TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

Author: U.S. Department of Health and Human Services

Publisher: Lulu.com

Published: 2019-11-19

Total Pages: 208

ISBN-13: 1794755136

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Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.


Substance Abuse Among Older Adults

Substance Abuse Among Older Adults

Author: Frederic C. Blow

Publisher: DIANE Publishing

Published: 1999-08

Total Pages: 198

ISBN-13: 0788180711

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Researchers are only beginning to realize the pervasiveness of substance abuse, such as alcohol and prescription drug misuse, among older people, thousands of whom need treatment but do not receive it. This Treatment Improvement Protocol (TIP) recommends best practices for identifying, screening, assessing, and treating alcohol and prescription drug abuse among people age 60 and older. Sections: alcohol; use and abuse of psychoactive prescription drugs and OTC medications; identification, screening, and assessment; referral and treatment approaches; outcomes and cost issues; legal and ethical issues; tools. Bibliography. 19 charts and tables.


Unhealthy Alcohol Use in Older Adults

Unhealthy Alcohol Use in Older Adults

Author: Erin L. Woodhead

Publisher: Hogrefe Publishing GmbH

Published: 2023-09-11

Total Pages: 119

ISBN-13: 1616765100

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As our population ages, practitioners find themselves working with older adults more frequently. Alcohol use problems among older adults are often underdiagnosed and undertreated, and there are few treatments designed specifically for this client group. This practical guide provides practitioners with up-to-date information on assessing and treating unhealthy alcohol use among older adults. With a focus on evidence-based treatments, it is highly relevant to practitioners working across a variety of settings. Through the author's expertise, we learn about the prevalence of alcohol use among older adults, the models for understanding unhealthy use, and the different screening and assessment options as well as the treatment possibilities relevant to health care and social service providers. Assessment and treatment options highlight the need to consider lifespan development when providing care as well as the relevance of common life transitions and generational differences. Clinical pearls and vignettes illuminate treatment approaches and further sections discuss pharmacological interventions and cultural considerations. Printable tools are available in an appendix. This book is a must for practitioners from diverse settings who work with older adults. The materials for this book can be downloaded from the Hogrefe website after registration.


Gerontological Home Health Care

Gerontological Home Health Care

Author: Goldie Kadushin

Publisher: Columbia University Press

Published: 2008

Total Pages: 284

ISBN-13: 9780231124652

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"Answering the urgent call for a textbook that deals specifically with adults in this setting, Goldie Kadushin and Marcia Egan synthesize empirical research to extract practical applications for practice, emphasizing the "how to" of gerontological home health care by discussing the field's most relevant issues. The authors include chapters on home health care policies and funding, cultural and diversity issues, the contemporary challenges of the social work role in home health care, the development of a relation, the client's role in helping with care, practice evaluations, and individual and social system assessment and intervention."--Back cover.


Ham's Primary Care Geriatrics

Ham's Primary Care Geriatrics

Author: Gregg A. Warshaw

Publisher: Elsevier Health Sciences

Published: 2021-01-05

Total Pages: 743

ISBN-13: 0323721699

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Written with first-line primary care providers in mind, Ham’s Primary Care Geriatrics: A Case-Based Approach, 7th Edition, is a comprehensive, easy-to-read source of practical clinical guidance for this rapidly growing population. Using a unique, case-based approach, it covers the patient presentations you’re most likely to encounter, offering key clinical information, expert advice, and evidence-based medical guidelines throughout. This highly regarded text uses a consistent format and an enjoyable writing style to keep you informed, engaged, and up to date in this increasingly important field. Uses a case study format that is ideal for learning, retention, and rapid recall. All case studies are thoroughly up to date with current references. Features an interdisciplinary perspective to provide team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults. Contains a new chapter on Lesbian, Gay, Bisexual, Transgender (LGBT) Medicine in Older Adults, as well as completely revised or rewritten chapters on rehabilitation, infectious disease, and urinary incontinence. Provides up-to-date information on key topics such as opioid management and polypharmacy, the “geriatric emergency room, cultural humility in the care of older adults, and the five signs of problematic substance abuse. Includes key learning objectives and USMLE-style questions in every chapter.


Prepare to Defend Yourself . . . How to Age Gracefully and Escape with Your Dignity

Prepare to Defend Yourself . . . How to Age Gracefully and Escape with Your Dignity

Author: Matthew Minson

Publisher: Texas A&M University Press

Published: 2016-04-08

Total Pages: 378

ISBN-13: 1623494125

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The author of Prepare to Defend Yourself… How to Navigate the Healthcare System and Escape with Your Life is back. This time Matthew Minson, MD, turns a penetrating and whimsical eye on the medical and social aspects of aging in Prepare to Defend Yourself…How to Age Gracefully and Escape with Your Dignity. While seeming to simultaneously channel a combination of Benjamin Franklin and Charles Schulz, Dr. Minson goes after bodily changes, behaviors—good and bad, and what everyone can do to make life more bearable and—dare we say it—fun after fifty. Laced with his unique style of poignancy and humor and peppered with his own surrealistically funny cartoons, the book bravely takes on health, finances, sex, diet, exercise, death, the law, and what you can do to protect what matters most as you age. It’s life, liberty, and the pursuit of a chuckle in this groundbreaking book that just might make you look forward to your golden years. For anyone of any age who plans on aging with their dignity intact, this is the book for you.


Clinical Manual of Geriatric Psychiatry

Clinical Manual of Geriatric Psychiatry

Author: Mugdha E. Thakur

Publisher: American Psychiatric Pub

Published: 2014-10-03

Total Pages: 318

ISBN-13: 1585625272

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Clinical Manual of Geriatric Psychiatry provides the most current information on psychiatric diagnoses seen in older patients in a concise format. Each chapter is broken into easily understandable, increasingly focused sections, and contains an extensive array of tables, references, and suggested readings. Chapters include clinically relevant information and evidence-based treatments for a wide range of topics and disorders: The psychiatric interview of older adults, including history, family assessment, mental status examination, rating scales and standardized interviews, and effective communication techniques. Psychopharmacology, including information on antidepressants, psychostimulants, antipsychotic medications, mood stabilizers, anxiolytics and sedative-hypnotics, and cognitive enhancers. Diagnosis and treatment of delirium, dementia, mood disorders, schizophrenia, anxiety disorders, sleep disorders, and substance use disorders, including coverage of definition, epidemiology, clinical features, risk factors, diagnosis and differential diagnosis, prevention and management, and treatment guidelines. Individual and group psychotherapy strategies, including individual and group-based cognitive-behavioral therapies, interpersonal psychotherapies, relaxation training, cognitive stimulation therapy, and behavioral therapies. Clinical psychiatry in the nursing home, with a focus on cognitive disorders and behavioral disturbances, depression, treatment progress in this setting, and relevant federal regulations. Written by experts in geriatric psychiatry, this clinical manual provides a much-needed "field guide" for the care of nursing home patients and older adults. Busy clinicians, as well as researchers, residents, fellows, clinical psychologists, and social workers, will find this compact volume to be of the utmost value, as will anyone seeking to update their knowledge of geriatric psychiatry.