Working with Clients with Substance Use Disorders

Fourth Edition

Edited by Shulamith Lala Ashenberg Straussner and Jeffrey Steen

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January 25, 2027
ISBN 9781462565337
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542 Pages
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This leading professional resource and course text is now in a substantially revised fourth edition, with 75% new material reflecting 15 years of advances in practice and policy. Expert contributors provide an overview of assessment and intervention with clients with substance use disorders (SUD) and describe evidence-based treatment modalities. Specific populations are addressed, including adolescents, older adults, women, sexual and gender minority clients, people with co-occurring mental health challenges and/or behavioral addictions, and system-impacted clients. The book explains current models of SUD service delivery and identifies emerging issues facing the field. Throughout the chapters, case examples illustrate the techniques discussed.

New to This Edition

“A richly designed text and resource tool for graduate counseling students as well as the novice and seasoned professional substance abuse therapist.”

Family Journal (on the second edition)


“An excellent practical reference….The book includes enough information on different types of substance abuse to communicate how treatment must be adapted for different drugs of abuse.”

Social Work (on the first edition)


“Straussner and Steen have captured the voices of today’s leading experts in substance use treatment, creating an authoritative, practice-ready volume for today’s classrooms. Clinically grounded, accessible, and contemporary, the book equips students and practitioners to understand substance use disorders across individuals, families, systems, and communities. I recommend this text for graduate-level courses in substance use treatment, clinical practice, behavioral health, and trauma-informed care, as well as for professional training settings. Updated attention to evidence-informed interventions, harm reduction, peer support, integrative care, specific populations, and emerging policy issues makes the fourth edition indispensable for preparing the next generation of behavioral health professionals.”

—Rebecca J. Gomez, PhD, Associate Professor, Associate Dean for Academic Affairs, and David Johnson Fellow in Social Work, The University of Texas at Austin


“Straussner has done it again! For the fourth edition, she is joined by new coeditor Steen to compile an up-to-date, comprehensive work. This book is a 'must-have' resource for any beginning or experienced clinician seeking guidance on assessment and intervention with clients experiencing substance use disorders.”

—Lisa Berger, PhD, Helen Bader School of Social Welfare, University of Wisconsin–Milwaukee


“The fourth edition of this text is based on the most contemporary, forward-looking knowledge in addiction services, including the importance of deep respect for every person, understanding persons in their environments, the essential role of personal motivation and supportive human relationships in treatment success, and harm reduction. The contributors are respected leaders who lucidly introduce contemporary treatment approaches and provide references for further clinical skill building. Chapters on special populations are useful for understanding clients’ social contexts. The book ends with a thoughtful chapter on the impact of current policy and advances emerging from technology. A strong resource for new and experienced practitioners, this book conveys up-to-date, substantive knowledge and is packed with useful techniques and clinical cases.”

—Lynn Videka, PhD, Dean Emerita, School of Social Work, University of Michigan

Table of Contents

I. An Introduction to Clinical Practice with Clients with Substance Use Disorders

1. Assessment and Treatment of Clients with Substance Use Disorders: An Overview, Shulamith Lala Ashenberg Straussner

2. Assessment and Treatment of Families Impacted by Addiction, Toula Kourgiantakis & Angie Hamilton

3. Brain–Behavior Linkages in Substance Use Disorders and Implications for Treatment, Suzanne Brown & Audrey Begun

4. Intersection between Trauma and Substance Use Disorders: Implications for Trauma-Informed Care, Shelly A. Wiechelt

II. Intervention with Clients with Substance Use Disorders

5. Motivational Interviewing and Substance Use Disorders, Nick R. Lessa

6. Pharmacological Interventions for Substance Use Disorders, Deirdre C. Calvert & Christopher Ortiz

7. Cognitive-Behavioral Therapy for People with Addictions, Bruce S. Liese & Corey M. Monley

8. Contingency Management in the Treatment of Substance Use Disorders, Autumn Froias & Carla J. Rash

9. Group-Based Treatment for Substance Use Disorders, Mary Marden Velasquez & Patrick M.W. Kennedy

10. 12-Step Programs and the Role of Peer Support Specialists in the Treatment of Substance Use Disorders, Christine Huff Fewell

III. Specific Populations and Substance Use Disorders

11. Assessment and Treatment of Adolescents with Substance Use Disorders, Audrey Freshman & Amanda Lefkowitz

12. Assessment and Treatment of Older Adults with Substance Use Disorders, Alexis Kuerbis

13. Assessment and Treatment of Women with Substance Use Disorders, Stephanie Elias Sarabia & Kalisha J. Smith

14. Assessment and Treatment of Sexual and Gender Minority Clients with Substance Use Disorders, Evan Senreich

15. Assessment and Treatment of Individuals with Co-Occurring Substance Misuse and Mental Health Disorders, Keith Morgen & Nicole Brummer

16. Assessment and Treatment of Individuals with Co-Occurring Substance Misuse and Addictive Behaviors: Gambling Disorders, Compulsive Sexual Behaviors, and Eating Disorders, Nicole Zmuda

17. Assessment and Treatment of Unhoused Individuals with Substance Use Disorders, Lynden Bond & Kristen Gurdak

18. Substance Use Treatment for People Involved with the Legal System, Brandy F. Henry & Jinwon Suh

IV. Special Issues and Approaches to Treatment of Substance Use Disorders

19. Harm Reduction and Clinical Work with Substance-Using Clients, Cali-Ryan Collin & Rebekah S. Halmo

20. Integrative Health Care and Clients with Substance Use Disorders, Wossenseged Birhane Jemberie & Lena Lundgren

V. Looking Toward the Future

21. Contemporary and Emerging Issues: Practice and Policy, Jeffrey Steen

Index


About the Editors

Shulamith Lala Ashenberg Straussner, PhD, DSW, LCSW, is Professor Emerita at the Silver School of Social Work, New York University. She is Founding Editor of the Journal of Social Work Practice in the Addictions and was inducted as a Social Work Pioneer by the National Association of Social Workers. Dr. Straussner is a board member of the Fulbright Israel Interest Group and a three-time Fulbright Senior Scholar, in Israel, Ukraine, and the Czech Republic. She is the author or editor of over 25 books and numerous book chapters, refereed journal articles, and other publications. Dr. Straussner was the originator and researcher of a 2015 national survey, “Social Workers’ Self-Reported Wellness Study.”

Jeffrey Steen, PhD, LCSW, is Visiting Assistant Professor at Miami University. Since the early 2000s, he has provided individual and group-based behavioral health services in a variety of outpatient settings. Dr. Steen has published numerous articles in peer-reviewed journals, instructs master's- and doctoral-level social work courses, and conducts harm reduction-focused research. He is an Associate Editor of the Journal of Social Work Practice in the Addictions. Dr. Steen identifies as a recovering person with living experience, a background that informs his professional practice, teaching, and research.

Audience

Students and practitioners in clinical social work, counseling, clinical psychology, psychiatry, and psychiatric nursing.

Course Use

Serves as a text in graduate-level courses, such as Social Work Practice with Addictions, Addictions Counseling, and Treatment of Substance Use Disorders.
Previous editions published by Guilford:

Third Edition, © 2014
ISBN: 9781462512690

Second Edition, © 2004
ISBN: 9781593852894

First Edition, © 1992
ISBN: 9780898621938
New to this edition: