"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
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.