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Substance abuse itself still ranks as one of the major public health issues in today's society. The use and abuse of substances cross gender, socioeconomic levels, ethnicity, age, religion, profession, geography, and most dimensions of human existence and background. Comprehensive programs at undergraduate and graduate levels are now in place in many settings, systematically studying substance abuse and subsequent treatment modalities. Everyone during their lifetime will be touched by substance abuse or addiction; therefore, clinicians should be adequately trained to recognize the enormity of this problem, how to assess it, and, ultimately, how to treat individuals and families who come for assistance.
Contributors to this edition have extensive backgrounds in substance abuse work as well as a special knowledge in a particular segment of the field. Space and time limitations prevented us from examining many of the issues in the field: public policy, working in a school setting, substance abuse in the workplace, and a more in-depth study of the dual-diagnosis issues of mental illness and substance abuse. This text was developed to be helpful for the general clinician as well as the beginning substance abuse counselor. It is intended to serve as the major text for substance abuse classes and as an adjunct to, not a replacement for, counseling theory and techniques texts and coursework.
This textbook takes the reader through the process of working with substance-abusing clients. Chapters build on each other but yet can be used independently as resource information. Chapter 1 provides the foundation for the text by presenting ahistory of drug use, basic terminology, references to subsequent chapters, and case studies that are used throughout the text. Chapter 2 examines major drugs and their addictive properties, providing essential knowledge for anyone entering this field. Chapter 3 presents the etiology and theories common to drug use and abuse. The beginning of treatment starts with Chapter 4 by emphasizing assessment and diagnosis, again using cases from earlier chapters to understand assessment and diagnosis on a more applied basis.
Treatment is emphasized in Chapters 5 and 6. First, treatment settings are discussed, followed by a closer look at treatment modalities most often used alone or with other methods in treating substance abuse clients. "Family Therapy in Substance Abuse Treatment," Chapter 7, is new to this text and emphasizes the importance of systemic work with substance abusers. Chapters 8 and 9 provide an in-depth analysis of substance abuse prevention and intervention with selected cultures and specific groups: women, children and adolescents, people with disabilities, the elderly, African Americans, American Indians, Asian Americans, and Hispanics. Relapse is seen as an element of the treatment process and is the focus of Chapter 10. Chapter 11, "Prevention," was also added to this edition, emphasizing a proactive approach to substance abuse. Finally, Chapter 12 presents a synopsis of research findings as well as contemporary issues in the field that are currently being studied.
Because it was impossible to portray a "real" client, case histories were developed and are used in selected chapters to offer a sense of the practical application of information in each chapter. These case histories provide a sample of the types of issues presented when working with this population.
The first edition of Substance Abuse Counseling evolved after a detailed survey was conducted with professors across the country who teach in the areas of substance abuse counseling, addictions, and chemical dependency. This second edition continues to build on earlier responses, as well as feedback from those who used the first text. Special thanks and appreciation go to the professors and their institutions who helped shape this text. Furthermore, we appreciate the insights and comments from the reviewers of this edition: Michael Cohn, University of Phoenix; Tom Cornille, Florida State University; Mary C. Fitzgerald, Loyola Marymount University; Loren H. Froehlich, Chadron State College; Charles L. Guest, University of South Alabama; Mark L. Kilwein, Clarion University of Pennsylvania; John E Koscinlek, University of Missouri-Columbia; and James E Scorzelli, Northeastern University. We appreciate also the still valuable input from the reviewers of the first edition: David Couch, Southwest Texas State University; J. Scott Hinkle, University of North Carolina-Greensboro; Gerald A. Juhnke, University of North Carolina-Greensboro; Richard C. Page, University of Georgia; Michael J. Taleff, Pennsylvania State University; and R. Craig Williams, Northern Illinois University.
We wish again to thank our contributors for their efforts. We express appreciation to each of the students who have used the first edition as part of their coursework and subsequently provided suggestions and feedback. We would also like to thank Kevin Davis for his patience and perseverance. A special thanks to Linda Bayma, senior production editor, and to Laura Larson for a magnificent editing job. And, again, we thank family and friends who have been supportive throughout this process.
Substance abuse itself still ranks as one of the major public health issues in today's society. The use and abuse of substances cross gender, socioeconomic levels, ethnicity, age, religion, profession, geography, and most dimensions of human existence and background. Comprehensive programs at undergraduate and graduate levels are now in place in many settings, systematically studying substance abuse and subsequent treatment modalities. Everyone during their lifetime will be touched by substance abuse or addiction; therefore, clinicians should be adequately trained to recognize the enormity of this problem, how to assess it, and, ultimately, how to treat individuals and families who come for assistance.
Contributors to this edition have extensive backgrounds in substance abuse work as well as a special knowledge in a particular segment of the field. Space and time limitations prevented us from examining many of the issues in the field: public policy, working in a school setting, substance abuse in the workplace, and a more in-depth study of the dual-diagnosis issues of mental illness and substance abuse. This text was developed to be helpful for the general clinician as well as the beginning substance abuse counselor. It is intended to serve as the major text for substance abuse classes and as an adjunct to, not a replacement for, counseling theory and techniques texts and coursework.
This textbook takes the reader through the process of working with substance-abusing clients. Chapters build on each other but yet can be used independently as resource information. Chapter 1 provides the foundation for the text by presentingahistory of drug use, basic terminology, references to subsequent chapters, and case studies that are used throughout the text. Chapter 2 examines major drugs and their addictive properties, providing essential knowledge for anyone entering this field. Chapter 3 presents the etiology and theories common to drug use and abuse. The beginning of treatment starts with Chapter 4 by emphasizing assessment and diagnosis, again using cases from earlier chapters to understand assessment and diagnosis on a more applied basis.
Treatment is emphasized in Chapters 5 and 6. First, treatment settings are discussed, followed by a closer look at treatment modalities most often used alone or with other methods in treating substance abuse clients. "Family Therapy in Substance Abuse Treatment," Chapter 7, is new to this text and emphasizes the importance of systemic work with substance abusers. Chapters 8 and 9 provide an in-depth analysis of substance abuse prevention and intervention with selected cultures and specific groups: women, children and adolescents, people with disabilities, the elderly, African Americans, American Indians, Asian Americans, and Hispanics. Relapse is seen as an element of the treatment process and is the focus of Chapter 10. Chapter 11, "Prevention," was also added to this edition, emphasizing a proactive approach to substance abuse. Finally, Chapter 12 presents a synopsis of research findings as well as contemporary issues in the field that are currently being studied.
Because it was impossible to portray a "real" client, case histories were developed and are used in selected chapters to offer a sense of the practical application of information in each chapter. These case histories provide a sample of the types of issues presented when working with this population.
The first edition of Substance Abuse Counseling evolved after a detailed survey was conducted with professors across the country who teach in the areas of substance abuse counseling, addictions, and chemical dependency. This second edition continues to build on earlier responses, as well as feedback from those who used the first text. Special thanks and appreciation go to the professors and their institutions who helped shape this text. Furthermore, we appreciate the insights and comments from the reviewers of this edition: Michael Cohn, University of Phoenix; Tom Cornille, Florida State University; Mary C. Fitzgerald, Loyola Marymount University; Loren H. Froehlich, Chadron State College; Charles L. Guest, University of South Alabama; Mark L. Kilwein, Clarion University of Pennsylvania; John E Koscinlek, University of Missouri-Columbia; and James E Scorzelli, Northeastern University. We appreciate also the still valuable input from the reviewers of the first edition: David Couch, Southwest Texas State University; J. Scott Hinkle, University of North Carolina-Greensboro; Gerald A. Juhnke, University of North Carolina-Greensboro; Richard C. Page, University of Georgia; Michael J. Taleff, Pennsylvania State University; and R. Craig Williams, Northern Illinois University.
We wish again to thank our contributors for their efforts. We express appreciation to each of the students who have used the first edition as part of their coursework and subsequently provided suggestions and feedback. We would also like to thank Kevin Davis for his patience and perseverance. A special thanks to Linda Bayma, senior production editor, and to Laura Larson for a magnificent editing job. And, again, we thank family and friends who have been supportive throughout this process.
Overview