Substance Abuse Treatment and the Stages of Change: Selecting and Planning Interventions

370 Pages·2013·1.99 MB·English

by  Gerard J. Connors

ebook
THE GUILFORD PRESS
Substance Abuse Treatment and the Stages of Change
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Substance
Abuse Treatment
and the Stages
of Change
Selecting and
Planning Interventions
SEConD EDITIon
GErArD J. ConnorS
CArlo C. DiClEMEnTE
MAry MArDEn VElASquEz
DEnnIS M. DonoVAn
The Guilford Press
new york london
© 2013 The Guilford Press
A Division of Guilford Publications, Inc.
370 Seventh Avenue, Suite 1200, New York, NY 10001
www.guilford.com
Paperback edition 2016
All rights reserved
No part of this book may be reproduced, translated, stored in
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Printed in the United States of America
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Last digit is print number: 9 8 7 6 5 4 3
The authors have checked with sources believed to be reliable in their efforts to
provide information that is complete and generally in accord with the standards
of practice that are accepted at the time of publication. However, in view of the
possibility of human error or changes in behavioral, mental health, or medical sci-
ences, neither the authors, nor the editor and publisher, nor any other party who
has been involved in the preparation or publication of this work warrants that the
information contained herein is in every respect accurate or complete, and they are
not responsible for any errors or omissions or the results obtained from the use of
such information. Readers are encouraged to confirm the information contained
in this book with other sources.
Library of Congress Cataloging-in-Publication Data
Connors, Gerard J. (Gerard Joseph), 1952-
Substance abuse treatment and the stages of change : selecting and
planning interventions / Gerald J. Connors, Carlo C. DiClemente,
Mary Marden Velasquez, Dennis M. Donovan. — Second edition.
pages cm.
Includes bibliographical references and index.
ISBN 978-1-4625-0804-4 (hardcover : alk. paper)
ISBN 978-1-4625-2498-3 (paperback : alk. paper)
1. Teenagers—Drug use. 2. Substance abuse—Treatment. I. Title.
RJ506.D78C66 2013
616.8600835—dc23
2012040524
To
Marissa
Lyn, Cara, and Anna
Jerry, Keith, Daniel, Heather, and Cali
Ann, Collin, and Angie
About the Authors
Gerard J. Connors, PhD, is Senior Research Scientist and former Direc-
tor of the University at Buffalo Research Institute on Addictions. His
clinical research interests include treatment of substance use disorders,
patient–treatment matching, early interventions with heavy drinkers,
the role of the therapeutic alliance in addictions treatment, and treat-
ment outcome evaluation. Dr. Connors has authored or coauthored over
100 articles, book chapters, and books in the area of alcoholism and
addictive behaviors.
Carlo C. DiClemente, PhD, is Professor in the Department of Psychol-
ogy at the University of Maryland, Baltimore County (UMBC). He
also directs the MDQuit Tobacco Resource Center and the Center for
Community Collaboration at UMBC. Dr. DiClemente is the codevel-
oper of the stages-of-change model and the author of numerous sci-
entific publications on motivation and behavior change with a variety
of health and addictive behaviors. He is a recipient of the Innovators
Combating Substance Abuse Award from the Robert Wood Johnson
Foundation and the McGovern Award from the American Society of
Addiction Medicine.
Mary Marden Velasquez, PhD, is Centennial Professor in Leadership
for Community, Professional and Corporate Excellence and Director
of the Health Behavior Research and Training Institute at the School of
Social Work, University of Texas at Austin. Her work includes develop-
ment of interventions in the areas of fetal alcohol spectrum disorder,
alcohol and other drug abuse, group treatment for substance abuse,
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About the Authors vii
HIV prevention, and smoking cessation. Dr. Velasquez is the author
of numerous articles and book chapters on using brief interventions to
facilitate treatment adherence and promote behavior change. She is a
member of the Motivational Interviewing Network of Trainers.
Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse
Institute and Professor in the Department of Psychiatry and Behavioral
Sciences at the University of Washington School of Medicine. He has
over 200 publications, including five books, in the area of alcohol and
drug dependence. He served as President of the Society of Psychologists
in Addictive Behaviors and is a Fellow of Division 28 (Psychopharma-
cology and Substance Abuse) and Division 50 (Society of Addiction Psy-
chology) of the American Psychological Association.
Preface
I
t has been more than a decade since the first edition of this
book was published. During this period of time, there has been a signifi-
cant increase in the extent and importance of treatment for alcohol and
drug use disorders as a major and integral part of health care and men-
tal health services. In this context, professionals with a range of experi-
ences and training, including alcohol and drug counselors, psycholo-
gists, social workers, and psychiatrists, are at the forefront of treating
people with substance use disorders and their families. In addition to
this diverse group of treatment providers, a variety of treatment tech-
niques and interventions are used. While there certainly are advantages
in this diversity in providers and treatments, integrating information
about treatment and communicating it to all of the service providers
who want it can be challenging. This book was originally conceived
and written to reach the wide range of clinicians who treat substance
use disorders, and that perspective remains central to this second edi-
tion. Throughout this book two issues remain fundamental. The first
concerns the client’s receptiveness or readiness to engage in the change
process and use different methods of change, and the second concerns
what constitutes those methods.
These issues are addressed in this volume through application of
the stages-of-change model. The model offers an integrative frame-
work for conceptualizing and implementing behavior change among
substance abusers. Indeed, the stages-of-change model continues to be
one of the most visible, popular, and influential models in the addic-
tions field, and the concepts introduced by the stages-of-change model
have become part of the lexicon of substance abuse treatment providers.
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