Problems with alcohol use are common and often occur with other psychological and social problems as well. Left untreated, alcohol use disorder can have significant impact on a person's functioning, health, and relationships. This cognitive-behavioral treatment has been scientifically proven to help individuals achieve and maintain abstinence. The treatment protocol has been developed with the benefit of each author's 25+ years of clinical experience in treating substance abusers; it is user-friendly and easy to deliver in a clinically meaningful way. Rooted in the client's individualized asse.
Ideas about the nature of alcohol problems have been undergoing dramatic change over the past several years. This book summarizes the clinical research we have conducted over the past eight years; research which has evoked controversy and which, we hope, will be evaluated as having been influential in the development of a scientific approach to the clinical treatment of alcohol problems. Although we reference many studies from the general behavioral literature on alcohol problems, we make no pretense of presenting a thorough review of that literature. By and large, this book focuses on the research we have conducted, the rationale for that approach, and a detailed discussion of methods and results which cannot be presented in journal articles. The book begins by giving the reader a perspective on traditional concepts in the alcohol field, and why those concepts are now being challenged. Within that conceptual framework, we then trace the development and sophistication of our clinical research, presenting for the first time in a single work a complete consideration of the rationale, methods, and results of the study of Individualized Be havior Therapy (IBT) for alcoholics. Following a discussion of many of the more subtle aspects of that study and its results, we describe how IBT can be used in an outpatient setting-the setting in which we have conducted clinical research for the last six years.
Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Highly Commended in the Psychiatry category at the 2010 BMA Medical Books Awards! This book serves as a manual for clinicians working with people with alcohol problems. The manual is based on previous research in addiction treatment, including family and social network interventions, as well the authors' own work developing and evaluating Social Behaviour and Network Therapy (SBNT) for example in the United Kingdom Alcohol Treatment Trial (UKATT). Containing a range of ideas the book is guided by a key principle: the development of social support for a positive change in drinking behaviour. Divided into three sections topics include: an introduction to the evidence base underpinning SBNT core components of the treatment common questions asked about the intervention. Featuring a series of practical handouts, this book will be essential reading for clinicians, counsellors, nurses, psychologists and all those involved in the treatment of alcohol misuse and dependence.
This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. In a convenient large-size format, the book provides all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters.
This workbook describes a scientifically-based and proven effective treatment for alcohol problems. It is designed to be used by couples who are attending sessions with a qualified mental health professional because one partner is experiencing problems with alcohol.
There is no shortage of books on behavioral research, on behavioral research on alcoholism, or on behavioral research on alcoholism treatment. Most of the authors of chapters in this book have been involved in the writing of these books. The books and their authors have played an important role in the dramatic increase in the influence of behavioral approaches to one of our society's most troubling human problems. There are not many books, though, which detail the longitudinal course of the behavioral therapies, none doing so for behavior therapy with al coholics and problem drinkers. That this book now appears, then, is a first, made more valuable by the fact that the chapter's authors are both research ers and clinicians, willing and able to combine respect for empirical data with clinical sensitivity and compassion, concern, and commitment for their patients. The chapters in this book reveal important commonalities and telling divergencies in technique, strategy, and treatment tactics. Despite a common perspective on etiology and treatment, the authors of the chapters in this book diverge in criteria for deciding on treatment goal, choice of initial intervention target, the specifics of techniques used, and follow-up proce dures. Common to all, though, is an openness to innovation, a pragmatic appreciation of approaches that work, and a sincere respect for the patient and his or her fundamental desire for a healthy, happier, and more produc tive life.
Personality, Psychopathology, and Psychotherapy: A Series of Monographs, Texts, and Treatises: Treatment and Prevention of Alcohol Problems: A Resource Manual focuses on the application of information gained through clinical experience and research in the treatment and prevention of alcohol problems. The selection first offers information on an overview of treatment and prevention of alcohol problems; beginning treatment for alcohol problems; and assessment of multiple conditions in persons with alcohol problems. Discussions focus on multiple-condition concepts and measures, therapeutic relationship, treatment contacts, dealing with associated problems and special populations, early intervention and prevention, and treatment techniques. The text then elaborates on the medical aspects of alcoholism, behavioral treatment of alcohol problems, and building self-confidence, self- efficacy, and self-control. The publication takes a look at imagery and logotherapeutic techniques in psychotherapy and self-help groups and other group procedures for treating alcohol problems, including historical development of group procedures, logotherapy and treatment for alcoholism, and imagery methods and treatment for alcoholism. The manuscript also examines the prevention of alcohol problems and the theory and methods for secondary prevention of alcohol problems. The selection is a dependable source of data for researchers interested in the treatment and prevention of alcohol problems. A resource manual for the treatment and prevention of alcohol problems The contributors represent the major innovators in the field Covered in detail are: initiating treatment, specific treatment techniques, associated problems and special populations, early intervention and prevention
This book is the first complete guide to implementing the Community Reinforcement Approach (CRA), an empirically based, highly effective cognitive-behavioral program for treating alcohol problems. CRA acknowledges the powerful role of environmental contingencies in encouraging or discouraging drinking, and attempts to rearrange these contingencies so that a non-drinking lifestyle is more rewarding than a drinking one. Unique in its breadth, the approach utilizes social, recreational, familial, and vocational strategies to aid clients in the recovery process. This authoritative manual is a hands-on guide to applying these therapeutic procedures. The authors present a step-by-step guide to each component of the treatment plan, many of which have been shown to be effective forms of treatment in themselves. Topics include behavioral skills training, social and recreational counseling, marital therapy, motivational enhancement, job counseling, and relapse prevention. Each chapter provides detailed instructions for conducting a procedure, describes what difficulties to expect, and presents strategies for overcoming them. Sample dialogues between clients and therapists, annotated by the authors, further illuminate the treatment process. The book concludes with a chapter that both addresses the common mistakes made when implementing CRA, and emphasizes the flexibility and benefits of this total treatment plan. This book is an invaluable resource for a wide range of practitioners including psychologists, psychiatrists, substance abuse counselors, and social workers.
In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there. Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.
