A Guide for Professionals
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This widely respected text and practitioner guide, now revised and expanded, provides a roadmap for effective clinical practice with clients with substance use disorders. Specialists and nonspecialists alike benefit from the authors' expert guidance for planning treatment and selecting from a menu of evidence-based treatment methods. Assessment and intervention strategies are described in detail, and the importance of the therapeutic relationship is emphasized throughout. Lauded for its clarity and accessibility, the text includes engaging case examples, up-to-date knowledge about specific substances, personal reflections from the authors, application exercises, reflection questions, and end-of-chapter bulleted key points.
New to This Edition
*Chapters on additional treatment approaches: mindfulness, contingency management, and ways to work with concerned significant others.
*Chapters on overcoming treatment roadblocks and implementing evidence-based treatments with integrity.
*Covers the new four-process framework for motivational interviewing, diagnostic changes in DSM-5, and advances in pharmacotherapy.
*Updated throughout with current research and clinical recommendations.
Table of Contents
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
5. Screening, Evaluation, and Diagnosis
6. Withdrawal Management and Health Care Needs
7. Individualizing Treatment
8. Case Management
III. A Menu of Evidence-Based Options in Treating Addiction
9. Brief Interventions
10. Motivational Interviewing
11. Behavioral Coping Skills
12. Meditation and Mindfulness
13. Contingency Management
14. A Community Reinforcement Approach
15. Working with Significant Others
16. Strengthening Relationships
17. Mutual Help Groups
18. Medications in Treatment
IV. Professional Issues
19. Stuff That Comes Up
20. Treating Co-Occurring Conditions
21. Facilitating Maintenance
22. Working with Groups
23. Addressing the Spiritual Side
24. Professional Ethics
25. Implementing Evidence-Based Practice
William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico. Fundamentally interested in the psychology of change, he is a cofounder of motivational interviewing and has focused particularly on developing and testing more effective treatments for people with alcohol and drug problems. Dr. Miller has published over 400 scientific articles and chapters and 50 books, including the groundbreaking work for professionals Motivational Interviewing, Third Edition, and the self-help resource Controlling Your Drinking, Second Edition. He is a recipient of the international Jellinek Memorial Award, two career achievement awards from the American Psychological Association, and an Innovators in Combating Substance Abuse Award from the Robert Wood Johnson Foundation, among many other honors. The Institute for Scientific Information has listed him as one of the world’s most highly cited researchers.
Alyssa A. Forcehimes, PhD, is President of The Change Companies and Train for Change. Prior to joining these organizations, she was on the faculty of Psychiatry and Psychology at the University of New Mexico Health Sciences Center. Her research focuses on processes of motivation for change and on effective methods for disseminating and teaching evidence-based behavioral treatments in real-world settings. Dr. Forcehimes works in addiction, mental health, and health care settings to develop, implement, and evaluate behavior change practices.
Allen Zweben, PhD, is Professor and Associate Dean at the Columbia University School of Social Work. His research and publications have focused primarily on innovative assessment and treatment approaches for substance use problems. Dr. Zweben has been a principal investigator on numerous 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.
"This second edition provides up-to-date coverage of essential topics in addiction treatment, deftly integrating clinical science and practice. Readers in the early stages of training will find it clear and accessible, while more advanced clinicians and clinical scientists will be attracted to the deep knowledge base of the experienced authors. I strongly recommend this book as a source of foundational information in any graduate course or professional training program in addiction."--Stephen A. Maisto, PhD, ABPP, Department of Psychology, Syracuse University
"This is not an ordinary second edition. The changes are substantial, including five new chapters on important topics such as mindfulness and implementation of evidence-based treatments. Clinical examples are plentiful. A new chapter titled 'Stuff That Comes Up' addresses a variety of clinical situations that can occur with any treatment--for example, dealing with intoxicated patients. Treating Addiction is a text that can be used in both undergraduate and graduate substance use courses, and is a useful update for practitioners as well."--Mark B. Sobell, PhD, ABPP, and Linda Carter Sobell, PhD, ABPP, Center for Psychological Studies, Nova Southeastern University
"'Must' reading for all who work with persons with substance use disorders. What makes this book unique is that it goes beyond specialist care in addictions to offer a practical guide for professionals in a wide range of fields. It draws on a variety of strategies of proven effectiveness that can be individualized to meet client needs. The case management section is especially useful, as is the new chapter on mindfulness. This is an invaluable text for advanced courses in addictions, family studies, and mental health counseling. Miller and his coauthors have helped to revolutionize substance abuse treatment by moving the field from a focus on harsh confrontation to a more compassionate approach."--Katherine van Wormer, PhD, MSSW, Department of Social Work (Emerita), University of Northern Iowa
"A comprehensive, easy-to-follow text. Although substance use disorders are inherently complex, this text manages to provide a clear overview of their biological underpinnings; how they develop; and how to assess, diagnose, and treat them. The first edition was an instant classic; the second edition is greatly enhanced by new data and additional content, including a critical new chapter on implementation of evidence-based treatment methods. This is an excellent resource and a 'must have' for students and clinicians who are looking to apply state-of-the-science knowledge to understanding and treating addiction."--Katie Witkiewitz, PhD, Regents’ Professor, Department of Psychology, University of New Mexico
“I assigned the first edition to my graduate students in two different addiction courses. They read the entire book and we discussed it in class--a significant percentage of the final exam was based on this text. Miller is a living legend in counseling, and I have used his motivational interviewing techniques for almost two decades to move my clients through the stages of change. This is my go-to book for college seniors and graduate students who want to learn about addiction treatment and helping clients into and throughout the recovery process. It is also an excellent resource for professionals with addictions certifications to stay current on the latest information about our incredibly important field.”--Frank L. Greenagel II, MPAP, MSW, LCSW, LCADC, CJC, CCS, Center of Alcohol Studies and School of Social Work, Rutgers, The State University of New Jersey