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Chemical Dependency Counseling: Practical Guide

Chemical Dependency Counseling: Practical Guide - 3rd edition

ISBN13: 978-1412957007

Cover of Chemical Dependency Counseling: Practical Guide 3RD 08 (ISBN 978-1412957007)
ISBN13: 978-1412957007
ISBN10: 1412957001
Cover type:
Edition/Copyright: 3RD 08
Publisher: Sage Publications, Inc.
Published: 2008
International: No

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Chemical Dependency Counseling: Practical Guide - 3RD 08 edition

ISBN13: 978-1412957007

Robert R. Perkinson

ISBN13: 978-1412957007
ISBN10: 1412957001
Cover type:
Edition/Copyright: 3RD 08
Publisher: Sage Publications, Inc.

Published: 2008
International: No
Summary

This volume is the most comprehensive guide for counselors and front-line professionals who work with the chemically dependant in a variety of settings. It is a very basic introduction that guides the counselor through treatment from A to Z. It is also a popular core text for courses in addiction/substance abuse counseling. Presents the state-of-the-art tools necessary to deliver outstanding treatment and meet the highest standards demanded by accrediting bodies. Chapters cover the gamut of treatment issues, including developing the therapeutic alliance, screening, detoxification, biopsychosocial assessment, dual-diagnosis, patient orientation, treatment planning, individual therapy, group therapy, case management, crisis intervention, referral, record keeping, discharge planning, and referral. Author Robert R. Perkinson provides case studies and step-by-step instructions with clear explanations and procedures that counselors need to use in all phases of patient care. One of the key features of this volume is the inclusion of over 50 appendices, which includes screening questionnaires, scales, history assessments, personal recovery plans, in-patient and out-patient schedules, and many, many more. The new edition will add more appendicies and update existing ones.

Table of Contents

Preface

Ch 1. The First Contact

Treatment Works


The Motivational Interview


How to Develop the Therapeutic Alliance


Questions to ask the Adult Client


Questions to ask the Adolescent Client


Questions to ask the Parent/Caregiver


What to do if There are One or More Red Flags


Natural History of Addiction


How to Diagnose an Addiction Problem


How to Intervene


How to Assess Motivation


Motivating Strategies


Ch 2. The Drugs

CNS Depressants


The Hallucinogens


The Reinforcing Properties of Drugs


Tolerance and Dependence


Cross-tolerance


Alcohol


Alcohol-Induced Organic Mental Disorders


Sedatives, Hypnotics and Anxiolytics


Opioids


Cocaine and Amphetamines


Cannabis


Inhalants


Nicotine


Polysubstances


Treatment Outcome


Ch 3. The First Few Hours of Treatment

The First Few Hours


How to Greet Clients


Examples


How to Handle Family Members


Beginning the Therapeutic Alliance


The Importance of Trust


Dealing with Early Denial


Example of an Initial Contact


The Initial Assessment


Referral


How to Conduct a Crisis Intervention


Diagnostic and Statistical Manual


Diagnosis: Drug Abuse


Diagnosis: Chemical Dependency


Pathological Gambling


How to Determine the Level of Care Needed


Criteria for Inpatient Treatment (Adults)


Criteria for Outpatient Treatment (Adolescents)


Treatment of Inpatient Treatment (Adolescents)


The Client's Reaction to Intoxication


What to do with an Intoxicated Client


Detoxification


How Clients React to Detoxification


The AMA Threat


How to use the AMA Team


How to use the In-House Intervention


How to respond to Clients who Leave AMA


Ch 4. The Biopsychosocial Interview

How to Conduct the Interview


A Sample Biopsychosocial Interview


Ch 5. The Treatment Plan

How to Build a Treatment Plan


The Diagnostic Summary


The Problem List


How to Develop a Problem List


Goals and Objectives


How to Develop Goals


How to Develop Objectives


How to Select Goals, Objectives and Interventions


Treatment Plan Review


Documentation


How to Write Progress Notes


Formal Treatment Plan Review


Ch 6. Individual Treatment

The Therapeutic Alliance


How to Develop a Therapeutic Alliance


How to be Reinforcing


How to Use Empathy


Transference and Countertransference


How to be Confrontive


Behavior Therapy


How Clients Learn


Habits


Changing a Habit


What is Reinforcement?


What is Punishment?


The Behavior Chain


The Importance of Reinforcement


How to Use Punishment


When a Client Breaks a Rule


Why we Concentrate on Behavior Therapy


Cognitive Therapy


How Chemically Dependent People Think


Defense Mechanisms


Applying Cognitive Therapy


Automatic Thoughts


How to Correct Inaccurate Thoughts


Uncover the Thoughts and Feelings


Score the Inaccurate Feelings


Getting the Thoughts Accurate


Score the Accurate Feelings


Compare Inaccurate and Accurate Thoughts and Feelings


Uncovering the Themes


Solidifying Accurate Thinking


Interpersonal Therapy


How to Develop Healthy Relationships


Building a Relationship with a Higher Power


Developing a Relationship with Self


Building Relationships with Others


How Clients Use Feelings Inappropriately


How Clients Learn Relationship Skills


How to Change Relationships


How to Handle Grief


How to Choose the Therapeutic Modality


Ch 7. Group Therapy

Benefits of the Group Process


The Preparation Statement


The Agenda Group


How to Choose the Order of the Agenda


How to Give Good Feedback


How to Receive Feedback


How to Run the Group


How to Know Which Therapy to Use


The Honesty Group


The Euphoric Recall Group


How to Uncover Euphoric Recall


How to Help the Clients See the Truth


The Reading Group


The Relapse Prevention Group


The Spirituality Group


The Childhood Group


How to Explore Early Parental Relationships


The Men and Women's Group


The Community Group


The Personal Inventory Group


Ch 8. The Contracts

The Chemical Use History


Honesty


Love, Trust and Commitment


Feelings


Relationship Skills


Addictive Relationships


Communication Skills


Self-Discipline


Impulse Control


Relapse Prevention


Stress Management


Ch 9. The Steps

The Committee


Step One


Step Two


Step Three


Step Four


Step Five


Ch 10. The Lectures

The Disease Concept


Defense Mechanisms


The Great Lie


Normal Development


Physical Addiction and Recovery


Alcoholics Anonymous


Feelings


Ch 11. Special Problems

The Psychiatric/Psychological Assessment


How to Develop the Treatment Plan


The Depressed Client


The Angry Client


Personality


The Antisocial Personality


The Borderline Client


The Narcissistic Client


The Anxious Client


The Psychotic Client


Acquired Immune Deficiency Syndrome


The Client with Low Intellectual Functioning


The Elderly Client


The Client with Early Childhood Trauma


Love in the Treatment Center


The Pathological Gambler


Ch 12. Adolescent Treatment

The Normal Adolescent


The Chemically Dependent Adolescent


The Adolescent Chemical Dependency Counselor


The Primary Elements in Adolescent Treatment


The Phases of Adolescent Treatment


Ch 13. The Family Program

The First Contact


How to Handle the Early AMA Risk


The Family Problems


Codependency


Guilt


Loss of Control


Shame


Caretaking


Enabling


Inability to Know Feelings


Inability to Know Wants


Lack of Trust


People Pleasing


Feelings of Worthlessness


Dependency


Poor Communication Skills


How to Treat Family Members


The Family Program Schedule


The Conjoint Session


Ch 14. The Clinical Staff

The Physician


The Psychologist/Psychiatrist


The Nurse


The Clinical Director


The Clinical Supervisor


The Chemical Dependency Counselor


The Rehabilitation Technician or Aide


The Activities Coordinator


Clinical Staffing


How to Present a Client


Team Building


Commitment to Co-Workers


Boundaries


Staff-Client Problems


What to do When a Client Does Not Like a Counselor


What to do When a Client Complains About a Rule


The Work Environment


Ch 15. The Good Counselor

Being Loving


Loving Counselors Enjoy Their Work


Loving Counselors do Not Become Overly Involved


Loving Counselors do Not Lie


Loving Counselors are Gentle


Good Counselors Love Themselves


Good Counselors are Sensitive


Good Counselors Have a Sixth Sense


Good Counselors do Not Become Overly Emotional


Active Listening


Good Counselors do Not Talk Too Much


Good Counselors Maintain Boundaries


Good Counselors are Patient


Good Counselors Have Effective Interpersonal Relationship Skills


Ch 16. Discharge Summary and Continuing Care

Outpatient Discharge Criteria


Inpatient Discharge Criteria


How to Develop a Discharge Summary


The Discharge Summary


Saying Good-Bye


Appendix 1 Cognitive Capacity Screening Examination

Appendix 2 Short Michigan Alcoholism Screening Test

Appendix 3 CAGE Questionnaire

Appendix 4 Psychoactive Substance Use Disorder

Appendix 5 Clinical Institute Withdrawal Assessment of Alcohol Scale

Appendix 6 Narcotic Withdrawal Scale

Appendix 7 Sample Biopsychosocial

Appendix 8 Chemical use History

Appendix 9 Honesty

Appendix 10 Love, Trust and Commitment

Appendix 11 Feelings

Appendix 12 Relationship Skills

Appendix 13 Addictive Relationships

Appendix 14 Communication Skills

Appendix 15 Self-Discipline

Appendix 16 Impulse Control

Appendix 17 Relapse Prevention

Appendix 18 Step One

Appendix 19 Step Two

Appendix 20 Step Three

Appendix 21 Step Four

Appendix 22 Step Five

Appendix 23 Adolescent Unit Level System

Appendix 24 Peer Pressure

Appendix 25 The Behavioral Contract

Appendix 26 Family Questionnaire

Appendix 27 Codependency

Appendix 28 Personal Recovery Plan

Appendix 29 Sample Discharge Summary

Appendix 30 Stress Management

Appendix 31 Hamilton Depression Rating Scale

Appendix 32 Biopsychosocial Assessment

Appendix 33 Anger Management

Appendix 34 Narcissism

Appendix 35 Honesty for Gamblers

Appendix 36 Step One for Gamblers

Appendix 37 Step Two for Gamblers

Appendix 38 Step Three for Gamblers

Appendix 39 Step Four for Gamblers

Appendix 40 Step Five for Gamblers

Appendix 41 Relapse Prevention for Gamblers

Appendix 42 Adolescent Unit Point System

Appendix 43 Results from the 2005 National Survey on Drug Use and Health

Appendix 44 Drug Categories

Appendix 45 Adult Inpatient Program Schedule

Appendix 46 Adolescent Inpatient Program Schedule

Appendix 47 Adult Outpatient Program Schedule

Appendix 48 Adolescent Outpatient Program Schedule

Appendix 49 Gambling Inpatient Program Schedule

Appendix 50 Gambling Outpatient Program Schedule

Appendix 51 Day Treatment Program Schedule

Appendix 52 Pressure Relief Group Meeting and Budget Forms

Appendix 53 Heroin

Appendix 54 South Oaks Gambling Screen

Appendix 55 Barriers in Thinking

Appendix 56 Psychiatric Medications

Appendix 57 Drug Abuse Screening Test

Appendix 58 Clinical Opiate Withdrawal Scale

Appendix 59 Nurse's Intake

Appendix 60 Nurse's Intake for Adolescents

References


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