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OverviewRecent studies have shown combined addiction treatments to be more effective than either medication or talk therapy alone. This practical manual presents an empirically supported 6-stage framework for managing biopsychosocial treatment of alcohol and drug dependence. The BRENDA approach helps practitioners integrate emerging and established psychosocial and medical intervention approaches into a comprehensive treatment program that is tailored to the needs of the individual patient. Fully compatible with cognitive-behavioral and 12-step treatment models, BRENDA incorporates the use of newly developed medications, such as naltrexone, that target the biological underpinnings of addiction. The approach has been demonstrated effective in more than 80% of alcohol dependent referrals to the authors' treatment program. Illustrated with extended case examples, the manual describes how to conduct a thorough evaluation and assessment, select appropriate interventions, enhance the patient's motivation to change, coordinate service delivery with other providers as needed, and maximize treatment compliance. Full Product DetailsAuthor: Joseph R. Volpicelli , Helen M. Pettinati , A. Thomas McLellan , Charles P. O'BrienPublisher: Guilford Publications Imprint: Guilford Publications Dimensions: Width: 15.20cm , Height: 1.90cm , Length: 22.90cm Weight: 0.504kg ISBN: 9781572306189ISBN 10: 1572306181 Pages: 208 Publication Date: 03 May 2001 Audience: College/higher education , Undergraduate , Postgraduate, Research & Scholarly Format: Hardback Publisher's Status: Out of Print Availability: Awaiting stock ![]() Table of ContentsI. The BRENDA Approach and How to Use It 1. The Biopsychosocial Understanding of Addiction 2. Managing Addiction Treatment Using the BRENDA Approach 3. Biopsychosocial Assessment: How to Conduct It 4. The Report: How to Prepare and Present the Assessment Results 5. Empathetic Understanding: Listening to the Patient 6. Needs: Indentifying Patient Needs and Priorities 7. Direct Advice: Matching Needs to Treatment Options 8. Assessment of the Patient's Reaction to Advice: Adjusting Advice to Patient Response 9. Dealing with Pharmacotherapy and Medication Compliance Issues 10. Applying the BRENDA Stages to Early Recovery Issues 11. Applying the BRENDA Stages to Later Recovery Issues II. The BRENDA Approach in Action 12. The Case of Bill: A Successful Businessman with Alcohol Addiction 13. The Case of Alissa: Cocaine and Alcohol Addiction with Severe Psychosocial Complications 14. The Case of Stephen: A Binge Drinker/Precontemplator APPENDIX A: Instruments Cage Questionnaire Alcohol Use Disorders Identification Test (AUDIT) Substance Use Disorders Screen Psychological Distress Inventory--32 (PDI-32) APPENDIX B: Naltrexone Pharmacotherapy for Alcohol Dependence Dosage and Administration Pharmacokinetics/Mechanism of Action Drug Interaction Precautions Side Effects Contraindications Patients' Frequently Asked Questions about Naltrexone Medication Tips for PatientsReviewsThis is a groundbreaking book--the first in the field to provide a clear, clinically useful, and practical explication of how to enhance patient compliance with medication and addictions treatment. While there have been other publications that have addressed this important issue in the age of increasing attention to neurobiological treatments for addiction, none has been as comprehensive or as solidly grounded in research findings. It is a 'must read' for all clinicians working with addicted patients in settings where medications are a part of treatment, or where other treatment compliance issues are important to address. It will also be useful in professional training for physicians, psychologists, social workers, and addiction counselors. --Frederick Rotgers, PsyD, Assistant Chief Psychologist, Smithers Addiction Treatment and Research Center, St. Luke's-Roosevelt Hospital Center, New York, NY This book describes treatment principles that are helpful to 80% of drug and alcohol patients! Within the BRENDA approach, psychosocial and pharmacological treatment choices are individualized, with emphasis on naltrexone for alcohol addiction. These talented researcher-practitioners have produced a much-needed guide that will be readily understood and used in practice and teaching by psychologists, counselors, social workers, nurse practitioners, and others. --Lester Luborsky, PhD, Professor of Psychology in Psychiatry, School of Medicine, University of Pennsylvania Medications for treating addiction are usually not successful unless combined with appropriate psychosocial methods. Unfortunately, many programs lack the necessary sophistication in one or the other of these to carry out the combination. BRENDA offers an easily taught and understood way of integrating the two components. It has been tested and improved for over 5 years by one of the most outstanding teams of addiction clinical researchers in the United States and could significantly improve treatment outcome. --Herbert D. Kleber, MD., Professor of Psychiatry, Director, Division on Substance Abuse, Columbia University College of Physicians and Surgeon """'A groundbreaking book--the first in the field to provide a clear, clinically useful, and practical explication of how to enhance patient compliance with medication and addictions treatment. While there have been other publications that have addressed this important issue in the age of increasing attention to neurobiological treatments for addiction, none has been as comprehensive or as solidly grounded in research findings. It is a 'must read' for all clinicians working with addicted patients in settings where medications are a part of treatment, or where other treatment compliance issues are important to address. It will also be useful in professional training for physicians, psychologists, social workers, and addiction counselors.' - Frederick Rotgers, PsyD, Smithers Addiction Treatment and Research Center, New York, NY 'This book describes treatment principles that are helpful to 80per cent of drug and alcohol patients! Within the BRENDA approach, psychosocial and pharmacological treatment choices are individualized, with emphasis on naltrexone for alcohol addiction. These talented researcher-practitioners have produced a much-needed guide that will be readily understood and used in practice and teaching by psychologists, counselors, social workers, nurse practitioners, and others.' - Lester Luborsky, PhD, School of Medicine, University of Pennsylvania""" 'A groundbreaking book--the first in the field to provide a clear, clinically useful, and practical explication of how to enhance patient compliance with medication and addictions treatment. While there have been other publications that have addressed this important issue in the age of increasing attention to neurobiological treatments for addiction, none has been as comprehensive or as solidly grounded in research findings. It is a 'must read' for all clinicians working with addicted patients in settings where medications are a part of treatment, or where other treatment compliance issues are important to address. It will also be useful in professional training for physicians, psychologists, social workers, and addiction counselors.' - Frederick Rotgers, PsyD, Smithers Addiction Treatment and Research Center, New York, NY 'This book describes treatment principles that are helpful to 80per cent of drug and alcohol patients! Within the BRENDA approach, psychosocial and pharmacological treatment choices are individualized, with emphasis on naltrexone for alcohol addiction. These talented researcher-practitioners have produced a much-needed guide that will be readily understood and used in practice and teaching by psychologists, counselors, social workers, nurse practitioners, and others.' - Lester Luborsky, PhD, School of Medicine, University of Pennsylvania Author InformationJoseph R. Volpicelli, MD, PhD, Associate Professor and Senior Scientist, University of Pennsylvania Helen M. Pettinati, PhD, Associate Professor, Department of Psychiatry, Treatment Research Center, University of Pennsylvania A. Thomas McLellan, PhD, Senior Scientist, Treatment Research Institute, Philadelphia, PA Charles P. O'Brien, MD, PhD, Treatment Research Center, University of Pennsylvania Tab Content 6Author Website:Countries AvailableAll regions |