Screening Assessment and Treatment of Substance Use Disorders Evidence based practices community and organizational setting in the era of integrated care 1st edition by Lena Lundgren, Ivy Krull 0190496533 9780190496531

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ISBN-10 :  0190496533 

ISBN-13 :  9780190496531

Author : Lena Lundgren, Ivy Krull 

There is a clear and pressing need for health professionals, including social workers, to be trained in evidence-based practices (EBPs) in the area of substance use disorders (SUD). The Substance Abuse and Mental Health Services Administration (SAMHSA) and other national organizations and government agencies have all put out reports calling for this vital need, though there remains a significant shortage of properly trained clinicians. The aim of this book is to provide an integrated perspective on addiction treatment on the evidence-base of psychosocial and medication-assisted treatment for substance use disorder. The volume is unique in that it critically examines the evidence base of both psychosocial and pharmacological treatment practices targeting a profession of social work audience. It is also one of few that (1) incorporates evidence both from the United States and internationally, and (2) presents a methodology that permits the authors to systematically review a large number of empirically based studies in an organized and easy-to-read manner. Additionally, the text incorporates a health disparities perspective and describes implementation barriers at the organizational, community, and policy levels. It can be used in policy, human behavior, and clinical practice both nationally and internationally.

Screening, Assessment, and Treatment of Substance Use Disorders Evidence-based practices, community and organizational setting in the era of integrated care 1st Table of contents:

Section 1 Context: Historical Background, Theoretical Frameworks, Current Policy, Treatment Disparities, and the Movement Toward Integrated Care
1 Historical Background
The diagnosis of SUD and the DSM from a historical perspective
History of treatment for SUD
History of institutional care
The recovery movement
2 Theoretical Frameworks
The bio/psycho/social framework
Consequences of addiction
Our framework and definition of EBP
Government institutions’ definitions of EBPs
Implementation theory
Why EBP implementation is difficult
Understanding the real-world context of EBP implementation
3 Current Policy and Behavioral Health System Treatment Disparities and the Movement toward the Integration of Behavioral Health and Health Care
The current behavioral health system
Financing structure of treatment for SUD—a barrier to treatment access
Self-pay out-of-pocket costs
Government-paid treatment
Private health insurance
Treatment for SUD—Who gets treatment, who does not, and why
Access
Lack of continuity of care and health disparities
Recent policy changes: Moving toward integration or not?
What is an integrated care model?
What are some of the perceived benefits of integrated models?
Section 2 The Treatment Process: Screening, Assessment, Treatment, and Continuity of Care
Objectives
Methods used to review evidence base
Search process
Table creation
4 The Evidence Base for Screening, Brief Intervention, and Referral to Treatment and Examples of Screening and Assessment Instruments
Introduction to screening and assessment
Screening, brief intervention, and referral to treatment
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Alcohol use disorders identification test
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Addiction severity index
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Global appraisal of individual needs
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Conclusion
5 The Treatment Process: Motivational Techniques to Promote Treatment Entry and Use
Introduction to motivational interviewing
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
6 The Treatment Process: Common Psychosocial Interventions for the Treatment of SUD
Introduction
12-step model, AA, and NA
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Minnesota model
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Relapse prevention techniques
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
7 The Treatment Process: Common Evidence-Based Behavioral Treatments for Co-Occurring Mental Health Issues and SUD
Introduction
Why focus on co-occurring disorders in a book about SUD and EBP treatment?
Why an integrated treatment approach for co-occurring disorders?
Policy climate for integrated treatment systems in general
Integrated dual diagnosis treatment
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Seeking safety
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Trauma recovery and empowerment model
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
8 Medication-Assisted Drug Treatment/Pharmacological Therapies
Introduction
MAT overview
MAT for the treatment of opiate dependence
Methadone and buprenorphine
How are methadone and buprenorphine provided?
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Naltrexone
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
MAT for overdose prevention: Naloxone
Critical review
Implementation
Organizational setting
Community setting
Policy setting
MAT for detoxification
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
MAT for alcohol use disorder
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
9 The Treatment Process: The Evidence Base of Technology for the Treatment of SUD
Description
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
10 Evidence-Based Practices and Continuity of Care
Introduction
Case management
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Sober housing
Critical review of research
Implementation
Organizational setting
Community setting
Policy setting
Conclusions
A suggestion for how to assess the mixed research evidence presented in this book
What is the future of reducing the disparities in access, use, and outcomes of treatment for SUD?
Future social work role in SUD-related work
Where to go next as a social worker skilled in SUD
Summary
Glossary
References

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