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Substance Use Disorders and Addictions
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Substance Use Disorders and Addictions

Second Edition


September 2024 | 368 pages | SAGE Publications, Inc
Based on current research and theory, Substance Use Disorders and Addictions, Second Edition examines co-occurring psychiatric disorders as the norm with substance use disorders and addictions. With more than 25 years of experience in the field as a clinician, a researcher, a program developer, and an instructor, Keith Morgen encourages a holistic approach to working with individuals, using three case examples throughout the text to encourage the sequential application of concepts to co-occurring disorders. The second edition includes coverage of the DSM-5-TR diagnostic criteria, the 4th edition ASAM Placement Criteria, and the 2024 CACREP and MPCAC Counseling Accreditation standards. This second edition comes with over 300 new and recent scholarly sources. Readers will benefit from this applied and cutting-edge introduction to the field.


 
1. Substance Use Disorder and Addiction: Basic And Brief Psychopharmacological and Neuropsychological Review
Central Nervous System

 
Brain Areas Associated With Substance Use and Addiction

 
Psychopharmacology: Basics

 
Interface Between Substance Use, Neuropsychology, and Psychopharmacology: Basic Considerations

 
Closing Thoughts

 
Conclusion and Questions to Consider

 
 
I. CLINICAL CASES OVERVIEW
Case of Samantha

 
Case of Debra

 
Case of Warren

 
 
2. Interview, Screening, and Assessment
Purpose of Interviewing, Screening, and Assessment

 
Components of the Interview

 
Assessment

 
Questions to Consider as You Move On to Chapter 3

 
 
3. Diagnostic Issues
DSM-5-TR Overview for Substance Use and Related Disorders

 
Co-Occurring Disorders

 
Process Addictions

 
The COVID-19 Pandemic and Addiction/Co-Occurring Disorders

 
Questions to Consider as You Move On to Chapter 4

 
 
4. Treatment Modalities and Client Placement
Withdrawal Management

 
Inpatient Treatment

 
Outpatient Treatment

 
Establishing the Appropriate Level of Care

 
Social Justice and Cultural Considerations for Effective SUD Treatment

 
Affordable Care Act and Medicaid Expansion

 
Drug Courts

 
Questions to Consider as You Move On to Chapter 5

 
 
II. REVIEW
Samantha

 
Debra

 
Warren

 
Legal, Ethical, and Curricular Issues in SUD Screening, Assessment, and Treatment Placement

 
 
5. Motivational Interviewing
MI Goals

 
MI Spirit

 
Engaging

 
Preparatory Change Talk

 
Planning

 
Ready for Change

 
Consistency of MI Research Findings

 
Culturally Appropriate Applications

 
Questions to Consider as You Move On to Chapter 6

 
 
6. Cognitive Behavioral Therapy
Cognitive Behavioral Therapy (CBT) Basic Elements

 
Cognitive Model of Substance Use

 
Examples of Some CBT Techniques

 
Rational Emotive Behavior Therapy (REBT)

 
CBT Effectiveness

 
Questions to Consider as You Move On to Chapter 7

 
 
7. Family Counseling Interventions
Basic Family Counseling Concepts

 
Bowenian Theory

 
The Addicted Family

 
Systemic Motivational Therapy (SMT)

 
Multidimensional Family Therapy (MDFT)

 
Functional Family Therapy (FFT)

 
Multisystemic Therapy (MST)

 
Questions to Consider as You Move On to Chapter 8

 
 
8. Existential Counseling
Basic Concepts of Existential Counseling Theory

 
Existential Anxiety, Neurotic Anxiety, and Resistance

 
Existential Guilt and Existential Regret

 
Forms of World

 
Ultimate Concerns

 
Counseling Considerations

 
Questions to Consider as You Move On to Chapter 9

 
 
III. REVIEW
The Case of Samantha: MI Examples

 
The Case of Debra: MI Examples

 
The Case of Warren: MI Examples

 
 
9. Recovery
The 12 Steps and Traditions

 
Overall Philosophy of the 12 Steps

 
12-Step Membership and Meeting Basics

 
12 Steps and Counseling

 
12-Step Themes

 
Post-Traumatic Growth and Recovery

 
Questions to Consider as You Move On to Chapter 10

 
 
10. Relapse Prevention
Basics of the Relapse Prevention Idea

 
Marlatt’s Model

 
Dynamic Model of Relapse (Witkiewitz & Marlatt, 2004)

 
Mindfulness-Based Relapse Prevention (MBRP)

 
Matrix Model

 
Recovery Capital

 
Questions to Consider as You Move On to Chapter 11

 
 
IV. Review
Recovery and Relapse Prevention Review

 
The Case of Samantha: 12-Step Considerations

 
The Case of Debra: Recovery and PTG Considerations

 
The Case of Warren: Recovery Capital Considerations

 
 
11. Substance Use Disorders and Addiction Counseling: Education, Graduate Program Accreditation, and Supervision
SAMHSA-NAADAC Addiction Professional Education and Career Ladder

 
Licensure

 
Professional Identity Debate

 
Models of Counseling Supervision

 
Supervision Models Specific for Addiction Counseling

 
The Three-Dimensional Existential Model of Substance Use Disorders and Addiction

 
Questions to Consider as You Leave This Book

 

“A very thorough and comprehensive book on substances of use, assessment, and treatment process and discusses several SUD treatment modalities and outlines many challenges that contribute to clients not getting good treatment. And challenges that need to be discussed further by professionals and leaders in all professions.”

Michele M. Waltz
Lower Columbia College
Pre-Revision Review

“Morgen's book is a comprehensive learning tool that addresses the various facets of substance use disorders and addiction.”

Nakpangi Thomas
Southern New Hampshire University
Pre-Revision Review

“This is a good textbook that addresses various models and definitions and approaches to working with substance use and substance use disorders. It is geared more towards counselors rather than psychologists but addresses a number of different treatments for substance use and evidence based approaches to treatment.”

Jonathan J. Hammersley
Western Illinois University
Pre-Revision Review
Key features

NEW TO THIS EDITION:
• New areas of consideration for clinical assessment, including post-traumatic growth, recovery capital, co-occurring pain, and the impact of the COVID-19 pandemic/Long-COVID.
Two new cases, Debra and Warren, explore the issues of COVID-19, PTSD, and older adult treatment issues.
Two diagnostic paradigms for substance use disorders and addictions, the DSM-5-TR and the ICD-11, are compared and discussed. 
New and expanded content on social justice and cultural considerations, such as the care of older adults, LGBTQIA+ persons, and persons with disabilities. 
Additional consideration is given to treatment effectiveness for people in marginalized groups.
The disciplines of positive psychology and happiness studies are integrated in the chapter on recovery. 
Incorporates the most recent versions of the ACA code of ethics, the NAADAC/NCC AP code of ethics, 4th edition of the ASAM Placement Criteria, the 2024 CACREP counselor education accreditation standards, and the 2024 MPCAC counselor education accreditation standards.

KEY FEATURES: 
 • Three case examples run throughout the book to compare different treatment approaches and provide a realistic introduction to the complexities of co-occurring substance use, process addiction, and psychiatric disorders.
• Addresses older adult treatment issues across several chapters, including one of the case examples.
• The book flow follows the logical sequence of care from assessment through recovery management/relapse prevention.
• Chapter on counselor education compares the two counselor education accreditation bodies, CACREP and MPCAC, in regard to the education and training of the next generation of counseling professionals.
 

Sample Materials & Chapters

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