Clinical Manual of Adolescent Substance Abuse Treatment [NOOK Book]


Clinical Manual of Adolescent Substance Abuse Treatment brings together extensive new research in the field of adolescent substance abuse. The majority (85%) of adolescents experiment with substances prior to graduating from high school, and more than 10% of youth are in need of a clinical intervention for their substance use. This volume serves as a valuable resource for psychiatrists, psychologists, family physicians, social workers, substance abuse specialists, public health officials and other clinicians as ...

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Clinical Manual of Adolescent Substance Abuse Treatment

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Clinical Manual of Adolescent Substance Abuse Treatment brings together extensive new research in the field of adolescent substance abuse. The majority (85%) of adolescents experiment with substances prior to graduating from high school, and more than 10% of youth are in need of a clinical intervention for their substance use. This volume serves as a valuable resource for psychiatrists, psychologists, family physicians, social workers, substance abuse specialists, public health officials and other clinicians as well as residents and students of psychology. This manual provides updated, comprehensive, and clinically oriented information on the identification, assessment, prevention, and treatment of adolescents at risk for or with problems associated with substance abuse. Special emphasis is given to different psychosocial and pharmacological interventions as well as to the treatment of coexisting psychiatric disorders. As a comprehensive clinical resource, the manual • Addresses how the onset of any drug use during adolescence negatively impacts cognitive, physical, and psychosocial development.• Explores both the progression to more serious addiction and psychopathology and the risk of medical problems.• Highlights the developmental dysregulation that substance abuse causes in youth, such as in the prefrontal cortex.• Underscores the importance of clinicians' knowledge of risk factors that predict progression from substance experimentation to abuse.• Examines the challenges of developing age-appropriate interventions and treatment and continuity-of-care strategies to reduce and eliminate substance abuse.

The editors, Drs. Yifrah Kaminer and Ken Winters, have contributed as authors to this edition as well as assembled some of the most prominent authors in the field, who expertly bridge the gap between research and clinical practice. This extremely timely and practical guide offers a review of most substances of abuse currently available, covers laboratory work for drug detection in youth, and discusses the legal boundaries of school-based assessment of substance abuse. Throughout the manual, complex material is made accessible through the extensive use of tables, charts, case vignettes, and summaries. In addition, each chapter presents information for further investigation, including relevant Web site referrals to access the continually evolving research available on substance abuse by youth and suggested readings that expand upon each author's specialized area of study.

Readers will find this manual a valuable resource in furthering their understanding of adolescent substance abuse and increasing their effectiveness in providing treatment.

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Editorial Reviews

Doody's Review Service
Reviewer: Karen Hadley, MD (Rush University Medical Center)
Description: This is an all-inclusive manual for clinicians on preventing, identifying, managing, and otherwise treating adolescent substance use.
Purpose: The goal appears to be educating practitioners who will work with adolescents in order to manage their substance use problems. The book does a good job of introducing use of substances by adolescents, what substances are being used, how common substance use is, and how to generally manage it. By no means is it a comprehensive manual on substance use in adolescents, which is somewhat disappointing. It thoroughly discusses individual substances, and provides extensive information about treatment with respect to therapeutic interventions.
Audience: This would be a really good book for those interested in treating adolescents with substance use problems. However, the book is meant to be a resource for all mental health workers, and it doesn't meet that objective. The pharmacological chapter on managing substance use disorders is basic and does not include substances outside of the most commonly managed in the emergency room. For psychiatrists, this chapter is somewhat disappointing. For psychologists, residents, and general practitioners who will not be extensively managing adolescents with substance problems, this is a useful book. For those who want a little more depth, it may not be very useful.
Features: The book has a sound introduction to the prevalence and use of substances, and a discussion of how common it actually is in teens. It makes an effort to discuss illicit substances, but also covers over-the-counter drugs and FDA scheduling of them. It has a great table on drug screens, in addition to stating how long all these substances stay in the body. The authors make a good effort to clarify duration of time that these substances can be detected by screening. The chapter on adolescent substance use and ADHD is useful to generally everybody. The best portion of the book is its discussion of therapeutic interventions that are useful in managing adolescent substance use, which include inpatient and outpatient options, residential options, and family therapy, and recognizes the importance of family involvement in decreasing substance use. Conversely, the book is not an extensive resource. It doesn't address specific pharmacological options that could be used in managing more than just the main couple of substance addictions. It also doesn't explore the neurobiology of substance addiction and what makes particular substances so addictive. Although family therapy is covered, there is no discussion of parents and adolescents who use together or of modeling behavior of parents who use substances (for example, marijuana and alcohol). There is minimal discussion of polysubstance addiction, and there isn't much on the practicalities of managing substance use patients with respect to co-occurring depression and other mood disorders.
Assessment: Overall, this is a good starter reference, but it needs more practical information for psychiatrists on management of adolescent substance use. As a trainee, I don't think I'd buy it because of the lack of this information.
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Product Details

  • ISBN-13: 9781585629459
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 10/30/2010
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 518
  • File size: 4 MB

Meet the Author

Yifrah Kaminer, M.D., M.B.A., is Professor in the Departments of Psychiatry and of Pediatrics at the University of Connecticut School of Medicine and Alcohol Research Center in Farmington, Connecticut.

Ken C. Winters, Ph.D., is Professor in the Department of Psychiatry at the University of Minnesota Medical School in Minneapolis, Minnesota.

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Table of Contents

Introduction. Prevalence and clinical course of adolescent substance use and substance use disorders. Prevention of substance use and substance use disorders: role of risk and protective factors. Screening and brief interventions for adolescent substance use in the general office setting. Biomarker testing for substance use in adolescents. Placement criteria and treatment planning for adolescents with substance use disorders. Adolescent behavioral change: process and outcomes. Pharmacotherapy of adolescent substance use disorders. Club drug, prescription drug, and over-the-counter medication abuse: description, diagnosis, and intervention. Brief motivational interventions, cognitive-behavioral therapy, and contingency management for youth substance use disorders. The adolescent community reinforcement approach and multidimensional family therapy: addressing relapse during treatment. Twelve-step mutual help programs for adolescents. Attention-deficit--disruptive behavior disorders and substance use disorders in adolescents. Assessment and treatment of internalizing disorders: depression, anxiety disorders, and posttraumatic stress disorder. Assessment and treatment of suicidal behavior. Assessment and treatment of comorbid psychotic disorders and bipolar disorder. Management of youth with substance use disorders in the juvenile justice system. Appendixes. A: Select drug abuse screening and comprehensive instruments. B: Clinical tool information resources. C: Parent information resources. D: Websites for self-help, Alcoholics Anonymous, and Narcotics Anonymous. Index.

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