Full Description
Recent studies have shown a combination of psychosocial support and medications to lead to better addiction treatment outcomes than talk therapy alone. This practical manual provides an empirically supported framework for managing biopsychosocial treatment of alcohol and drug dependence. Fully compatible with cognitive-behavioral and 12-step models, BRENDA is a collaborative, case-management approach to treatment. It incorporates the use of newly developed medications that target the biological underpinnings of addiction, and maximizes treatment compliance through working with patients in a nonjudgmental manner and enhancing their motivation to change. Illustrated with extended case examples, the book describes how to conduct a thorough assessment, make recommendations for a variety of individualized interventions, and coordinate service delivery with other providers as needed. The approach has been demonstrated effective in more than 80% of alcohol-dependent referrals to the authors' treatment program.
Contents
I. The BRENDA Approach and How to Use It
1. The Biopsychosocial Understanding of Addiction
2. Managing Addiction Treatment Using the BRENDA Approach
3. Biopsychosocial Assessment: How to Conduct It
4. The Report: How to Prepare and Present the Assessment Results
5. Empathetic Understanding: Listening to the Patient
6. Needs: Indentifying Patient Needs and Priorities
7. Direct Advice: Matching Needs to Treatment Options
8. Assessment of the Patient's Reaction to Advice: Adjusting Advice to Patient Response
9. Dealing with Pharmacotherapy and Medication Compliance Issues
10. Applying the BRENDA Stages to Early Recovery Issues
11. Applying the BRENDA Stages to Later Recovery Issues
II. The BRENDA Approach in Action
12. The Case of Bill: A Successful Businessman with Alcohol Addiction
13. The Case of Alissa: Cocaine and Alcohol Addiction with Severe Psychosocial Complications
14. The Case of Stephen: A Binge Drinker/Precontemplator
APPENDIX A: Instruments
Cage Questionnaire
Alcohol Use Disorders Identification Test (AUDIT)
Substance Use Disorders Screen
Psychological Distress Inventory--32 (PDI-32)
APPENDIX B: Naltrexone Pharmacotherapy for Alcohol Dependence
Dosage and Administration
Pharmacokinetics/Mechanism of Action
Drug Interaction Precautions
Side Effects
Contraindications
Patients' Frequently Asked Questions about Naltrexone
Medication Tips for Patients
