Drug Treatment

"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv

This ground-breaking volume provides readers with both an overview of harm reduction therapy and a series of ten case studies, treated by different therapists, that vividly illustrate this treatment approach with a wide variety of clients. Harm reduction is a framework for helping drug and alcohol users who cannot or will not stop completely—the majority of users—reduce the harmful consequences of use. Harm reduction accepts that abstinence may be the best outcome for many but relaxes the emphasis on abstinence as the only acceptable goal and criterion of success. Instead, smaller incremental changes in the direction of reduced harmfulness of drug use are accepted. This book will show how these simple changes in emphasis and expectation have dramatic implications for improving the effectiveness of psychotherapy in many ways. From the Foreword by Alan Marlatt, Ph.D.: “This ground-breaking volume provides readers with both an overview of harm reduction therapy and a series of ten case studies, treated by different therapists, that vividly illustrate this treatment approach with a wide variety of clients. In his introduction, Andrew Tatarsky describes harm reduction as a new paradigm for treating drug and alcohol problems. Some would say that harm reduction embraces a paradigm shift in addiction treatment, as it has moved the field beyond the traditional abstinence-only focus typically associated with the disease model and the ideology of the twelve-step approach. Others may conclude that the move toward harm reduction represents an integration of what Dr. Tatarsky describes as the “basic principles of good clinical practice” into the treatment of addictive behaviors. “Changing addiction behavior is often a complex and complicated process for both client and therapist. What seems to work best is the development of a strong therapeutic alliance, the right fit between the client and treatment provider. The role of the harm reduction therapist is closer to that of a guide, someone who can provide support an

Winner of a 2013 Nautilus Gold Award, this book introduces safe and effective complementary treatments for managing ADD/ADHD. The prolific use of drugs to treat ADHD stirs heated debate in therapy and parenting circles today. Is this medication really going to improve my son’s symptoms? How best can I help my patient and her parents manage this difficult disorder? Will the side effects of this drug outweigh the benefits? What are my other options? Because ADHD affects every facet of life, from psychosocial development and peer relationships to family dynamics and academic and job performance, the need for better—that is, safer and more effective—treatments is urgent. Here, seasoned clinicians Pat Gerbarg and Richard Brown, known for providing the latest breakthroughs in integrative mental health treatments, draw on over 30 years’ clinical experience to offer a range of scientifically-grounded complementary and alternative treatments for parents and professionals alike. Studies show that children with untreated ADHD are at greater risk for substance abuse, unemployment, accidents, and criminal behavior, in addition to learning disabilities, anxiety disorders, social phobia, depression, and bipolar disorder. And yet, individuals with ADHD often bring a great deal of energy, enthusiasm, and creativity to the tasks they undertake. Gerbarg and Brown focus on these intrinsic strengths, encouraging parents and professionals to help children with ADHD fulfill their potential by overcoming distraction, restlessness, and impulsivity in order to focus on learning, task completion, and understanding social cues. To accomplish this, they argue, we need to implement a variety of alternative approaches. Drawing on stories and anecdotes from their own clinical practice, Gerbarg and Brown address the questions that are particularly important to those dealing with ADHD. Early chapters provide information about diagnostic issues and the scientific foundation for understanding the known causes of ADHD, as well as how different treatments may work and why. Multiple contributing causes of ADHD exist—genetic, nutritional, chemical, psychological, trauma-based, and environmental—and the authors explain how treatments need to be strategically combined and tailored to patients’ unique needs and sensitivities. Later chapters present integrative strategies that combine the best practices of psychological treatments with herbs, nutrients, cognitive enhancers, mind–body practices, and brain stimulation. Throughout, the authors draw on the work and methods of many talented clinicians, yoga therapists, and teachers who have found creative, effective approaches to helping their own clients who struggle with attentional problems. A comprehensive resources section at the end of the book features a compilation of need-to-know websites, journals, books, and supplement brands with dosing recommendations. Psychiatrists, psychologists, and other therapists are equipped with access to the very latest research in both conventional and complementary and alternative approaches. With this book, the authors of How to Use Herbs, Nutrients & Yoga in Mental Health have taken their extraordinary scholarly and healing talents to a new level, helping parents and therapists alike to better understand and manage a complicated and multifaceted disorder.

Cognitive, Clinical, and Neural Aspects of Drug Addiction focuses on the theories that cause drug addiction, including avoidance behavior, self-medication, reward sensitization, behavioral inhibition and impulsivity. Dr. Moustafa takes this book one-step further by reviewing the psychological causes of relapse, including the role stress, anxiety and depression play. By examining both the causes of drug addiction and relapse, this book will help clinicians create individualized treatment options for their patients suffering from drug addiction. Understanding the development of individual drug addictions are often difficult to understand and, more often, difficult to treat. The most successful treatments begin with studying why individuals become addicted to drugs and how to change their thinking and behavior.

North America is in the grips of a drug epidemic; with the introduction of fentanyl, the chances of a fatal overdose are greater than ever, prompting many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. While deaths across the continent continue to climb, Fighting for Space explains the concept of harm reduction as a crucial component of a city’s response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Over the past twenty-five years, this group of residents from Canada's poorest neighborhood organized themselves in response to the growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. The "genocide" in Vancouver finally sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience. Fighting for Space tells that story—including case studies in Ohio, Florida, New York, California, Massachusetts, and Washington state—with the same passionate fervor as the activists whose tireless work gave dignity to addicts and saved countless lives. This publication meets the EPUB Accessibility requirements and it also meets the Web Content Accessibility Guidelines (WCAG-AA). It is screen-reader friendly and is accessible to persons with disabilities. A Simple book with few images, which is defined with accessible structural markup. This book contains various accessibility features such as alternative text for images, table of contents, page-list, landmark, reading order and semantic structure.

Today, most substance abuse treatment is administered by community-based organizations. If providers could readily incorporate the most recent advances in understanding the mechanisms of addiction and treatment, the treatment would be much more effective and efficient. The gap between research findings and everyday treatment practice represents an enormous missed opportunity at this exciting time in this field. Informed by real-life experiences in addiction treatment including workshops and site visits, Bridging the Gap Between Practice and Research examines why research remains remote from treatment and makes specific recommendations to community providers, federal and state agencies, and other decision-makers. The book outlines concrete strategies for building and disseminating knowledge about addiction; for linking research, policy development, and everyday treatment implementation; and for helping drug treatment consumers become more informed advocates. In candid language, the committee discusses the policy barriers and the human attitudesâ€"the stigma, suspicion, and skepticismâ€"that often hinder progress in addiction treatment. The book identifies the obstacles to effective collaboration among the research, treatment, and policy sectors; evaluates models to address these barriers; and looks in detail at the issue from the perspective of the community-based provider and the researcher.

Treating Drug Problems, Volume 2 presents a wealth of incisive and accessible information on the issue of drug abuse and treatment in America. Several papers lay bare the relationship between drug treatment and other aspects of drug policy, including a powerful overview of twentieth century narcotics use in America and a unique account of how the federal government has built and managed the drug treatment system from the 1960s to the present. Two papers focus on the criminal justice system. The remaining papers focus on Employer policies and practices toward illegal drugs. Patterns and cycles of cocaine use in subcultures and the popular culture. Drug treatment from a marketing, supply-and-demand perspective, including an analysis of policy options. Treating Drug Problems, Volume 2 provides important information to policy makers and administrators, drug treatment specialists, and researchers.

A NEW YORK TIMES BESTSELLER More people than ever before see themselves as addicted to, or recovering from, addiction, whether it be alcohol or drugs, prescription meds, sex, gambling, porn, or the internet. But despite the unprecedented attention, our understanding of addiction is trapped in unfounded 20th century ideas, addiction as a crime or as brain disease, and in equally outdated treatment. Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality," The New York Times Bestseller, Unbroken Brain, offers a radical and groundbreaking new perspective, arguing that addictions are learning disorders and shows how seeing the condition this way can untangle our current debates over treatment, prevention and policy. Like autistic traits, addictive behaviors fall on a spectrum -- and they can be a normal response to an extreme situation. By illustrating what addiction is, and is not, the book illustrates how timing, history, family, peers, culture and chemicals come together to create both illness and recovery- and why there is no "addictive personality" or single treatment that works for all. Combining Maia Szalavitz's personal story with a distillation of more than 25 years of science and research,Unbroken Brain provides a paradigm-shifting approach to thinking about addiction. Her writings on radical addiction therapies have been featured in The Washington Post, Vice Magazine, The Wall Street Journal, and The New York Times, in addition to multiple other publications. She has been interviewed about her book on many radio shows including Fresh Air with Terry Gross and The Brian Lehrer show.