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Chemical Dependency: A Systems Approach, 4th edition

Published by Pearson (July 27, 2011) © 2012

  • C Aaron McNeece Florida State University
  • Diana DiNitto

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  • Reflects the most recent changes in treatment programs and the latest research on dependency, including genetic causes of alcoholism.
  • Features separate chapters on special populations, including ethnic minorities, gays and lesbians, the dually diagnosed (drugs and alcohol), the elderly, and women.
  • Includes up-to-date coverage of state, federal, and international policies regarding control of drugs, alcohol, and tobacco in detail.(ex. p. 4)
  • Screening, diagnostic and assessment tools, which are relevant to human services professionals, are presented and discussed.
  • Includes DSM-IV guidelines and the Index of Drug Involvement (IDI), a major diagnostic tool designed for social work practice.
  • Updated throughout to include the most recent information available on substance abuse, policy trends, treatment, and treatment outcomes.
  • Updated resources and references organized by chapter at the end of the text. (ex. p. 21)
  • Updated statistics on the epidemiology of all major legal and illicit substance use by race/ethnicity, education, and geographic region (Ch.1)
  • Updated references on etiological theories of addiction (Ch. 2)
  • New research on the brain chemistry of addiction, including new drugs used to treat addiction (Ch. 3)
  • New sections on Ritalin and steroid abuse (Ch. 4)
  • New section on the ethics of treatment (Ch. 5)
  • Updated research on a variety of ranges of treatment and treatment outcomes (Chs. 6, 9, 10, 14)
  • New sections on workplace prevention, impaired driver prevention, community-oriented prevention strategies, college and university prevention programs, role of resilience and protective factors (Ch. 7)
  • New legislation and recent policy changes (Chs. 7 and 8)
  • New section on forfeiture laws, efforts toward legalization and decriminalization (Ch. 8)
  • New trends in youthful substance abuse and treatment, risk and protective factors, liability issues in treating youth (Ch. 9)
  • Updated trends in family treatment (Ch. 10)
  • Updated research on culturally relevant approaches to prevention and treatment (Ch. 11)
  • New research and practice suggestions for working with LGBT clients (Ch. 12)
  • Updated research on substance use and co-occurring disabilities, especially mental illness (Ch. 13)
  • New substance abuse among “baby-boomers” (Ch. 14)  
  • New effects of substance abuse on health (Ch. 14)
  • New look at research and issues on gender and substance use (Ch. 15)
  • New look at research and issues on substance use disorders among women (Ch. 15)
  • New issues in substance abuse, including political issues, trends in policy change, legislation, and the “War on Drugs” (Ch. 16)

IN THIS SECTION:
1.) BRIEF TABLE OF CONTENTS
2.) FULL TABLE OF CONTENTS

 

BRIEF TABLE OF CONTENTS:

 

PART I: THEORIES, MODELS, AND DEFINITIONS

 

Chapter 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders
Chapter 2: The Etiology of Addiction
Chapter 3: The Brain Biology of Drug Abuse and Addiction
Chapter 4: The Physiological and Behavioral Consequences of Alcohol and Drug Abuse

 

PART II: INTERVENTION, PREVENTION, AND PUBLIC POLICY

 

Chapter 5: Screening, Diagnosis, Assessment, and Referral
Chapter 6: Treatment: The System of Care
Chapter 7: Preventing Alcohol and Drug Problems
Chapter 8: Regulating Drugs and Their Consequences

 

PART III: CHEMICAL DEPENDENCY IN SPECIAL POPULATIONS

 

Chapter 9: Treating Substance-Abusing Youth
Chapter 10: Family Systems and Chemical Dependency
Chapter 11: Ethnicity, Culture, and Substance Use Disorders
Chapter 12: Substance Abuse Treatment with Sexual Minorities
Chapter 13: Substance Use Disorders and Co-Occurring Disabilities
Chapter 14: Alcohol and Drug Misuse and Abuse in Late Life
Chapter 15: Gender, Substance Use, and Substance Use Disorders

 

PART IV: SUMMARY AND CONCLUSIONS

 

Chapter 16: Chemical Dependency: Current Issues and Future Prospects


FULL TABLE OF CONTENTS:

 

Preface

 

Part I: Theories, Models, and Definitions

 

Chapter 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders
By C. Aaron McNeece and Lisa B. Johnson
Introduction
Definitions and Myths
Epidemiology
Summary

 

Chapter 2: The Etiology of Addiction
Etiological Theories
Stages of Alcoholism
The Course of Cocaine Addiction
A Multicausal Model
Summary

 

Chapter 3: The Brain Biology of Drug Abuse and Addiction

By Richard E. Wilcox and Carlton K. Erickson
Introduction: Background on Abuse, Addiction, and Treatment
Terminology
The Genetics of Addiction
Brain Chemistry and the Anatomy of Addiction
Gene Transcription and Altered Protein Expression in Addiction
Sensitization in Addiction
Emotional Learning in Addiction
Addiction Therapy without Medication
Drug Therapy for Addiction
Role of Detoxification in Treating Addiction
Drug Therapy for Reducing Craving
Summary

 

Chapter 4: The Physiological and Behavioral Consequences of Alcohol and Drug Abuse
The Effects of Alcohol
The Effects of Cannabis
The Effects of Stimulants
The Effects of Sedatives
The Effects of Narcotics
The Effects of Hallucinogens
The Effects of Inhalants
The Effects of Steroids
The Effects of Drugs on Offspring
Summary

 

Part II: Intervention, Prevention, and Public Policy

 

Chapter 5: Screening, Diagnosis, Assessment, and Referral
Screening
Can People with Alcohol and Drug Problems Be Believed?
Diagnosis
Assessment
Denial, Resistance, and Motivation for Recovery
Ethics of Chemical Dependency Treatment
Referrals
Summary

 

Chapter 6: Treatment: The System of Care
Components of the Treatment System
More Treatment Effectiveness Issues
Nontraditional Approaches
Mutual-and Self-Help Programs
Summary

 

Chapter 7: Preventing Alcohol and Drug Problems
By C. Aaron McNeece and Machelle D. Madsen
Overview of Prevention
Public Information and Education
Service Measures
Technologic Measures
Legislative, Regulatory, and Economic Measures
Economic Measures
Family and Community Approaches
Spirituality and Religious Factors
Cultural Factors
Summary

 

Chapter 8: Regulating Drugs and Their Consequences
Sociocultural Influences on Public Drug Policy
Economic and Political Factors
Changes in Drug-Use Patterns
The Nature of Drug Control
Assumptions Underlying Regulation
Regulation of Alcohol
Control of Illicit Drugs
Drugs, Alcohol, and Crime
Alcohol and Drug Law Violations
Drug Use by Criminals
Drug Use by Crime Victims
Domestic Violence
Drug/Crime Trends in the 21st Century
Summary

 

Part III: Chemical Dependency in Special Populations

 

Chapter 9: Treating Substance-Abusing Youth
By Katherine L. Montgomery and David W. Springer
Risk and Protective Factors
Assessment with Substance-Abusing Youth
Treatment with Substance-Abusing Youth
Case Example
Summary

 

Chapter 10: Family Systems and Chemical Dependency
By Catherine A. Hawkins and Raymond C. Hawkins, II
A Family Perspective in Theory, Research, and Treatment
Theories on Alcoholism and the Family
Family Systems Theory of Alcoholism and the Family
Codependency and Related Constructs
Assessment and Treatment of Alcoholic Families
Effectiveness of Family Treatment
Case Example
Summary

 

Chapter 11: Ethnicity, Culture, and Substance Use Disorders
By Diana M. DiNitto and Eden Hernandez Robles
Substance Use and Abuse among American Indians and Alaska Natives
Substance Use Disorders among American Indians and Alaska Natives
Substance Use and Abuse among African Americans
Substance Use and Abuse among Hispanic Americans
Substance Use and Abuse among Asian and Pacific Islander Americans
Substance Use and Abuse among Jewish Americans
Summary

 

Chapter 12: Substance Abuse Treatment with Sexual Minorities
By Catherine Lau Crisp and Diana M. DiNitto
Historical Overview
Substance Abuse in Lesbians and Gay Men
Similarities in Identities
Treatment: Together or Separate?
Gay Affirmative Practice
Treatment with Transgendered and Bisexual Clients
Lesbian, Gay, and Bisexual Youth
Twelve-Step Groups for Gays and Lesbians
Summary

 

Chapter 13: Substance Use Disorders and Co-Occurring Disabilities
By Diana M. DiNitto and Deborah K. Webb
Identification and Attitudes
Substance Use Disorders as a Disability
Mental Illness and Substance Use Disorders
Developmental Disabilities and Substance Use Disorders
Mobility Impairments and Substance Use Disorders
Traumatic Brain Injury and Substance Use Disorders
Sensory Disabilities and Substance Use Disorders
Other Physical Disabilities and Substance Use Disorders
Summary

 

Chapter 14: Alcohol and Drug Misuse and Abuse in Late Life
By Linda Vinton and Nicole Cesnales
Criteria and Prevalence Estimates
Antecedents and Correlates
Effects
Assessment
Outreach and Treatment
Summary

 

Chapter 15: Gender, Substance Use, and Substance Use Disorders
By An-Pyng Sun
Prevalence of Substance Use and Substance Abuse Disorders among Men and Women
Consequences of Substance Use and Substance Abuse Disorders among Men and Women
Etiology and Risk Factors
Substance Abuse Treatment for Men and Women
Summary

 

Part IV: Summary and Conclusions

 

Chapter 16: Chemical Dependency: Current Issues and Future Prospects
By C. Aaron McNeece and Diana M. DiNitto
Research
Delivery of Treatment Services
Policy Change
Implications for Education and Training
Summary and Concluding Thoughts

 

Endnotes
Resources
References
Index

C. Aaron McNeece was a social work educator for 34 years, after working as a correctional social worker. He has conducted extensive research on both substance abuse and criminal justice issues.  He served for 10 years as the director of the Institute for Health and Human Services Research at Florida State University, where he was also the Walter W. Hudson Professor of Social Work and later, Dean of the College of Social Work.  He is currently Professor and Dean Emeritus.
Diana DiNitto is Cullen Trust Centennial Professor of Alcohol Studies and Education and Distinguished Teaching Professor at the University of Texas at Austin where she teaches courses in social welfare policy, alcohol and drug problems, research, and pedagogy. She has a MSW degree and a Ph.D. in government from Florida State University. She has worked in a detoxification center, halfway house, and outpatient chemical dependency treatment program. She is also coauthor of Chemical Dependency: A Systems Approach, 4th ed. (Pearson, Summer 2011) and Social Work: Issues and Opportunities in a Challenging Profession, 3rd ed. (Lyceum Books, 2008). Her research in on substance abuse, violence against women, and social welfare policy. Dr. DiNitto has served on the boards of the Council and Social Work Education, the Association of Medical Education and Research on Substance Abuse, and the Texas Research Society on Alcoholism. She currently chairs the NASW Press Book Committee. She has been a visiting professor at the University of Hawaii at Manoa, University of Illinois at Urbana-Champaign, and the University of Sydney (Australia). Recently she gave the Robert J. O’Leary Memorial Lecture at Ohio State University entitled “Ending America’s Ambivalence in the War on Drugs” and presented invited testimony on drug policy to the United States Sentencing Commission.

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