Psychosocial Treatments (Key Readings in Addiction Psychiatry)

185 Pages·2003·2.08 MB·English

by  Elinore F. McCance-Katz

Psychosocial Treatments
Key Readings in Addiction Psychiatry
Edited by
American Academy of Addiction Psychiatry
Sevarino Treatment of Substance Use Disorders
Rosenthal Dual Diagnosis
McCance-Katz & Clark Psychosocial Treatments
Board of Directors of
the American Academy of
Addiction Psychiatry

Richard N.Rosenthal, M.D. Stephen L.Dilts, M.D., Ph.D.
President Immediate Past President
Kathleen T.Brady, M.D., Ph.D. John T.Pichot, M.D.
President-Elect Head, Public Policy Section
Michael H.Gendel, M.D. Jonathan I.Ritvo, M.D.
Vice President Head, Education Section
Joseph G.Liberto, M.D. Penelope P.Ziegler, M.D.
Secretary Head, Treatment Section
Elinore F.McCance-Katz, M.D., Ph.D. Eric C.Strain, M.D.
Treasurer Head, Research Section
Roger D.Weiss, M.D. Sheldon I.Miller, M.D.
Member-at-Large Editor, The American Journal on Addictions
David Crockford, M.D., FRCPC
International Member-at-Large Past Presidents’ Council
Frances R.Levin, M.D. Becky M.Stein, M.P.A., CAE
Chair, Area Directors Executive Director (Ex Officio)
PSYCHOSOCIAL
TREATMENTS
Edited by
Elinore F.McCance-Katz, M.D., Ph.D.
H.Westley Clark, M.D., J.D., M.P.H.
BRUNNER-ROUTLEDGE
New York • London
Published in 2004 by
Brunner-Routledge
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Published in Great Britain by
Brunner-Routledge
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BN3 2FA
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Copyright © 2004 by the American Academy of Addiction Psychiatry.
Brunner-Routledge is an imprint of the Taylor & Francis Group.
This edition published in the Taylor & Francis e-Library, 2005.
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Library of Congress Cataloging-in-Publication Data
Psychosocial treatments/edited by Elinore F.McCance-Katz and H.Westley Clark.
p.; cm.—(Key readings in addiction psychiatry)
Includes bibliographical references and index.
ISBN 0-415-94781-2 (pbk.)
1. Substance abuse—Relapse—Prevention. 2. Substance abuse—Treatment.
3. Psychiatric social work.
[DNLM: 1. Substance-Related Disorders—therapy. 2. Psychotherapy—methods.
WM 270 P9737 2004] I. McCance-Katz, Elinore F. II. Clark, H. Westley. III. Series.
RC564.P855 2004
616.86’0651–dc21
2003012668
ISBN 0-203-50350-3 Master e-book ISBN
ISBN 0-203-57788-4 (Adobe eReader Format)
Contents
Series Introduction vii
Stephen L.Dilts, M.D., Ph.D.
Introduction ix
Elinore F.McCance-Katz, M.D., Ph.D., and H.Westley Clark,
M.D., J.D., M.P.H.
1. Relapse Prevention: An Overview of Marlatt’s Cognitive- 1
Behavioral Model
Mary E.Larimer, Ph.D., Rebekka S.Palmer, and G.Alan Marlatt,
Ph.D.
2. Motivational Interviewing 19
William C.Noonan, M.S.W., and Theresa B.Moyers, Ph.D.
3. Motivational Interviewing to Enhance Treatment Initiation in 35
Substance Abusers: An Effectiveness Study
Kathleen M.Carroll, Ph.D., Bryce Libby, M.S.W., Joseph
Sheehan, M.S., and Nancy Hyland, C.A.C.
4. Network Therapy for Cocaine Abuse: Use of Family and Peer 41
Support
Marc Galanter, M.D., Helen Dermatis, Ph.D., Daniel Keller,
Ph.D., and Manuel Trujillo, M.D.
5. The Community-Reinforcement Approach 49
William R.Miller, Ph.D., and Robert J.Meyers, M.S., with
Susanne Hiller-Sturmhöfel, Ph.D.
6. Voucher-Based Incentives: A Substance Abuse Treatment 61
Innovation
Stephen T.Higgins, Sheila M.Alessi, and Robert L.Dantona
7. A Comparison of Contingency Management and Cognitive- 87
Behavioral Approaches During Methadone Maintenance
Treatment for Cocaine Dependence
vi
Richard A.Rawson, Ph.D., Alice Huber, Ph.D., Michael
McCann, M.A., Steven Shoptaw, Ph.D., David Farabee, Ph.D.,
Chris Reiber, Ph.D., and Walter Ling, M.D.
8. Self-Help Strategies Among Patients with Substance Use Disorders 105
Joseph Westermeyer, M.D., Ph.D., Sarah Myott, B.S., Rembrant
Aarts, B.S.M., and Paul Thuras, Ph.D.
9. Residential Treatment for Dually Diagnosed Homeless Veterans: 117
A Comparison of Program Types
Wesley J.Kasprow, Ph.D., M.P.H., Robert Rosenheck, M.D.,
Linda Frisman, Ph.D., and Diane DiLella, M.P.H.
10. Psychotherapies for Adolescent Substance Abusers: 15-Month 129
Follow-Up of a Pilot Study
Yifrah Kaminer, M.D., and Joseph A.Burleson, Ph.D.
11. The Links Between Alcohol, Crime and the Criminal Justice 137
System: Explanations, Evidence and Interventions
Susan E.Martin, Ph.D.
Permission Acknowledgments 165
Index 167
Introduction to the Key Readings in Addiction
Psychiatry Series
The American Academy of Addiction Psychiatry is pleased to announce a new book
series, entitled Key Readings in Addiction Psychiatry. Substance abuse adversely
affects a very large portion of the world’s population, causing more deaths, illnesses,
and disabilities than any other preventable health condition. According to Dr. Alan
I.Leshner, director of the National Institute on Drug Abuse,“addiction has so many
dimensions and disrupts so many aspects of an individual’s life, treatment for this
illness is never simple.”1 Scientific advances are occurring at an increasingly rapid
rate, leading to an array of effective pharmacologic and behavioral treatment
approaches. These new advances are stimulating a new level of scientific curiosity and
research and accelerating the application of scientific findings in the clinical setting.
Through the compilations of up-to-date articles on various aspects of substance
use disorders, the American Academy of Addiction Psychiatry, through the Key
Readings series, seeks to:
• advance the knowledge of those committed to the treatment of substance abuse;
• introduce those new to the field of addictions to recent advances in substance use
disorders;
• inspire those without knowledge of substance use disorders and reinvigorate those
with a nihilistic view of their treatment to work to advance the field of addiction
medicine beyond its current knowledge base.
Each book will serve as a quick guide to research studies and treatment approaches
in the addiction field. They will serve as reference tools, edited by an expert in the
field, keeping today’s busy professional informed of timely, critical, and interesting
research and clinical treatment issues. Each book within the series will present
outstanding articles from leading clinical journals of relevance to the addiction
psychiatrist, whether in clinical, research, administrative, or academic roles. The Key
Readings in Addiction Psychiatry series will be presented in several volumes focused
on treatment, dual diagnosis, and psychosocial therapies.
viii
A new book in the series will be published annually, providing a continuous flow
of new information in a handy, easily accessible form. This compilation of key
readings in one source will be an excellent supplement to textbooks and can be used
not only to keep up with rapid change in our field but also in preparation for the
certification or recertification examinations in addiction psychiatry.
Stephen L.Dilts, M.D., Ph.D.
Immediate Past /President
American Academy of Addiction Psychiatry
NOTE
1. Principles of Drug Addiction Treatment, National Institute on Drug Abuse, 1999.
Introduction
Elinore F.McCance-Katz, M.D., Ph.D.
H.Westley Clark, M.D., J.D., M.P.H.
This book is the third in the series of Key Readings in Addiction Psychiatry and
follows texts that summarize pharmacotherapies for addiction and the treatment of
dual disorders. The focus of this book is on current psychosocial therapies utilized in
the treatment of substance use disorders.
The field of addiction psychiatry has made substantial strides through the last
decade with the development of several psychosocial interventions that have been
shown in controlled research studies to have efficacy in the treatment of addiction.
This book contains key articles that provide a discussion of the elements of each of
several commonly used psychosocial interventions in the treatment of substance use
disorders. The goal of inclusion of these articles was to provide a concise but
comprehensive text that would give the practitioner information necessary to
understand the theory underpinning psychotherapeutic interventions and the
necessary tools and references needed for the practitioner to implement these therapies
in practice. In addition, articles summarizing research data showing efficacy of
psychosocial interventions have been included so that the reader can evaluate the
available therapies and make informed decisions regarding whether a particular
therapy might be utilized in his or her practice.
The major areas of psychosocial intervention for the treatment of addictive
disorders supported by research data collected in controlled trials include relapse
prevention therapy, community reinforcement, voucher-based programs, self-help
therapies, and motivational enhancement therapy. These interventions vary in
approach to the substance-using patient and range from techniques designed to assist
individuals in understanding the components of substance use unique to them and
developing interventions designed to curtail drug and alcohol use, to programs based
on discouraging drug/alcohol-using behaviors and rewarding drug-free behaviors, to
self-help strategies that are effective in substance abuse treatment, to techniques
designed to resolve ambivalence about substance use and assist individuals in making
positive behavior changes. Other articles in this text discuss current psychosocial
interventions efficacious in a variety of patient-care settings, including outpatient,