Engaging ideas, transforming minds
Engaging ideas, transforming minds

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496 pages
6 x 9 inches
April 2016
Print ISBN: 9781551308913

New Edition Forthcoming | Spring 2021


Substance Use and Abuse provides both students and practitioners in the field of addiction counselling with a foundational knowledge of psychoactive drugs. With its emphasis on the bio-psycho-social components of addiction, this text is essential reading for both beginning and experienced addiction counsellors and social workers. Among the critical topics discussed are concepts and theories of addiction, the major types of psychoactive substances, treatment options and resources, and numerous prevention strategies. The book concludes with an informative chapter on the legal, ethical, and practice requirements for becoming a competent addiction counsellor.

This thoroughly updated second edition reflects contemporary issues and recent advances in the field of addiction counselling. New sections examine fetal alcohol spectrum disorder and solvent abuse syndrome, drug treatment courts, various new drugs including bath salts and synthetic cannabis, and emerging treatment options such as internet counselling, narrative therapy, and e-cigarettes. Substance Use and Abuse is a timely and much-needed resource for both students and counsellors seeking to treat individuals dealing with addiction.

Table of Contents


1. Fundamental Concepts
1.1 Conceptualizing Addiction
1.2 Pharmacological Foundations
1.3 Pharmacokinetics
1.4 Incidence of Drug Use and Economic Implications

2. Theories on Addiction
2.1 The Moral Model
2.2 Biological Theories
2.3 Psychological Theories
2.4 Sociological Theories

3. Psychoactive Substances of Use and Abuse
3.1 Depressants
3.2 Opioids
3.3 Stimulants
3.4 Hallucinogens
3.5 Psychotherapeutic Agents
3.6 Final Considerations

4. Treatment Options
4.1 Pharmacological Therapies (Pharmacotherapy)
4.2 Individual Counselling
4.3 Intervention
4.4 Group Counselling
4.5 Family Counselling
4.6 Behavioural Counselling
4.7 Harm Reduction
4.8 The Transtheoretical Model of Change
4.9 Motivational Interviewing
4.10 Mutual Aid/Self-Help
4.11 Internet Counselling
4.12 Conclusion

5. Treatment Resources
5.1 Entry into the Addiction Continuum of Care
5.2 Addiction-Specific Resources
5.3 In-patient versus Community-Based Outpatient Care
5.4 Adjunct Resources
5.5 Relapse Prevention

6. Prevention
6.1 Introduction
6.2 Program Component Options
6.3 Effective Programming
6.4 Ineffective Programming
6.5 Family Programming
6.6 What Works
6.7 What To Do

7. Becoming a Competent Addiction Counsellor: Legal , Ethical , and Practice Considerations
7.1 Psychoactive Drugs and the Law
7.2 Ethical Considerations
7.3 Practice Considerations: Addiction Counsellor Competencies
7.4 Concluding Thoughts

Appendix A: A History of Psychoactive Drugs in Canada
Appendix B: A Global History of Psychoactive Drugs
Copyright Acknowledgements


Instructor Resources

See sample

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