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Controlled Drinking: More Than Just a Controversy 05/07/2007 08:37 AM
Controlled Drinking: More Than Just a Controversy 05/07/2007 08:37 AM www.medscape.com To Print: Click your browser's PRINT button. NOTE: To view the article with Web enhancements, go to: http://www.medscape.com/viewarticle/473554 Controlled Drinking: More Than Just a Controversy Michael E. Saladin; Elizabeth J. Santa Ana Curr Opin Psychiatry 17(3):175-187, 2004. © 2004 Lippincott Williams & Wilkins Posted 04/28/2004 Abstract and Introduction Abstract Purpose of Review: We intend to provide clinicians and clinical scientists with an overview of developments in the controlled-drinking literature, primarily since 2000. A brief description of the controversy surrounding controlled drinking provides a context for a discussion of various approaches to controlled drinking intervention as well as relevant clinical research. Recent Findings: Consistent with previous research, behavioral self-control training continues to be the most empirically validated controlled-drinking intervention. Recent research has focused on increasing both the accessibility/availability and efficacy of behavioral self-control training. Moderation-oriented cue exposure is a recent development in behaviorally oriented controlled drinking that yields treatment outcomes comparable to behavioral self-control training. The relative efficacy of moderation-oriented cue exposure versus behavioral self- control training may vary depending on the format of treatment delivery (group versus individual) and level of drinking severity. In general, the efficacy of both techniques does not appear to vary as a function of drinking severity but may vary as a function of drinking-related self-efficacy. Guided-self change is a relatively new and brief cognitive-behavioral intervention that has demonstrated efficacy with problem drinkers. -
Styles of Secular Recovery
White, W. & Nicolaus, M. (2005). Styles of secular recovery. Counselor, 6(4), 58-61. Styles of Secular Recovery William L. White and Martin Nicolaus The last essay in this column noted the growing diversity in religious, spiritual and secular frameworks of recovery and sketched the history of religious approaches to addiction recovery. This essay reviews the history and growing varieties of secular recovery and the implications of such diversity for the addictions professional. A History of Secular Recovery The history of non-religious, non-spiritual approaches to the resolution of alcohol and other drug problems begins with the Washingtonian Revival of the 1840s. The Washingtonians removed preachers and physicians from the temperance lectern in favor of men and women who, in the vernacular of the day, were “reformed” or were “reforming.” The Washingtonians replaced religious admonitions not to drink with 1) public confession of one’s addiction, 2) a signed pledge of abstinence, 3) visits to younger members, 4) economic assistance to new members, 5) experience sharing meetings, 6) outreach to the suffering drunkard, and 7) sober entertainment and fellowship. While many Washingtonians entered the life of their local churches, Washingtonian leaders were charged by their religious critics with committing the sin of humanism--placing their own will above the power of God. Recovery support societies that followed the Washingtonians took on a more religious orientation, but secular recovery groups continued in some of the mid- century moderation societies, ribbon reform clubs and support societies that grew out of early treatment institutions, e.g. the Ollapod Club and the Keeley Leagues. -
The Motivational Hallo
THEMATIC REVIEW Theotivational motivationalhallo helloMANNERS MATTER PART 3 THE With its empathic style, motivational interviewing seems the ideal way to engage new clients in treatment, a psychological handshake which avoids gripping too tightly yet subtly steers the patient in the intended direction. And often it is, as long as we avoid deploying a mechanical arm. by Mike Ashton of THE MANNERS MATTER SERIES is about how services has been on reinforcing motivation, an amalgam of Thanks to Bill Miller, Jim can encourage clients to stay and do well by the acknowledging a problem, wanting help, and resolv- McCambridge, Dwayne Simpson, 5 Don Dansereau, Gerard Connors, manner in which they offer treatment. Parts one and ing that treatment is the help you need. and John Witton for their comments. two dealt with practical issues like reminders, trans- Once thought of as something the patient either Thanks also to Bill Miller, Janice port and childcare. Even at this level, more is in- did or did not have, motivation is now seen as a fluid Brown, Terri Moyers, Paul Amrhein, John Baer and Damaris Rohsenow volved: respect; treating people as individuals; state of mind susceptible to influence. Of the ways for help with obtaining and conveying concern and caring. to exert this influence, motivational interviewing is interpreting their work. Though they 6 have enriched it, none bear any From here on, relationship issues take centre by far the best known. It qualifies for this review responsibility for the final text. stage. Relegated by medicine -
ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update
The ASAM NATIONAL The ASAM National Practice Guideline 2020 Focused Update Guideline 2020 Focused National Practice The ASAM PRACTICE GUIDELINE For the Treatment of Opioid Use Disorder 2020 Focused Update Adopted by the ASAM Board of Directors December 18, 2019. © Copyright 2020. American Society of Addiction Medicine, Inc. All rights reserved. Permission to make digital or hard copies of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for commercial, advertising or promotional purposes, and that copies bear this notice and the full citation on the fi rst page. Republication, systematic reproduction, posting in electronic form on servers, redistribution to lists, or other uses of this material, require prior specifi c written permission or license from the Society. American Society of Addiction Medicine 11400 Rockville Pike, Suite 200 Rockville, MD 20852 Phone: (301) 656-3920 Fax (301) 656-3815 E-mail: [email protected] www.asam.org CLINICAL PRACTICE GUIDELINE The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update 2020 Focused Update Guideline Committee members Kyle Kampman, MD, Chair (alpha order): Daniel Langleben, MD Chinazo Cunningham, MD, MS, FASAM Ben Nordstrom, MD, PhD Mark J. Edlund, MD, PhD David Oslin, MD Marc Fishman, MD, DFASAM George Woody, MD Adam J. Gordon, MD, MPH, FACP, DFASAM Tricia Wright, MD, MS Hendre´e E. Jones, PhD Stephen Wyatt, DO Kyle M. Kampman, MD, FASAM, Chair 2015 ASAM Quality Improvement Council (alpha order): Daniel Langleben, MD John Femino, MD, FASAM Marjorie Meyer, MD Margaret Jarvis, MD, FASAM, Chair Sandra Springer, MD, FASAM Margaret Kotz, DO, FASAM George Woody, MD Sandrine Pirard, MD, MPH, PhD Tricia E. -
Staying Connected Is Important: Virtual Recovery Resources
STAYING CONNECTED IS IMPORTANT: VIRTUAL RECOVERY RESOURCES • Refuge Recovery: Provides online and virtual INTRODUCTION support In an infectious disease outbreak, when social https://www.refugerecovery.org/home distancing and self-quarantine are needed to • Self-Management and Recovery Training limit and control the spread of the disease, (SMART) Recovery: Offers global community continued social connectedness to maintain of mutual-support groups, forums including a recovery is critically important. Virtual chat room and message board resources can and should be used during this https://www.smartrecovery.org/community/ time. Even after a pandemic, virtual support may still exist and still be necessary. • SoberCity: Offers an online support and recovery community This tip sheet describes resources that can be https://www.soberocity.com/ used to virtually support recovery from mental/ substance use disorders as well as other • Sobergrid: Offers an online platform to help resources. anyone get sober and stay sober https://www.sobergrid.com/ • Soberistas: Provides a women-only VIRTUAL RECOVERY PROGRAMS international online recovery community https://soberistas.com/ • Alcoholics Anonymous: Offers online support • Sober Recovery: Provides an online forum for https://aa-intergroup.org/ those in recovery and their friends and family https://www.soberrecovery.com/forums/ • Cocaine Anonymous: Offers online support and services • We Connect Recovery: Provides daily online https://www.ca-online.org/ recovery groups for those with substance use and -
Sacrifice, Stigma, and Free-Riding in Alcoholics Anonymous (AA): a New Perspective on Behavior Change in Self-Help Organizations for Addiction
Sacrifice and stigma in AA Sacrifice, stigma, and free-riding in Alcoholics Anonymous (AA): A new perspective on behavior change in self-help organizations for addiction Anna Lembke, MD Stanford University February 2013 Abstract Iannaccone and others have claimed that behavior change in religious organizations is mediated in part by sacrifice and stigma, which enhances participation, augments club goods that make participation worthwhile, and reduces free-riding. As applied to Alcoholics Anonymous (AA), a non-religious self-help organization for addiction, Iannaccone’s ideas shed light on the ways in which sacrifice and stigma influence behavior in AA. AA members’ willingness to embrace a stigmatized identity, give up alcohol, and participate in the AA fellowship, creates the club goods that are integral to ‘recovery’ from addiction. Iannaccone’s model furthermore illuminates the problem of free-riding in AA, providing one explanation for the incredible rate of growth of AA over the years, particularly as compared with less ‘strict’ self-help organizations for alcohol use problems, such as Moderation Management. Keywords Sacrifice, stigma, free-riding, 12-steps, Alcoholics Anonymous, Moderation Management, mechanism of change 1 Sacrifice and stigma in AA Introduction Addictive disorders represent one of the greatest public health threats to the developed world, contributing to the suffering of millions, including over 500,000 substance-use-related U.S. deaths annually (Horgan et al., 2001). Self-help organizations are the most commonly utilized treatment for people with addiction in the United States today (Miller and McCrady, 1993). There exist many different types of self-help organizations for addiction, e.g. -
Addiction : an Information Guide / Marilyn Herie
A addiction can affect your health, relationships, finances, d d i c career—every aspect of your life. You may not see your t i o substance use as a problem, and even if you do, it can still n Addiction be hard to change. A n Addiction: An Information Guide is for people who are i n f having problems with alcohol or other drugs, their families o r m and friends, and anyone else who wants to better under - a An t i o stand addiction. The guide describes what addiction is, n g what is thought to cause it, and how it can be managed u i d and treated. The guide also includes ways family members e can support people with addiction while taking care of information themselves, and tips on explaining addiction to children. guide This publication may be available in other formats. For information about alternate formats or other CAMH publications, or to place an order, please contact Sales and Distribution: Toll-free: 1 800 661-1111 Toronto: 416 595-6059 E-mail: [email protected] Online store: http://store.camh.net To make a donation, please contact the CAMH Foundation: Tel.: 416 979-6909 E-mail: [email protected] Website: www.camh.net Disponible en français. Marilyn Herie, PhD, RSW 3 4 Tim Godden, MSW, RSW 0 M P Joanne Shenfeld, MSW, RSW / 0 1 0 Colleen Kelly, MSW, RSW 2 - 5 0 / d 3 A Pan American Health Organization / 7 9 World Health Organization Collaborating Centre 3 i Addiction An information guide A GUIDE FOR PEOPLE WITH ADDICTION AND THEIR FAMILIES Marilyn Herie, PhD, RSW Tim Godden, MSW, RSW Joanne Shenfeld, MSW, RSW Colleen Kelly, MSW, RSW A Pan American Health Organization / World Health Organization Collaborating Centre ii Addiction: An information guide Library and Archives Canada Cataloguing in Publication Addiction : an information guide / Marilyn Herie.. -
Burke Danielle Final Project 4.14.16 -2
Integrating family systems into substance use treatment Item Type Other Authors Burke, Danielle M. Download date 07/10/2021 22:11:04 Link to Item http://hdl.handle.net/11122/8035 DocuSign Envelope ID: 22D0C50D-E5D0-47D1-B6D8-920C7825D12F INTEGRATING FAMILY INTO SUBSTANCE USE TREATMENT By Danielle M. Burke * DocuSigned by: Man* WsfliA, RECOMMENDED! V—_ B59EC4405A35447. .. _______________________________ Hilary Wilson, M. A. , DocuSigned by: l/akric &(fyrji 174D4DC2384B4A1... ______________________________ Dr. Valerie Gifford * DocuSigned by: W a-H R .l'h .l'l >5—=S3BE4E3E6248481™ ------------------------------------------------ Dr. Susan Renes, Advisory Committee Chair * DocuSigned by: V a3RF4F3FR94S4fi1__________________________________________________________________ Dr. Susan Renes, Chair School of Education Counseling Program Running Head: FAMILY INTO SUBSTANCE USE TREATMENT 1 Integrating Family Systems into Substance Use Treatment Danielle Burke A Graduate Research Project Submitted to the University of Alaska Fairbanks in Partial Fulfillment of the Requirements of the Degree of Masters of Education, Counseling Presented to Susan Renes, Ph.D. Valerie Gifford, Ph.D. Hilary Wilson, MA, NCSP University of Alaska Fairbanks Fairbanks, AK Spring 2016 INTEGRATING FAMILY INTO SUBSTANCE USE TREATMENT 2 Abstract It is important to understand the powerful influence of loved ones in the recovery process. This influence can help encourage substance users to receive treatment, help them remain engaged in treatment, and allow those being treated to receive understanding from their loved ones they might not have received without this treatment component. Providing effective substance use treatment to families should take different aspects into consideration, including family dynamics, cultural aspects, and using the best treatment methods available. Treatment providers may not know how to incorporate social supports into specific treatment interventions. -
Treatment of Patients with Substance Use Disorders Second Edition
PRACTICE GUIDELINE FOR THE Treatment of Patients With Substance Use Disorders Second Edition WORK GROUP ON SUBSTANCE USE DISORDERS Herbert D. Kleber, M.D., Chair Roger D. Weiss, M.D., Vice-Chair Raymond F. Anton Jr., M.D. To n y P. G e o r ge , M .D . Shelly F. Greenfield, M.D., M.P.H. Thomas R. Kosten, M.D. Charles P. O’Brien, M.D., Ph.D. Bruce J. Rounsaville, M.D. Eric C. Strain, M.D. Douglas M. Ziedonis, M.D. Grace Hennessy, M.D. (Consultant) Hilary Smith Connery, M.D., Ph.D. (Consultant) This practice guideline was approved in December 2005 and published in August 2006. A guideline watch, summarizing significant developments in the scientific literature since publication of this guideline, may be available in the Psychiatric Practice section of the APA web site at www.psych.org. 1 Copyright 2010, American Psychiatric Association. APA makes this practice guideline freely available to promote its dissemination and use; however, copyright protections are enforced in full. No part of this guideline may be reproduced except as permitted under Sections 107 and 108 of U.S. Copyright Act. For permission for reuse, visit APPI Permissions & Licensing Center at http://www.appi.org/CustomerService/Pages/Permissions.aspx. AMERICAN PSYCHIATRIC ASSOCIATION STEERING COMMITTEE ON PRACTICE GUIDELINES John S. McIntyre, M.D., Chair Sara C. Charles, M.D., Vice-Chair Daniel J. Anzia, M.D. Ian A. Cook, M.D. Molly T. Finnerty, M.D. Bradley R. Johnson, M.D. James E. Nininger, M.D. Paul Summergrad, M.D. Sherwyn M. -
Experimental and Clinical Psychopharmacology Context and Craving Among Individuals with Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N
Experimental and Clinical Psychopharmacology Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N. Kuerbis, Sijing Shao, Hayley Treloar Padovano, Anna Jadanova, Danusha Selva Kumar, Rachel Vitale, George Nitzburg, Nehal P. Vadhan, and Jon Morgenstern Online First Publication, January 23, 2020. http://dx.doi.org/10.1037/pha0000349 CITATION Kuerbis, A. N., Shao, S., Treloar Padovano, H., Jadanova, A., Selva Kumar, D., Vitale, R., Nitzburg, G., Vadhan, N. P., & Morgenstern, J. (2020, January 23). Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking. Experimental and Clinical Psychopharmacology. Advance online publication. http://dx.doi.org/10.1037/pha0000349 Experimental and Clinical Psychopharmacology © 2020 American Psychological Association 2020, Vol. 1, No. 999, 000 ISSN: 1064-1297 http://dx.doi.org/10.1037/pha0000349 Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N. Kuerbis Sijing Shao City University of New York Center for Addiction Services and Psychotherapy Research, Northwell Health, Great Neck, New York Hayley Treloar Padovano Anna Jadanova, Danusha Selva Kumar, Center for Alcohol and Addiction Studies, Providence, Rachel Vitale, George Nitzburg, Nehal P. Vadhan, Rhode Island and Jon Morgenstern Center for Addiction Services and Psychotherapy Research, Northwell Health, Great Neck, New York Many individuals with alcohol use disorder (AUD) prefer a goal of moderation, because they do not see their drinking as causing severe enough consequences to merit abstinence. Given that individuals attempting to moderate will continue to put themselves in contexts where drinking occurs, understanding how distinct external alcohol cues prompt craving is important for implementing the optimal treatments for individuals with AUD. -
Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs A Treatment Improvement Protocol TIP 43 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment MEDICATION- www.samhsa.gov ASSISTED TREATMENT Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs Steven L. Batki, M.D. Consensus Panel Chair Janice F. Kauffman, R.N., M.P.H., LADC, CAS Consensus Panel Co-Chair Ira Marion, M.A. Consensus Panel Co-Chair Mark W. Parrino, M.P.A. Consensus Panel Co-Chair George E. Woody, M.D. Consensus Panel Co-Chair A Treatment Improvement Protocol TIP 43 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 1 Choke Cherry Road Rockville, MD 20857 Acknowledgments The guidelines in this document should not be considered substitutes for individualized client Numerous people contributed to the care and treatment decisions. development of this Treatment Improvement Protocol (see pp. xi and xiii as well as Appendixes E and F). This publication was Public Domain Notice produced by Johnson, Bassin & Shaw, Inc. All materials appearing in this volume except (JBS), under the Knowledge Application those taken directly from copyrighted sources Program (KAP) contract numbers 270-99- are in the public domain and may be reproduced 7072 and 270-04-7049 with the Substance or copied without permission from SAMHSA/ Abuse and Mental Health Services CSAT or the authors. Do not reproduce or Administration (SAMHSA), U.S. Department distribute this publication for a fee without of Health and Human Services (DHHS). -
Tracking the Quality of Addiction Treatment Over Time and Across States: Using the Federal Government’S “Signs” of Higher Quality
RTI Press Research Report ISSN 2378-7902 July 2020 Tracking the Quality of Addiction Treatment Over Time and Across States: Using the Federal Government’s “Signs” of Higher Quality Tami L. Mark, William N. Dowd, and Carol L. Council RTI Press publication RR-0040-2007 RTI International is an independent, nonprofit research organization dedicated to improving the human condition. The RTI Press mission is to disseminate information about RTI research, analytic tools, and technical expertise to a national and international audience. RTI Press publications are peer-reviewed by at least two independent substantive experts and one or more Press editors. Suggested Citation Mark, T. L., Dowd, W. N., and Council, C.L. (2020). Tracking the Quality of Addiction Treatment Over Time and Across States: Using the Federal Government’s “Signs” of Higher Quality. RTI Press Publication No. RR-0040-2007. Research Triangle Park, NC: RTI Press. https://doi.org/10.3768/rtipress.2020.rr.0040.2007 This publication is part of the RTI Press Research Report series.. RTI International 3040 East Cornwallis Road ©2020 RTI International. RTI International is a registered trademark and a trade name of Research Triangle PO Box 12194 Institute. The RTI logo is a registered trademark of Research Triangle Institute. Research Triangle Park, NC 27709-2194 USA This work is distributed under the terms of a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 license (CC BY-NC-ND), a copy of which is Tel: +1.919.541.6000 available at https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode E-mail: [email protected] Website: www.rti.org https://doi.org/10.3768/rtipress.2020.rr.0040.2007 www.rti.org/rtipress Contents About the Authors i Acknowledgments ii Abstract ii About the Authors Introduction 1 Tami L.