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E-raamat: Chemical Dependency Counseling: A Practical Guide

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  • Formaat: 744 pages
  • Ilmumisaeg: 11-Aug-2016
  • Kirjastus: SAGE Publications Inc
  • Keel: eng
  • ISBN-13: 9781506307367
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Chemical Dependency Counseling: A Practical GuideSuurem pilt
  • Formaat: 744 pages
  • Ilmumisaeg: 11-Aug-2016
  • Kirjastus: SAGE Publications Inc
  • Keel: eng
  • ISBN-13: 9781506307367
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This volume is the most comprehensive guide for counselors and front-line professionals who work with the chemically dependant in a variety of settings. It is a very basic introduction that guides the counselor through treatment from A to Z. It is also a popular core text for courses in addiction/substance abuse counseling. Presents the state-of-the-art tools necessary to deliver outstanding treatment and meet the highest standards demanded by accrediting bodies. 

Chapters cover the gamut of treatment issues, including developing the therapeutic alliance, screening, detoxification, biopsychosocial assessment, dual-diagnosis, patient orientation, treatment planning, individual therapy, group therapy, case management, crisis intervention, referral, record keeping, discharge planning, and referral. Author Robert R. Perkinson provides case studies and step-by-step instructions with clear explanations and procedures that counselors need to use in all phases of patient care. 

One of the key features of this volume is the inclusion of over 50 appendices, which includes screening questionnaires, scales, history assessments, personal recovery plans, in-patient and out-patient schedules, and many, many more. The new edition will add more appendicies and update existing ones. 
  • Inclusion of issues of diversity and working with diverse clients
  • Discussion of new treatment for addiction with detailed plan
  • New discussion of relapse triggers, including negative emotions, social pressure, interpersonal conflict and the recovery community.
  • New discussion of co-occuring disorders
Preface to the Fifth Edition xix
Acknowledgments xxii
1 First Contact 1(16)
Treatment Works
2(1)
The Motivational Interview
3(11)
How to Develop the Therapeutic Alliance
5(1)
How to Do a Motivational Interview
5(6)
What to Do If There Are One or More Red Flags
11(1)
Natural History of Addiction
11(1)
How to Diagnose an Addiction Problem
11(1)
How to Intervene
12(2)
How to Assess Motivation
14(3)
The Stages of Motivation
14(1)
Motivating Strategies
15(2)
2 First Hours of Treatment 17(20)
The First Hours
17(1)
How to Greet Clients
17(1)
Examples
18(1)
Beginning the Therapeutic Alliance
18(1)
The Importance of Trust
19(1)
Dealing With Early Denial
19(1)
Example of an Initial Contact
20(1)
How to Check for Organic Brain Dysfunction
20(1)
The Initial Assessment
20(3)
Referral
21(2)
How to Conduct a Crisis Intervention
23(2)
American Society of Addiction Medicine Patient Placement Criteria
25(1)
Diagnostic and Statistical Manual
26(1)
Criteria for Diagnosis
26(1)
Diagnosis: Substance Use Disorder
27(1)
Gambling Disorder
28(1)
How to Determine the Level of Care Needed
28(1)
Criteria for Outpatient Treatment (Adults)
29(1)
Criteria for Inpatient Treatment (Adults)
30(1)
Criteria for Outpatient Treatment (Adolescents)
31(1)
Criteria for Inpatient Treatment (Adolescents)
31(1)
The Client's Reaction to Intoxication
32(1)
What to Do With an Intoxicated Client
32(1)
Detoxification
33(1)
How Clients React in Detoxification
33(1)
The AMA Threat
34(1)
Example of an AMA Intervention
35(1)
How to Develop and Use the AMA Team
35(1)
How to Use the In-House Intervention
36(1)
How to Respond to Clients Who Leave AMA
36(1)
3 Biopsychosocial Interview 37(14)
The Biopsychosocial Interview
37(6)
How to Conduct the Interview
38(4)
Summary and Impression
42(1)
Diagnosis
43(1)
Disposition and Treatment Plan
43(1)
A Sample Biopsychosocial Interview
43(8)
4 Treatment Plan 51(12)
How to Build a Treatment Plan
52(1)
The Diagnostic Summary
52(1)
The Problem List
52(1)
How to Develop a Problem List
52(1)
Goals and Objectives
53(1)
How to Develop Goals
53(1)
Examples of Developing Goals
54(1)
Examples of Goals
54(1)
How to Develop Objectives
54(2)
Examples
55(1)
How to Develop Interventions
56(1)
Examples
56(1)
How to Evaluate the Effectiveness of Treatment
56(1)
How to Select Goals, Objectives, and Interventions
57(2)
Examples
57(2)
Treatment Plan Review
59(1)
Documentation
59(1)
How to Write Progress Notes
60(1)
Examples
60(1)
Formal Treatment Plan Review
61(2)
Discussion of Continuing Care
61(2)
5 Individual Treatment 63(20)
The Therapeutic Alliance
64(1)
How to Develop a Therapeutic Alliance
64(1)
How to Be Reinforcing
65(1)
How to Use Empathy
65(1)
Transference and Countertransference
66(1)
Examples of Empathic Statements
66(1)
How to Be Confrontive
67(1)
Behavior Therapy
67(4)
How Clients Learn
67(1)
Habits
68(1)
Changing a Habit
68(1)
What Is Reinforcement?
69(1)
What Is Punishment?
69(1)
The Behavior Chain
69(1)
The Importance of Reinforcement
70(1)
How to Use Punishment
70(1)
When a Client Breaks a Rule
70(1)
Why We Concentrate on Behavior Therapy
71(1)
Cognitive Therapy
72(7)
How Chemically Dependent People Think
72(1)
Defense Mechanisms
72(1)
Applying Cognitive Therapy
73(1)
Automatic Thoughts
74(1)
How to Correct Inaccurate Thoughts
75(4)
Interpersonal Therapy
79(3)
How to Develop Healthy Relationships
79(1)
Building a Relationship With a Higher Power
79(1)
Developing a Relationship With Self
80(1)
Building Relationships With Others
80(1)
How Clients Use Feelings Inappropriately
81(1)
How Clients Learn Relationship Skills
81(1)
How to Change Relationships
82(1)
How to Handle Grief
82(1)
How to Choose the Therapeutic Modality
82(1)
6 Group Therapy 83(21)
Benefits of the Group Process
83(1)
Preparation for the Group
84(1)
The Preparation Statement
84(1)
The Agenda Group
85(2)
How to Choose the Order of the Agenda
85(1)
How to Give Good Feedback
86(1)
How to Receive Feedback
86(1)
How to Run a Group
86(1)
How to Know Which Therapy to Use
87(1)
The Honesty Group
87(1)
Example of the Honesty Group
87(1)
Uncovering the Lies
88(1)
How to End Each Group
88(1)
The Euphoric Recall Group
88(3)
How to Uncover Euphoric Recall
89(1)
How to Help the Clients See the Truth
89(2)
The Reading Group
91(1)
The Relapse Prevention Group
91(5)
The Trigger Group
91(1)
How to Uncover the Triggers
92(1)
The Drug Refusal Skills
92(1)
The Inaccurate Thinking Group
93(1)
The Feelings and Action Group
94(1)
The Lapse Group
94(2)
The Spirituality Group
96(2)
How to Develop Healthy Relationships
97(1)
How to Develop a Healthy Relationship With a Higher Power
97(1)
The Eleventh Step Group
97(1)
The Meditation Group
97(1)
The Childhood Group
98(2)
How to Explore Early Parental Relationships
99(1)
How to Begin to Heal Early Childhood Pain
99(1)
Men's Group/Women's Group
100(1)
The Community Group
100(1)
The Personal Inventory Group
100(1)
Skills Training Group
101(1)
Assertiveness Skills Group
101(1)
Skills
102(1)
Problem-Solving Skills Group
102(2)
Skill Set 1
103(1)
Skill Set 2
103(1)
7 Drugs of Abuse 104(14)
Drugs of Abuse
104(2)
Central Nervous System Depressants
105(1)
Central Nervous System Stimulants
105(1)
The Hallucinogens
105(1)
The Reinforcing Properties of Drugs
105(1)
Tolerance and Dependence
106(1)
Cross-Tolerance
106(1)
Alcohol
106(1)
Alcohol-Induced Organic Mental Disorders
107(1)
Alcohol Intoxication
107(1)
Alcohol Amnesic Disorder (Blackout)
107(1)
Wernicke-Korsakoff Syndrome
107(1)
Alcohol Withdrawal
107(1)
Alcohol Withdrawal Seizures
108(1)
Alcohol Withdrawal Delirium (Delirium Tremens)
108(1)
Sedatives, Hypnotics, and Anxiolytics
108(1)
Opioids
108(4)
Cocaine and Amphetamines
110(1)
Phencyclidine
111(1)
Dissociative Anesthetics (Phencyclidine, Ketamine, Dextromethorphan, and FLAKKA)
112(1)
Hallucinogens
112(1)
The Psychedelic State
112(1)
Cannabis
113(1)
Synthetic Designer Drugs
114(1)
Inhalants
114(1)
Nicotine
114(1)
Club Drugs
115(1)
MDMA
115(1)
GHB
116(1)
Ketamine
116(1)
Rohypnol
116(1)
Polysubstances
116(1)
Treatment Outcome
117(1)
8 Recovery Skills 118(10)
The Chemical Use History
119(1)
Honesty
119(1)
Love, Trust, and Commitment
120(1)
Feelings
120(1)
Relationship Skills
121(1)
Addictive Relationships
122(1)
Communication Skills
122(1)
Self-Discipline
123(1)
Impulse Control
124(1)
Relapse Prevention
125(1)
Stress Management
126(2)
9 Steps 128(11)
The Committee
129(1)
Step One
129(1)
Step Two
130(2)
How to Help Clients Accept a Higher Power
131(1)
Step Three
132(1)
How to Help Clients Embrace Step Three
132(1)
Step Four
133(1)
Step Five
134(1)
Step Six
135(1)
Step Seven
135(1)
Step Eight
136(1)
Step Nine
136(1)
Step Ten
137(1)
Step Eleven
137(1)
Step Twelve
137(2)
10 Lectures 139(16)
The Disease Concept
140(3)
Addiction Is Not a Moral Problem
140(1)
Addiction Is Not Due to a Weak Will
141(1)
Addiction Has Genetic Components
141(1)
Addiction Is a Social Problem
141(1)
Addiction Is a Psychological Problem
141(1)
Addiction Is a Physiological Problem
142(1)
The Obsession
142(1)
The Problems
142(1)
Defense Mechanisms
143(1)
Minimization
143(1)
Rationalization
144(1)
Denial
144(1)
How to Begin to Live in the Truth
144(1)
The Great Lie
144(2)
How the Great Lie Works
145(1)
We Never Feel Accepted
145(1)
The Promise of the Disease
145(1)
Truth
145(1)
A Program of Rigorous Honesty
146(1)
Normal Development
146(2)
The Primary Caregiver
146(1)
The Struggle for Independence
146(1)
The Fear of Abandonment
146(1)
Learning the Rules
147(1)
The Development of Insecurity
147(1)
The Peer Group
147(1)
Adolescence
147(1)
Adulthood
148(1)
Physical Addiction and Recovery
148(2)
How Drugs Affect the Cell
148(1)
How Drugs Affect Behavior
149(1)
Tolerance
149(1)
Cross-Tolerance
149(1)
Withdrawal
149(1)
How We Learn
150(1)
Alcoholics Anonymous
150(2)
A Spiritual Awakening
150(1)
Two Alcoholics Talking to Each Other
151(1)
The "Big Book"
151(1)
The 12 Steps
152(1)
Meetings
152(1)
Feelings
152(3)
All Feelings Are Adaptive
153(1)
Assertive Skills
153(2)
11 Special Problems 155(42)
The Psychiatric/Psychological Assessment
156(1)
How to Develop the Treatment Plan
156(1)
The Depressed Client
156(9)
How to Assess Depression
157(1)
How to Treat Depression
157(1)
Psychopharmacology
157(1)
Behavior Therapy
158(1)
Cognitive Therapy
159(3)
Interpersonal Therapy
162(1)
Grief
163(1)
Suicide
164(1)
The Angry Client
165(4)
How to Handle a Violent Client
165(1)
How to Handle an Angry Client
165(1)
Assertiveness Skills
166(1)
The Importance of Forgiveness
166(1)
How to Teach the Client to Recognize Anger
167(1)
Disengagement
167(1)
Time-Out
167(1)
How to Keep Your Cool as a Counselor
168(1)
The Homicidal Client
168(1)
The Duty to Warn
168(1)
Personality
169(1)
What Is Personality?
169(1)
The Antisocial Personality
169(3)
A Disorder of Empathy
169(1)
How to Treat the Antisocial Personality
170(1)
How to Deal With a Rule Violation
170(1)
Moral Development
171(1)
How to Deal With the Family of an Antisocial Client
171(1)
The Borderline Client
172(2)
Interpersonal Relationships
172(1)
Emotional Regulation
172(1)
How to Treat the Borderline Client
172(1)
Setting Limits
173(1)
Dealing With Transference
173(1)
Stress Tolerance
173(1)
Dealing With the Family
173(1)
The Narcissistic Client
174(1)
The Anxious Client
175(3)
How to Measure Anxiety
175(1)
The Psychological Component of Anxiety
176(1)
How to Use Relaxation Techniques
176(1)
The Daily Log
177(1)
Cognitive Therapy
177(1)
Post-Traumatic Stress Disorder
178(1)
Panic Attacks
178(1)
The Psychotic Client
179(2)
Hallucinations and Delusions
179(1)
How to Treat the Psychotic Client
180(1)
The Family of the Psychotic Client
181(1)
Acquired Immune Deficiency Syndrome
181(1)
The High-Risk Client
181(1)
The Client With Low Intellectual Functioning
182(1)
How to Treat the Client With Low Intelligence
182(1)
The Client Who Cannot Read
182(1)
The Family of the Client With Low Intelligence
183(1)
The Elderly Client
183(1)
The Client With Early Childhood Trauma
184(1)
How to Deal With Sexual Abuse
184(1)
Cognitive Therapy
185(1)
How to Learn Forgiveness
185(1)
Love in the Treatment Center
185(1)
The Importance of the Unit Rules
186(1)
How to Deal With Clients in Love
186(1)
The Pathological Gambler
186(11)
Honesty
187(1)
Gambling Step One
188(1)
Gambling Step Two
189(1)
Gambling Step Three
190(1)
Gambling Step Four
191(1)
Gambling Step Five
191(1)
Gambling Step Six
192(1)
Gambling Step Seven
192(1)
Gambling Step Eight
193(1)
Gambling Step Nine
193(1)
Gambling Step Ten
194(1)
Gambling Step Eleven
194(1)
Gambling Step Twelve
195(1)
Gambling Relapse Prevention
195(2)
12 Adolescent Treatment 197(15)
The Normal Adolescent
197(1)
Puberty
198(1)
Ages 13 to 16
199(2)
Ages 16 to 19
201(2)
Interesting Adolescent Facts
202(1)
The Chemically Dependent Adolescent
202(1)
The Adolescent Chemical Dependency Counselor
203(1)
The Point System
204(1)
The Primary Elements in Adolescent Treatment
205(1)
The Rules
205(1)
Communication Skills
205(1)
Honesty
206(1)
Exercise
206(1)
Fun in Sobriety
206(1)
The Reinforcers
207(1)
Spirituality
207(1)
Group Therapy
207(1)
Peer Pressure
208(1)
Continuing Education
208(1)
Continuing Care
209(1)
The Parents Support Group
210(1)
The Behavioral Contract
210(1)
Phases of Adolescent Treatment
210(2)
13 The Family Program 212(9)
The First Family Contact
213(1)
How to Handle the Early Against Medical Advice Risk
213(1)
Common Family Problems
214(3)
Codependency
214(1)
Guilt
214(1)
Loss of Control
215(1)
Shame
215(1)
Caretaking
215(1)
Enabling
215(1)
Inability to Know Feelings
216(1)
Inability to Know Wants
216(1)
Lack of Trust
216(1)
People Pleasing
216(1)
Feelings of Worthlessness
216(1)
Dependency
216(1)
Poor Communication Skills
217(1)
How to Treat Family Members
217(1)
The Family Program Schedule
218(1)
How to Work With the Family in Group
219(1)
The Conjoint Session
219(2)
14 The Clinical Staff 221(11)
The Physician/Addictionologist
222(1)
The Psychologist/Psychiatrist
222(1)
The Social Worker/Mental Health Counselor
223(1)
The Nurse
223(1)
The Clinical Director
224(1)
The Clinical Supervisor
224(1)
The Chemical Dependency Counselor
224(1)
The Rehabilitation Technician or Aide
224(1)
The Recreational Therapist
225(1)
Clinical Staffing
225(2)
How to Present a Client
226(1)
Team Building
227(1)
Commitment to Coworkers
228(1)
Boundaries
228(1)
Staff—Client Problems
229(1)
What to Do When a Client Does Not Like a Counselor
229(1)
What to Do When a Client Complains About a Rule
230(1)
The Work Environment
230(2)
15 Discharge and Continuing Care 232(6)
Outpatient Discharge Criteria
233(1)
Inpatient Discharge Criteria
234(1)
How to Develop a Discharge Summary
235(2)
The Discharge Summary
237(1)
Saying Good-Bye
237(1)
16 The Good Counselor 238(7)
Good Counselors Are Caring
238(1)
Good Counselors Love Their Work
239(1)
Good Counselors Do Not Become Overly Involved
239(1)
Good Counselors Do Not Lie
239(1)
Good Counselors Are Gentle
239(1)
Good Counselors Like Themselves
240(1)
Good Counselors Are Supersensitive
240(1)
Good Counselors Have a Sixth Sense
240(1)
Good Counselors Do Not Become Overly Emotional
240(1)
Good Counselors Are Active Listeners
241(1)
Good Counselors Do Not Talk Too Much
241(1)
Good Counselors Maintain Boundaries
241(1)
Good Counselors Are Client Centered
242(1)
Good Counselors Have Effective Relationship Skills
242(1)
Good Counselors Have a Sound Code of Ethics
243(2)
Appendix
1. Cognitive Capacity Screening		 245(2)
Appendix
2. Short Michigan Alcoholism Screening Test		 247(1)
Appendix
3. DSM—S Psychoactive Substance Use Disorder		 248(2)
Appendix
4. Alcohol Withdrawal Scale		 250(3)
Appendix
5. Narcotic Withdrawal Scale		 253(1)
Appendix
6. Sample Biopsychosocial Interview		 254(7)
Appendix
7. Chemical Use History		 261(2)
Appendix
8. Honesty		 263(5)
Appendix
9. Love, Trust, and Commitment		 268(7)
Appendix
10. Feelings		 275(5)
Appendix
11. Relationship Skills		 280(5)
Appendix
12. Addictive Relationships		 285(3)
Appendix
13. Communication Skills		 288(5)
Appendix
14. Self-Discipline		 293(5)
Appendix
15. Impulse Control		 298(8)
Appendix
16. Relapse Prevention		 306(16)
Appendix
17. Step One		 322(8)
Appendix
18. Step Two		 330(7)
Appendix
19. Step Three		 337(7)
Appendix
20. Step Four		 344(9)
Appendix
21. Step Five		 353(2)
Appendix
22. Adolescent Unit Level System		 355(7)
Appendix
23. Peer Pressure		 362(4)
Appendix
24. The Behavioral Contract		 366(4)
Appendix
25. Family Questionnaire		 370(6)
Appendix
26. Codependency		 376(8)
Appendix
27. Personal Recovery Plan		 384(4)
Appendix
28. Sample Discharge Summary		 388(5)
Appendix
29. Stress Management		 393(10)
Appendix
30. Hamilton Depression Rating Scale		 403(2)
Appendix
31. Biopsychosocial Assessment		 405(10)
Appendix
32. Anger Management		 415(14)
Appendix
33. Narcissism		 429(6)
Appendix
34. Honesty for Gamblers		 435(4)
Appendix
35. Step One for Gamblers		 439(7)
Appendix
36. Step Two for Gamblers		 446(5)
Appendix
37. Step Three for Gamblers		 451(4)
Appendix
38. Step Four for Gamblers		 455(8)
Appendix
39. Step Five for Gamblers		 463(2)
Appendix
40. Relapse Prevention for Gamblers		 465(15)
Appendix
41. Adolescent Unit Point System		 480(4)
Appendix
42. Results From the 2013 National Survey on Drug Use and Health: Summary of National Findings		 484(135)
Appendix
43. Drug Categories for Substances of Abuse		 619(11)
Appendix
44. Adult Inpatient Program Schedule		 630(2)
Appendix
45. Adolescent Inpatient Program Schedule		 632(2)
Appendix
46. Adult Outpatient Program Schedule		 634(3)
Appendix
47. Adolescent Outpatient Program Schedule		 637(3)
Appendix
48. Gambling Inpatient Program Schedule		 640(2)
Appendix
49. Gambling Outpatient Program Schedule		 642(3)
Appendix
50. Day Treatment Program Schedule		 645(4)
Appendix
51. Pressure Relief Group Meeting and Budget Form		 649(8)
Appendix
52. Heroin		 657(3)
Appendix
53. South Oaks Gambling Screen		 660(3)
Appendix
54. Barriers in Thinking		 663(3)
Appendix
55. Psychotherapeutic Medications 2011		 666(41)
Appendix
56. Drug Abuse Screening Test		 707(2)
Appendix
57. Clinical Opiate Withdrawal Scale		 709(2)
Appendix
58. Adult Nurses Intake		 711(32)
Appendix
59. Adolescent Nurses Intake		 743(33)
Appendix
60. National Cancer Institute Guide to Quitting Smoking		 776(22)
Appendix
61. Post-Traumatic Stress Disorder (PTSD) Checklist Civilian Version		 798(2)
Appendix
62. Post-Traumatic Stress Disorder (PTSD) Checklist Military Version		 800(2)
Appendix
63. Alcohol Abstinence Self-Efficacy Scale		 802(2)
Appendix
64. Hamilton Anxiety Rating Scale		 804(3)
Appendix
65. Strengths, Needs, Abilities, and Preferences		 807(3)
Appendix
66. Daily Craving Record		 810(4)
Appendix
67. National Association of Alcohol and Drug Abuse Counselors (NAADAC) Code of Ethics		 814(4)
Appendix
68. Gambling History		 818(3)
Appendix
69. Diagnostic/Integrated Summary		 821(7)
Appendix
70. Mental Health Screening		 828(2)
Appendix
71. Fagerstrom Test for Nicotine Dependence		 830(2)
References 832(6)
Index 838(18)
About the Author 856
Robert R. Perkinson is the clinical director of Keystone Treatment Center in Canton, South Dakota. He is a licensed psychologist; licensed marriage & family therapist; internationally certified alcohol and drug counselor; South Dakota certified chemical dependency counselor, Level III; and a nationally certified gambling counselor and supervisor. His specialty areas focus on treating alcoholics, addicts, and pathological gamblers. He is the author of Chemical Dependency Counseling: A Practical Guide (2nd ed.) (2003a), which is the leading treatment manual in the world for chemical dependency counselors. With Dr. Arthur E. Jongsma Jr. (2001) he is the coauthor of The Addiction Treatment Planner, which is the best-selling treatment planner and computer software program for mental health and addiction professionals. He has also written The Alcoholism and Drug Abuse Patient Workbook (2003c) and the Gambling Addiction Patient Workbook (2003b). These workbooks have all of the exercises patients need to enter a stable recovery. His book entitled Treating Alcoholism: How to Help Your Clients Enter Recovery (2004) trains professionals how to treat patients with alcohol problems. He is the author of the book God Talks to You (2000) and the meditation tape A Communication from God (2008) by cdbaby, which help addicts make their first conscious contact with a Higher Power of their own understanding. He is a composer and has completed his second CD, Peace Will Come, music that helps addicts learn the essentials of a spiritual journey. With Dr. Jean LaCour (2004), he wrote the Faith-Based Addiction Curriculum to teach professionals of faith how to treat addiction. Dr. Perkinson is an international motivational speaker and regular contributor to numerous professional journals. He is the webmaster of several web pages, including www.robertperkinson.com, www.alcoholismtreatment.org, and www.godtalkstoyou.com, where he gets over 2.6 million hits a year and answers questions on addiction for free. His biographies can be found in Whos Who in America, Whos Who in Medicine and Healthcare, Whos Who in Science and Engineering, and Whos Who in the World.
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