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E-raamat: Screening, Assessment, and Treatment of Substance Use Disorders: Evidence-based practices, community and organizational setting in the era of integrated care

(Associate Director, Center for Additions Research & Services, Boston University School of Social Work), (Professor & Associate Dean for Research, Boston University School of Social Work)
  • Formaat: 256 pages
  • Sari: Evidence-Based Practices
  • Ilmumisaeg: 23-May-2018
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190496524
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  • Formaat: 256 pages
  • Sari: Evidence-Based Practices
  • Ilmumisaeg: 23-May-2018
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780190496524

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There is a clear and pressing need for health professionals, including social workers, to be trained in evidence-based practices (EBPs) in the area of substance use disorders (SUD). The Substance Abuse and Mental Health Services Administration (SAMHSA) and other national organizations and government agencies have all put out reports calling for this vital need, though there remains a significant shortage of properly trained clinicians. The aim of this book is to provide an integrated perspective on addiction treatment on the evidence-base of psychosocial and medication-assisted treatment for substance use disorder. The volume is unique in that it critically examines the evidence base of both psychosocial and pharmacological treatment practices targeting a profession of social work audience. It is also one of few that (1) incorporates evidence both from the United States and internationally, and (2) presents a methodology that permits the authors to systematically review a large number of empirically based studies in an organized and easy-to-read manner. Additionally, the text incorporates a health disparities perspective and describes implementation barriers at the organizational, community, and policy levels. It can be used in policy, human behavior, and clinical practice both nationally and internationally.

Arvustused

"As substance use disorders (SUD) continue to impact individual lives and society's social fabric, never has there been a more important time to focus on the prevention, assessment, and treatment of SUD across sectors. Lundgren and Krull get at the heart of integrated systems and address the most current evidence across sectors. From clinical modalities to necessary organizational levers, readers will gain aptitude to improve care and population health outcomes. This is a must-read for emerging and current providers!"

Lisa de Saxe Zerden, PhD, MSW, Senior Associate Dean for MSW Education; Clinical Associate Professor, School of Social Work, University of North Carolina at Chapel Hill

Preface xiii
Intended audience xiii
Social workers in action xiii
Book introduction xiv
Types of interventions xv
Acknowledgments xvii
Section 1 Context: Historical Background, Theoretical Frameworks, Current Policy, Treatment Disparities, and the Movement Toward Integrated Care
1(30)
1 Historical Background
3(5)
The diagnosis of SUD and the DSM from a historical perspective
3(1)
History of treatment for SUD
4(1)
History of institutional care
5(1)
The recovery movement
6(2)
2 Theoretical Frameworks
8(11)
The bio/psycho/social framework
8(1)
Consequences of addiction
9(1)
Our framework and definition of EBP
10(1)
Government institutions' definitions of EBPs
11(3)
Implementation theory
14(1)
Why EBP implementation is difficult
14(1)
Understanding the real-world context of EBP implementation
15(4)
3 Current Policy and Behavioral Health System Treatment Disparities and the Movement toward the Integration of Behavioral Health and Health Care
19(12)
The current behavioral health system
19(1)
Financing structure of treatment for SUD---a barrier to treatment access
20(1)
Self-pay out-of-pocket costs
20(1)
Government-paid treatment
20(1)
Private health insurance
21(1)
Treatment for SUD---Who gets treatment, who does not, and why
21(1)
Access
21(2)
Lack of continuity of care and health disparities
23(1)
Recent policy changes: Moving toward integration or not?
24(1)
What is an integrated care model?
25(2)
What are some of the perceived benefits of integrated models?
27(4)
Section 2 The Treatment Process: Screening, Assessment, Treatment, and Continuity of Care
31(138)
Objectives
31(1)
Methods used to review evidence base
31(1)
Search process
31(1)
Table creation
32(1)
4 The Evidence Base for Screening, Brief Intervention, and Referral to Treatment and Examples of Screening and Assessment Instruments
33(23)
Introduction to screening and assessment
33(1)
Screening, brief intervention, and referral to treatment
34(1)
Description
34(1)
Critical review of research
35(10)
Implementation
45(1)
Organizational setting
45(1)
Community setting
46(1)
Policy setting
46(1)
Alcohol use disorders identification test
47(1)
Description
47(1)
Critical review of research
48(1)
Implementation
48(1)
Organizational setting
48(1)
Community setting
49(1)
Policy setting
49(1)
Addiction Severity Index
49(1)
Description
49(1)
Critical review of research
50(1)
Implementation
51(1)
Organizational setting
51(1)
Community setting
51(1)
Policy setting
51(1)
Global appraisal of individual needs
52(1)
Description
52(1)
Critical review of research
53(1)
Implementation
54(1)
Organizational setting
54(1)
Community setting
54(1)
Policy setting
55(1)
Conclusion
55(1)
5 The Treatment Process: Motivational Techniques to Promote Treatment Entry and Use
56(14)
Introduction to motivational interviewing
56(1)
Description
57(1)
Critical review of research
57(2)
Implementation
59(1)
Organizational setting
59(9)
Community setting
68(1)
Policy setting
68(2)
6 The Treatment Process: Common Psychosocial Interventions for the Treatment of SUD
70(18)
Introduction
70(1)
12-step model, AA, and NA
71(1)
Description
71(1)
Critical review of research
72(1)
Implementation
73(1)
Organizational setting
73(1)
Community setting
73(3)
Policy setting
76(1)
Minnesota model
76(1)
Description
76(1)
Critical review of research
77(1)
Implementation
78(1)
Organizational setting
78(1)
Community setting
78(1)
Policy setting
79(1)
Relapse prevention techniques
79(1)
Description
79(2)
Critical review of research
81(1)
Implementation
81(1)
Organizational setting
81(5)
Community setting
86(1)
Policy setting
87(1)
7 The Treatment Process: Common Evidence-Based Behavioral Treatments for Co-Occurring Mental Health Issues and SUD
88(20)
Introduction
88(1)
Why focus on co-occurring disorders in a book about SUD and EBP treatment?
88(2)
Why an integrated treatment approach for co-occurring disorders?
90(1)
Policy climate for integrated treatment systems in general
91(1)
Integrated dual diagnosis treatment
92(1)
Description
92(1)
Critical review of research
93(3)
Implementation
96(1)
Organizational setting
96(1)
Community setting
97(1)
Policy setting
98(1)
Seeking safety
98(1)
Description
98(1)
Critical review of research
99(3)
Implementation
102(1)
Organizational setting
102(1)
Community setting
102(1)
Policy setting
103(1)
Trauma recovery and empowerment model
104(1)
Description
104(1)
Critical review of research
105(1)
Implementation
106(1)
Organizational setting
106(1)
Community setting
106(1)
Policy setting
107(1)
8 Medication-Assisted Drug Treatment/Pharmacological Therapies
108(31)
Introduction
108(1)
MAT overview
108(1)
MAT for the treatment of opiate dependence
109(1)
Methadone and buprenorphine
110(1)
How are methadone and buprenorphine provided?
111(1)
Critical review of research
111(7)
Implementation
118(1)
Organizational setting
119(1)
Community setting
120(1)
Policy setting
121(1)
Naltrexone
121(1)
Critical review of research
122(1)
Implementation
122(1)
Organizational setting
122(1)
Community setting
123(1)
Policy setting
123(1)
MAT for overdose prevention: Naloxone
123(3)
Critical review
126(1)
Implementation
126(1)
Organizational setting
126(1)
Community setting
126(1)
Policy setting
126(1)
MAT for detoxification
127(1)
Critical review of research
127(1)
Implementation
127(1)
Organizational setting
127(5)
Community setting
132(1)
Policy setting
132(1)
MAT for alcohol use disorder
132(1)
Critical review of research
132(1)
Implementation
133(1)
Organizational setting
133(1)
Community setting
133(5)
Policy setting
138(1)
9 The Treatment Process: The Evidence Base of Technology for the Treatment of SUD
139(13)
Description
139(2)
Critical review of research
141(9)
Implementation
150(1)
Organizational setting
150(1)
Community setting
150(1)
Policy setting
151(1)
10 Evidence-Based Practices and Continuity of Care
152(17)
Introduction
152(1)
Case management
153(1)
Critical review of research
154(1)
Implementation
154(1)
Organizational setting
154(1)
Community setting
155(1)
Policy setting
155(5)
Sober housing
160(1)
Critical review of research
160(1)
Implementation
161(1)
Organizational setting
161(1)
Community setting
161(1)
Policy setting
162(1)
Conclusions
163(1)
A suggestion for how to assess the mixed research evidence presented in this book
163(1)
What is the future of reducing the disparities in access, use, and outcomes of treatment for SUD?
164(1)
Future social work role in SUD-related work
165(1)
Where to go next as a social worker skilled in SUD
166(1)
Summary
167(2)
Glossary 169(4)
References 173(24)
Index 197
Lena M. Lundgren, PhD, MA, is Executive Director at the Butler Institute for Families and Professor in the Graduate School of Social Work at the University of Denver. Dr. Lundgren is a nationally and internationally recognized researcher on addiction access, use and outcomes. She is the PI of an NIAAA R25 to educate social work faculty nationwide on evidence-based practices in addiction treatment.

Ivy Krull, PhD, MPH, MSW, is Assistant Professor at Emmanuel College and Senior Research Associate at the Butler Institute for Families at the University of Denver. Dr. Krull has more than 15 years of experience in working with vulnerable populations, with a specific focus on organizational capacity and policy issues related to substance use disorder. She is the Program Director on an NIAAA R25 focused on educating social work faculty nationwide on evidence-based practices in addiction treatment.