Clinical Research Guide For Therapists Treating Individuals With Alcohol Abuse And Dependence

Will permit replication of the treatment procedures employed in a multisite clinical trial of patient-treatment matching. Covers: clinical considerations, and practical strategies. Appendices: assessment feedback procedures, MET in the aftercare setting, and therapist selection, training, and supervision in the clinical trial. Reading and additional resources.

Divided into three sections: Pilot Charts of the North Atlantic Ocean; Pilot Charts of the Northern North Atlantic Ocean; and Pilot Charts of the Caribbean Sea and Gulf of Mexico. Contains 12 maps of each of these areas. Each map is labeled for a different month and describes the conditions to be expected in that particular month. Intended to be used in conjunction with other navigational aids. Presents, in graphic form, averages obtained from data gathered over many years in meteorology and oceanography to aid the navigator in selecting the quickest and safest routes.

This study is the first national, multi-site trial of patient-treatment matching. Describes cognitive-behavioral coping skills therapy (CBT), one type of treatment approach. Core Sessions include coping with cravings and urges to drink; problem solving; drink refusal skills, and more. Elective Sessions include starting conversations; introduction to assertiveness; anger management; job-seeking skills, and much more. Bibliography.

Project MATCH, a 5-year study, was initiated by the Treatment Research Branch of NIAAA in 1989. The objective of the project is to determine if varying subgroups of alcohol abusing or dependent patients respond differentially to three treatments: (1) Twelve-step facilitation therapy, (2) Cognitive-behavioral coping skills therapy, and (3) Motivational enhancement therapy. Each treatment is delivered during a 12-week period by trained therapists following a standardized protocol. The twelve-step facilitation approach is grounded in the concept of alcoholism as a spiritual and medical disease. The content of this intervention is consistent with the 12 Steps of Alcoholics Anonymous (AA), with primary emphasis given to Steps 1 though 5. The facilitation program described in this manual is intended for use in brief individual outpatient treatment for persons who satisfy the criteria for a diagnosis of alcohol dependence and abuse. It is intended to be flexible enough to allow for individual treatment planning and for use as a primary treatment for persons who have never been exposed to the 12 Steps of Alcoholics Anonymous (AA), as well as for individuals who have had such exposure, for example, through prior treatment.