Clinical Work with Substance-Abusing Clients

Clinical Work with Substance-Abusing Clients

Clinical Work with Substance-Abusing Clients

Clinical Work with Substance-Abusing Clients


"Newly revised and expanded, the second edition of this text offers practical guidance for working with substance abusers and their families in a variety of clinical contexts. Expert contributors present widely used assessment and treatment approaches together with detailed recommendations for tailoring interventions to each client's needs. Restructured and thoroughly updated to reflect the latest evidence base and clinical knowledge, the second edition features six entirely new chapters. Throughout, helpful case vignettes illustrate how to translate the ideas presented into practice and overcome common stumbling blocks. Providing proven tools and techniques for practitioners, this book should be kept within arm's reach by clinical social workers, drug and alcohol counselors, clinical psychologists, psychiatrists, family therapists, and nurses, as well as students and instructors in these fields. In the classroom, it is an invaluable text for undergraduate- or graduate-level courses in addictions and substance abuse." Title Summary field provided by Blackwell North America, Inc. All Rights Reserved


Much has changed in the field of substance abuse (or addiction) since 1993, when the first edition of this book was published. As indicated in the final chapter of this book, the field is constantly evolving as new substances, new populations, and new treatment approaches develop within ever-changing political and organizational climates. This second edition is an attempt to cover the main issues in this changing field.

Like the previous edition, this book is organized into five main sections, with an additional chapter that takes a brief look at the future. However, updating the state of knowledge required a major reconceptualization of the organization of this book and the addition of a number of new chapters. Chapters on the motivation of substance-abusing clients, harm reduction, working with involuntary clients, and treatment of older adults and of gay and lesbian clients have been added, whereas others— intervention with substance abusers in medical settings, the workplace, and private clinical settings, and on the use of family "intervention"—had to be eliminated due to space limitation. When possible, many of the core issues of the omitted chapters have been incorporated into other chapters. Additional important topics, in particular, ethnocultural issues, have been omitted because they are addressed elsewhere (see Ethnocultural Factors in Substance Abuse Treatment "Straussner, 2001").

As was true in the first edition, this book is aimed at both beginning and experienced clinicians, and all of the chapters are written by people who have front-line experience working with the substance-abusing population.

Part I provides an overview of the impact of alcohol and other drugs on individuals and discusses basic clinical practice issues.

Part II offers varying perspectives on intervention with substance abusers and includes chapters on motivational interviewing, the practice of harm reduction, the use of a solution-focused approach with involuntary . . .

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