTER 9 Motivational Interviewing for Addictions;194
9.2.1;Summary points;194
9.2.2;Introduction: The counselor's dilemma;194
9.2.3;What is motivational interviewing?;195
9.2.4;Four principles of motivational interviewing: "Common ingredients";195
9.2.5;Client language: A unique ingredient in MI;196
9.2.6;The spirit of motivational interviewing;197
9.2.7;Revisiting the initial consultation;197
9.2.8;The transtheoretical model of change;198
9.2.9;Common misconceptions about motivational interviewing;199
9.2.10;Does motivational interviewing work?;200
9.2.11;Training and evaluating motivational interviewing;200
9.2.12;Conclusions;201
9.2.13;Motivational interviewing resources;205
9.2.14;Further reading;206
9.2.15;References;206
9.3;CHAPTER 10 Brief Intervention;208
9.3.1;Summary points;208
9.3.2;Introduction;209
9.3.3;Background;209
9.3.4;Origins and theory base;210
9.3.5;The evidence base;212
9.3.6;Delivering screening and brief intervention in primary care settings;216
9.3.7;Implementation issues;221
9.3.8;Conclusion;227
9.3.9;References;227
9.4;CHAPTER 11 Relapse Prevention: Evidence Base and Future Directions;234
9.4.1;Summary points;234
9.4.2;Background of relapse prevention;235
9.4.3;Theoretical models behind relapse prevention;237
9.4.4;Empirical evidence supporting relapse prevention;239
9.4.5;Therapeutic components of relapse prevention interventions;240
9.4.6;Specific intervention strategies;241
9.4.7;Global intervention strategies;245
9.4.8;Summary and conclusions;249
9.4.9;References;249
9.5;CHAPTER 12 Behavioral Couples Therapy in the Treatment of Alcohol Problems;252
9.5.1;Summary points;252
9.5.2;Introduction to alcohol behavioral couples therapy;253
9.5.3;How well does ABCT work?;259
9.5.4;Some criticisms of the ABCT approach;260
9.5.5;Expanding ABCT to fit innovations in EFT;262
9.5.6;Conclusions;264
9.5.7;Acknowledgment;264
9.5.8;References;264
9.6;CHAPTER 13 Contingency Management and the Community Reinforcement Approach;268
9.6.1;Summary points;268
9.6.2;Introduction;269
9.6.3;Conceptualizing treatment;270
9.6.4;Community reinforcement approach;271
9.6.5;Contingency management;272
9.6.6;Empirical support;273
9.6.7;Initial study;273
9.6.8;Extending CRA to treatment of patients with cocaine and opioid use disorders;274
9.6.9;Further extensions;275
9.6.10;Conclusions;281
9.6.11;Acknowledgment;282
9.6.12;References;282
9.7;CHAPTER 14 How Much Treatment Does a Person Need? Self-Change and the Treatment System;286
9.7.1;Summary points;286
9.7.2;Professional help and lay help—treatment systems in crisis;287
9.7.3;Self-organized quitting, self-change from addictive behaviors;289
9.7.4;Creating a societal climate friendly to individual change: Advice for policy makers;300
9.7.5;References;301
9.8;CHAPTER 15 Adjunctive Pharmacotherapy in the Treatment of Alcohol and Drug Dependence;306
9.8.1;Introduction;306
9.8.2;The neurobiology of addictions;307
9.8.3;Pharmacotherapy of addictions;310
9.8.4;Pharmacotherapy as an "adjunctive" therapy;321
9.8.5;Conclusions;323
9.8.6;References;323
10;Part 4 Special Populations and Applications;330
10.1;CHAPTER 16 Addiction Treatment Disparities: Ethnic and Sexual Minority Populations;332
10.1.1;Summary points;332
10.1.2;Addiction treatment disparities;334
10.1.3;Conditions that create disparities;335
10.1.4;Assessment issues;336
10.1.5;Treatment issues;336
10.1.6;Difference in cultural values may impact treatment outcomes;337
10.1.7;Prejudice, racism, and homophobia;337
10.1.8;Empirically based treatment and minority clients;338
10.1.9;Summary;339
10.1.10;References;339
10.2;CHAPTER 17 Treating the Patient with Comorbidity;346
10.2.1;Summary points;346
10.2.2;Empirically supported treatment and comorbidity;347
10.2.3;Is psychiatric comorbidity an indicator of poor prognosis?;347
10.2.4;What happens over time with comorbid symptoms?;349
10.2.5;Treatment of comorbid mental illness and substance abuse;350
10.2.6;References;358
10.3;CHAPTER 18 Evidence-Based Interventions for Adolescent Substance Users;364
10.3.1;Summary points;364
10.3.2;Introduction;365
10.3.3;Systematic reviews and meta-analyses;365
10.3.4;Interventions;367
10.3.5;Where do we go from here;373
10.3.6;References;375
10.4;CHAPTER 19 College Student Applications;380
10.4.1;Summary points;380
10.4.2;Prevention/brief intervention focus versus treatment;382
10.4.3;Delivery methods of intervention;384
10.4.4;Conclusions;392
10.4.5;References;393
10.5;CHAPTER 20 Internet Evidence-Based Treatments;398
10.5.1;Summary points;398
10.5.2;What do internet-based interventions look like?;400
10.5.3;Considerations for creating an evidence base;408
10.5.4;Looking to the future;412
10.5.5;References;413
11;Part 5 Evidence-Based Treatment in Action;418
11.1;CHAPTER 21 Evidence-Based Treatment Planning for Substance Abuse Therapy;420
11.1.1;Summary points;420
11.1.2;Overview of treatment planning;424
11.1.3;Steps in the individual treatment planning process;426
11.1.4;Advances toward the goal of evidence-based treatment planning;433
11.1.5;References;435
11.2;CHAPTER 22 Adoption and Implementation of Evidence-Based Treatment;438
11.2.1;Summary points;438
11.2.2;Background and introduction;439
11.2.3;Adoption and implementation;441
11.2.4;Leadership;441
11.2.5;Implementation science: A model for program change;442
11.2.6;Practical applications: Assessing the organization;447
11.2.7;Guidelines for administration;449
11.2.8;Interpretation;449
11.2.9;Reformative strategies;450
11.2.10;Conclusions and implications;452
11.2.11;Future directions;453
11.2.12;Acknowledgments;453
11.2.13;References;454
12;Part 6 A Look Toward the Future;458
12.1;CHAPTER 23 Challenges of an Evidence-Based Approach to Addiction Treatment;460
12.1.1;Summary points;460
12.1.2;Ongoing issues and challenges;462
12.1.3;Conclusions;466
12.1.4;References;467
13;Index;468
13.1;A;468
13.2;B;470
13.3;C;471
13.4;D;473
13.5;E;474
13.6;F;474
13.7;G;475
13.8;H;475
13.9;I;476
13.10;J;476
13.11;K;476
13.12;L;477
13.13;M;477
13.14;N;478
13.15;O;479
13.16;P;479
13.17;Q;480
13.18;R;480
13.19;S;481
13.20;T;483
13.21;U;483
13.22;V;484
13.23;W;484
13.24;X;484
13.25;Y;484