**__Comprehensive presentation of substance abuse with the most recent issues in__****__**epidemiology, etiology, substance abuse policy, and treatment.**__**The book looksat substance abuse from a systems perspective, It presents all major theories of addiction, as well as the major physiological and psychological results of substance abuse, including fetal alcohol syndrome. Coverage of the latest developments in treatment (including pharmacological approaches), recent research on treatment outcomes, and a comprehensive discussion of etiological theories, including genetics, is included. This edition contains an up-to-date discussion of the most recent trends in designer drugs to help explain the considerable frequency of changes in which drug use patterns occur.**Learning Goals**Upon completing this book, readers should be able to:Understand at-risk drinking and substance disorders, including how to identify these problems, how to intervene once they have been identified, and how to make referralsIdentify approaches to help clients avoid or address substance use disordersExamine current information on the most rigorous scientific studies of treatment effectivenessTrace the development of new medication-assisted treatments Cover 1 Title Page 2 Copyright Page 3 Contents 4 Preface 14 Part One: Theories, Models, and Definitions 18 1 Definitions and Epidemiology of Substance Use, Abuse, and Disorders 20 Introduction 20 Definitions and Myths 21 Epidemiology 27 Summary 41 2 The Etiology of Addiction 42 Etiological Theories 43 Stages of Alcoholism 51 The Course of Cocaine Addiction 54 A Multicausal Model 54 Summary 55 3 The Brain Biology of Drug Abuse and Addiction 56 Introduction: Background on Abuse, Addiction, and Treatment 56 Terminology 56 The Genetics of Addiction 57 Brain Chemistry and the Anatomy of Addiction 57 Gene Transcription and Altered Protein Expression in Addiction 61 Sensitization in Addiction 62 Emotional Learning in Addiction 64 Addiction Therapy without Medication 65 Drug Therapy for Addiction 66 Role of Detoxification in Treating Addiction 67 Drug Therapy for Reducing Craving 67 Summary 72 4 The Physiological and Behavioral Consequences of Alcohol and Drug Abuse 73 The Effects of Alcohol 73 The Effects of Cannabis 80 The Effects of Stimulants 85 The Effects of Sedatives 90 The Effects of Narcotics 91 The Effects of Hallucinogens 94 The Effects of Inhalants 96 The Effects of Steroids 97 The Effects of Drugs on Offspring 98 Summary 100 Part Two: Intervention, Prevention, and Public Policy 102 5 Screening, Diagnosis, Assessment, and Referral 104 Screening 105 Can People with Alcohol and Drug Problems Be Believed? 110 Diagnosis 113 Assessment 117 Denial, Resistance, and Motivation for Recovery 126 Ethics of Chemical Dependency Treatment 128 Referrals 134 Summary 136 6 Treatment: The System of Care 138 Components of the Treatment System 138 More Treatment Effectiveness Issues 170 Nontraditional Approaches 176 Mutual- and Self-Help Programs 181 Summary 187 7 Preventing Alcohol and Drug Problems 188 Overview of Prevention 188 Public Information and Education 192 Service Measures 198 Technologic Measures 200 Legislative, Regulatory, and Economic Measures 202 Economic Measures 205 Family and Community Approaches 206 Spirituality and Religious Factors 214 Cultural Factors 215 Summary 216 8 Regulating Drugs and Their Consequences 217 Sociocultural Influences on Public Drug Policy 217 Economic and Political Factors 218 Changes in Drug-Use Patterns 219 The Nature of Drug Control 219 Assumptions Underlying Regulation 220 Regulation of Alcohol 221 Control of Illicit Drugs 227 Drugs, Alcohol, and Crime 236 Alcohol and Drug Law Violations 238 Drug Use by Criminals 239 Drug Use by Crime Victims 241 Domestic Violence 241 Drug/Crime Trends in the 21st Century 242 Summary 246 Part Three: Chemical Dependency in Special Populations 248 9 Treating Substance-Abusing Youth 252 Risk and Protective Factors 253 Assessment with Substance-Abusing Youth 256 Treatment with Substance-Abusing Youth 259 Case Example 271 Summary 272 10 Family Systems and Chemical Dependency 273 A Family Perspective in Theory, Research, and Treatment 274 Theories on Alcoholism and the Family 276 Family Systems Theory of Alcoholism and the Family 276 Codependency and Related Constructs 279 Assessment and Treatment of Alcoholic Families 285 Effectiveness of Family Treatment 292 Case Example 294 Summary 301 11 Ethnicity, Culture, and Substance Use Disorders 302 Substance Use and Abuse among American Indians and Alaska Natives 304 Substance Use and Abuse among African Americans 315 Substance Use and Abuse among Hispanic Americans 324 Substance Use and Abuse among Asian and Pacific Islander Americans 334 Substance Use and Abuse among Jewish Americans 346 Summary 351 12 Substance Abuse Treatment with Sexual Minorities 353 Historical Overview 353 Substance Abuse in Lesbians and Gay Men 354 Similarities in Identities 356 Treatment: Together or Separate? 358 Gay Affirmative Practice 359 Treatment with Transgendered and Bisexual Clients 364 Lesbian, Gay, and Bisexual Youth 366 Twelve-Step Groups for Gays and Lesbians 368 Summary 370 13 Substance Use Disorders and Co-Occurring Disabilities 371 Identification and Attitudes 371 Substance Use Disorders as a Disability 373 Mental Illness and Substance Use Disorders 374 Developmental Disabilities and Substance Use Disorders 393 Mobility Impairments and Substance Use Disorders 401 Traumatic Brain Injury and Substance Use Disorders 405 Sensory Disabilities and Substance Use Disorders 411 Other Physical Disabilities and Substance Use Disorders 418 Summary 423 14 Alcohol and Drug Misuse and Abuse in Late Life 424 Criteria and Prevalence Estimates 424 Antecedents and Correlates 428 Effects 430 Assessment 432 Outreach and Treatment 434 Summary 440 15 Gender, Substance Use, and Substance Use Disorders 441 Prevalence of Substance Use and Substance use Disorders among Men and Women 441 Consequences of Substance Use and Substance use Disorders among Men and Women 442 Etiology and Risk Factors 450 Substance Abuse Treatment for Men and Women 454 Summary 465 Part Four: Summary and Conclusions 468 16 Chemical Dependency: Current Issues and Future Prospects 470 Research 472 Delivery of Treatment Services 477 Policy Change 480 Implications for Education and Training 481 Summary and Concluding Thoughts 482 Endnotes 484 Resources 485 References 494 Index 590 A 590 B 592 C 592 D 593 E 594 F 594 G 595 H 595 I 596 J 596 K 596 L 596 M 596 N 597 O 598 P 598 Q 598 R 598 S 599 T 600 U 601 V 601 W 601 X 601 Y 601 Z 601
Comprehensive presentation of substance abuse with the most recent issues in epidemiology, etiology, substance abuse policy, and treatment.
The book looksat substance abuse from a systems perspective, It presents all major theories of addiction, as well as the major physiological and psychological results of substance abuse, including fetal alcohol syndrome.
Coverage of the latest developments in treatment (including pharmacological approaches), recent research on treatment outcomes, and a comprehensive discussion of etiological theories, including genetics, is included. This edition contains an up-to-date discussion of the most recent trends in designer drugs to help explain the considerable frequency of changes in which drug use patterns occur.
Learning Goals
Upon completing this book, readers should be able to:
- Understand at-risk drinking and substance disorders, including how to identify these problems, how to intervene once they have been identified, and how to make referrals
- Identify approaches to help clients avoid or address substance use disorders
- Examine current information on the most rigorous scientific studies of treatment effectiveness
- Trace the development of new medication-assisted treatments
Note: MySocialWorkLab does not come automatically packaged with this text. To purchase MySocialWorkLab, please visit: www.mysocialworklab.com or you can purchase a valuepack of the text + MySocialWork (at no additional cost). VP: 0205206808
Chemical Dependency: A Systems Approach takes a comprehensive look at chemical dependency, covering the most recent issues in the areas of epidemiology, etiology, substance abuse policy, and treatment.
