Changing Substance Abuse Through Health and Social Systems

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William R. Miller, Constance M. Miller, Constance M. Weisner
Springer Science & Business Media, Aug 31, 2002 - Medical - 259 pages
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In both developed nations and the developing world, there is a clear trend towards addressing alcohol, tobacco, and other drug problems through health and social services. There are several persuasive arguments for this shift beyond pure economics, which include comorbidity, cost effectiveness, coordination of care and effectiveness.
This is the first volume to pull together effective methods that can be used for addressing substance abuse through health and social service systems. It also integrates interventions for a range of drugs of abuse, rather than focusing on only one (such as alcohol). The book's international perspective also makes this a unique contribution to the existing literature.
 

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Contents

A THREE QUESTIONS
1
Is Treatment the Right Way to Think about It?
15
B INTERVENING THROUGHHEALTHCARE SYSTEMS
47
Intervening through the Emergency Department
61
Establishing and Maintaining EvidenceBased
75
Intervening through Pharmacy Services
85
The Case of Tobacco
99
INTERVENING THROUGH MENTAL HEALTH SERVICES
111
Intervening through the School System
171
Substance Abuse Treatment and Corrections
183
The Decline in Infrastructure and Support
197
Intervening through Social Support Networks
211
Substance Abuse among Displaced and Indigenous Peoples
225
The Need for EvidenceBased Policy
243
Index
255
Copyright

INTERVENING THROUGH SOCIAL SYSTEMS
143

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About the author (2002)

Stephen Rollnick, PhD, is a clinical psychologist and Professor of Health Care Communication in the Department of Primary Care and Public Health at Cardiff University, UK. He practiced in a primary care setting for 16 years and then became a teacher and researcher on the subject of communication. Dr. Rollnick has written books on motivational interviewing and health behavior change, has published widely in scientific journals, and has taught practitioners and trainers in many countries throughout the world. y William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico, where he joined the faculty in 1976. He served as Director of Clinical Training for UNM's American Psychological Association-approved doctoral program in clinical psychology and as Codirector of UNM's Center on Alcoholism, Substance Abuse, and Addictions. Dr. Miller's publications include 35 books and more than 400 articles and chapters. He introduced the concept of motivational interviewing in a 1983 article. The Institute for Scientific Information names him as one of the world's most cited scientists. y Christopher C. Butler, MD, is Professor of Primary Care Medicine and head of the Department of Primary Care and Public Health at Cardiff University, UK. He trained in medicine at the University of Cape Town and in clinical epidemiology at the University of Toronto. For his doctoral work, under the direction of Stephen Rollnick, he developed and evaluated behavior change counseling and conducted qualitative research into patients? perceptions of advice against smoking from clinicians. Dr. Butler has published more than 70 papers, mainly on health behavior change and common infections. He has a general medical practice in a former coal-mining town in south Wales.

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