Adolescent substance abuse and dual disorders:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1996
|
| Schriftenreihe: | Child and adolescent psychiatric clinics of North America
5,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 261 S. Ill., graph. Darst. |
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| adam_text | ADOLESCENT SUBSTANCE ABUSE AND DUAL DISORDERS
CONTENTS
Foreword xi
Melvin Lewis
Preface xiii
Steven L. Jaffe
Recent Trends and a Developmental Approach to Substance
Abuse in Adolescents 1
J. Calvin Chatlos
This article reviews the recent trend of increasing adolescent
substance use, along with other trends of early onset of substance
abuse, interrelationships of substance abuse and mental disor¬
ders, multiple interrelated risk factors, and the recent emphasis
on prevention. A developmental biopsychosocial disease model
that integrates research, prevention, and treatment is presented.
Predisposing risk factors, substance use initiation and progres¬
sion, and enabling systems are discussed. Interventions are
described along the continuum of treatment and prevention, in¬
cluding an approach of building the prevention pyramid for
coordinating primary prevention efforts.
Adolescent Substance Abuse and Sexual Abuse 29
David L. Hussey
Sexual abuse is a complex behavioral phenomenon with many
divergent repercussions. The purpose of this article is to explore
the relationship between sexual abuse and adolescent substance
abuse. Theoretic formulations as well as empiric research help
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS
OF NORTH AMERICA
VOLUME 5 • NUMBER 1 • JANUARY 1996 V
shed light on some of the phenomenologic aspects suggested by
the association between adolescent substance abuse and sexual
victimization. Strategies for screening and treating these dual
disorders are offered.
Adolescent Substance Abuse and Internalizing Disorders 45
Duncan B. Clark and Bryan Neighbors
Clinical observation suggests that anxiety and affective disorders
are important in the development and course of psychoactive
substance abuse in some adolescents. These internalizing disor¬
ders sometimes precede and may contribute to the development
of psychoactive substance use disorders. Screening for internaliz¬
ing disorders, suicide risk, and trauma history is important in the
clinical evaluation of all adolescents with psychoactive substance
use disorders. Depression and anxiety symptoms may be caused,
however, by chronic alcohol or drug consumption or withdrawal.
Therefore, a period of abstinence and reevaluation should pre¬
cede specific treatments. Specific treatment for anxiety disorders
or depression may be appropriate in some substance abusing
adolescents. Focused psychotherapeutic techniques or psycho
pharmacologic treatments can sometimes be useful adjuncts to
psychoactive substance abuse programs.
Adolescent Substance Abuse and Suicidal Behavior 59
Yifrah Kaminer
This article reviews and updates reported clinical studies on the
relationship between substance use and substance use disorders
and suicidal behavior among adolescents. Issues regarding pre¬
vention of suicidal behavior are critically discussed, and sugges¬
tions for improving interventions are addressed.
Attention Deficit Hyperactivity Disorder and the Psychoactive
Substance Use Disorders 73
Timothy E. Wilens, Joseph Biederman, and
Thomas J. Spencer
There has been increasing interest in the overlap between atten¬
tion deficit hyperactivity disorder (ADHD) and psychoactive sub¬
stance use disorder (PSUD). In this article the relationship be¬
tween PSUD and ADHD and associated concurrent disorders
such as conduct disorder is addressed. A review of the literature
suggests a robust association between ADHD and PSUD; how¬
ever, the precise nature of this association remains unclear. Diag¬
nostic and treatment strategies for adolescents and adults with
ADHD plus PSUD are discussed.
Aggression, Violence, and Substance Abuse in Adolescents 93
Oscar G. Bukstein
Adolescents who use or abuse alcohol and other drugs often
manifest aggressive and violent behavior. The relationship be
Vi CONTENTS
tween adolescent substance use and aggression is complex, influ¬
encing the course of substance use disorders and the risk for
these disorders among adolescents. The presence of aggressive
behavior in adolescents with substance use disorders points to
the need for comprehensive treatments targeting aggression, sub¬
stance use, and other problems affecting the psychosocial func¬
tioning of adolescents.
Comorbidity of Substance Abuse and Psychotic Disorders:
Focus on Adolescents and Young Adults 111
Robert P. Milin
The relationship between psychotic and substance use disorders
is interactive and often synergistic, giving rise to increased patient
psychopathology and chronicity, especially in young adults. This
article is intended to raise awareness of this relationship, focusing
on adolescents and young adults. The onset of these disorders
and the beginning of the history of treatment frequently occur in
adolescence. Treatment issues also are discussed.
Medical Considerations in Child and Adolescent Substance
Abuse: Medical Complications, Pain Management, and
Emergency Treatment 123
Mary Lynn Dell
This article addresses medical aspects of substance use, abuse,
and dependence, in three sections—medical complications of
abuse and dependence in relatively healthy individuals, the use
of abusable chemicals and medications in medically ill children,
and emergency room presentation and assessment of the physical
manifestations of substance abuse and dependence.
Helping the Resistant Adolescent Enter Substance Abuse
Treatment: The Office Intervention 149
George W. Bailey
Most adolescents and their families are resistant to entering treat¬
ment for substance abuse. There are many reasons for this. One
predictor of how well an adolescent and his or her family will do
in substance abuse treatment is how well prepared they are to
enter treatment. This article provides a step by step intervention
technique that may be used in the child and adolescent
psychiatrist s office to assist the adolescent and the family with
this process.
Twelve Step Treatment from a Development Perspective 165
Deborah Risher Simkin
This article describes important developmental issues that should
be considered when treating substance abusing adolescents in a
12 step program.
CONTENTS vii
Treatment Strategies with Substance Abusing Adolescents 177
Peter R. Cohen
Strategizing treatment interventions with chemically dependent
teenagers and their families is challenging and frustrating. Profes¬
sionals are encouraged to examine the following frames of refer¬
ence using a biopsychosocial perspective: diagnosis, individual
development, knowledge about substance abuse and addiction,
stages of recovery and relapse prevention, family dynamics, sys¬
tems of support in the community, financial limitations, and
administrative organization. This article uses a case history to
highlight this strategic process.
Multisystemic Therapy for Adolescent Substance Abuse and
Dependence 201
Susan G. Pickrel and Scott W. Henggeler
Empiric models demonstrate that adolescent substance abuse is
multiply determined. Multisystemic therapy is a social ecologic
model of treatment that addresses the multisystemic factors in¬
volved in the generation of substance abuse and dependence
in adolescents. This article contains the principles of generating
multisystemic interventions, with illustrative case examples.
Preventing Relapse: Guidelines for the Psychiatrist 213
Steven L. Jaffe
Preventing relapse first means establishing a state of recovery.
This involves completing the first step of a 12 step program,
whereby a teenager accepts that alcohol and drugs have been so
destructive in his or her life that he or she needs to be abstinent.
Moderate use is not possible if the teenager is at the stage of
severe abuse or chemical dependency. Being around alcohol and
drug abusing friends and the presence of psychiatric disorders
are the most common causes of relapse.
Adolescent Substance Abuse Treatment and Managed Care 221
Linda Semlitz
To understand the clinical ramifications of managed care and
managed competition, one must first understand the history of
the traditional fee for service system and its steady transforma¬
tion in the procompetition movement. This article describes the
history and operations model of managed care as well as delineat¬
ing its impact on adolescent substance abuse treatment planning
and care delivery. The role of assessment, outcome, treatment
planning, and treatment matching documentation is reviewed.
Finally, the ethical issues in managed care are discussed.
Viii CONTENTS
The Challenge Model: Working With Strengths in Children
of Substance Abusing Parents 243
Sybil Wolin and Steven J. Wolin
This article presents the Challenge Model, a new clinical para¬
digm for evaluating the children of alcoholics and other sub¬
stance abusing parents. Unlike traditional risk paradigms, the
Challenge Model incorporates both the resilience and the vulnera¬
bilities that can result when children struggle against hardship
early in life. A developmental vocabulary of strengths is provided
for child and adolescent psychiatrists to use in research, clinical
thinking, and treatment and prevention efforts with children of
alcoholics.
Index 257
Subscription Information Inside back cover
CONTENTS ix
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| spellingShingle | Adolescent substance abuse and dual disorders Child and adolescent psychiatric clinics of North America Drogenabhängigkeit (DE-588)4138597-4 gnd Psychotherapie (DE-588)4047746-0 gnd Jugend (DE-588)4028859-6 gnd Drogenmissbrauch (DE-588)4070587-0 gnd Psychische Störung (DE-588)4047686-8 gnd |
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| title | Adolescent substance abuse and dual disorders |
| title_auth | Adolescent substance abuse and dual disorders |
| title_exact_search | Adolescent substance abuse and dual disorders |
| title_full | Adolescent substance abuse and dual disorders Steven L. Jaffe, guest ed. |
| title_fullStr | Adolescent substance abuse and dual disorders Steven L. Jaffe, guest ed. |
| title_full_unstemmed | Adolescent substance abuse and dual disorders Steven L. Jaffe, guest ed. |
| title_short | Adolescent substance abuse and dual disorders |
| title_sort | adolescent substance abuse and dual disorders |
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