Treating Drinkers and Drug Users in the Community

467 Pages·2004·3.655 MB·English

by  Tom Waller, Daphne Rumball(auth.)

Treating Drinkers and Drug
Users in the Community

Treating Drinkers and Drug
Users in the Community
Tom Waller, MBBS, DObstRCOG
SuVolkCountySpecialistinSubstanceUse
Daphne Rumball, MB, ChB, DRCOG, FRCPsych.
ConsultantinAddictionPsychiatry
Blackwell
Science
(cid:1)DaphneRumballandtheestateofTomWaller,2004
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Contents
SeriesForeword ix 8 EVectiveCounsellingforOngoing
ClientContact 148
Foreword xi
9 TheNatureandTimingofCare
Preface xiii
PlanInterventions 161
Acknowledgements xix 10 BriefInterventions 175
TheAuthors xxi 11 PrescribingInterventions 189
12 EveryoneNeedsHelp
PartI TheoreticalConsiderations 1 toPreventRelapse 204
13 ReducingEnvironmentalHarm
1 AnOverview:TheoryandEvidenceBase
andIncreasingSocialStrength 217
UnderpinningaBroadandUniWed
TreatmentApproachforDrinkersand 14 ReducingPsychologicalHarm
andIncreasingPsychological
DrugUsers 3
Strength 235
PartII ThePoliticalDimension 29 15 WorkingwithFamilies 253
16 SubstanceUseandMentalHealth 271
2 DiVerentNationalApproaches 31
17 PhysicalHealthIssues 292
PartIII PreventionandTreatment 45 18 Women,ParentsandChildren 323
19 ProfessionallyAidedSelf-Help,
3 PreventionandTreatment
Twelve-StepWorkandthe
ServicesforYoungPeople 47
MaintenanceofAbstinence 341
4 PreventionandTreatment
ServicesforAdults 66 Epilogue 353
PartIV Assessment 85 Appendices 357
5 Assessment 87 Glossary:AbbreviationsandAcronyms 405
PartV Treatment 123 References 409
6 TheTherapeuticFramework 125 FurtherReading 449
7 UnderstandingBehaviouraland
Cognitive–BehaviouralApproaches 141 Index 451

Series Foreword
Addiction represents one of the most signiWcant The study ofaddiction involves manyacademic
challenges to modern society. Addiction to cigar- disciplinesincludingpsychology,psychiatry,public
ettesiscurrentlyestimatedtocausesome3million health, epidemiology, pharmacology, physiology,
deathsintheworldperyear,andthisWgureissetto genetics, sociology, history and so on. Therefore
rise to 10 million in the next decade. Alcohol de- this series is, of necessity, multi-disciplinary in
pendence is believed to account for more than a scopeandstyle.NoartiWcialconstraintshavebeen
million premature deaths each year while depend- imposedonthetypeofbookthatwillbeincluded–
enceonopiatesandillicitstimulants,withitsasso- iftheideaisfreshandthereisaneedforavolumeof
ciatedcrime,isascourgewhichaVectsthelivesof aparticulartype,itwillbeconsideredtoformpart
allofusdirectlyorindirectlyandtheproblemisnot oftheseries.
receding–ifanythingitisgrowing. The series is intimately linked with Blackwell
Our knowledge and understanding of what ad- Publishing’s major journal in the Weld, Addiction,
diction is and what can be done to mitigate the anditishopedthatmyinvolvementintheeditorial
problemshasalsoincreasedinleapsandboundsin staVofthelatterwillhelpwithdevelopingideasfor
the past 50 years and important new Wndings are topicsandauthorsfortheformer.
emergingallthetime.AddictionPressencompasses Finally,itismyferventhopethattheserieswill
the Society for the Study of Addiction’s journal domorethancommunicateideasinthisimportant
Addiction and a new book series, of which this Weld;itwillbepartoftheprocessforgeneratingand
bookisthesecondvolumetobepublished.Addic- stimulating thought and debate and so play some
tion Press was set up with the express purpose of roleintakingtheWeldforward.
communicating current ideas and evidence in this
expanding Weld, not only to researchers and prac- RobertWest
tisinghealthprofessionalsbutalsotopolicymakers, SeriesEditor
studentsandinterestednon-specialists. UniversityCollege,London