A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage.
"For over a decade, the stages-of-change model has created a paradigm shift in the conceptualization, design, and delivery of treatment services for substance use disorders. This updated volume reflects the ongoing evolution of the theoretical model and its ever-expanding clinical application. Particularly noteworthy is a completely revised chapter on group treatment and an intriguing new chapter on applications in health care and other settings. This book is both a valuable treatment guide for clinicians and an excellent classroom text for students." - Arnold M. Washton, PhD, Recovery Options, New Jersey, USA "This is a unique and valuable volume produced by leading experts in the addiction field. It presents key concepts related to the process of change and shows how they can inform treatment. The book is straightforward and highly readable, with engaging clinical examples." - Marc Galanter, MD, New York University School of Medicine, USA "The path toward successful resolution of substance use problems is not an easy one. This book offers up-to-date research and clinical information focusing on processes of change when working with individuals with problematic substance use. The roadmap to change offered in this book can be used by a wide range of clinicians. Updates in the second edition address the current needs of the field and add to the value of the book for clinicians, students, and instructors." - Shulamith Lala Ashenberg Straussner, DSW, LCSW, New York University, USA
Gerard J. Connors, PhD, is a Senior Research Scientist and former Director of the University at Buffalo Research Institute on Addictions. His clinical research interests include treatment of substance use disorders, patient-treatment matching, early interventions with heavy drinkers, the role of the therapeutic alliance in addictions treatment, and treatment outcome evaluation. Dr. Connors has authored or coauthored over 100 articles, book chapters, and books in the area of alcoholism and addictive behaviors. Carlo C. DiClemente, PhD, is a Presidential Research Professor in the Department of Psychology at the University of Maryland-Baltimore County (UMBC). He also directs the MDQuit Tobacco Resource Center and the Center for Community Collaboration at UMBC. Dr. DiClemente is the codeveloper of the stages-of-change model and the author of numerous scientific publications on motivation and behavior change with a variety of health and addictive behaviors. He is a recipient of the Innovators Combating Substance Abuse Award from the Robert Wood Johnson Foundation and the McGovern Award from the American Society on Addiction Medicine. Mary Marden Velasquez, PhD, is Professor, Associate Dean for Research, Director of the Center for Social Work Research, and Director of the Health Behavior Research and Training Institute at the School of Social Work, University of Texas at Austin. Her work includes development of interventions in the areas of fetal alcohol spectrum disorder, alcohol and other drug abuse, group treatment for substance abuse, HIV prevention, and smoking cessation. Dr. Velasquez is the author of numerous articles and book chapters on using brief interventions to facilitate treatment adherence and promote behavior change. She is a member of the Motivational Interviewing Network of Trainers. Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse Institute and Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. He has over 200 publications, including five books, in the area of alcohol and drug dependence. He served as President of the Society of Psychologists in Addictive Behaviors and is a Fellow of Division 28 (Psychopharmacology and Substance Abuse) and Division 50 (Society of Addiction Psychology) of the American Psychological Association.
1. Background and Overview 2. The Stages of Change 3. Assessment 4. Treatment Planning 5. Individual Treatment 6. Group Treatment 7. Couple Treatment and Family Involvement 8. Populations with Special Needs: The Cases of Women and DUI Offenders 9. Relapse 10. Applications in Opportunistic Settings 11. Final Thoughts and Future Directions References Index