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Managing Substance Use Disorder (Third Edition): Practitioner Guide

Managing Substance Use Disorder comes in two volumes. This page is for the Practitioner Guide. Click on the following link to access the Workbook

Psychosocial interventions such as cognitive behavioral therapy (CBT) can help individuals overcome substance use. They are recommended by the UK National Institute for Health and Care Excellence (NICE) and American Psychiatric Association (APA) for treating substance use disorders. The Managing Substance Use Disorder: Practitioner Guide (Third Edition) is written by Dennis C. Daley and Antoine B. Douaihy, and it provides therapists with the tools they need to deliver effective, evidence-based treatment for substance use. Part of the Treatments That Work® series, this manualized guide provides a detailed description of screening and assessment strategies and treatment approaches (medications and psychosocial), alongside the application of evidence-based interventions in practice. Mutual support programs and the impact on the family and concerned significant others are also discussed, as are the most common challenges faced by individuals with a substance use disorder, such as managing cravings, resisting social pressures to use substances, coping with negative emotions and moods, building a social support network, involving family or concerned significant others, and reducing relapse risk.

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Chapter 1: Introductory Information for Practitioners

Chapter 2: Understanding Substance Use Problems

Chapter 3: Screening, Assessment, and Diagnosis

Chapter 4: Treatment Setting For Substance Use Treatment

Chapter 5: Psychosocial Therapies For Substance Use Disorders

Chapter 6: Medications For Substance Use Disorders

Chapter 7: Stages of Change and Using Therapy or Counseling

Chapter 8: Goal Planning in Recovery

Chapter 9: Managing Cravings and Urges to Use Substances

Chapter 10: Managing Thoughts of Using Substances

Chapter 11: Managing Emotions

Chapter 12: Refusing Offers to Use Substances

Chapter 13: Dealing with Family and Interpersonal Problems

Chapter 14: Building a Recovery Support System

Chapter 15: Mutual Support Systems and Recovery Clubs

Chapter 16: Assessment of Co-occurring Psychiatric Disorders

Chapter 17: Treatment of Co-occurring Psychiatric Disorders

Chapter 18: Reducing the Risk of Relapse

Chapter 19: Relapse Management

Chapter 20: Strategies for Balanced Living

Chapter 21: Measuring Progress

Appendix

References

Front Matter

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  • English (GB)
  • English (US)

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Introduction & Theoretical Background

Substance use disorders represent a major public health issue (Calabria et al., 2010), affecting around 6% of individuals in the US (SAMHSA, 2017). Symptoms include taking substances in large amounts or for longer than is recommended (despite the difficulties this causes), alongside intense urges and cravings. This often leads to problems with health, relationships, work, or leisure activities. Substance use disorders are sometimes accompanied by tolerance (needing to use more of the substance to achieve the same effect) and/or withdrawal (experiencing unpleasant side-effects when the substance is not used). 

Managing Substance Use Disorder is a comprehensive program to assist practitioners in delivering effective, evidence-based interventions. The program includes two books:

  • Managing Substance Use Disorder: Practitioner Guide details the step-by-step treatment plan for substance use disorder.
  • Managing Your Substance Use Disorder: Workbook is the companion to this practitioner guide. It will help your patients become active participants in their

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Therapist Guidance

Each Treatments That Work® title is published as part of a pair:

  • Clients use the Workbooks which contain elements of psychoeducation, skills development, self-assessment quizzes, homework exercises, and record forms.
  • Therapists use the Therapist Guides which contain step-by-step instructions for teaching clients skills and overcoming common difficulties.

Although written for the client, the exercises in the workbook are intended to be carried out under the supervision of a mental health professional. The authors suggest that the most effective implementation of these exercises requires an understanding of the principles underlying the different procedures, and that mental health professionals should be familiar with both the Managing Your Substance Use Disorder: Workbook, as well as this guide. 

Therapists with an active subscription to a Psychology Tools ‘Complete’ plan are licensed to use Treatments That Work® titles, and to download and share chapters with their clients.

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References And Further Reading

  • American Psychiatric Association. (2010). Practice guideline for the treatment of patients with substance use disorders (2nd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/substanceuse.pdf.
  • Calabria, B., Degenhardt, L., Briegleb, C., Vos, T., Hall, W., Lynskey, M., Callaghan, B., Rana, U., & McLaren, J. (2010). Systematic review of prospective studies investigating “remission” from amphetamine, cannabis, cocaine or opioid dependence. Addictive Behaviors, 35, 741-749. DOI: 10.1016/j.addbeh.2010.03.019.
  • Dutra, L., Stathopoulou, G., Basden, S. L., Leyro, T. M., Powers, M. B., & Otto, M. W. (2008). A meta-analytic review of psychosocial interventions for substance use disorders. American Journal of Psychiatry, 165, 179-187. DOI: 10.1176/appi.ajp.2007.06111851.
  • National Institute for Health and Care Excellence. (2007). Drug misuse in over 16s: Psychosocial interventions (NICE guideline CG51). https://www.nice.org.uk/guidance/CG51.
  • National Institute for Health and Care Excellence. (2011). Alcohol-use disorders: Diagnosis, assessment, and management of harmful drinking (high-risk drinking) and alcohol dependence. https://www.nice.org.uk/guidance/cg115.
  • Substance Abuse and Mental Health Services Administration. (2017). Key substance use and mental

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