Synopses & Reviews
Review
"For over a decade, the stages-of-change model has created a paradigm shift in the conceptualization, design, and delivery of treatment services for substance use disorders. This updated volume reflects the ongoing evolution of the theoretical model and its ever-expanding clinical application. Particularly noteworthy is a completely revised chapter on group treatment and an intriguing new chapter on applications in health care and other settings. This book is both a valuable treatment guide for clinicians and an excellent classroom text for students."--Arnold M. Washton, PhD, Executive Director, Recovery Options, New York City and Princeton, New Jersey
"This is a unique volume produced by leading experts in the addiction field. It presents key concepts related to the process of change and shows how they can inform treatment. The book is straightforward and highly readable, with engaging clinical examples."--Marc Galanter, MD, Director, Division of Alcoholism and Drug Abuse, New York University School of Medicine
"The path toward successful resolution of substance use problems is not an easy one. This book offers up-to-date research and clinical information focusing on processes of change when working with individuals with problematic substance use. The roadmap to change offered in this book can be used by a wide range of clinicians. Updates in the second edition address the current needs of the field and add to the utility of the book for clinicians, students, and instructors."--Shulamith Lala Ashenberg Straussner, DSW, LCSW, Silver School of Social Work, New York University
"I have been using this text for four years in my Treatment Delivery course. The text describes in detail the stages encountered in making any significant lifestyle change, and helps students conceptualize and understand the process of recovery. Students get valuable insights into how to plan interventions that assist clients to move from each stage of change to the next."--E. Michael Bartlinski, LCSW-C, Adjunct Professor of Human Services, Anne Arundel Community College, Arnold, Maryland (on the first edition)
Review
"A rock solid book. It deserves to be utilized in the best and most up-to-date addiction education programs."--Journal of Teaching in the Addictions
Review
"A superb text that provides an excellent foundation for evidence-based practices for those clinicians who work in both administrative and clinical capacities with this challenging population."--Clinical Social Work Journal
Review
"The transtheoretical model is enormously popular with practitioners and researchers in the addictions field....Readers now have an authoritative source on the clinical application of the transtheoretical model."--Journal of Studies on Alcohol
Review
"More than just a 'how-to-do' manual—readers will find it to be more of a 'how to think' book....A useful, practical, and well-written guide for both students and professionals involved in the treatment of alcohol and other drug problems. Therapists will appreciate the many clinical case studies presented throughout the text."--Addiction
Review
"This book is unique in the field of chemical dependency assessment and treatment since it is the first comprehensive application of Prochaska and DiClemente's therapeutic stages-of-change model to problems of substance abuse and treatment....Recommended for any library collecting literature on substance abuse treatment for the use of upper-division undergraduates through faculty and professionals."--Choice
Review
"Therapeutic strategies designed to increase motivation to change have gained a great deal of popularity in the substance abuse literature. However, few books have been able to combine academic rigor with practical strategies for frontline clinical work. This book accomplishes the task. From first-rate researchers, this is a comprehensive and user-friendly guide to the use of the stages of change model in alcohol and drug abuse treatment. One of the things that sets the book apart is its insightful coverage of couple and group approaches, along with individual treatment. For clinicians new to the stages of change model, as well as those experienced in the field, this is an invaluable contribution." --Roger D. Weiss, MD, Department of Psychiatry, Harvard Medical School; Clinical Director, Alcohol and Drug Abuse Treatment Program, McLean Hospital
"The stages of change model has become enormously popular among treatment providers over the last decade. This appears to be a truly worldwide phenomenon, and to apply to an increasing range of behavioral disorders--perhaps because the model immediately resonates with the experience of clinicians and clarifies for them the nature of their undertaking. There are many other books and articles in which the stages of change model has assumed a prominent place, but none has achieved what this book succeeds in doing. It presents in clear and accessible language a coherent integration of the model with the entire process of treatment for substance use disorders, from assessment and treatment planning to the management of relapse. Along the way, many key concerns in treatment are usefully reconceptualized and much of the accumulated wisdom in the field is viewed in a fresh and invigorating light." --Nick Heather, PhD, Centre for Alcohol and Drug Studies, Newcastle City Health NHS Trust and University of Northumbria at Newcastle, UK
"This unique book offers an integrative perspective on the vast body of information available in the addictions field. The authors transform information into knowledge, providing a clear framework for conducting treatment within the context of the stages of change model. With an eye toward matching assessments and interventions to the needs of diverse clients, the reader is guided systematically through a broad range of clinical ideas, tools, and techniques." --James O. Prochaska, PhD, Cancer Prevention Research Center, University of Rhode Island
Review
"It is a welcomed addition to any addiction studies classroom, and if not used as a main text it certainly needs to be listed as a creditable reference in a course syllabus....A rock solid book. It deserves to be utilized in the best and most up-to-date addiction education programs."--Journal of Teaching in the Addictions
Review
"This book is more than just a 'how-to-do' manual--readers will find it to be more of a 'how to think' book....I was impressed with the updated material on clinical assessment methods and the breadth of matched treatment options, ranging from motivational enhancement to relapse prevention....A useful, practical and well-written guide for both students and professionals."--Addiction
Synopsis
A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families.
New to This Edition
*Reflects the ongoing development of the stages-of-change model and research advances over the past decade.
*Chapter on stage-based brief interventions in health care, social service, and community settings.
*Group treatment chapter has been significantly revised.
*Expanded coverage of the change processes relevant to each stage.
Synopsis
This volume synthesizes the latest theory and research on the process of addictive behavior change, helping the clinician more effectively conceptualize and address the needs of particular clients. It offers concrete guidance for tailoring interventions to clients with varying levels of motivation or readiness to change, describing what works--and what doesn't work--at different points in the recovery process. All aspects of addictions treatment are covered, from assessment to intervention and relapse management. Practical recommendations are provided for applying the stages-of-change model to clinical work with individuals, groups, couples, and families, and for addressing the special needs of women and dually diagnosed clients. Ideal for practicing clinicians, the book is also an invaluable text for graduate-level courses.
About the Author
Gerard J. Connors, PhD, is Senior Research Scientist and former Director of the University at Buffalo Research Institute on Addictions. His clinical research interests include treatment of substance use disorders, patient-treatment matching, early interventions with heavy drinkers, the role of the therapeutic alliance in addictions treatment, and treatment outcome evaluation. Dr. Connors has authored or coauthored over 100 articles, book chapters, and books in the area of alcoholism and addictive behaviors.
Carlo C. DiClemente, PhD, is Presidential Research Professor in the Department of Psychology at the University of Maryland, Baltimore County (UMBC). He also directs the MDQuit Tobacco Resource Center and the Center for Community Collaboration at UMBC. Dr. DiClemente is the codeveloper of the stages-of-change model and the author of numerous scientific publications on motivation and behavior change with a variety of health and addictive behaviors. He is a recipient of the Innovators Combating Substance Abuse Award from the Robert Wood Johnson Foundation and the McGovern Award from the American Society of Addiction Medicine.
Mary Marden Velasquez, PhD, is Professor, Associate Dean for Research, Director of the Center for Social Work Research, and Director of the Health Behavior Research and Training Institute at the School of Social Work, University of Texas at Austin. Her work includes development of interventions in the areas of fetal alcohol spectrum disorder, alcohol and other drug abuse, group treatment for substance abuse, HIV prevention, and smoking cessation. Dr. Velasquez is the author of numerous articles and book chapters on using brief interventions to facilitate treatment adherence and promote behavior change. She is a member of the Motivational Interviewing Network of Trainers.
Dennis M. Donovan, PhD, is Director of the Alcohol and Drug Abuse Institute and Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. He has over 200 publications, including five books, in the area of alcohol and drug dependence. He served as President of the Society of Psychologists in Addictive Behaviors and is a Fellow of Division 28 (Psychopharmacology and Substance Abuse) and Division 50 (Society of Addiction Psychology) of the American Psychological Association.
Table of Contents
1. Background and Overview
2. The Stages of Change
3. Assessment
4. Treatment Planning
5. Individual Treatment
6. Group Treatment
7. Couple Treatment and Family Involvement
8. Populations with Special Needs: The Cases of Women and DUI Offenders
9. Relapse
10. Applications in Opportunistic Settings
11. Final Thoughts and Future Directions