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.

Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.

This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. In a convenient large-size format, the book provides all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters.

This informative video shows how a therapist works in treatment partnership with a patient, family, and friends to surmount major obstacles to recovery. The video portrays reenacted therapy sessions using transcripts from actual sessions with a patient -- showing how the real process of recovery can begin and be sustained. Each session with the patient, his family, and friends (all portrayed by actors) is followed by a discussion of salient points with Dr. Galanter. Seasoned with practical advice from Dr. Galanter's years of experience in the field, the companion booklet provides a concise, indispensable guide to this therapy model. Network therapy is a multimodal approach to rehabilitation in which specific family members and friends are enlisted to provide ongoing support and promote attitude change. Three critical tasks propel the therapy and are illustrated on the video: maintaining abstinence (the prompt achievement of abstinence with relapse prevention), caring for the network (network members are part of the therapist's team and not subjects of treatment themselves), and securing future behavior (development of a drug-free adaptation). The network complements individual or group therapy and Alcoholics Anonymous. For easy reference, this helpful example of network therapy is accompanied by a table of contents with concepts listed by location on the video. Replete with practical insights and methods, this valuable video and companion booklet will benefit mental health care professionals, addiction specialists, and trainees alike.

Bringing together leading experts, this book demonstrates the unique value of brief motivational interventions for addressing adolescent alcohol and other substance use in a range of clinical contexts. It presents cutting-edge knowledge on the etiology and developmental context of adolescent addictive behaviors and reviews exemplary treatment approaches. Effective strategies are described for intervening with diverse populations, such as college students, youth in the justice system and in foster care, those with co-occurring substance abuse and psychiatric problems, LGBT youth, and Latino and American Indian adolescents. This book replaces the editors' influential earlier work, Adolescents, Alcohol, and Substance Abuse, with an expanded focus on practical applications. Most of the chapters are completely new.

This book has been replaced by Treating Alcohol and Drug Problems in Psychotherapy Practice, Second Edition, ISBN 978-1-4625-5086-9.