Alcohol Facts

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Getting Though Acute WithdrawalThumbnail
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An Addict's Brain is a Changed Brain Thumbnail
Men's Alcoholism Treatment Thumbnail
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Teen Boy's Treatment Thumbnail
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Links

Problem gambling resources

National Institute on Alcohol Abuse and Alcoholism

National Institute on Drug Abuse

National Statistics on Teenage Alcohol and Drug Use

National Clearinghouse for Alcohol and Drug Information

National Directory of Drug Abuse and Alcoholism Treatment and Prevention Programs Facility Locator

National Council on Alcoholism and Drug Dependence

Alcoholics Anonymous

Narcotics Anonymous

Cocaine Anonymous

Gamblers Anonymous

Gambling Information

Smart Recovery

Sober Recovery Links

Faith-Based Addiction Curriculum

Christians in Recovery

Faces and Voices of Recovery

Counselor.Org

Love First: A New Approach to Intervention for Alcoholism and Drug Addiction

Alcoholics Anonymous

Narcotics Anonymous

Find an AA meeting close to you

Online AA meetings

Safe Driving Program

Take the first step in recovery

Thriving Recovery DVD's about how joy restores your brain and heals trauma

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Acupuncture for alcohol and other addictions

DrugAlert.org

Drug Information

 

Freedom From Addicton

Alcohol Facts

Alcoholism Treatment Video: Getting Through Acute Withdrawal


Alcoholism Treatment Video: Twenty Questions About Alcohol Abuse

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has developed the following low-risk drinking guidelines:

Alcoholism develops slowly over a patient’s lifetime and it can begin at any age. It often occurs in individuals with no history of psychological problems. When the substance causing addiction is readily available, inexpensive, and rapid acting, abuse will increase. Whenever the individual is ignorant of healthy alcohol use, susceptible to heavily using peers, or has a high genetic predisposition to abuse or to antisocial personality disorder, abuse may increase. This is also true if the patient is poorly socialized into the culture, in pain, or if the culture makes the substance the recreational drug of choice.
Risk Factors
Risk factor 1: Alcohol is readily available.
Risk factor 2: Alcohol is cheap.
Risk factor 3: Alcohol reaches the brain quickly.
Risk factor 4: Alcohol is effective as a tranquilizer.
Risk factor 5: Alcoholism is more common in certain occupations (bartending).
Risk factor 6: Drinking peer group.
Risk factor 7: Alcohol is preferred in deviant subcultures.
Risk factor 8: Social instability.
Risk factor 9: Genetic predisposition.
Risk factor 10: Dysfunctional families.
Risk factor 11: Comorbid psychiatric disorders (Vaillant, 2003).
How to diagnose an alcohol problem
            In the assessment, you must determine if the patients fit into your range of experience and care. Do you have the ability to help them with their problem or do you need to refer? Do they have a problem with chemicals? Are they motivated to get better? Do they have the resources necessary for treatment? Are they well enough to see you? For the most part, you will start by asking yourself certain basic questions: Does this person have a problem with alcohol? Does she or he need treatment? Is he or she motivated for treatment? What kind of treatment does she or he need? For the benefit of third party payors, it is important to use assessment instruments to properly document (1) diagnosis, (2) severity of addiction, and (3) motivation and rehabilitation potential. Reviewers will often have more faith in a test battery than your clinical opinion. 
There are a number of companies that sell inexpensive, disposable breathalyzers and drug screening instruments, including Prevent (1-800-624-1404); Bi-TechNostix (1-888-339-9964); Random Drug Screens, Inc. (1-803-772-0027); Drug Screens, Inc. (1-800-482-0693) and many others. Order a number of these tests and have them readily available for assessment, treatment and continued care monitoring. Positive tests are only suggestive of drug and alcohol use so before any legal or workplace action is taken, the test should be confirmed by both an approved immunoassay and gas chromatography/mass spectrometry, which can be administered and analyzed by a healthcare provider (? Ron—where do you get these results?). 
Two quick screening tests for alcoholism have been developed: the Short Michigan Alcoholism Screening Test SMAST (Appendix 2) and the CAGE Questionnaire (Appendix 1), (Journal of Studies on Alcohol, 1975; Ewing, 1984). The SMAST is a 13-question version of the original Michigan Alcoholism Screening Test (MAST). The SMAST has been shown to be as effective as the MAST. It has greater than 90% sensitivity to detect alcoholism. It can be administered to either the patient or the spouse.
The Substance Abuse Subtle Screening Inventory (SASSI) (1-800-726-0526) (http://www.sassi.com) was developed to screen patients when defensive and in denial. The SASSI measures defensiveness and the subtle attributes that are common in chemically dependent persons. It is a difficult test to fake, unlike the MAST or the CAGE. Patients can complete the SASSI in ten to 15 minutes, and it takes a minute or two to score. It identifies accurately 98% of patients who need residential treatment, 90% of non-users, and 87% of early stage abusers. This is a good test for those patients with whom you are still unsure about the diagnosis after your first few interviews, patients who continue to be evasive (G. A. Miller, 1985).
The Addiction Severity Index (ASI) and the Teen-Addiction Severity Index (T-ASI) (1-215-399-0980) are widely used, structured interviews for adults and teens, which are designed to provide important information about the severity of the patient's substance abuse problem. These instruments assess seven dimensions typically of concern in chemical dependency, including medical status, employment/support status, drug/alcohol use, legal status, family history, family/social relationships, and psychiatric status. The tests are designed to be administrated by a trained technician and take about an hour. The ASI is an excellent tool for delineating the patient’s case management needs (McLellan, Luborsky & Woody, 1980; Kaminer, Bukstein, & Tarter, 1991).
The Adolescent Alcohol Involvement Scale (AAIS) is a 14-item, self-report questionnaire that takes about 15 minutes to administer. It evaluates the type and frequency of drinking, the last drinking episode, reasons for the onset of drinking behavior, drinking context, short- and long-term effects of drinking, perceptions about drinking and how others perceive his or her drinking (Mayer & Filstead, 1979).
The Adolescent Drinking Index (ADI) (1-813-968-3003) is a 24-item, self-administered test that evaluates problem drinking in adolescents through assessment of psychological symptoms, physical symptoms, social symptoms and loss of control (Harrell, Honaker & Davis, 1991).
The RAATE-CE (Mee-Lee, Hoffman & Smith, 1992) (1-800-755-6299) is a 35-item scale that assesses treatment readiness and examines patient awareness of problems, behavioral intent to change, capacity to anticipate future treatment needs and medical, psychiatric or environmental complications. The RAATE-CE determines the patient’s level of acceptance and readiness to engage in treatment and targets impediments to change.
How to Intervene

Positive and Negative Prognostic Factors
Positive Prognostic Factors

Negative Prognostic Factors

 

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Chemical Dependency Counseling: A Practical Guide, 5th EditionChemical Dependency Counseling: A Practical Guide, Fifth Edition: is a best-selling comprehensive guide for counselors and front-line professionals who work with the chemically dependent and addicted in a variety of treatment settings. The text shows the counselor how to use the best evidence-based treatments available, including motivational enhancement, cognitive behavioral therapy, skills training, medication and 12 step facilitation. Guiding the counselor step-by-step through treatment, this volume presents state-of-the-art tools, and forms and tests necessary to deliver outstanding treatment and to meet the highest standards demanded by accrediting bodies.

The Alcoholism and Drug Abuse Client Workbook, Third Edition:An evidence-based program that uses treatments including motivational enhancement, cognitive-behavioral therapy, skills training, medication, and 12-step facilitation. It provides a venue for clients to write down their thoughts and experiences as they progress through treatment.

The Gambling Addiction Client Workbook, Third EditionThe Gambling Addiction Client Workbook, Third Edition:An evidence-based program that uses treatments including motivational enhancement, cognitive-behavioral therapy, skills training, medication, and 12-step facilitation. This workbook walks clients through self-reflective activities and exercises meant to help them recognize the underlying motivations and causes of their gambling addiction and to learn the tools necessary for recovery. The Third Edition of this workbook includes coverage of all 12 steps of recovery. Chapters focused on honesty and relapse prevention as well as a personal recovery plan contribute to client success.

Treating Alcoholism: Helping Your Clients Find the Road to Recovery

Treating Alcoholism: Helping Your Clients Find the Road to Recovery:

Alcoholics are one of the most difficult client groups to treat effectively. To preserve their way of life, they may lie about their problem or deny that one exists; that is the nature of this profoundly powerful disease. Yet if you can guide each of your clients through their own resistance towards the truth, not only will you be rewarded with starting them on the road to recovery, you will no doubt have saved their life as well. Achieving such a victory goes to the heart of being an addiction counselor; it is the experience of healing on a direct and tangible level.

Treating Alcoholism provides a complete road map for assessing, diagnosing, and treating this multifaceted and tenacious illness. Detailed clinical information on the disease accompanies ready-to-use tools for practice. With a special emphasis on the 12 Steps of Alcoholics Anonymous, the author walks you through the first five steps of this established methodology in comprehensive detail, showing how to easily apply each one to treatment.

The Big Book of Alcoholics Anonymous says that only God can relieve the illness of addiction. Here are a few spiritual tools to help you:

God Talks to You: Second Editionamazon_assoc_imageGod Talks To You: Second Edition:Teaches you how to hear God's voice and details the spiritual path forward. Includes spiritual tests, prophets, prayer, meditation, contemplation and how to find a spiritual friend.

amazon_imageamazon_assoc_imagePeace Will Come CD Sit back and let the words and music sink into your soul. Come back often and play the songs over and over again. You won't be sorry. God will teach you many things you need to know.

 

 

amazon_imageamazon_assoc_imageA Communication From God: A meditation tape that will give you long communications from God. The tape takes you through two exercises where God speaks to you directly.

Addiction stops your spiritual progress.

Begin a new spiritual journey:www.godtalkstoyou.com

Read the latest research for a school paper or project from the National Library of Medicine

 

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