Pharmacology Resource List | Assessment and Screening Instruments | Interventions
Pharmacology Resource List
Newly revised "SUD" guidelines quick reference website: http://www.psychiatryonline.com/pracGuide/pracGuideHome.aspx
Co-occurring Addiction and Less Severe Mental Disorders http://www.csam-asam.org/pdf/misc/RiesNonSevere.ppt (has some extra information on psychopharm mental illness treatment aside from schizophrenia) Richard Ries MD University of Washington Seattle, Wa
Textbook of Substance Abuse Treatment - ed. M. Galanter and H. Kleber. Third Edition Chapter 41 p.529-537 by Kathleen T. Brady MD, PhD
Tip 9 Chapter 9 Pharmacologic Management ( this is old vs. material in Tip 42 and is harder to access, but it has sound advice on many issues such as antihistamines, buspirone,etc.) http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.29713
Pharmacotherapy for Alcohol Dependence. Summary, Evidence Report/Technology Assessment: Number 3, January 1999. Agency for Health Care Policy and Research, Rockville, http://www.ahrq.gov/clinic/epcsums/alcosumm.htm
Psychopharmacology Algorithm Project http://mhc.com/Algorithms/ by David Osser
New Pharmacologic Approaches to Addiction. Kathleen T. Brady, MD, PhD http://www.medscape.com/viewarticle/507191 and Issues in Dual Diagnosis by Ihsan M Salloum, MD, MPH http://www.medscape.com/viewarticle/507192 (these are good but are copyright Medscape.com so I could ask about permissions and meanwhile to look at them clinicians have to log on to the site
Medications and Recovery http://www.draonline.org/medications.html on the website of Dual Recovery Anonymous World Services Inc. (addresses 12-step literature and approach to needed medications)
Psychopharmacology Practice Guidelines (Dr. Minkoff's work specifically addressing co-occurring) http://www.bhrm.org/guidelines/psychopharmacology.pdf
Tip 42 (Appendix F addresses pharmacology) http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hssamhsatip&part=A74073
SAMHSA Buprenorphine Guideline TIP ( Pg 73 addresses co-occurring issues) http://buprenorphine.samhsa.gov/Bup_Guidelines.pdf
PA Co-Occurring Disorder Competency Approval Criteria Bulletin (Medication section) http://www.pa-co-occurring.org/resources/CPwbehall_20060210_162335.pdf
Psychotherapeutic Medication 2008 - What Every Counselor Should Know http://www.attcnetwork.org/regcenters/productDocs/5/Psychotherapeutic%20Medications%202008.pdf
SAMHSA TIP 40 Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opiod Addiction http://www.samhsa.gov/SAMHSA_News/VolumeXII_4/article7.htm
SAMHSA TIP 45 Detoxification and Substance Abuse Treatment http://www.samhsa.gov/SAMHSA_News/VolumeXIV_4/article12.htm
TIPS and TOPICS by David Mee-Lee http://www.dmlmd.com/index.html
Assessment and Screening Instruments
Behavioral Health Recovery Management - Dual Diagnosis Clinical Guidelines
http://www.bhrm.org/guidelines/ddguidelines.htm
The development of evidence-based practice guidelines is a major goal of the BHRM project. With the assistance of leading clinical researchers representing major research and practice institutions, the BHRM project will make available several clinical guidelines in behavioral health. Our goal is to encourage individuals and programs to learn more about evidenced-based approaches with the hope that many will implement them in the future. To assist in this effort, most guidelines will contain a resource section that identifies books, manuals, videos, and other training materials and available trainers.
Motivational Interviewing
http://www.motivationalinterview.org/
Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. This web site is intended to provide resources for those seeking information on Motivational Interviewing. It includes general information about the approach, as well as links, training resources, and information on reprints and recent research.
Project Cork
http://www.projectcork.org/clinical_tools/index.html
Project Cork produces a bibliographic database, offers current awareness services, produces resource materials, responds to queries, and collaborates in professional education efforts. The CORK database of more than 61,000 holdings is searchable online.
AUDIT (Alcohol Use Disorder Identification Test)
Developed by World Health Organization to identify harmful use; contains 8 questions.
http://www.projectcork.org/clinical_tools/pdf/AUDIT.pdf
Brief MAST (Brief Michigan Alcoholism Screening Test)
To identify alcoholism; contains 10 items derived from full MAST
http://www.projectcork.org/clinical_tools/pdf/BriefMAST.pdf
CAGE screens for alcoholism; contains 4 questions.
http://www.projectcork.org/clinical_tools/pdf/CAGE.pdf
CRAFFT
To screen for alcohol problems in adolescents Adapted from POSIT, Drug and Alcohol Problem Quickscreen, and RAFFT it contains 6 Questions
http://www.projectcork.org/clinical_tools/pdf/CRAFFT.pdf
DAST (Drug Abuse Screening Test) to identify problems with drugs other than alcohol it contains 28 Questions.
http://www.projectcork.org/clinical_tools/pdf/DAST.pdf
MAST (Michigan Alcoholism Screening Test) to screen for alcoholism. Original 25 questions.
http://www.projectcork.org/clinical_tools/pdf/MAST.pdf
Short MAST (Short Michigan Alcoholism Screening Test)
To screen for alcoholism; 13 items from MAST.
http://www.projectcork.org/clinical_tools/pdf/MAST.pdf
T-ACE to screen for alcohol problems in women. Adapted from CAGE
http://www.projectcork.org/clinical_tools/pdf/T-ACE.pdf
Trauma Index to screen for alcohol problems based on history of accident/injuries.
http://www.projectcork.org/clinical_tools/pdf/T-ACE.pdf
TWEAK To screen for alcohol problems in women. Adapted from CAGE
http://www.projectcork.org/clinical_tools/pdf/TWEAK.pdf
Substance Use History and Physical Examination
Standardized format for history and physical exam when substance use is known or suspected. Focuses on signs and symptoms indicative of substance use, incorporates a substance use screening test , and addresses withdrawal risk.
http://www.projectcork.org/clinical_tools/pdf/HistoryandPhysicalExam.pdf
Diagnostic Worksheet DSM-IV Alcohol Diagnoses
Useful clinical aid. Organizes data from history and clinical interview to yield a DSM-IV diagnosis. Copy available in pdf format for duplication and incorporation in clinical settings.
http://www.projectcork.org/clinical_tools/pdf/DSM-IV_DiagnosticWorksheet.pdf
Indicators for Medical Attention
Sets forth situations requiring emergency medical attention and those requiring medical assessment to prevent serious problems.
http://www.projectcork.org/clinical_tools/pdf/IndicatorsMedicalAttention.pdf
Adolescent Interview Guide
Easy-to-use. Anyone working with adolescents, be it health care providers, human service workers, mental health clinicians, or school guidance personnel. Includes questions to open the discussion of substance use, a screening tool (CRAFFT), follow-up questions when screening is positive, and steps to take when screening is negative. Copy of the Guide in a check list format is available for duplication to use in clinical settings.
http://www.projectcork.org/clinical_tools/pdf/AdolescentInterviewGuidelines.pdf
Signs of Possible Adolescent Substance Use
Describes early warning signs for diagnosing possible substance abuse problems in adolescents. Covers topics such as school activities, health and relationships with family and peers.
http://www.projectcork.org/clinical_tools/pdf/Signs-AdolescentSubstanceProblem.pdf
Summary Chart Drugs of Abuse
One page chart covering 8 major drug classes: alcohol, tobacco, cannabis, stimulants, opiates, sedatives, hallucinogens, and inhalants. Identifies acute effects, desired effects, chronic effects, signs of overdose, as well as likelihood of psychological and physical dependence, brand names for prescription drugs, and street names for illicit drugs.
http://www.projectcork.org/clinical_tools/pdf/Summary_Chart.pdf
DSM-IV Diagnostic Criteria Substance Use Disorders
Summarizes criteria of American Psychiatric Association for the diagnosis of substance abuse and dependence.
http://www.projectcork.org/clinical_tools/pdf/DSM-IVDxCriteriaSubstanceUseDisorders.pdf
Attitudes toward Clients with Co-occurring Disorders: Agency Staff Questionnaire
http://www.uiowa.edu/~iowapic/files/COD%20Staff%20Survey%20Questionnaire.pdf
Attitudes toward Clients with Co-occurring Disorders: Agency Directors Questionnaire
http://www.uiowa.edu/~iowapic/files/COD%20Directors%20Survey%20Questionnaire.pdf
A self-report questionnaire on counseling behaviors and techniques therapists use in practice.
http://www.uiowa.edu/~iowapic/files/Substance%20Abuse%20Counseling%20Survey.pdf
Interventions
Psychotherapeutic Medications: What Every Counselor Should Know
A companion piece to A Collaborative Response: Addressing the Needs of Consumers with Co-Occurring Substance Use and Mental Health Disorders. This pamphlet is an excellent reference document for clinicians as it contains the following information on psychotherapeutic medications: Generic and Brand Names, Purpose, Usual Dose & Frequency, Emergency Conditions, and Cautions.
Motivational Interviewing (MI) is a treatment approach for helping clients move through
the stages of change and find internal motivation for change. This web site provides background information on the practice of Motivational Interviewing, its applications to special populations such as criminal justice clients and medical patients, and the practice of Motivational Interviewing in groups.
http://www.motivationalinterview.org/
Anger Management: Anger Management for Substance Abuse and Mental Health Clients. A manual (http://kap.samhsa.gov/products/manuals/pdfs/anger1.pdf) and a participant workbook (http://kap.samhsa.gov/products/manuals/pdfs/anger2.pdf) are available for clinicians who work with substance abuse and mental health clients with concurrent anger problems. Along with a participant workbook, this manual describes a 12-week cognitive behavioral anger management group treatment. CSAT/SAMHSA
Approaches to Drug Abuse Counseling: This book is about treatment. In particular, it is about the basic component of most treatment programs. The intent of this book is to present information on various counseling approaches used in some of the best known and most respected treatment programs in the United States. NIDA. Author: Kathleen M. Carroll, Ph.D.
http://www.drugabuse.gov/ADAC/ADAC1.html
Behavioral Couples Therapy (BCT): This site, " Family and Addiction Treatment and Prevention," at the Research Institute on Addictions, University of Buffalo, provides information on BCT. Manuals, presentations, and publications are available that highlight BCT as well as relationship and family. The purpose of this web page is to provide an overview of what is known about the impact of substance abuse (both alcohol and other drugs) on marital relationships and how the power of the family system can be used as a mechanism of change to address problem drinking or drug use.
http://www.addictionandfamily.org/
Best Practice Initiative, U.S. Department of Health and Human Services: This initiative highlights public health best practices from around the country, which have been successful and which have measurable outcomes. The aim of this initiative is to foster an environment of peer learning and collaboration.
http://www.plndp.org/Physician_Leadership/Resources/Best_Practices.pdf
Brief Strategic Family Therapy (BSFT): This manual introduces counselors to concepts that are needed to understand the family as a vital context within which adolescent drug abuse occurs. It also describes strategies for creating a therapeutic relationship with families, assessing and diagnosing maladaptive patterns of family interaction, and changing patterns of family interaction from maladaptive to adaptive. This manual assumes that therapists who adopt these BSFT techniques will be able to engage and retain families in drug abuse treatment and ultimately cause them to behave more effectively.
http://www.drugabuse.gov/TXManuals/bsft/BSFTIndex.html
Cannabis Youth Treatment Series: This site provides access to five manuals focused on adolescent cannabis use. The areas of focus are motivational enhancement therapy, cognitive behavioral therapy, family support networks, the community reinforcement approach, and multidimensional family therapy. CSAT/SAMHSA
http://kap.samhsa.gov/products/manuals/cyt/index.htm
The CENAPS Model of Relapse Prevention Therapy: The CENAPS Model of Relapse Prevention Therapy (CMRPT) is a comprehensive method for preventing chemically dependent clients from returning to alcohol and other drug use after initial treatment and for early intervention should chemical use occur. This site provides an overview of this relapse model.
http://archives.drugabuse.gov/adac/ADAC4.html
A Cognitive-Behavioral Approach: Treating Cocaine Addiction: This manual demonstrates cognitive-behavioral coping skills treatment (CBT) as a short-term, focused approach to helping cocaine-dependent individuals become abstinent from cocaine and other substances. The underlying assumption is that learning processes play an important role in the development and continuation of cocaine abuse and dependence. These same learning processes can be used to help individuals reduce their drug use. http://www.drugabuse.gov/TXManuals/CBT/CBT1.html
Multidimensional Family Therapy (MDFT) for Adolescent Substance Abuse, Center for Treatment Research on Adolescent Drug Abuse, University of Miami School of Medicine: Multidimensional family therapy (MDFT) has been recognized as one of the most promising interventions for adolescent drug abuse in a new generation of comprehensive, multicomponent, theoretically-derived and empirically-supported treatments. This site provides an overview, core components, results, contact information, and references.
http://archives.drugabuse.gov/btdp/Effective/Liddle.html
Pharmacological Interventions: Naltrexone: This site, New Approaches Seek To Expand Naltrexone Use in Heroin Treatment, provides an overview and resource on Naltrexone. Naltrexone, an opiate treatment medication, is used to help patients make the transition from illicit opiate use to a drug-free life. The medication provides a safety net for patients because it blocks the euphoric effects they normally would feel if they slip and use heroin or any other opiate.
http://www.drugabuse.gov/NIDA_notes/NNVol17N6/Approaches.html
A Provider's Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals: This manual seeks to inform administrators and clinicians about appropriate diagnosis and treatment approaches that will help ensure the development or enhancement of effective lesbian, gay, bisexual, and transgender (LGBT) sensitive programs. Serving as both a reference tool and program guide, it provides statistical and demographic information, prevalence data, case examples and suggested interventions, treatment guidelines and approaches, and organizational policies and procedures. CSAT/SAMHSA.
http://kap.samhsa.gov/products/manuals/pdfs/lgbt.pdf
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse:
Seeking Safety is a present-focused therapy to help people attain safety from both PTSD and substance abuse. The treatment is available as a book, providing both client handouts and guidance for clinicians. The treatment was designed for flexible use. It has been conducted in group and individual format; for women, men, and mixed-gender; using all topics or fewer topics; in a variety of settings (e.g., outpatient, inpatient, residential); and for both substance abuse and dependence. It has also been used with people who have a trauma history, but do not meet criteria for PTSD. This site provides an overview and links to information on Seeking Safety.
http://www.seekingsafety.org/
