Treating Adolescents With Substance Use Disorders

Presents information on identifying, screening, and assessing adolescents who use substances. This report focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning. Presents appropriate strategies and guidelines for screening and assessment. Explains legal issues concerning Federal and State confidentiality laws. Provides guidance for screening and assessing adolescents in juvenile justice settings. Summarizes instruments to screen and assess adolescents for substance and general functioning domains.

Adolescents differ from adults both physiologically & emotionally as they make the transition from child to adult &, thus, require treatment adapted to their needs. This report details the scope & complexity of the problem. Presents factors to be considered when making treatment decisions. Discusses successful program components. Describes the treatment approaches used in 12-Step-based programs, therapeutic communities, & family therapy respectively. Discusses adolescents with distinctive treatment needs, such as those involved with the juvenile justice system. Explains legal issues concerning confidentiality laws.

Clinicians are now facing new substance use-related challenges such as the opioid crisis, a changing political landscape regarding marijuana, and the emergence of new delivery devices such as e-cigarettes. Unfortunately, it is more critical than ever that clinicians caring for adolescents have a proficiency in treating substance use. This book is a comprehensive clinical guide that discusses the prevalence of substance use among adolescents and young adults, as well as prevention strategies, available screening methods, practical treatment applications and their outcomes. Using a multidisciplinary approach with inclusion of authors from diverse clinical backgrounds, this definitive guide provides the best practices for treating adolescent substance use disorders from medical, behavioral, and social standpoints. Supplemented with case examples and written by experts in the field, Treating Adolescent Substance Use appeals to all clinicians that treat adolescent patients.

From a leading addiction specialist, this highly practical book explores what works in treating adolescents. Oscar G. Bukstein answers the clinician's vital question: "What do I do now?" He describes best practices for enhancing youths' motivation for change, teaching a variety of recovery skills, and implementing parent management training and parent–adolescent problem solving. The book covers ways to foster a prosocial peer network and to address mental health problems that co-occur with substance use disorders (SUDs). Clinicians can combine the strategies into an integrated approach or pick and choose depending on the needs of individual clients. Reproducible handouts and worksheets can be downloaded and printed in a convenient 8 1/2" x 11" size.

Adolescent substance abuse is the nation's #1 public health problem. It originates out of a developmental era where experimentation with the world is increasingly taking place, and where major changes in physical self and social relationships are taking place. These changes cannot be understood by any one discipline nor can they be described by focusing only on the behavioral and social problems of this age period, the characteristics of normal development, or the pharmacology and addictive potential of specific drugs. They require knowledge of the brain's systems of reward and control, genetics, psychopharmacology, personality, child development, psychopathology, family dynamics, peer group relationships, culture, social policy, and more. Drawing on the expertise of the leading researchers in this field, this Handbook provides the most comprehensive summarization of current knowledge about adolescent substance abuse. The Handbook is organized into eight sections covering the literature on the developmental context of this life period, the epidemiology of adolescent use and abuse, similarities and differences in use, addictive potential, and consequences of use for different drugs; etiology and course as characterized at different levels of mechanistic analysis ranging from the genetic and neural to the behavioural and social. Two sections cover the clinical ramifications of abuse, and prevention and intervention strategies to most effectively deal with these problems. The Handbook's last section addresses the role of social policy in framing the problem, in addressing it, and explores its potential role in alleviating it.

This volume reviews a range of empirically supported approaches to prevention and treatment of adolescent substance use problems. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on cutting-edge knowledge on addictive behavior change. From expert contributors, coverage encompasses alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.

Research has shown that, for many teens, trauma can lead to addiction. Now, for the first time ever, two mental health experts offer a powerful, integrative program to effectively treat teens with these co-occurring issues. Trauma and addiction often present side by side. However, up until now, clinicians have lacked the tools needed to treat these two issues together. Based in cognitive behavioral therapy (CBT) and mindfulness—two proven-effective therapies for addiction and mental health issues—Treating Co-occurring Adolescent PTSD and Addiction is essential for anyone working with adolescents with addiction and post-traumatic stress disorder (PTSD). Developed and researched explicitly for dual diagnosis adolescent clients, this book provides a range of mindfulness practices and tools to help your client be present in what he or she is experiencing—instead of slipping into a pattern of avoidance. In addition, the cognitive behavioral strategies can help adolescents who are at risk of recurrent trauma, and who could therefore benefit from practicing coping strategies to assist them in their current daily situations. This is a must-have resource for any mental health provider treating adolescents with dual diagnosis of PTSD and addiction.

Though a number of books covering adolescent substance abuse are available, there are very few resources that explore the topic in the context of Family Systems Therapy (FST). Youth and Their Families offers an expanded view of the therapeutic process with a specific focus on the relationship between therapists, adolescents, families, communities, and substance use. By applying an FST lens, the clinician learns to view their client as an entire family system being affected by adolescent substance abuse. Furthermore, FST can be used at every stage of the substance abuse intervention continuum (from prevention to intervention) to provide increased functioning and strength in the family system. This book incorporates easily applicable clinical skill acquisition with the use of lively cases to give the reader requisite skills to be an effective family systems therapist.

The comprehensive coverage in this hugely important and timely handbook makes it invaluable to clinical child, school, and counseling psychologists; clinical social workers; and child psychiatrists. As a textbook for advanced clinical and counseling psychology programs, and a solid reference for the researcher in child/adolescent mental health, its emphasis on flexibility and attention to emerging issues will help readers meet ongoing challenges, as well as advance the field. Its relevance cannot be overstated, as growing numbers of young people have mental health problems requiring intervention, and current policy initiatives identify evidence-based therapies as the most effective and relevant forms of treatment.

Praise for Treating Adolescent Substance Abuse Using Family Behavior Therapy "This is an extremely positive and strength-focused text that provides therapists with a structure and the tools to implement interventions that have a long history of promoting the types of clinical changes desired by family members and community stakeholders."—From the Foreword by Scott W. Henggeler, PhD, Professor, Department of Psychiatry and Behavioral Sciences, and Director, Family Services Research Center, Medical University of South Carolina "Kudos to Donohue and Azrin for writing a book that includes all the materials needed to implement FBT with adolescents, including prompting checklists, handouts, and worksheets."—Karol Kumpfer, PhD, Professor, Health Promotion & Education, and Chair, International Study Abroad Committee, College of Health, University of Utah, and former director, SAMHSA's Center for Substance Abuse Prevention "Treating Adolescent Substance Abuse Using Family Behavior Therapy is an important resource for those who wish to provide an empirically supported, strengths-based, behavioral treatment for adolescents with substance-use problems and their parents." —Susan Harrington Godley, RhD, Senior Research Scientist and EBT Coordinating Center Director, and Mark D. Godley, PhD, Director, Research & Development, Chestnut Health Systems "In my practice with adolescents, FBT has proven exceptionally effective in drawing families closer together and yielding improved outcomes. This remarkably supportive approach helps young people develop critical skills necessary to live a fulfilling and drug-free lifestyle. This book clearly illustrates how to implement the interventions with ease and exemplifies the deeply gratifying experience of FBT."—Stephen A. Culp, MEd, NCC, LPCC, Addiction Services Therapist, Comprehend, Inc., Maysville, KY Listed in multiple national clearinghouses, including SAMHSA's National Registry of Evidence-based Programs and Practices and the CEBC, Family Behavior Therapy (FBT) is a scientifically supported treatment for adolescent substance abuse and its many associated problems. Written by Brad Donohue and Nathan Azrin—the premier researchers and practitioners of FBT—Treating Adolescent Substance Abuse Using Family Behavior Therapy is the first book of its kind to provide mental health professionals with the practical, step-by-step guidance needed to use this evidence-based treatment. Filled with case studies, checklists, worksheets, and handouts, this essential guide features: Strategies to assist in effective goal-setting, treatment plans, and family management Motivational enhancement exercises to encourage youth into a problem-free lifestyle Methods to effectively address contextual issues such as noncompliance and culture Standardized treatments to assist in eliminating problems that coexist with substance abuse, including unemployment, depression, behavioral misconduct, and family dysfunction An accompanying CD-ROM contains all the book's record-keeping forms, checklists, assignments, progress notes, agendas, and worksheets in a customizable format.