Sylvia Mignon - Substance Abuse Treatment: Options, Challenges, and Effectiveness

Sylvia I. Mignon, MSW, PhD, is professor of human services and criminal justice at the University of Massachusetts Boston. For Dr. Mignon, substance abuse is much more than an abstract concept. She has worked in all facets of substance abuse treatment, especially detoxification, inpatient rehabilitation, and outpatient services, including individual and group therapy. For many years at the University of Massachusetts Boston, Dr. Mignon served as a core teacher in the Substance Abuse Studies program.

In addition to her specialty in substance abuse, Dr. Mignon has completed research and published journal articles on family violence and the death penalty. Dr. Mignon is lead author of Family Abuse: Consequences, Theories and Responses. She is also the lead author of Substance Use and Abuse: Exploring Alcohol and Drug Issues. Dr. Mignon has done extensive research on the substance abuse problems of female court defendants and issues of women in prison, especially the challenges of incarcerated mothers. Dr. Mignons latest research focuses on the substance abuse and mental health problems in Native American grandparenting families.

Sylvia I. Mignon, MSW, PhD

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ISBN: 978-0-8261-9578-4

e-book ISBN: 978-0-8261-9579-1

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Library of Congress Cataloging-in-Publication Data

Mignon, Sylvia I., author.

Substance abuse treatment : options, challenges, and effectiveness / Sylvia I. Mignon.

p. ; cm.

Includes bibliographical references.

ISBN 978-0-8261-9578-4 ISBN 978-0-8261-9579-1 (eBook)

I. Title.

[DNLM: 1. Substance-Related Disorderstherapy. WM 270]

362.29

616.8606dc23

2014009888

Printed in the United States of America by Courier.

In memory of Aunt Cissy

S ubstance abuse treatment in the United States is not a smooth continuum of services available to all those who seek them, and no definitive agreement exists regarding which treatment approaches offer clients the best chances of recovery. Substance Abuse Treatment: Options, Challenges, and Effectiveness is an effort to move the field of substance abuse studies forward by summarizing developments in treatment and examining treatment outcomes. The goal of this book is to provide a clear and succinct review of different types of treatment. Although this work primarily reviews what is known about each treatment type and best practices, it also sheds light on what is not yet known.

Substance Abuse Treatment: Options, Challenges, and Effectiveness synthesizes research in an effort to translate research findings into quality treatment approaches. This work emanates from my many years as a clinical practitioner working with substance abusers and addicts, as an instructor teaching collegelevel substance abuse courses, and as a member on the Advisory Board of the New England Addiction Technology Transfer Center (ATTC), a national effort to translate research findings into improved clinical practice.

, Treatment Goals: Abstinence and Harm Reduction, examines how and by whom treatment goals are formulated. It compares and contrasts abstinence and harm-reduction approaches in treating substance abuse and discusses the ethical and political considerations in harm reduction.

, The Substance Abuse Treatment Industry, examines the historical development of substance abuse treatment in the United States. It looks at the development of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in the early 1970s, the contributions of the Substance Abuse and Mental Health Services Administration (SAMHSA), and the National Institute of Drug Abuse (NIDA). It examines the cost-effectiveness of treatment and the extent to which the profit motive and availability of grant money determine the type of treatments that are available.

, Outpatient Substance Abuse Treatment, reflects the fact that the majority of research has been on the effectiveness of outpatient types of programs, including brief intervention, individual and group therapy, and family therapy. In recent years, much emphasis has been placed on the counseling styles of motivational interviewing, contingency management, the community reinforcement approach, and adjunct therapies. This chapter reviews medications to treat addiction, including methadone, as well as the newer medications, such as acamprosate and buprenorphine.

, Treatment of Diverse Populations, addresses groups that have received less professional attention for their substance abuse problems. It examines the role of culture, race, and ethnicity in substance-using behavior. In addition, it addresses the substance use problems of and effectiveness of treatment for adolescents; women; the lesbian, gay, bisexual, and transgender (LGBT) population; those with HIV/AIDS; and older adults.

multiple settings. Substance abuse tends to be overlooked by the juvenile justice and criminal justice systems, yet promising approaches to treatment hold the potential for reduced recidivism and significant increases in cost savings. This chapter examines treatment for those on probation or parole, those in correctional therapeutic communities, and clients receiving treatment through drug courts.