Clinical Manual of Adolescent Substance Abuse Treatment brings together extensive new research in the field of adolescent substance abuse. The majority (85%) of adolescents experiment with substances prior to graduating from high school, and more than 10% of youth are in need of a clinical intervention for their substance use. This volume serves as a valuable resource for psychiatrists, psychologists, family physicians, social workers, substance abuse specialists, public health officials and other clinicians as well as residents and students of psychology.
This manual provides updated, comprehensive, and clinically oriented information on the identification, assessment, prevention, and treatment of adolescents at risk for or with problems associated with substance abuse. Special emphasis is given to different psychosocial and pharmacological interventions as well as to the treatment of coexisting psychiatric disorders. As a comprehensive clinical resource, the manual
- Addresses how the onset of any drug use during adolescence negatively impacts cognitive, physical, and psychosocial development.
- Explores both the progression to more serious addiction and psychopathology and the risk of medical problems.
- Highlights the developmental dysregulation that substance abuse causes in youth, such as in the prefrontal cortex.
- Underscores the importance of clinicians’ knowledge of risk factors that predict progression from substance experimentation to abuse.
- Examines the challenges of developing age-appropriate interventions and treatment and continuity-of-care strategies to reduce and eliminate substance abuse.
The editors, Drs. Yifrah Kaminer and Ken Winters, have contributed as authors to this edition as well as assembled some of the most prominent authors in the field, who expertly bridge the gap between research and clinical practice. 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. Throughout the manual, complex material is made accessible through the extensive use of tables, charts, case vignettes, and summaries. In addition, each chapter presents information for further investigation, including relevant Web site referrals to access the continually evolving research available on substance abuse by youth and suggested readings that expand upon each author’s specialized area of study.
Readers will find this manual a valuable resource in furthering their understanding of adolescent substance abuse and increasing their effectiveness in providing treatment.
Introduction. Prevalence and clinical course of adolescent substance use and substance use disorders. Prevention of substance use and substance use disorders: role of risk and protective factors. Screening and brief interventions for adolescent substance use in the general office setting. Biomarker testing for substance use in adolescents. Placement criteria and treatment planning for adolescents with substance use disorders. Adolescent behavioral change: process and outcomes. Pharmacotherapy of adolescent substance use disorders. Club drug, prescription drug, and over-the-counter medication abuse: description, diagnosis, and intervention. Brief motivational interventions, cognitive-behavioral therapy, and contingency management for youth substance use disorders. The adolescent community reinforcement approach and multidimensional family therapy: addressing relapse during treatment. Twelve-step mutual help programs for adolescents. Attention-deficit?disruptive behavior disorders and substance use disorders in adolescents. Assessment and treatment of internalizing disorders: depression, anxiety disorders, and posttraumatic stress disorder. Assessment and treatment of suicidal behavior. Assessment and treatment of comorbid psychotic disorders and bipolar disorder. Management of youth with substance use disorders in the juvenile justice system. Appendixes. A: Select drug abuse screening and comprehensive instruments. B: Clinical tool information resources. C: Parent information resources. D: Websites for self-help, Alcoholics Anonymous, and Narcotics Anonymous. Index.
About the Author
Yifrah Kaminer, M.D., M.B.A., is Professor in the Departments
of Psychiatry and of Pediatrics at the University of Connecticut School of Medicine
and Alcohol Research Center in Farmington, Connecticut.
Ken C. Winters, Ph.D., is Professor in the Department of Psychiatry at the University of Minnesota Medical School in Minneapolis, Minnesota.