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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
