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Clinicians Guide to Alcohol Moderation: Alternative Methods and Management Techniques [Paperback / softback]

  • Format: Paperback / softback, 212 pages, height x width: 229x152 mm, weight: 326 g, 33 Line drawings, black and white; 33 Illustrations, black and white
  • Pub. Date: 25-Mar-2020
  • Publisher: Routledge
  • ISBN-10: 0367217988
  • ISBN-13: 9780367217983
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  • Price: 47,34 €
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  • Format: Paperback / softback, 212 pages, height x width: 229x152 mm, weight: 326 g, 33 Line drawings, black and white; 33 Illustrations, black and white
  • Pub. Date: 25-Mar-2020
  • Publisher: Routledge
  • ISBN-10: 0367217988
  • ISBN-13: 9780367217983
Other books in subject:

The Clinician’s Guide to Alcohol Moderation examines alcohol use around the world and teaches a range of behavioral healthcare providers how to practice alcohol moderation with their clients.

Excavating the current treatments available for alcohol moderation, the book offers step-by-step processes of engaging clients and their families, self-assessments, and alcohol moderation tools. In addition to using it in conjunction with Practicing Alcohol Moderation: A Comprehensive Workbook, the readers would benefit from the Alcohol Moderation Assessment which predicts who may be able to successfully drink in moderation and developing and monitoring an Alcohol Moderation Plan. The text uses recognized alcohol moderation resources throughout the world as well as real-life case studies to address typical clinician, client, and family member questions. It challenges the traditional recommendation that drinkers experiencing problems are "alcoholics."

This guide is a resource for all who over-drink or know people who struggle with their alcohol use. Through its medium, a broad range of health care providers receive a step-by-step process on how to practice alcohol moderation, how to put tools into practice, case examples, and answers to the most commonly asked questions.

Reviews

Cyndi Turners guide, from the first interview to the exploration of what techniques will best work for the individual client, provides the framework and practical applications on which clinicians can build their own practices. Her belief that it is crucial that the treatment adapt to the client instead of insisting the client morph to a pre-established program is right in line with Moderation Managements belief that each individual is empowered to accept personal responsibility for choosing and maintaining their own path and should have access to the support of professionals and peers in their choice.

Mary Reid, executive director, Moderation Management

Harm reduction and alcohol moderation are really important strategies that need to be offered - as part of a broad menu of options - to everyone with addiction problems. Cyndi Turner is a really thoughtful and intelligent exponent of both and this book will help a lot of people.

Johann Hari, New York Times best-selling author of Chasing the Scream: The First and the Last Days of the War on Drugs and Lost Connections: Uncovering the Real Causes of Depression-And the Unexpected Solutions

This is an unprecedented book that divulges a proven and effective treatment protocol for the majority of alcohol users. Complete with an Alcohol Moderation Assessment tool, this book exposes the flaws in traditional treatment models and offers practical solutions. A must-read for all professionals who help people at various stages of alcohol use, and an opportunity to make a global impact in the world of addictions.

Tom Dutta, founder and CEO, KRE-AT; speaker and radio show host; author of The Way of the Quiet Warrior

We are in the midst of a paradigm shift in our thinking about how to reduce the harms associated with drinking and it is essential that we expand beyond an abstinence-only framework. This practical and sensible book offers a compassionate and evidence-based approach to help people examine their relationship with alcohol. Filled with useful information, assessment questions and moderation strategies, this book is a valuable and timely addition to our toolbox as clinicians.

Jenifer Talley, PhD Assistant Executive Director, The Center for Optimal Living, New York, NY

This very helpful workbook is especially valuable in that it can be used by therapists with their clients or on its own for those who are not ready or are not able to receive therapy. Its greatly needed and I highly recommend it

David J. Hanson, Ph.D.,

Professor Emeritus of Sociology

"A valuable guide for clinicians in an emerging area of practice."

Hello Sunday Morning, the worlds largest online community of people supporting each other to change their behavior around alcohol, based in Sydney, Australia "Cyndi Turners guide, from the first interview to the exploration of what techniques will best work for the individual client, provides the framework and practical applications on which clinicians can build their own practices. Her belief that it is crucial that the treatment adapt to the client instead of insisting the client morph to a pre-established program is right in line with Moderation Managements belief that each individual is empowered to accept personal responsibility for choosing and maintaining their own path and should have access to the support of professionals and peers in their choice."

Mary Reid, executive director, Moderation Management

"Harm reduction and alcohol moderation are really important strategies that need to be offered - as part of a broad menu of options - to everyone with addiction problems. Cyndi Turner is a really thoughtful and intelligent exponent of both and this book will help a lot of people."

Johann Hari, New York Times best-selling author of Chasing the Scream: The First and the Last Days of the War on Drugs and Lost Connections: Uncovering the Real Causes of Depression-And the Unexpected Solutions

"This is an unprecedented book that divulges a proven and effective treatment protocol for the majority of alcohol users. Complete with an Alcohol Moderation Assessment tool, this book exposes the flaws in traditional treatment models and offers practical solutions. A must-read for all professionals who help people at various stages of alcohol use, and an opportunity to make a global impact in the world of addictions."

Tom Dutta, founder and CEO, KRE-AT; speaker and radio show host; author of The Way of the Quiet Warrior

"We are in the midst of a paradigm shift in our thinking about how to reduce the harms associated with drinking and it is essential that we expand beyond an abstinence-only framework. This practical and sensible book offers a compassionate and evidence-based approach to help people examine their relationship with alcohol. Filled with useful information, assessment questions and moderation strategies, this book is a valuable and timely addition to our toolbox as clinicians."

Jenifer Talley, PhD Assistant Executive Director, The Center for Optimal Living, New York, NY

"This very helpful workbook is especially valuable in that it can be used by therapists with their clients or on its own for those who are not ready or are not able to receive therapy. Its greatly needed and I highly recommend it."

David J. Hanson, Ph.D., Professor Emeritus of Sociology

"A valuable guide for clinicians in an emerging area of practice."

Hello Sunday Morning, the worlds largest online community of people supporting each other to change their behavior around alcohol, based in Sydney, Australia

Acknowledgments xiv
Foreword xvi
Introduction 1(3)
1 Recovery: What's Missing?
4(11)
RAND Reports
5(1)
Sobell Study
6(1)
G. Alan Marlatt
6(1)
Project MATCH
7(1)
Effectiveness of Alcoholics Anonymous
7(1)
Institute of Medicine
8(1)
National Longitudinal Alcohol Epidemiological Study
8(1)
World Health Organization
9(1)
NESARC Study
9(1)
Doctor Recommendations
9(1)
National Association of Social Workers
10(1)
Surgeon General's Report on Alcohol, Drugs, and Health
10(1)
A $35 Billion Industry
11(1)
Why Alcohol Moderation Is Not Practiced
12(1)
Education
12(1)
Challenging a Higher Power
12(1)
Call for Change
13(2)
2 What Is Alcohol Moderation?
15(12)
Alcohol Moderation Defined
15(2)
Four to One
17(1)
The Importance of Why
18(1)
Spectrum of Alcohol Use
19(3)
Which One Are You?
22(2)
Binge Drinking
24(1)
Why People Avoid Getting Help
25(2)
3 History of Alcohol Use and Treatment
27(9)
Temperance Movement
21(7)
Alcoholics Anonymous
28(1)
Jellinek Curve
28(1)
Drunkenness as an Odious Disease
29(1)
Disease Model of Addiction
29(1)
Brain Disease Model of Addiction
30(1)
Minnesota Model
31(1)
Florida Model
31(1)
Just Say No
32(1)
American Society of Addiction Medicine (ASAM) Patient Placement Criteria
32(2)
Third Wave
34(2)
4 Harm Reduction Models
36(12)
History of Harm Reduction
36(1)
Harm Reduction Psychotherapy
36(2)
Alcohol Moderation Is Harm Reduction
38(1)
Client Examples
38(2)
Kaitlyn
38(1)
Jackie
39(1)
Mike
39(1)
Promising Models
40(8)
The Sinclair Method (TSM)
40(1)
Behavioral Self-Control Training
41(1)
Guided Self-Change Model
41(1)
Motivational Interviewing
42(3)
Rat Park
45(1)
0-0-1-3
46(2)
5 Alcohol's Effect on Body, Mind, and Health
48(11)
No Safe Level
48(1)
Central Nervous System Depressant
49(1)
Brain
50(1)
Cardiovascular System
51(1)
Liver and Pancreas
51(1)
Immune System
52(1)
Pregnancy
52(1)
Driving
52(1)
Accidents and Injuries
53(1)
Traumatic Brain Injury
53(1)
Sleep
53(1)
Weight
54(1)
Abstainer Bias
55(1)
Question the Source
56(1)
Risk Analysis
56(3)
6 Evaluation, Diagnosis, and Self-Assessment
59(15)
Evaluation
59(6)
Diagnosis
65(3)
Alcohol Use Disorder
66(1)
Alcohol Withdrawal
66(2)
AUDIT
68(2)
Dominant Drinking Patterns
70(1)
Spectrum of Decreasing Alcohol Use
71(3)
7 Engaging Your Client
74(11)
Stages of Change
74(5)
Precontemplation
74(2)
Contemplation
76(1)
Preparation
77(1)
Action
78(1)
Maintenance
78(1)
Cost-Benefit Analysis
79(3)
Motivational Interviewing Scaling
82(3)
8 Alcohol Moderation Assessment
85(15)
Interpreting the Assessment
85(9)
Negative Predictors
94(3)
Protective Factors
97(3)
9 Period of Abstinence
100(14)
Why Four Months?
100(3)
Getting SOBER
103(1)
Mindfulness-Based Relapse Prevention
104(3)
Reducing Risky Situations
107(2)
Urge Surfing
109(2)
Dealing With Triggers
111(1)
Play It Through 24
112(2)
10 Alcohol Moderation Tools
114(16)
Blood Alcohol Concentration
114(2)
Know Your BAC
114(1)
Dilute Your Drink
115(1)
Pace and Space
115(1)
Rotate Nonalcoholic and Alcoholic Beverages
115(1)
Sip Slowly and Mindfully
116(1)
Know Your Point of No Return
116(1)
Physical
116(1)
Satisfy Physical Needs First
116(1)
Eat Before You Drink
117(1)
Emotional
117(1)
Pay Attention to Urges
117(1)
Do Not Drink When Upset
117(1)
Unpairing
118(1)
Environmental
118(4)
Never Drink Alone
118(1)
Don't Keep Alcohol in the House
119(1)
Drink Only in Social Situations
119(1)
Only Consume Alcohol During the Event
119(1)
Pick a Nonalcoholic Drink
119(1)
Rehearse a Response
120(1)
Avoid High-Risk Situations
121(1)
Avoid Heavy Drinkers
121(1)
Be the Designated Driver
121(1)
Plan an Early Event for the Next Day
122(1)
Focus on Conversation, Activity, or People
122(1)
Tracking
122(2)
Consumption Plan
122(1)
Accountability Partner
122(1)
Use a Daily Counter
123(1)
Keep a Drink Diary
123(1)
Pay Attention to Drinking Habits
123(1)
Avoid Back-to-Back Drinking Days
123(1)
Drink Tracking
124(1)
Set an Alert
124(1)
Motivational
124(4)
Tangible Reminders
124(1)
Glass Jar
125(1)
Create New Traditions
126(1)
Healthy Transitions
126(1)
Identify Natural Highs
127(1)
Develop a List of 100 Things to Do Before I Die
128(1)
Review
128(2)
11 Developing and Monitoring an Alcohol Moderation Plan
130(13)
Ideal Use Plan
130(5)
Quick Check of Alcohol Moderation Plan
135(3)
Amount
136(1)
Frequency
137(1)
Intent
137(1)
Impact
138(1)
Relapse Prevention Tools
138(3)
HALT
139(1)
Tangible Reminders
140(1)
Daily Checks
140(1)
Weekly Checks
141(1)
Monthly Checks
141(1)
Preparing to Drink Again
141(2)
12 Including the Family
143(13)
Denial
143(1)
Enabling
144(1)
Codependency
144(1)
Boundaries
145(3)
Self Care
148(1)
Siblings
149(1)
Accountability Versus Paroling
150(1)
Common Questions
150(6)
Should I Cut Off Contact?
151(1)
Should I Kick Him/Her Out of the House?
151(1)
How Do We Handle Money?
152(1)
What Should We Pay For?
153(1)
Should We Stop Drinking Around Him/Her?
153(1)
What if I Suspect He/She Is Drinking?
154(1)
What if He/She Is Not Sticking to the Alcohol Moderation Plan?
154(2)
13 Gender Differences, Special Populations, and Alcohol Use Around the World
156(11)
Gender Differences
156(3)
Women
156(1)
Men
157(2)
Special Populations
159(2)
Adults Over 50
159(1)
Trauma
159(1)
LGBTQ+
160(1)
Alcohol Use Around the World
161(6)
Lowest Alcohol Consumption
162(1)
Highest Alcohol Consumption
162(1)
Africa
162(1)
American Indians and Alaska Natives (AI/AN)
162(1)
Asia
162(1)
Australia
163(1)
Latin America
163(1)
Portugal
163(1)
United Kingdom
164(3)
14 Typical Questions
167(13)
What About Marijuana?
167(1)
Do You Teach Moderation for Other Drugs?
168(1)
What About Prescription Drugs?
168(1)
How Do You Handle Young Adults?
169(1)
Do You Drink/Did You Have a Problem With Alcohol?
170(1)
How Do You Verify Abstinence?
171(1)
What if a Person Cannot Make It Four Months Without Drinking?
172(1)
What if Someone Wants to Stay Abstinent Past the Four Months?
173(1)
What Are Your Success Rates?
173(1)
What About the Family?
173(1)
What Should We Tell Children?
174(1)
How Do You Handle Relapse?
175(1)
Does My Loved One Need Rehab?
175(1)
Do You Hate Alcoholics Anonymous?
176(1)
What Do You Do if Someone Tells You They Do Not Want to Drink?
177(1)
Questions
178(2)
15 Alcohol Moderation Resources
180(7)
Mutual Support Groups for Alcohol Moderation
180(2)
Alcohol Moderation Programs
182(1)
CheckUp & Choices
182(1)
Seeking Safety
183(1)
Dry Month Campaigns
183(2)
Dryuary™ Challenge
184(1)
Dry January
184(1)
Dry Feb
184(1)
febfast
184(1)
Dry July
185(1)
Ocsober
185(1)
Go Sober for October
185(1)
Final Thought
185(2)
References 187(16)
Index 203
Cyndi Turner, LCSW, LSATP, MAC is the Co-Founder and Clinical Director of Insight Into Action Therapy and Insight Recovery Centers. She is a harm reduction therapist who has been in the addiction treatment field for almost three decades. Cyndi co-developed and facilitates the Dual Diagnosis Recovery Program©, is a clinical supervisor for licensure, expert witness, topic expert contributor for GoodTherapy, therapist for players involved with the NFL Program for Substances of Abuse, and is a nationally recognized trainer on alcohol moderation.