Clinical Manual of Adolescent Substance Abuse Treatment brings together extensive new research in the field of adolescent substance abuse to serve as a comprehensive resource for psychiatrists, psychologists, social workers, substance abuse specialists, and other clinicians, as well as residents and students of psychology. It provides the most recent information about adolescent substance abuse assessment, prevention and treatment. Special emphasis is given to different psychosocial and pharmacological interventions in addition to the treatment of various coexisting psychiatric disorders. This extremely timely and practical guide offers a review of most substances of abuse currently available, covers laboratory work for drug detection in youth, and discusses the legal boundaries of school-based assessment of substance abuse. Each of the 16 chapters in the manual provides thorough examination of each topic, succinct summaries, suggested readings, and referrals to relevant Web sites and other resources for further investigation. Case vignettes and visual aids such as tables and charts illustrate and reinforce key concepts. Readers will find this manual a valuable resource in furthering their understanding of adolescent substance abuse and increasing their effectiveness in providing treatment.
Author(s): Yifrah Kaminer, Ken C Winters
Edition: 1
Publisher: American Psychiatric Publishing, Inc.
Year: 2010
Language: English
Pages: 519
Contents......Page 6
Contributors......Page 18
Introduction......Page 24
1 Prevalence and Clinical Course of Adolescent Substance Use and Substance Use Disorders......Page 30
Adolescence as Critical Developmental Period for Initiation of Substance Involvement......Page 31
Substance Use Prevalence in Adolescents......Page 32
Trajectories of Substance Use During Adolescence......Page 35
Diagnosis of Substance Use Disorders......Page 36
DSM-IV SUD Prevalence in Adolescent Samples......Page 37
SUD Diagnosis and Treatment Utilization......Page 38
Limitations of DSM-IV SUDs......Page 39
Developmentally Informed SUD Assessment......Page 40
Course of Adolescent-Onset SUDs......Page 41
Key Clinical Concepts......Page 47
References......Page 48
Relevant Websites......Page 52
2 Prevention of Substance Use and Substance Use Disorders: Role of Risk and Protective Factors......Page 54
Nature and Extent of the Problem......Page 55
Role of Risk Factors......Page 57
Role of Protective and Promotive Factors......Page 66
Tested and Effective Programs......Page 71
Conclusion......Page 77
References......Page 79
Relevant Website......Page 92
3 Screening and Brief Interventions for Adolescent Substance Use in the General Office Setting......Page 94
Screening......Page 95
Adolescents Who Screen Negative for High-Risk Drug Use......Page 98
Adolescents Who Screen Positive for High-Risk Drug Use......Page 100
Follow-Up......Page 106
Key Clinical Concepts......Page 107
References......Page 108
Suggested Readings......Page 109
Relevant Website......Page 110
4 Biomarker Testing for Substance Use in Adolescents......Page 112
Social Context of Youth Drug Testing......Page 113
Concordance Among Reports......Page 116
Available Biomarkers......Page 118
Overview of Testing by Sample Source......Page 119
Testing for Specific Drugs of Abuse......Page 121
Key Clinical Concepts......Page 134
References......Page 135
Suggested Reading......Page 140
Relevant Websites......Page 141
5 Placement Criteria and Treatment Planning for Adolescents With Substance Use Disorders......Page 142
General Principles of Treatment Planning and Placement......Page 143
Dimensional Assessment and Treatment Planning Using the ASAM PPC-2R......Page 146
Treatment Matching and Placement......Page 157
References......Page 164
6 Adolescent Behavioral Change: Process and Outcomes......Page 172
Advances in Youth Treatment Research......Page 173
The Therapeutic Process......Page 174
How to Differentiate Youth From Adults in Preparation for Treatment......Page 175
Assessment Reactivity......Page 176
Heterogeneity of Response to Adolescent Treatment......Page 178
Aftercare or Continued Care......Page 180
Adaptive Treatment for Youth......Page 183
Key Clinical Concepts......Page 185
References......Page 186
Suggested Reading......Page 190
7 Pharmacotherapy of Adolescent Substance Use Disorders......Page 192
Challenges in the Development of Pharmacotherapy for Adolescents With AOSUDs......Page 193
Drug-Specific Pharmacotherapy......Page 194
Future Directions and Conclusion......Page 209
References......Page 210
8 Club Drug, Prescription Drug, and Over-the-Counter Medication Abuse: Description, Diagnosis, and Intervention......Page 216
Club Drugs......Page 217
Prescription and Over-the-Counter Medications......Page 229
Conclusion......Page 236
References......Page 237
Relevant Websites......Page 241
9 Brief Motivational Interventions, Cognitive-Behavioral Therapy, and Contingency Management for Youth Substance Use Disorders......Page 242
Brief Motivational Interventions......Page 243
Cognitive-Behavioral Therapy......Page 254
Contingency Management Reinforcement Approach......Page 258
References......Page 261
Relevant Website......Page 266
10 The Adolescent Community Reinforcement Approach and Multidimensional Family Therapy: Addressing Relapse During Treatment......Page 268
The Adolescent Community Reinforcement Approach......Page 269
Multidimensional Family Therapy......Page 281
Conclusion......Page 291
Key Clinical Concepts......Page 293
References......Page 294
Relevant Websites......Page 297
11 Twelve-Step Mutual-Help Programs for Adolescents......Page 298
History and Development of 12-Step Mutual-Help Programs......Page 299
Fundamental Elements of 12-Step Community Programs and Adaptation for Youth......Page 300
Evidence of Effectiveness of Adolescent Participation in 12-Step Groups......Page 303
Twelve-Step Facilitation Strategies for Youth......Page 305
Conclusion......Page 307
References......Page 308
Relevant Websites......Page 311
12 Attention Deficit–Disruptive Behavior Disorders and Substance Use Disorders in Adolescents......Page 312
Relationship Between Conduct Disorder/Oppositional Defiant Disorder and SUDs......Page 313
Relationship Between ADHD and SUDs......Page 315
Biological Aspects of Stimulant Medication Abuse......Page 316
Assessment......Page 318
Treatment......Page 319
Key Clinical Concepts......Page 326
References......Page 327
13 Assessment and Treatment of Internalizing Disorders: Depression, Anxiety Disorders, and Posttraumatic Stress Disorder......Page 336
Association Between Internalizing Disorders and SUDs......Page 337
Depression......Page 338
Anxiety Disorders......Page 348
Adolescent Posttraumatic Stress Disorder and SUD......Page 356
References......Page 368
Relevant Websites......Page 376
14 Assessment and Treatment of Suicidal Behavior......Page 378
Definitions of Suicidal Behaviors......Page 379
Characteristics and Epidemiology......Page 380
Suicidal Ideation and Behaviors and Substance Use Disorders......Page 381
Nature of Relationship Between Alcohol and Substance Use Disorders and Suicidal Behaviors......Page 383
Assessment of Suicidal Behaviors Among Youth With Substance Abuse Problems......Page 385
Treatment of SUD and Suicidal Ideation and Suicide Attempts......Page 390
Conclusion......Page 398
References......Page 399
Suggested Readings......Page 406
Psychosis and SUD......Page 408
Bipolar Disorder and SUD......Page 422
Key Clinical Concepts......Page 435
References......Page 436
Suggested Readings......Page 443
16 Management of Youth With Substance Use Disorders in the Juvenile Justice System......Page 444
Socioeconomic, Cultural, and Environmental Factors Associated With SUDs and Unlawful Behavior Among Juveniles......Page 447
Unique Clinical Needs of Juveniles With Substance Use Disorders......Page 451
Screening and Assessment Approaches With Juveniles......Page 455
Treatment Approaches and Program Settings for Juveniles......Page 460
Emerging Approaches: The New Recovery Movement......Page 470
References......Page 472
Suggested Readings......Page 478
A: Select Drug Abuse Screening and Comprehensive Instruments......Page 480
B: Clinical Information Resources......Page 488
Evidence-Based Treatment Resource......Page 489
C: Parent Information Resources......Page 490
How to Find a Local Narcotics Anonymous Meeting......Page 492
A......Page 494
B......Page 497
C......Page 498
D......Page 501
E......Page 502
F......Page 503
H......Page 504
J......Page 505
M......Page 506
N......Page 507
O......Page 508
P......Page 509
R......Page 512
S......Page 513
T......Page 516
W......Page 518
Y......Page 519
