Substance abuse treatment and the stages of change : selecting and planning interventions

This volume synthesizes the latest theory and research on the process of addictive behavior change, helping the clinician more effectively conceptualize and address the needs of particular clients. It offers concrete guidance for tailoring interventions to clients with varying levels of motivation or readiness to change, describing what works--and what doesn't work--at different points in the recovery process. All aspects of addictions treatment are covered, from assessment to intervention and relapse management. Practical recommendations are provided for applying the stages of change model to clinical work with individuals, groups, couples and families, and for addressing the special needs of women and dually diagnosed clients. Ideal for practicing clinicians, the book is also an invaluable text for graduate-level courses.

Author Notes

Gerard J. Connors, PhD, is Director of the Research Institute on Addictions at the University at Buffalo, State University of New York. Coauthor of a textbook on drug use and abuse, Dr. Connors has published over 100 scientific articles and book chapters in the area of alcoholism and addictive behaviors.

Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse Institute at the University of Washington, where he is also Professor in the Department of Psychiatry and Behavioral Sciences and Adjunct Professor in the Department of Psychology. His more than 120 publications include Assessment of Addictive Behaviors (coedited with G. Alan Marlatt) and Changing Addictive Behavior (coedited with Jalie A. Tucker and G. Alan Marlatt).

Carlo C. DiClemente, PhD, is Professor and Chair of the Department of Psychology at the University of Maryland, Baltimore County. Dr. DiClemente is the codeveloper of the stages-of-change model with James Prochaska. He has authored numerous scientific articles, books, and book chapters examining the process of human behavior change and the application of this model in a variety of problem behaviors. His recent publications include Group Treatment for Substance Abuse: A Stages-of-Change Therapy Manual (coauthored with Mary Marden Velasquez et al.).

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Choice Review

This book is unique in the field of chemical-dependency assessment and treatment since it is the first comprehensive application of Prochaska and DiClemente's therapeutic stages-of-change model to problems of substance abuse and treatment. The authors explain the stages of change--precontemplation, contemplation, preparation, action, and maintenance--in the context of substance abuse using numerous case examples. They contrast the traditional treatment philosophy with abstinence as the goal to the application of stages-of-change theory. The latter approach encourages a careful analysis of the client's status and application of treatment methods that create steps toward positive change--even when complete abstinence is not immediately achieved. In addition to the application of the theory to individual treatment, the authors consider its application to substance abuse treatment in group settings, with couples and families, for populations with special needs. The authors devote one chapter to the issue of relapse. Review of research literature and assessment instruments is thorough and a useful supplement to the case examples. Recommended for any library collecting literature on substance-abuse treatment for the use of upper-division undergraduates through faculty and professionals. D. L. Loers Willamette University

1. Background and Overview	p. 1
2. The Stages of Change	p. 12
3. Assessment	p. 42
4. Treatment Planning	p. 82
5. Individual Treatment	p. 98
6. Group Treatment	p. 125
7. Couple Treatment and Family Involvement	p. 147
8. Populations with Special Needs	p. 172
9. Relapse	p. 194
10. Final Thoughts and Future Directions	p. 214
References	p. 239
Index	p. 269

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Table of Contents