An indispensable practitioner reference and text, this engaging book focuses on how to provide effective help to clients with substance use disorders. The authors, leading authorities on addiction treatment, present a state-of-the-art framework for assessment and treatment. They describe and illustrate evidence-based treatment methods, including cognitive-behavioral, 12-step, motivational, pharmacological, and family approaches. Also addressed are such crucial clinical issues as resistance, maintenance of change, treating co-occurring disorders, and spirituality. Reproducible clinical tools can be photocopied from the book or downloaded and printed in a convenient 8 1/2" x 11" size (www.guilford.com/p/miller11). Of special utility, the companion Web page features more than two dozen additional widely used, ready-to-download assessment tools, assembled in one place for the first time, together with the authors' guidance for using them throughout the process of treatment.
Part I: An Invitation to Addiction Treatment. Why Treat Addiction? What is Addiction? How Do Drugs Work? Part II: A Context for Addiction Treatment. Client-centered Foundation. Screening, Evaluation, and Diagnosis. Detoxification and Health Care Needs. Matching: Individualizing Treatment Plans. Case Management. Part III: A Menu of Evidence-based Options for Addiction Treatment. Brief Interventions. Enhancing Motivation for Change. A Community Reinforcement Approach. Strengthening Coping Skills. Involving and Working with Family. Mutual Help Groups. Pharmacological Adjuncts. Part IV: Issues That Arise in Addiction Treatment. Responding to Resistance. Enhancing Adherence. Treating Co-occurring Disorders. Promoting Maintenance. Working with Groups. Addressing the Spiritual Side. Professional Ethics. Promoting Prevention. McLellan, Postscript: Looking Forward.