Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors

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More About This Textbook


Learn more effective treatments for adolescents with abuse substance disorder

Dual diagnosis of adolescent substance use disorders and comorbid psychiatric disorders must be treated simultaneously to be effective. Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors presents leading experts offering insightful viewpoints and dynamic suggestions on how to best provide simultaneous treatment and integrated services to these youths. The book covers the state of the art in the field of substance use disorders, and reviews different psychiatric disorders and high risk behaviors, and then addresses the issue of integrated services and ethical, legal, and policy issues pertaining to this population.

In the field of adolescent substance abuse treatment, dual diagnosis is the rule rather than the exception, making assessment and treatment complicated. Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors comprehensively discusses the magnitude, etiology, and characteristics of problems and substance abuse disorders (SUD), and extensively explains ways to assess, treat, and develop services for adolescents. This unique text closely examines the assessment and treatment of psychiatric comorbid disorders among adolescents such as depression, anxiety disorders, ADHD, and high risk behaviors including suicidal behavior, self-harm behavior, and gambling behavior. The text is extensively referenced and several chapters include helpful tables and figures to clearly display the data.

Topics examined in Adolescent Substance Abuse: Psychiatric Comorbidity and High Risk Behaviors

  • etiology of adolescent substance abuse
  • assessment
  • treatment planning
  • psychosocial interventions
  • pharmacological interventions
  • disruptive behavior disorders
  • attention deficit hyperactivity disorder
  • depression
  • bi-polar mood disorder
  • anxiety disorders
  • trauma and post traumatic stress disorder (PTSD)
  • suicidal and self-harm behaviors
  • schizophrenia
  • eating disorder
  • gambling behavior

Adolescent Substance Abuse: Psychiatric Comorbidity and High
Risk Behaviors
is an invaluable resource for mental health professionals, pediatricians, family physicians, nurses, addictions specialists, counselors, educators, students, and drug court professionals who provide assessment and treatment for youths with substance use disorders.

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Product Details

  • ISBN-13: 9780789031723
  • Publisher: Taylor & Francis
  • Publication date: 1/14/2008
  • Edition description: New Edition
  • Pages: 522
  • Product dimensions: 6.10 (w) x 9.30 (h) x 1.20 (d)

Table of Contents

About the Editors

Chapter 1. Etiology of Substance Use Disorder: Developmental Perspective (Ralph E. Tarter, Michael Vanyukov, and Levent Kirisci)
Substance Use Disorder: Outcome Phenotype
The Concept of Liability to SUD
Modeling SUD Etiology Within a Developmental Framework
Determinants of SUD Liability Variation
Components of SUD Liability
Research to Practice

Chapter 2. Adolescent Substance Use, Abuse, and Dependence: Prevalence, Course, and Outcomes (Tammy Chung)
Substance Use Prevalence in Adolescents
Trajectories of Substance Use During Adolescence
Diagnosis of Substance Use Disorders (SUDs)
Developmentally Informed SUD Assessment
Course of Adolescent-Onset SUDs
Future Directions
Summary and Conclusions

Chapter 3. Assessing Adolescent Substance Abuse (Ken C. Winters, Randy Stinchfield, and Oscar G. Bukstein)
Principles of Assessment
Assessment Domains
Methods of Assessment
Sources of Assessment
Clinical Considerations
Overview of Select Assessment Tools

Chapter 4. Treatment Planning, Matching, and Placement for Adolescent Substance Abuse (Marc Fishman)
Features of the Current Delivery System
General Principles of Treatment Matching and Planning American Society of Addiction Medicine Patient Placement Criteria
Future Directions

Chapter 5. Psychosocial Interventions for Adolescent Substance Use Disorders (Natasha Slesnick, Yifrah Kaminer, and John Kelly)
Twelve-Step Mutual-Help Programs and Youth
Brief Motivational Interventions
Cognitive-Behavioral Therapy
Clinical Implications and Future Research Directions

Chapter 6. Pharmacological Interventions for Adolescent Substance Use Disorders (Himanshu Upadhyaya and Deborah Deas)
State of Research and Clinical Practice
General Pharmacologic Strategies
Approaches to the Pharmacotherapy in Specific Types of SUDs
The Practice of Pharmacotherapy in Adolescents with SUDs
Clinical Implications and Future Research Needs

Chapter 7. Disruptive Behavior Disorders: Conduct Disorder and Oppositional Defiant Disorder (L. A. R. Stein, Victor Hesselbrock, and Oscar Bukstein)
Theoretical Considerations
Etiology of ODD and CD
Features of ODD and CD
Clinical Issues
Relationship Between DBD and Substance Use Disorders
Screening and Assessment
Conclusions and Recommendations

Chapter 8. The Overlap of Attention-Deficit/Hyperactivity Disorder and Substance Abuse (Timothy E. Wilens)
ADHD with Adolescents and Adults with SUDs
Diagnostics and Treatment
Diversion of Stimulants

Chapter 9. Depressive Disorders (Jack R. Cornelius and Duncan B. Clark)
Etiology and Pathogenesis
Clinical Presentation and Course
Screening and Assessment
Conclusions and Future Directions

Chapter 10. Bipolar Disorder (Benjamin I. Goldstein and Oscar G. Bukstein)
Epidemiologic Findings
Relationship with SUDs
Retrospective Findings from Adults
Family History
Future Directions

Chapter 11. Anxiety Disorders and Adolescent Substance Abuse and Dependence (Duncan B. Clark, Dawn L. Thatcher, and Jack R. Cornelius)
Definitions and Characteristics
Anxiety Disorders and SUDs
Theoretical Models
Future Directions and Conclusions

Chapter 12. Trauma and Post-Traumatic Stress Disorder (Josephine M. Hawke, David Albert, and Julian D. Ford)
Trauma Exposure
Post-Traumatic Stress Disorder
Functioning and Impairment
Complex PTSD and Developmental Trauma Disorder
Screening and Assessment
Cognitive-Behavioral Treatment Approaches
Pharmacological Interventions
Future Directions for Research on Youths with Comorbid PTSD and SUDs

Chapter 13. Suicidal and Nonsuicidal Self-Harm Behaviors (David B. Goldston, Stephanie Sergent Daniel, Charles W. Mathias, and Donald M. Dougherty)
The Relationship Between Substance Abuse and Self-Harm Behaviors
Parental and Family Factors
Vulnerability and Resilience Factors
Assessment and Screening of Suicidality and Self-Harm
Prevention and Treatment Considerations
Future Directions and Conclusions

Chapter 14. Schizophrenia (Robert Milin)
Epidemiology and Demographic Correlates
Interrelationship and Course of Illness

Chapter 15. Eating Disorders and Substance Use Disorders in Adolescents (Cynthia M. Bulik and Hernal Shroff)
Overview of Eating Disorders
Prevalence of Comorbid Substance Use and Eating Disorders
Ethnicity, Gender, and Socioeconomic Status
Abuse of Other Substances in Individuals with Eating Disorders
Assessment of Comorbid Eating and Substance Use Disorders
Treatment for Eating Disorders and Substance Use Disorders
Future Directions in Treatment

Chapter 16. Gambling Behaviors (Jeffrey L. Derevensky)
Adolescent Gambling Behavior
Adolescent Problem Gambling
Measuring Pathological Gambling Among Adolescents
Correlates and Risk Factors Associated with Problem Gambling: Our Current Knowledge
Protective Factors

Chapter 17. Integrated Substance Use and Mental Health Services for Adolescents: Challenges and Opportunities (Anne M. Libby and Paula Riggs)
System and Economic Barriers to Integrated Treatment
Integrated Care for Mental Health and SUD: Do We Have Models That Work?
Managed Care: Organizational and Financial Incentives for Integrated Care
Overcoming the Barriers: Where Do We Go from Here?

Chapter 18. Ethical, Legal, and Policy Issues in the Treatment of Co-Occurring Substance Use and Psychiatric Disorders Among Adolescents (William L. White, Renée M. Popovits, and Elizabeth A. Donohue)
Consent to Treat and Informed Consent
Consent for Disclosure
Special Consent Issues Concerning Adolescents
Professional Boundaries
Policy Issues
Reference Notes Included

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