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.

Unique in its breadth of coverage ranging from historical accounts of drug use to clinical and preclinical behavioral studies, Psychopharmacology is appropriate for undergraduates studying the relationships between the behavioral effects of psychoactive drugs and their mechanisms of action. 1. Chapter-opening vignettes foster student engagement 2. Breakout boxes present novel, and, in some cases, controversial topics for special discussion. Box themes include: History of Psychopharmacology; Pharmacology in Action; Clinical Applications; Of Special Interest; and The Cutting Edge. 3. The book is extensively illustrated with full-color photographs and line art depicting important concepts and experimental data 4. Section Summaries highlight key concepts from the section of text just read 5. Chapter-ending Recommended Readings offer suggestions for further study And the enhanced eBook provides an interactive learning pathway through the content. Meyer, Psychopharmacology and it's accompanying enhanced ebook provide engaging features like self-study questions, and clinical case studies, cutting edge research, and applied pharmacology to keep students focused on the content, while providing the scientific depth, breadth, and rigor required for the course.

Learn from the experiences of these program sites to develop better services for women with co-occurring disorders and histories of violence This book explores the efforts of the Women, Co-Occurring Disorders and Violence Study to address the significant lack of appropriate services for women trauma survivors with co-occurring mental health and substance use disorders. Experts describe the services integration programs of nine participating sites that address the multiple needs of these women. In this guide, you will find useful strategies for integrating services that are responsive to the strengths and needs of the individual as well as the community. This vital resource examines how—over a period of five years—sites designed, implemented, and evaluated their interventions. You will learn how sites developed their strategies for integrating services at both the clinical/individual level and at the services or systems level. The book also shows how trauma-informed, gender-specific, culturally competent care fosters treatment that is sensitive to related issues such as children and parenting, interpreting culture cues, and socioeconomic difficulties. In Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders, you will learn about the details of nine different programs, including: Franklin County Women’s Research Project—a collaborative project for rural women, designed and operated by local consumer/survivor/recovering women (CSRs) The Triad Women’s Project—a semi-rural comprehensive system of care to respond to the needs of women and children The Women Embracing Life and Living (WELL) Project-interventions include trauma, parenting, systems integration and mutual help groups with Integrated Care Facilitators providing resource coordination and advocacy services PROTOTYPES, Centers for Innovation in Health, Mental Health, and Social Services—the three levels of integration the Systems Change Center implemented the Boston Health Commission—an integrated model of trauma-informed services culturally and linguistically appropriate for its service population of primarily poor Latina and African American women Palladia’s Portal Project—a comprehensive trauma-informed intervention designed to put trauma and safety first to assist women remaining in treatment Arapahoe House’s New Directions for Families—a family-oriented intervention for women and their dependent children Allies—comprehensive, integrated services for women as well as intervention for their children, ages 5-10 The District of Columbia Trauma Collaboration Study (DCTCS)—a two-phase project addressing the needs of dually diagnosed women trauma survivors Responding to Physical and Sexual Abuse in Women with Alcohol and Other Drug and Mental Disorders provides you with first-hand accounts of the process by which programs and service systems were transformed. As challenges were met and strategy was adapted to “real world” situations, the sites discussed in this text found new and improved methods for helping this unique group of women. The book offers tips, solutions, and possibilities to mental health professionals, substance abuse professionals, and domestic violence professionals, and even patients and/or clients searching for support.

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.