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Addiction Recovery Management

E-BookPDF1 - PDF WatermarkE-Book
326 Seiten
Englisch
Humana Presserschienen am08.07.20142011
Addiction Recovery Management: Theory, Research, and Practice is the first book on the recovery management approach to addiction treatment and post-treatment support services. Distinctive in combining theory, research, and practice within the same text, this ground-breaking title includes authors who are the major theoreticians, researchers, systems administrators, clinicians and recovery advocates who have developed the model. State-of-the art and the definitive text on the topic, Addiction Recovery Management: Theory, Research, and Practice is mandatory reading for clinicians and all professionals who work with patients in recovery or who are interested in the field.mehr
Verfügbare Formate
BuchKartoniert, Paperback
EUR128,39
E-BookPDF1 - PDF WatermarkE-Book
EUR117,69

Produkt

KlappentextAddiction Recovery Management: Theory, Research, and Practice is the first book on the recovery management approach to addiction treatment and post-treatment support services. Distinctive in combining theory, research, and practice within the same text, this ground-breaking title includes authors who are the major theoreticians, researchers, systems administrators, clinicians and recovery advocates who have developed the model. State-of-the art and the definitive text on the topic, Addiction Recovery Management: Theory, Research, and Practice is mandatory reading for clinicians and all professionals who work with patients in recovery or who are interested in the field.
Details
Weitere ISBN/GTIN9781603279604
ProduktartE-Book
EinbandartE-Book
FormatPDF
Format Hinweis1 - PDF Watermark
FormatE107
Erscheinungsjahr2014
Erscheinungsdatum08.07.2014
Auflage2011
ReiheCurrent Clinical Psychiatry
Seiten326 Seiten
SpracheEnglisch
IllustrationenXII, 326 p. 22 illus., 4 illus. in color.
Artikel-Nr.1713874
Rubriken
Genre9200

Inhalt/Kritik

Inhaltsverzeichnis
1;Foreword;6
2;Contents;8
3;Contributors;10
4;Chapter 1: Introduction: The Theory, Science, and Practice of Recovery Management;14
4.1;Introduction;14
4.2;References;19
5;Part I: Theoretical Foundations of Recovery Management;20
5.1;Chapter 2: Addiction Treatment and Recovery Careers;21
5.1.1;Introduction;21
5.1.2;A Life Course Conceptual Framework;22
5.1.3;Drug Use Trajectories;23
5.1.3.1;Drug Use Trajectories Among the General Population;24
5.1.3.2;Drug Use Trajectories Among Drug-Dependent Users;25
5.1.3.3;Distinctive Trajectories Among Drug Users;25
5.1.4;Recovery Careers;27
5.1.4.1;Conceptualization and Definitions of Recovery;27
5.1.4.2;Long-Term Follow-Up Studies Informing Recovery;28
5.1.4.3;Predictors of Recovery;28
5.1.4.4;Theory-Based Processes Promoting Recovery;30
5.1.5;Addiction Treatment;31
5.1.5.1;Current Treatment Services for Drug Addiction;32
5.1.5.2;Treatment Outcomes and Cumulative Treatment Effects;32
5.1.5.3;Emerging Long-Term Care Models;33
5.1.5.3.1;Long-Term Care Interventions;34
5.1.5.3.2;Recovery-Oriented Systems of Care;34
5.1.6;Implications and Future Research;35
5.1.6.1;Improving Understanding of Recovery;36
5.1.6.2;Developing Empirically Based Long-Term Care Strategies;36
5.1.7;Summary;37
5.1.8;References;38
5.2;Chapter 3: Integrating Addiction Treatment and Mutual Aid Recovery Resources;42
5.2.1;Introduction;43
5.2.2;Brief History of 12-Step Treatment;43
5.2.3;Individual Format;44
5.2.3.1;Project MATCH;44
5.2.3.2;Intensive Referral;45
5.2.3.3;Motivational Interviewing;46
5.2.3.4;Individual TSF for Cocaine Dependence;46
5.2.3.5;Twelve-Step Directive;47
5.2.4;Group Format;47
5.2.4.1;Group Project MATCH;47
5.2.4.2;Group TSF for Cocaine Dependence;48
5.2.4.3;Making AA Easier/MAAEZ;48
5.2.4.4;Differences in Sub-group Effects;49
5.2.5;Summary of Key Points;51
5.2.6;References;51
5.3;Chapter 4: Processes that Promote Recovery from Addictive Disorders;55
5.3.1;Introduction;55
5.3.2;Theoretical Perspectives;56
5.3.2.1;Social Control Theory;56
5.3.2.2;Social Learning Theory;57
5.3.2.3;Stress and Coping Theory;57
5.3.2.4;Behavioral Economics and Behavioral Choice Theory;57
5.3.3;Active Ingredients of Community Contexts;58
5.3.3.1;Support, Goal Direction, and Structure;58
5.3.3.1.1;Family Processes;58
5.3.3.1.2;Friends and Broader Social Contexts;59
5.3.3.2;Abstinence-Oriented Norms and Models;60
5.3.3.2.1;Family Norms and Models;60
5.3.3.2.2;Friend and Peer Norms and Models;61
5.3.3.3;Self-Efficacy and Coping Skills;61
5.3.3.4;Rewarding Activities;62
5.3.4;Active Ingredients of Self-help Groups;63
5.3.4.1;Support, Goal Direction, and Structure;63
5.3.4.2;Abstinence-Oriented Norms and Models;65
5.3.4.3;Self-Efficacy and Coping;65
5.3.4.4;Rewarding Activities;67
5.3.5;Common Components of Stable Recovery;68
5.3.6;Future Directions;68
5.3.6.1;Specifying Linkages Between Protective Resources and Recovery;69
5.3.6.2;Clarifying Connections Between Treatment and Protective Resources;70
5.3.6.3;Tailoring Treatment to Strengthen Resources that Promote Recovery;70
5.3.7;Conclusion;71
5.3.8;Key Points;71
5.3.9;References;72
5.4;Chapter 5: Recovery Management: What If We Really Believed That Addiction Was a Chronic Disorder?;77
5.4.1;Introduction;78
5.4.2;Addiction as a Chronic Disorder;78
5.4.3;Recovery as a Time-Sustained Process;80
5.4.4;Evolution of the Acute Care Model of Addiction Treatment;81
5.4.5;Recovery Management: Long-Term Recovery as an Organizing Image;82
5.4.6;Changes in Service Practices;82
5.4.6.1;Attraction/Access to Treatment;83
5.4.6.2;Assessment and Level of Care Placement;84
5.4.6.3;Composition of the Service Team;84
5.4.6.4;Service Relationships/Roles;85
5.4.6.5;Service Dose, Scope, and Duration;86
5.4.6.6;Locus of Service Delivery;86
5.4.6.7;Linkage to Communities of Recovery;87
5.4.6.8;Posttreatment Monitoring, Support, and Early Reintervention;88
5.4.7;Summary;89
5.4.8;Key Points;89
5.4.9;References;90
6;Part II: Research Approaches and Findings;95
6.1;Chapter 6: Recovery Management Checkups with Adult Chronic Substance Users;96
6.1.1;Introduction;97
6.1.2;Challenges for Managing Addiction as a Chronic Condition;97
6.1.2.1;Models of Ongoing Monitoring and Early Reintervention;97
6.1.2.2;Tracking, Assessing, Linking, Engaging, and Retaining;98
6.1.2.3;Study Overview;99
6.1.2.4;Evolution of the RMC Protocol from Experiments 1 to 2;100
6.1.3;The TALER Protocol: A Platform for Implementing RMC;101
6.1.4;Impact of RMC on the Course of Addiction;103
6.1.5;Discussion;106
6.1.6;Implications;107
6.1.7;Summary of Key Points;107
6.1.8;References;108
6.2;Chapter 7: Assertive Continuing Care for Adolescents;111
6.2.1;Introduction;112
6.2.2;Treatment System Barriers to Continuing Care;113
6.2.3;Assertive Approaches to Continuing Care;117
6.2.4;Additional Key Features of ACC;120
6.2.5;Research on Assertive Continuing Care;122
6.2.5.1;Assertive Continuing Care: Initial Study;122
6.2.5.2;Assertive Continuing Care: Second Study;124
6.2.5.3;ACC Research to Validate Continuing Care Performance Measure;125
6.2.6;Does Rapid CC Initiation Improve Outcomes for Residential Treatment Noncompleters?;127
6.2.7;Current and Future Research on Assertive Approaches to Continuing Care;129
6.2.8;Summary;130
6.2.9;References;132
6.3;Chapter 8: Long-Term Trajectories of Adolescent Recovery;135
6.3.1;Introduction;136
6.3.2;What Happens to Teens After Drug and Alcohol Treatment?;136
6.3.3;What Predicts Adolescent Recovery After Treatment?;140
6.3.4;Recovery Without Treatment for Adolescents;140
6.3.5;Common Patterns of Recovery in Nontreated Youth;141
6.3.6;Predictors of Recovery in Nontreated Samples;144
6.3.7;Conclusions and Directions for the Development of Recovery Models;145
6.3.8;Key Points;147
6.3.9;References;148
6.4;Chapter 9: Residential Recovery Homes/Oxford Houses;151
6.4.1;The Oxford House Story;151
6.4.1.1;Origin and Nature of Oxford Houses;152
6.4.1.2;Participatory Action Approach;153
6.4.1.3;Economic Issues;156
6.4.1.4;Sustainability;160
6.4.1.5;Oxford House and Gender Roles;161
6.4.1.6;Psychiatric Comorbidity;163
6.4.2;Conclusions and Future Directions;165
6.4.3;Key Points;167
6.4.4;Authors´ Notes;167
6.4.5;References;167
6.5;Chapter 10: Continuing Care and Recovery;170
6.5.1;Introduction;171
6.5.2;What Contributes to the Chronic Nature of Substance Use Disorders?;171
6.5.3;What Are the Implications of Having a Chronic Disorder?;172
6.5.4;Research Findings on the Effectiveness of Continuing Care;173
6.5.5;Limitations of Published Research on Continuing Care;174
6.5.5.1;Focus on Inpatient Samples;174
6.5.5.2;Focus on Treatment Completers;175
6.5.5.3;Focus on Traditional Treatment Models;175
6.5.5.4;Failure to Consider Which Patients Most Need Continuing Care;175
6.5.5.5;Focus on Conventional Approaches to Continuing Care;176
6.5.5.5.1;Deficits vs. Strengths;176
6.5.5.5.2;Little Consideration of Patients´ Preference;177
6.5.5.5.3;Fixed vs. Flexible;177
6.5.6;Problems Further Upstream;178
6.5.6.1;The Engagement Problem;178
6.5.6.2;The Retention Problem;178
6.5.6.3;The Transition Problem;179
6.5.7;What We Really Know About Continuing Care and Recovery;179
6.5.8;A New Generation of Continuing Care Studies;179
6.5.9;Possible Solutions to Problems of Engagement and Retention;183
6.5.9.1;Reduce Patient Burden in Continuing Care Whenever Possible;183
6.5.9.2;Provide Incentives for Participation;184
6.5.9.3;Use Leverage When Available;184
6.5.9.4;Combine Continuing Care with Other Services;185
6.5.9.5;Actively Link Patients to Other Recovery Supports;185
6.5.10;Making Continuing Care More Recovery-Oriented;186
6.5.11;Summary;187
6.5.12;References;188
7;Part III: Recovery Management in Practice;191
7.1;Chapter 11: Recovery-Focused Behavioral Health System Transformation: A Framework for Change and Lessons Learned from Philadelpia;192
7.1.1;Introduction;192
7.1.2;The History of Recovery-Focused Transformation in Philadelphia;193
7.1.3;The Case for a Guiding Framework;194
7.1.3.1;Models of Approaching Systems Transformation;194
7.1.3.1.1;The Additive Approach;194
7.1.3.1.2;The Selective Approach;195
7.1.3.1.3;The Transformative Approach;195
7.1.4;Overview of the Change Framework;196
7.1.5;Strategies that Advance Conceptual Alignment;197
7.1.5.1;Establish a Sense of Urgency;197
7.1.5.2;Form Powerful Guiding Coalitions to Assist with Developing a Vision;198
7.1.5.3;Connect the Vision to Other Initiatives and Over Communicate it Times Ten;199
7.1.5.4;Ensure that Stakeholders Understand the Nature of Transformational Change;199
7.1.5.5;Utilize a Transparent and Participatory Approach at All Times;200
7.1.5.6;Create Forums for Knowledge Sharing and Exploration of New Ideas;201
7.1.5.7;Address Perceived Loss and Facilitate Engagement;201
7.1.5.8;Mobilize the Early Adopters and Recovery Champions;202
7.1.6;Strategies that Advance Practice Alignment;203
7.1.6.1;Establish Priorities;203
7.1.6.2;Identify Practice Changes Associated with the Priorities;203
7.1.6.3;Develop Mechanisms for Attitudinal Change and Skill Building;205
7.1.6.4;Empower All Stakeholders;205
7.1.6.5;Create Short-Term Wins;206
7.1.6.6;Celebrate the Successes;207
7.1.7;Strategies that Advance Contextual Alignment;207
7.1.7.1;Align Organizational Structure;208
7.1.7.2;Address Policy and Fiscal Issues for Long-Term Sustainability;208
7.1.7.3;Strengthen the Community and Build Indigenous Recovery Capital;209
7.1.7.4;Move Beyond the Choir - Link It to Other Political Agendas;210
7.1.8;Summary;210
7.1.9;References;211
7.2;Chapter 12: Connecticut´s Journey to a Statewide Recovery-Oriented Health-care System: Strategies, Successes, and Challenges;214
7.2.1;Introduction;215
7.2.2;New Collaboration Sets the Stage for the Recovery Movement;216
7.2.2.1;Phase I: Determine Direction;216
7.2.2.1.1;Core Values and Premises;216
7.2.2.1.2;Define Recovery and Establish Policy;218
7.2.2.1.3;Identify DMHAS as a Health-care Service Agency;219
7.2.2.1.4;Establish a Strategic Action Plan;219
7.2.2.2;Phase II: Initiate and Implement Change in System Integration;221
7.2.2.2.1;Spread the Word;221
7.2.2.2.2;Quality Improvement and Collaboration;222
7.2.2.2.3;Identify and Apply Tools for Change;224
7.2.2.2.4;Have a ``Recovery Plan´´ to Protect the Overall Strategic Goal;227
7.2.2.2.5;Complete a Lessons Learned Initiative;228
7.2.2.2.6;Expand the Resource Base Beyond State Funding;228
7.2.2.3;Phase III: Increase Depth, Complexity, and Preparedness for Future Phase;229
7.2.2.3.1;Access to Recovery;229
7.2.2.3.2;Finance and Quality Models;231
7.2.2.3.3;Connect the Dots;234
7.2.2.3.4;Organizational Structure and Business Plan;235
7.2.3;Key Points:;237
7.2.4;References;238
7.3;Chapter 13: Implementing Recovery Management in a Treatment Organization;240
7.3.1;Introduction;241
7.3.2;BHRM Project;241
7.3.2.1;Implementing BHRM Principles at Fayette Companies;243
7.3.2.2;Changing Organizational and Administrative Structures;245
7.3.2.3;Integrating Treatment for Addiction, Mental Health, and Physical Conditions;245
7.3.2.4;Addressing Culture;246
7.3.2.5;Reimbursement and Regulatory Challenges;247
7.3.3;The Recovery Coach Model;248
7.3.3.1;Recovery Capital;248
7.3.3.2;Research on Case Management;249
7.3.3.3;Recovery Coach Program at Fayette;250
7.3.3.4;Research on the Recovery Coach Model;252
7.3.4;Challenges and Modifications of the Recovery Coach Model;254
7.3.4.1;Adapting a Consumer-Driven Model to a Professional-Driven Treatment Program;254
7.3.4.2;Maintaining Fidelity of the Recovery Coach Program;255
7.3.5;Next Steps in Fayette Companies´ Transformation;256
7.3.5.1;Development and Utilization of New Technologies;256
7.3.5.2;Restructuring Residential Treatment;257
7.3.5.3;Outpatient Buprenorphine-Assisted Program;259
7.3.5.4;True-North Solutions Outpatient Program;259
7.3.6;Lessons Learned;260
7.3.7;References;261
7.4;Chapter 14: Peer-Based Recovery Support Services Within a Recovery Community Organization: The CCAR Experience;264
7.4.1;Introduction;264
7.4.2;The Beginning;265
7.4.3;The Early Years: Planning and Organizing;267
7.4.3.1;Foundational Principals;269
7.4.3.1.1;You Are in Recovery if You Say You Are;269
7.4.3.1.2;There Are Many Pathways to Recovery;270
7.4.3.1.3;Focus Is on the Recovery Potential, Not the Pathology;270
7.4.3.1.4;Err on the Side of the Recoveree;270
7.4.3.1.5;Err on the Side of Being Generous;271
7.4.4;The Recovery Community Center;271
7.4.4.1;Core Elements of a RCC: Overview;271
7.4.4.2;Site;273
7.4.4.3;Administration;273
7.4.4.4;Programming;274
7.4.4.5;Volunteers;275
7.4.4.6;General;275
7.4.5;Volunteer Management System;275
7.4.6;Telephone Recovery Support;276
7.4.7;Recovery Coaching;278
7.4.8;Recovery Housing Project;280
7.4.9;Recovery-Oriented Employment Services;281
7.4.10;All-Recovery Groups;282
7.4.10.1;Winners Circle Support Group;282
7.4.10.2;Family Education and Support;282
7.4.11;Recovery Training Series;282
7.4.12;Peer-Led Recovery Social Activities;283
7.4.13;Integrating CCAR Activities with Addiction Treatment;283
7.4.14;Key Points;284
7.4.15;References;284
7.5;Chapter 15: The Physician Health Program: A Replicable Model of Sustained Recovery Management;285
7.5.1;The PHP Concept and Its Applicability to the General Population;286
7.5.2;History of PHPs;289
7.5.3;Care Management;290
7.5.4;The PHP Model;291
7.5.5;Key Ingredients;293
7.5.6;Summary of Results of a National Study of PHPs;295
7.5.6.1;Phase I;295
7.5.6.2;Phase II;296
7.5.7;Wider Applicability of the PHP System of Care Management;298
7.5.8;Barriers to Wider Application of the PHP Model of Care Management;299
7.5.9;Summary;301
7.5.10;Key Points;302
7.5.11;References;302
8;Part IV: Future Directions in Recovery Management;304
8.1;Chapter 16: Recovery Management and the Future of Addiction Treatment and Recovery in the USA;305
8.1.1;Introduction;306
8.1.2;What is Recovery? Definition and Conceptual Boundaries;306
8.1.3;RM and ROSC Within the Broad Range of Approaches to Substance-Related Problems;307
8.1.4;Models of, and Benefits from, RM and ROSC Transformation and Implementation Initiatives;309
8.1.5;Adoption, Implementation, and Maintenance of RM and ROSC;310
8.1.6;Deepening and Broadening the Transformation to RM and ROSC;314
8.1.7;Conclusions;314
8.1.8;References;315
9;Appendix;319
9.1;RM and ROSC Web Resources;319
10;Index;320mehr