Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors / Edition 4

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This best-selling text, aimed at generalist students, provides current coverage and practical clinical examples to reflect the rapid changes in the field of addiction treatment. Using a reader-friendly style, the authors cover various treatment models and present objective discussions of controversies in the field. Topics span the entire field (including pharmacology, conceptualizations of AOD, assessment and diagnosis, models of prevention and treatment, and family issues), providing students with a broad view of the AOD field, as well as the pervasiveness of the problem in all areas of behavioral health and general fields.

New to This Edition

  • Sections on evidence-based treatment and evidence-based prevention reflect the latest federally endorsed programs and strategies, providing students with accurate information about “what works.”
  • New chapter summaries in bullet format highlight important information and concepts.
  • Internet resources and discussion topics at the ends of most chapters provide support for both instructors and students in extending their explorations in this field.
  • MyHelpingLab assignments at the ends of many chapters encourage students to use Pearson’s robust online collection of videos and case studies for enhanced learning.
  • Updated data on the prevalence of alcohol and other drug use and on the numbers of treatment and emergency room admissions along with data from other relevant surveys offer current information about critical areas.
  • Reordered chapters put greater emphasis on ethics and confidentiality.

Here’s what your colleagues are saying:

“I would utilize this text for the foundation class. It offers the beginning student a great overview of most of the relevant topics necessary….This text is accessible. It is clearly written, covers the important topics relevant to the generalist practice.”

–Debra Morrison-Orton, California State University, Bakersfield

“After reviewing many textbooks I selected this text because I felt it gave a great overview of the issues relevant to substance abuse and treatment. It seemed very appropriate for a bachelor level class and did not focus so much on counseling and theory as many of the other textbooks available…. It is straight forward and easy to understand yet very thorough in covering the many topics related to addictions. It has given me excellent learning tools to incorporate into the syllabi.”

–Nadine Panter, University of Nebraska, Kearny

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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: 9780205591763
  • Publisher: Allyn & Bacon, Inc.
  • Publication date: 3/4/2008
  • Series: Pearson Custom Education Series
  • Edition description: Older Edition
  • Edition number: 4
  • Pages: 382
  • Product dimensions: 6.90 (w) x 9.10 (h) x 1.00 (d)

Table of Contents


Preface   xiii

Chapter 1

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

The Need for Generalist Training  3

Philosophical Orientation  5

Attitudes and Beliefs  6

Denial, Minimization, Projection, and Rationalization  7

Helping Attitudes and Behaviors  8

Overview of the Book  10

Chapter 2

Classification of Drugs  12

Comprehensive Drug Abuse Prevention and Control Act  12

The Concept of Dangerousness  13

Definitions  14

Central Nervous System Depressants  15

Central Nervous System Stimulants  18

Opioids  21

Hallucinogens  23

Cannabinols  25

Inhalants and Volatile Hydrocarbons  27

Anabolic Steroids  28

Club Drugs  30

Drugs Used in the Treatment of Mental Disorders  31

Summary  33

Additional Reading  33

Internet Resources  33

Drug Use Survey  33

Further Discussion  34

Chapter 3

Models of Addiction  35

The Moral Model  36

Sociocultural and Psychological Models of Addiction  37

Disease Concept of Addiction  39

Biopsychosocial Model of Addiction  46

Summary  49

Internet Resources  49

Further Discussion  50

MyHelpingLab Assignment


Chapter 4

Culturally and Ethnically Diverse Groups  51

Native Americans and Alaska Natives  52

Asian Americans and Pacific Islanders  58

African Americans  63

Latino and Hispanic Populations  69

Persons with Disabilities and the Elderly  74

Helping Culturally and Ethnically Diverse Populations  75

Summary  79

Internet Resources  81

Further Discussion  81

Chapter 5

Confidentiality and Ethical Issues  82

Confidentiality: 42 Code of Federal Regulations, Part 2 (42 CFR)   83

Health Insurance Portability and Accountability Act (HIPAA)   89

Documentation  90

Ethics  91

Application of Confidentiality Regulations  93

Summary  95

Internet Resources  95

Further Discussion  96

MyHelpingLab Assignment   96

Chapter 6

Assessment and Diagnosis  97

Definitions of Use, Misuse, Abuse, and Dependence or Addiction  98

Psychosocial History  100

Signs of Adolescent Substance Abuse  106

Self-Report Inventories  107

Referral  112

Diagnosis  114

Summary  118

Internet Resources  118

Further Discussion  119

MyHelpingLab Assignments   119

Chapter 7

Client Engagement and Brief Interventions  120

Client Engagement  122

Motivational Interviewing  122

Brief Interventions  129

Summary  131

Internet Resources  131

Further Discussion  131

MyHelpingLab Assignments   132

Chapter 8

Treatment of AOD Problems  133

How Many Are in Treatment? How Many Need Treatment?  133

What Happens in Treatment?  134

Treatment Strategies and Techniques  138

Treatment Settings  144

Principles of Effective Treatment  147

Evidence-Based Treatment  149

Treatment and Special Populations  149

Treatment Effectiveness  155

Client—Treatment Matching  157

Special Problems in Treatment  158

Summary  162

Internet Resources  163

Further Discussion  163

MyHelpingLab Assignment   163

Chapter 9

Relapse Prevention and Recovery  164

Need for Generalist Training in Relapse Prevention  165

Definitions of Slip and Relapse  165

Frequency of Slips and Relapse  166

Is Relapse in Addiction Similar to Other Chronic Conditions?  167

Models of Relapse Prevention  167

Essential Components of Relapse Prevention  171

Preventing Slips from Escalating  178

Recovery  179

Summary  180

Internet Resources  181

Further Discussion  181

MyHelpingLab Assignment   181

Chapter 10

Twelve-Step and Other Types of Support Groups  182

Alcoholics Anonymous  183

Other Twelve-Step Groups  190

Advantages and Disadvantages of Twelve-Step Groups  191

Other Types of Support Groups  193

Summary  197

Internet Resources  197

Further Discussion  198

MyHelpingLab Assignments  198

Chapter 11

Children and Families  199

Children’s Exposure to Alcohol and Other Drugs  200

Family Exposure to Alcohol and Other Drugs  204

Intergenerational Transmission of Alcoholism  215

Women and Alcoholism  216

Stepfamilies: System and Structure  220

Helping Families  221

Summary  226

Internet Resources  227

Further Discussion  227

Chapter 12

Adult Children and Codependency  228

Adult Children of Alcoholics (ACOAs)  229

Assessment and Treatment Considerations   231

ACOAs and Diversity   233

Codependency  234

Implications for Mental Health Professionals  240

Relationship of ACOA, AA, Al-Anon, and Codependency  243

Codependency and Diversity  245

Summary  252

Internet Resources  253

Further Discussion  254

Chapter 13


Incidence and Prevalence  255

Myths and Facts about HIV and AIDS  256

Risk Factors and High-Risk Populations  260

Assessment of Clients for HIV and AIDS: Signs and Symptoms  265

Helping HIV-Infected Clients  265

HIV-Related Issues Specific to the Helping Professional   272

Summary   273

Internet Resources  274

Further Discussion  275

Chapter 14

Gambling and Other Addictions  276

Prevalence of Gambling and Gambling Problems  277

Definitions of Gamblers and Problem Gambling  2


Assessment and Diagnosis  281

Treatment, Resources, and Support  284

Other Addictions  286

Food Addiction: The Eating Disorders  289

Addiction to Sex and Love  296

Internet Addiction  297

Addiction to Work: Workaholism  300

Assessment and Treatment Issues  303

Summary  308

Internet Resources  310

Further Discussion  310

Chapter 15

Prevention  311

Why Are Prevention Efforts Needed?  311

Policy Issues in Prevention  312

Prevention Classification Systems  317

What Works in Prevention  320

Evidence-Based Prevention  328

Prevention Resources  328

Summary  329

Internet Resources  329

Further Discussion  329

References  330

Index  330


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