Substance Abuse: Information for School Counselors, Social Workers, Therapists and Counselors / Edition 5

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An overview of substance abuse for generalist students, prospective mental health professionals, and allied professionals.

Providing a comprehensive overview of the substance abuse field, Substance Abuse: Information for School Counselors, Social Workers, Therapists and Counselors, Fifth Edition combines the accessible writing style and succinct, practical topical coverage that have made it a market-leading resource for generalist students, prospective mental health professionals, and allied professionals.

Continuing to cover basic pharmacology, models of addiction, assessment and diagnosis, cultural issues, intervention, treatment, recovery, support groups, children and families, other addictions, prevention, and confidentiality in its applied and concise style, this latest edition of Substance Abuse contains expanded coverage of screening and brief interventions, recovery oriented systems of care, spirituality and other current topics as well as a new chapter dedicated to motivational interviewing.

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Editorial Reviews

A balanced text written for counseling students surveying topics in substance abuse and its treatment including examples from the authors' own clinical experiences. Fisher and Harrison (U. of Nevada, Reno) take a generalist approach to addiction models, assessment and diagnosis, intervention, and treatment. They review current thought on support groups, codependency, relapse prevention, and special cases in ethnically diverse groups as well as related HIV/AIDS issues. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780132613248
  • Publisher: Pearson
  • Publication date: 3/14/2012
  • Edition number: 5
  • Pages: 400
  • Sales rank: 125,320
  • Product dimensions: 7.40 (w) x 9.00 (h) x 0.90 (d)

Meet the Author

Gary L. Fisher is Professor in the College of Health Sciences at the University of Nevada, Reno. He was the founder and first director of the Center for the Application of Substance Abuse Technologies where he developed undergraduate, graduate, and continuing education activities for addiction counselors, prevention specialists, and allied professionals. Dr. Fisher’s career has spanned 38 years and includes work as a private practice clinician and a public school psychologist. In addition to this textbook, he is the author of Rethinking Our War on Drugs: Candid Talk about Controversial Issues (2006), the senior editor of the Encyclopedia of Substance Abuse Prevention, Treatment, and Recovery (2009), and the author of Understanding Why Addicts are Not All Alike: Recognizing the Types and How Their Differences Affect Intervention and Treatment (2011).

Thomas Harrison is Associate Dean in the College of Education and Professor of Counseling and Educational Psychology at the University of Nevada, Reno. He developed the initial drug testing program for the University of Florida Athletic Department and has been a consultant for the State of Nevada Bureau of Alcohol and Drug Abuse. Dr. Harrison’s career has spanned 35 years in the field, including private counseling, sports psychology, and consulting practice. He is the author of Consultation for Contemporary Helping Professionals (2004) and several articles in professional journals.

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Table of Contents


Chapter 1: The Role of the Mental Health Professional in Prevention and Treatment

The Need for Generalist Training

Philosophical Orientation

Professional Orientation

Attitudes and Beliefs

Denial, Minimization, Projection, and Rationalization

Helping Attitudes and Behaviors

Overview of the Book

Chapter 2: Classification of Drugs

Case Examples

Comprehensive Drug Abuse Prevention and Control Act

The Concept of Dangerousness


The Neurobiology of Addiction

Central Nervous System Depressants

Central Nervous System Stimulants




Inhalants and Volatile Hydrocarbons

Anabolic Steroids

Club Drugs

Drugs Used in the Treatment of Mental Disorders


Additional Reading

Internet Resources

Further Discussion

Chapter 3: Models of Addiction

Case Examples

The Moral Model

Sociocultural Models of Addiction

Psychological Models of Addiction

Disease Concept of Addiction

Biopsychosocial Model of Addiction


Internet Resources

Further Discussion

Chapter 4: Culturally and Ethnically Diverse Groups

Native Americans and Alaska Natives

Asian Americans and Pacific Islanders

African Americans

Latino and Hispanic Populations

The Elderly, Disabled, and Sexual Minority Populations

Helping Culturally and Ethnically Diverse Populations


Internet Resources

Further Discussion

Chapter 5: Confidentiality and Ethical Issues

Case Examples

Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR)

Health Insurance Portability and Accountability Act (HIPAA)

Drug Testing



Application of Confidentiality Regulations


Internet Resources

Further Discussion

Chapter 6: Screening, Assessment and Diagnosis

Case Examples

Definitions of Use, Misuse, Abuse, and Dependence or Addiction


Psychosocial History

Signs of Adolescent Substance Abuse

Self-Report Inventories




Internet Resources

Further Discussion

Chapter 7: Motivational Interviewing and Brief Interventions

Case Examples

Client Engagement

Motivational Interviewing

Brief Interventions


Internet Resources

Further Discussion

Chapter 8: Treatment of AOD Problems

Case Examples

Recovery Oriented Systems of Care

How Many Are in Treatment? How Many Need Treatment?

What Happens in Treatment?

Treatment Strategies and Techniques

Treatment Settings

Principles of Effective Treatment

Evidence-Based Treatment

Treatment and Special Populations

Case Example Applications

Treatment Effectiveness

Special Problems in Treatment


Internet Resources

Further Discussion

Chapter 9: Relapse Prevention and Recovery

Case Example

Need for Generalist Training in Relapse Prevention

Definitions of Slip and Relapse

Frequency of Slips and Relapse

Is Relapse in Addiction Similar to Other Chronic Conditions?

Models of Relapse Prevention

Essential Components of Relapse Prevention

Preventing Slips from Escalating



Internet Resources

Further Discussion

Chapter 10: Twelve-Step and Other Types of Support Groups

Case Examples

Alcoholics Anonymous

Other Twelve-Step Groups

Advantages and Disadvantages of Twelve-Step Groups

Other Types of Support Groups

Case Example Applications


Internet Resources

Further Discussion

Chapter 11: Children and Families

Children’s Exposure to Alcohol and Other Drugs

Family Exposure to Alcohol and Other Drugs

Intergenerational Transmission of Alcoholism

Women and Alcoholism

Stepfamilies: System and Structure

Helping Families


Internet Resources

Further Discussion

Chapter 12: Adult Children and Codependency

Adult Children of Alcoholics (ACOAs)

Assessment and Treatment Considerations


Implications for Mental Health Professionals

Relationship of ACOA, AA, Al-Anon, and Codependency

Codependency and Diversity


Internet Resources

Further Discussion

Chapter 13: HIV/AIDS 255

Incidence and Prevalence

Myths and Facts about HIV and AIDS

Risk Factors and High-Risk Populations

Assessment of Clients for HIV and AIDS: Signs and Symptoms

Helping HIV-Infected Clients

HIV-Related Issues Specific to the Helping Professional


Internet Resources

Further Discussion

Chapter 14: Gambling and Other Addictions

Prevalence of Gambling and Gambling Problems

Definitions of Gamblers and Problem Gambling

Assessment and Diagnosis

Treatment, Resources, and Support

Other Addictions

Food Addiction: The Eating Disorders

Addiction to Sex and Love

Internet Addiction

Addiction to Work: Workaholism

Assessment and Treatment Issues


Internet Resources

Further Discussion

Chapter 15: Prevention

Case Examples

Why Are Prevention Efforts Needed?

Policy Issues in Prevention

Prevention Classification Systems

What Works in Prevention

Case Example Applications

Evidence-Based Prevention

Prevention Resources

Prevention Specialists


Internet Resources

Further Discussion



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