Substance Abuse Treatment and the Stages of Change, First Edition: Selecting and Planning Interventions / Edition 1

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This book presents a cohesive framework for understanding addictive be havior change and targeting treatment to the needs of particular clien ts. The book delineates the stages of change model, describing specifi c clinical issues that arise at different points in the recovery proce ss. It then integrates the latest scientific and clinical research to identify the interventions and techniques that are most effective for meeting the challenges of each stage. All aspects of addictions treatm ent are covered, from assessment to intervention and relapse managemen t. Concrete recommendations are offered for applying the stages of cha nge model to clinical work with individuals, groups, couples and famil ies, and two populations with special needs: women and the dually diag nosed. Included throughout are illustrative case examples, helpful tab les and figures, and bulleted lists of key points.

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Editorial Reviews

From the Publisher

"Therapeutic strategies designed to increase motivation to change have gained a great deal of popularity in the substance abuse literature. However, few books have been able to combine academic rigor with practical strategies for frontline clinical work. This book accomplishes the task. From first-rate researchers, this is a comprehensive and user-friendly guide to the use of the stages of change model in alcohol and drug abuse treatment. One of the things that sets the book apart is its insightful coverage of couple and group approaches, along with individual treatment. For clinicians new to the stages of change model, as well as those experienced in the field, this is an invaluable contribution." --Roger D. Weiss, MD, Department of Psychiatry, Harvard Medical School; Clinical Director, Alcohol and Drug Abuse Treatment Program, McLean Hospital

"The stages of change model has become enormously popular among treatment providers over the last decade. This appears to be a truly worldwide phenomenon, and to apply to an increasing range of behavioral disorders--perhaps because the model immediately resonates with the experience of clinicians and clarifies for them the nature of their undertaking. There are many other books and articles in which the stages of change model has assumed a prominent place, but none has achieved what this book succeeds in doing. It presents in clear and accessible language a coherent integration of the model with the entire process of treatment for substance use disorders, from assessment and treatment planning to the management of relapse. Along the way, many key concerns in treatment are usefully reconceptualized and much of the accumulated wisdom in the field is viewed in a fresh and invigorating light." --Nick Heather, PhD, Centre for Alcohol and Drug Studies, Newcastle City Health NHS Trust and University of Northumbria at Newcastle, UK

"This unique book offers an integrative perspective on the vast body of information available in the addictions field. The authors transform information into knowledge, providing a clear framework for conducting treatment within the context of the stages of change model. With an eye toward matching assessments and interventions to the needs of diverse clients, the reader is guided systematically through a broad range of clinical ideas, tools, and techniques." --James O. Prochaska, PhD, Cancer Prevention Research Center, University of Rhode Island

Journal of Studies on Alcohol

"The transtheoretical model is enormously popular with practitioners and researchers in the addictions field....Readers now have an authoritative source on the clinical application of the transtheoretical model."--Journal of Studies on Alcohol
Journal of Teaching in the Addictions

"It is a welcomed addition to any addiction studies classroom, and if not used as a main text it certainly needs to be listed as a creditable reference in a course syllabus....A rock solid book. It deserves to be utilized in the best and most up-to-date addiction education programs."--Journal of Teaching in the Addictions
Clinical Social Work Journal

"A superb text that provides an excellent foundation for evidence-based practices for those clinicians who work in both administrative and clinical capacities with this challenging population. I highly recommend this book to researchers, teachers, and clinicians as an exceptionally useful tool."--Clinical Social Work Journal

"This book is more than just a 'how-to-do' manual--readers will find it to be more of a 'how to think' book....I was impressed with the updated material on clinical assessment methods and the breadth of matched treatment options, ranging from motivational enhancement to relapse prevention....A useful, practical and well-written guide for both students and professionals."--Addiction

"This book is more than just a 'how-to-do' manual--readers will find it to be more of a 'how to think' book....I was impressed with the updated material on clinical assessment methods and the breadth of matched treatment options, ranging from motivational enhancement to relapse prevention....A useful, practical and well-written guide for both students and professionals."--Addiction
Doody's Review Service
Reviewer: Marcella McGuire, MS, RN, CSADC (Rush University Medical Center)
Description: This book describes the stages of change as they apply to clients with substance abuse disorders. It provides a clinical framework for each stage of change and suggestions for the clinician to use to motivate the client during each stage.
Purpose: The purpose is to provide clinicians with a better understanding of their clients' perspective, since the initial assessment is usually arranged by someone other than the client. How to develop a therapeutic alliance is discussed in detail.
Audience: The audience for the book would include mental health professions students, mental health professionals, clinicians, and teachers.
Features: There is a generous reference list, each chapter has a crisp summary, and a fresh discussion of denial. The authors describe various facets of denial which help develop a better understanding of how to engage the client.
Assessment: Although the subject matter is not new, the presentation is well organized. The case studies are useful, but unfortunately they are geared toward an older group.
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Product Details

  • ISBN-13: 9781593850975
  • Publisher: Guilford Publications, Inc.
  • Publication date: 9/7/2004
  • Series: The Guilford Substance Abuse Series Series
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 274
  • Sales rank: 1,037,629
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.80 (d)

Meet the Author

Gerard J. Connors, PhD, is Director of the Research Institute on Addictions at the University at Buffalo, State University of New York. Coauthor of a textbook on drug use and abuse, Dr. Connors has published over 100 scientific articles and book chapters in the area of alcoholism and addictive behaviors.

Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse Institute at the University of Washington, where he is also Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Professor in the Department of Psychology. His more than 120 publications include Assessment of Addictive Behaviors (coedited with G. Alan Marlatt) and Changing Addictive Behavior (coedited with Jalie A. Tucker and G. Alan Marlatt).

Carlo C. DiClemente, PhD, is Professor and Chair of the Department of Psychology at the University of Maryland, Baltimore County. Dr. DiClemente is the codeveloper of the stages-of-change model with James Prochaska. He has authored numerous scientific articles, books, and book chapters examining the process of human behavior change and the application of this model in a variety of problem behaviors. His recent publications include Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual (coauthored with Mary Marden Velasquez et al.).

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Table of Contents

1. Background and Overview
2. The Stages of Change
3. Assessment
4. Treatment Planning
5. Individual Treatment
6. Group Treatment
7. Couple Treatment and Family Involvement
8. Populations with Special Needs
9. Relapse
10. Final Thoughts and Future Directions
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