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.


Helping Women Recover

Helping Women Recover

Author: Stephanie S. Covington

Publisher: Jossey-Bass

Published: 2008-06-09

Total Pages: 0

ISBN-13: 9780787995331

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Since it was first published in 1999, Helping Women Recover has set the standard for best practice in the field of women’s treatment. Helping Women Recover is based on Dr. Covington’s Women’s Integrated Treatment (WIT) model. It offers a program specifically designed to meet the unique needs of women who are addicted to alcohol and other drugs or have co-occurring disorders. This thoroughly revised and updated edition includes evidence-based and empirically tested therapeutic interventions which are used to treat addiction and trauma in an innovative way. The Helping Women Recover program offers counselors, mental health professionals, and program administrators the tools they need to implement a gender-responsive, trauma-informed treatment program in group therapy settings or with individual clients. Included in SAMHSA's National Registry of Evidence-based Programs and Practices.


A Woman's Way through the Twelve Steps

A Woman's Way through the Twelve Steps

Author: Stephanie Convington

Publisher: Simon and Schuster

Published: 2024-01-23

Total Pages: 256

ISBN-13: 163634075X

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This guide to the Twelve Steps from Dr. Stephanie S. Covington, a pioneer in the field of women’s issues, addiction, and recovery, preserves the spirit of the Alcoholics Anonymous program with a focus on healing language with women’s needs in mind. Published in 1994, A Woman's Way through the Twelve Steps has long been a unique resource that helps women find their own paths in recovery—paths shaped by the way women experience not only addiction and recovery, but also relationships, self, sexuality, spirituality, and everyday life. Now, stories from five new voices expand the perspective of this recovery classic. Over the past thirty years, what it means to identify as a woman in recovery has broadened to include transgender, nonbinary, and other gender-diverse people. This new edition includes updated, inclusive language to be more trauma-sensitive and welcoming to all women. This compilation of diverse voices and wisdom from real people illuminates how women understand the Twelve Steps of Alcoholics Anonymous (AA) and offers inspiring stories of how they travel through the Steps and discover what works for them. The book can be used alone or as a companion to AA’s Twelve Steps and Twelve Traditions. By identifying and addressing the special issues that recovery presents for women, this book empowers women to take ownership of their own journeys and to grow and flourish in recovery.


The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder

The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder

Author: American Psychiatric Association

Publisher: American Psychiatric Pub

Published: 2018-01-11

Total Pages: 226

ISBN-13: 0890426821

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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.


Treatment for Stimulant Use Disorders

Treatment for Stimulant Use Disorders

Author: Richard A. Rawson

Publisher: DIANE Publishing

Published: 1999

Total Pages: 254

ISBN-13: 9780788189029

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Basic knowledge about the nature and treatment of stimulant use disorders. Reviews what is currently known about treating the med., psychiatric, and substance abuse-dependence problems assoc. with the use of 2 high-profile stimulants: cocaine and methamphetamine (MA). The info. is understandable and relevant for clinicians and other "front line" substance use disorder treat. providers. Offers recomm. on treat. approaches, recomm. to maximize treat. engagement, strategies for planning and initiating treat., and strategies for initiating and maintaining abstinence. Includes recomm. for the med. mgmt. of stimulant users and recomm. regarding special groups and settings.


Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-03-29

Total Pages: 528

ISBN-13: 0309133661

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Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.


Substance Abuse Recovery in College

Substance Abuse Recovery in College

Author: H. Harrington Cleveland

Publisher: Springer

Published: 2012-05-27

Total Pages: 0

ISBN-13: 9781461425861

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Substance Abuse Recovery in College explains in authoritative detail what collegiate recovery communities are, the types of services they provide, and their role in the context of campus life, with extended examples from Texas Tech University’s influential CSAR (Center for the Study of Addiction and Recovery) program. Using data from both conventional surveys and end-of-day daily Palm Pilot assessments as well as focus groups, the book examines community members’ experiences. In addition, the importance of a positive relationship between the recovery community and the school administration is emphasized. Topics covered include: The growing need for recovery services at colleges. How recovery communities support abstinence and relapse prevention. Who are community members and their addiction and treatment histories. Daily lives of young adults in a collegiate recovery community. Challenges and opportunities in establishing recovery communities on campus. Building abstinence support into an academic curriculum. This volume offers clear insights and up-close perspectives of importance to developmental and clinical child psychologists, social workers, higher education policymakers, and related professionals in human development, family studies, student services, college health care, and community services.