Substance Use Counseling: Theory and Practice, 6th edition

Published by Pearson (April 19, 2017) © 2018

  • Patricia Stevens Utah State University
  • Robert L. Smith Texas A&M University

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Text features and benefits include:                    

  • A clear, accessible, practical approach that resonates with readers.
  • A step-by-step guide through the process of working with substance-abuse clients that addresses how to measure the substance abuse problem and how to treat the individuals and families involved.
  • Stand-alone chapters which are designed so that students and counselors can use the information as it’s presented, or simply turn to the information as needed.
  • UPDATED: Illustrative case studies with critical-thinking questions that provide opportunities for readers to examine and discuss a wide variety of situations. Every chapter includes new cases with additional critical-thinking exercises related to that chapter topic.
  • Updated and new coverage that incorporates current practices and trends in the field includes:
    • NEW:A new chapter on behavioral addictions which reflects the addition of gambling as an addiction in the DSM-5 and the prevalence of other dysfunctional behaviors in today’s society.
    • UPDATED: Information on the use and cost of use statistics (Chapter 1).
    • NEW: Information that covers ethical issues concerning the Patient Protection and Affordable Care Act and the Health Insurance Portability Accountability Act (Chapter 2).
    • NEW: Integrated Approach as a new theoretical model (Chapter 4).
    • REVISED: New assessment and diagnostic information and information on Mental Health and Substance Abuse Parity Act and the Affordable Care Act on substance use treatment (Chapter 6).
    • NEW: Addiction Society of America diagnostic and treatment criteria and new pharmacotherapy information (Chapter 7).
    • UPDATED: Claudia Black’s concept of family roles is reintroduced (Chapter 9).
    • UPDATED: Substantial changes to the LGBTQ section and a new section on counseling military and immigrants with substance use issues (Chapter 11).
    • NEW: A new socioeconomic impact of substance use section (Chapter 12).
    • UPDATED: Completely revised terminology that matches the changes in the DSM-5 criteria for assessment and diagnosis.
    • UPDATED: Ethical codes are aligned to the latest revision.
    • REVISED: Updated research references and statistics.

Also available with MyLab Counseling

This title is also available with MyLab Counseling- Created specifically for Counseling students and instructors, MyLab™ Counseling is designed to support students’ mastery and application of the skills they’ll need for successful careers in Counseling. Features include:

  • Learning outcomes and standards to measure student results. MyLab Counseling organizes all assignments around essential learning outcomes and the CACREP standards–enabling easy course alignment and reporting. 
  • Video- and case-based exercises to develop students’ decision-making skills. Video- and case-based exercises introduce students to a broader range of clients, and therefore a broader range of presenting problems, than they will encounter in their own pre-professional clinical experiences. These exercises help students develop the techniques and decision-making skills they need to effectively work with clients before they are in a critical situation with a real client.
  • Licensure quizzes to help students prepare for certification. Automatically graded, multiple-choice licensure quizzes help students prepare for certification examinations, master foundational course content, and improve their course performance.
  • A video library with a wealth of observation opportunities. The video library provides a searchable database of more than 400 video clips of counseling sessions, ethical scenarios, and interviews with helpers and clients organized by course area. This allows students to see a variety of counseling theories and techniques in action, increase their observation time, and improve their analysis skills.

  • UPDATED: Illustrative case studies with critical-thinking questions provide opportunities for readers to examine and discuss a wide variety of situations. Every chapter includes new cases with additional critical-thinking exercises related to that chapter topic.
  • Updated and new coverage that incorporates current practices and trends in the field includes:
    • NEW: A new chapter on behavioral addictions which reflects the addition of gambling as an addiction in the DSM-5 and the prevalence of other dysfunctional behaviors in today’s society.
    • UPDATED: Information on the use and cost of use statistics (Chapter 1).
    • NEW: Information that covers ethical issues concerning the Patient Protection and Affordable Care Act and the Health Insurance Portability Accountability Act (Chapter 2).
    • NEW: Integrated Approach as a new theoretical model (Chapter 4).
    • REVISED: New assessment and diagnostic information and information on Mental Health and Substance Abuse Parity Act and the Affordable Care Act on substance use treatment (Chapter 6).
    • NEW: Addiction Society of America diagnostic and treatment criteria and new pharmacotherapy information (Chapter 7).
    • UPDATED: Claudia Black’s concept of family roles is reintroduced (Chapter 9).
    • UPDATED: Substantial changes to the LGBTQ section and a new section on counseling military and immigrants with substance use issues (Chapter 11).
    • NEW: A new socioeconomic impact of substance use section (Chapter 12).
    • UPDATED: Completely revised terminology that matches the changes in the DSM-5 criteria for assessment and diagnosis.
    • UPDATED: Ethical codes are aligned to the latest revision.
    • REVISED: Updated research references and statistics.

1. Introduction to Substance Use Disorder Counseling

2. Ethical and Legal Issues in Substance Use Disorder Counseling

3. The Major Substances of Use and Their Effect on the Brain and Body

4. Etiology of Substance Abuse: Why People Use

5. Assessment and Diagnosis

6. Treatment Planning and Treatment Settings

7. Individual Treatment

8. Group Counseling for Substance Use Disorders

9. Family Counseling with Individuals Diagnosed with Substance Use Disorder

10. Retaining Sobriety: Relapse Prevention Strategies

11. Working with Special Populations: Treatment Issues and Characteristics

12. Working with Diverse Cultures: Exploring Sociocultural Influences and Realities in Substance Use Disorder Treatment and Prevention

13. Prevention

14. Behavioral Addictions/Non—Substance-Related Disorders: An Overview

Dr. Patricia W. Stevens is a retired Counselor Educator currently in clinical private practice in Louisville, CO. She trains student counselors through online teaching. Dr. Stevens also consults with universities in program development and accreditation (CACREP, NCATE/CAEP).

Dr. Stevens is a member of ACA, AAMFT, and served on the CACREP board for eight years. She has held multiple leadership positions in ACA and its divisions, including President of the IAMFC, Board-Member-at-Large of AACD, and Co-Chair of the Professional Standards Committee. Dr. Stevens has also served on several editorial boards of ACA and its divisions. Though retired, she continues to be active in the profession and her clinical work. 


Through the years she has delivered more than 70 presentations at the local, state, regional, national, and international levels in the areas of substance abuse, gender implications in counseling, challenges of aging, and ethical/ legal issues in counseling. In the counseling field, she has published more than 50 articles, chapters, and books. Dr. Stevens has prepared and taught more than 26 different courses in the counseling curriculum.

Dr. Stevens is a Fulbright Scholar and works with the Red Cross as a Mental Health Disaster Relief volunteer. She volunteers at her local Red Cross and her local senior center.


Robert L. Smith, Ph.D., FPPR, is Professor & Chair of the Counseling and Educational Psychology Department, as well as the Doctoral Program Coordinator at Texas A&M University—Corpus Christi. He completed his Ph.D. at the University of Michigan. As a licensed psychologist, he has worked as a private practitioner in addition to serving as the chair of three counselor education programs. He is the author of several books and more than 80 professional articles. He serves as the Executive Director and co-founder of the International Association of Marriage and Family Counselors. He is also the founder of the National Credentialing Academy for Family Therapists. His research interests include the efficacy of treatment modalities in individual psychotherapy, family therapy, and substance abuse counseling. He is a Diplomate-Fellow in Psychopharmacology with the International College of Prescribing Psychologists and consultant with the Substance Abuse Program in the U. S. Navy. Dr. Smith as an international lecturer is currently involved in the development and implementation of graduate programs in counseling and psychology in Latin America.

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