Chemical Dependency: A Systems Approach

Comprehensive presentation of substance abuse with the most recent issues in epidemiology, etiology, substance abuse policy, and treatment.     The book looksat substance abuse from a systems perspective, It presents all major theories of addiction, as well as the major physiological and psychological results of substance abuse, including fetal alcohol syndrome.   Coverage of the latest developments in treatment (including pharmacological approaches), recent research on treatment outcomes, and a comprehensive discussion of etiological theories, including genetics, is included. This edition contains an up-to-date discussion of the most recent trends in designer drugs to help explain the considerable frequency of changes in which drug use patterns occur.   Learning Goals Upon completing this book, readers should be able to: Understand at-risk drinking and substance disorders, including how to identify these problems, how to intervene once they have been identified, and how to make referrals Identify approaches to help clients avoid or address substance use disorders Examine current information on the most rigorous scientific studies of treatment effectiveness Trace the development of new medication-assisted treatments

Table of Contents:
IN THIS SECTION: 1.) BRIEF TABLE OF CONTENTS 2.) FULL TABLE OF CONTENTS   BRIEF TABLE OF CONTENTS:   PART I: THEORIES, MODELS, AND DEFINITIONS   Chapter 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders Chapter 2: The Etiology of Addiction Chapter 3: The Brain Biology of Drug Abuse and Addiction Chapter 4: The Physiological and Behavioral Consequences of Alcohol and Drug Abuse   PART II: INTERVENTION, PREVENTION, AND PUBLIC POLICY   Chapter 5: Screening, Diagnosis, Assessment, and Referral Chapter 6: Treatment: The System of Care Chapter 7: Preventing Alcohol and Drug Problems Chapter 8: Regulating Drugs and Their Consequences   PART III: CHEMICAL DEPENDENCY IN SPECIAL POPULATIONS   Chapter 9: Treating Substance-Abusing Youth Chapter 10: Family Systems and Chemical Dependency Chapter 11: Ethnicity, Culture, and Substance Use Disorders Chapter 12: Substance Abuse Treatment with Sexual Minorities Chapter 13: Substance Use Disorders and Co-Occurring Disabilities Chapter 14: Alcohol and Drug Misuse and Abuse in Late Life Chapter 15: Gender, Substance Use, and Substance Use Disorders   PART IV: SUMMARY AND CONCLUSIONS   Chapter 16: Chemical Dependency: Current Issues and Future Prospects FULL TABLE OF CONTENTS:   Preface   Part I: Theories, Models, and Definitions   Chapter 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders By C. Aaron McNeece and Lisa B. Johnson Introduction Definitions and Myths Epidemiology Summary   Chapter 2: The Etiology of Addiction Etiological Theories Stages of Alcoholism The Course of Cocaine Addiction A Multicausal Model Summary   Chapter 3: The Brain Biology of Drug Abuse and Addiction By Richard E. Wilcox and Carlton K. Erickson Introduction: Background on Abuse, Addiction, and Treatment Terminology The Genetics of Addiction Brain Chemistry and the Anatomy of Addiction Gene Transcription and Altered Protein Expression in Addiction Sensitization in Addiction Emotional Learning in Addiction Addiction Therapy without Medication Drug Therapy for Addiction Role of Detoxification in Treating Addiction Drug Therapy for Reducing Craving Summary   Chapter 4: The Physiological and Behavioral Consequences of Alcohol and Drug Abuse The Effects of Alcohol The Effects of Cannabis The Effects of Stimulants The Effects of Sedatives The Effects of Narcotics The Effects of Hallucinogens The Effects of Inhalants The Effects of Steroids The Effects of Drugs on Offspring Summary   Part II: Intervention, Prevention, and Public Policy   Chapter 5: Screening, Diagnosis, Assessment, and Referral Screening Can People with Alcohol and Drug Problems Be Believed? Diagnosis Assessment Denial, Resistance, and Motivation for Recovery Ethics of Chemical Dependency Treatment Referrals Summary   Chapter 6: Treatment: The System of Care Components of the Treatment System More Treatment Effectiveness Issues Nontraditional Approaches Mutual-and Self-Help Programs Summary   Chapter 7: Preventing Alcohol and Drug Problems By C. Aaron McNeece and Machelle D. Madsen Overview of Prevention Public Information and Education Service Measures Technologic Measures Legislative, Regulatory, and Economic Measures Economic Measures Family and Community Approaches Spirituality and Religious Factors Cultural Factors Summary   Chapter 8: Regulating Drugs and Their Consequences Sociocultural Influences on Public Drug Policy Economic and Political Factors Changes in Drug-Use Patterns The Nature of Drug Control Assumptions Underlying Regulation Regulation of Alcohol Control of Illicit Drugs Drugs, Alcohol, and Crime Alcohol and Drug Law Violations Drug Use by Criminals Drug Use by Crime Victims Domestic Violence Drug/Crime Trends in the 21st Century Summary   Part III: Chemical Dependency in Special Populations   Chapter 9: Treating Substance-Abusing Youth By Katherine L. Montgomery and David W. Springer Risk and Protective Factors Assessment with Substance-Abusing Youth Treatment with Substance-Abusing Youth Case Example Summary   Chapter 10: Family Systems and Chemical Dependency By Catherine A. Hawkins and Raymond C. Hawkins, II A Family Perspective in Theory, Research, and Treatment Theories on Alcoholism and the Family Family Systems Theory of Alcoholism and the Family Codependency and Related Constructs Assessment and Treatment of Alcoholic Families Effectiveness of Family Treatment Case Example Summary   Chapter 11: Ethnicity, Culture, and Substance Use Disorders By Diana M. DiNitto and Eden Hernandez Robles Substance Use and Abuse among American Indians and Alaska Natives Substance Use Disorders among American Indians and Alaska Natives Substance Use and Abuse among African Americans Substance Use and Abuse among Hispanic Americans Substance Use and Abuse among Asian and Pacific Islander Americans Substance Use and Abuse among Jewish Americans Summary   Chapter 12: Substance Abuse Treatment with Sexual Minorities By Catherine Lau Crisp and Diana M. DiNitto Historical Overview Substance Abuse in Lesbians and Gay Men Similarities in Identities Treatment: Together or Separate? Gay Affirmative Practice Treatment with Transgendered and Bisexual Clients Lesbian, Gay, and Bisexual Youth Twelve-Step Groups for Gays and Lesbians Summary   Chapter 13: Substance Use Disorders and Co-Occurring Disabilities By Diana M. DiNitto and Deborah K. Webb Identification and Attitudes Substance Use Disorders as a Disability Mental Illness and Substance Use Disorders Developmental Disabilities and Substance Use Disorders Mobility Impairments and Substance Use Disorders Traumatic Brain Injury and Substance Use Disorders Sensory Disabilities and Substance Use Disorders Other Physical Disabilities and Substance Use Disorders Summary   Chapter 14: Alcohol and Drug Misuse and Abuse in Late Life By Linda Vinton and Nicole Cesnales Criteria and Prevalence Estimates Antecedents and Correlates Effects Assessment Outreach and Treatment Summary   Chapter 15: Gender, Substance Use, and Substance Use Disorders By An-Pyng Sun Prevalence of Substance Use and Substance Abuse Disorders among Men and Women Consequences of Substance Use and Substance Abuse Disorders among Men and Women Etiology and Risk Factors Substance Abuse Treatment for Men and Women Summary   Part IV: Summary and Conclusions   Chapter 16: Chemical Dependency: Current Issues and Future Prospects By C. Aaron McNeece and Diana M. DiNitto Research Delivery of Treatment Services Policy Change Implications for Education and Training Summary and Concluding Thoughts   Endnotes Resources References Index

About the Author :
C. Aaron McNeece was a social work educator for 34 years, after working as a correctional social worker. He has conducted extensive research on both substance abuse and criminal justice issues.  He served for 10 years as the director of the Institute for Health and Human Services Research at Florida State University, where he was also the Walter W. Hudson Professor of Social Work and later, Dean of the College of Social Work.  He is currently Professor and Dean Emeritus. Diana DiNitto is Cullen Trust Centennial Professor of Alcohol Studies and Education and Distinguished Teaching Professor at the University of Texas at Austin where she teaches courses in social welfare policy, alcohol and drug problems, research, and pedagogy. She has a MSW degree and a Ph.D. in government from Florida State University. She has worked in a detoxification center, halfway house, and outpatient chemical dependency treatment program. She is also coauthor of Chemical Dependency: A Systems Approach, 4th ed. (Pearson, Summer 2011) and Social Work: Issues and Opportunities in a Challenging Profession, 3rd ed. (Lyceum Books, 2008). Her research in on substance abuse, violence against women, and social welfare policy. Dr. DiNitto has served on the boards of the Council and Social Work Education, the Association of Medical Education and Research on Substance Abuse, and the Texas Research Society on Alcoholism. She currently chairs the NASW Press Book Committee. She has been a visiting professor at the University of Hawaii at Manoa, University of Illinois at Urbana-Champaign, and the University of Sydney (Australia). Recently she gave the Robert J. O’Leary Memorial Lecture at Ohio State University entitled “Ending America’s Ambivalence in the War on Drugs” and presented invited testimony on drug policy to the United States Sentencing Commission.