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An Individual Drug Counseling Approach to Treat Cocaine Addiction:
The Collaborative Cocaine Treatment Study Model



Contents

Foreword
Chapter 1 - Introduction
  • Introduction
  • Research Support
  • Treatment Philosophy
  • Contributions of the 12-Step Approach
  • Role of Self-Help Groups
  • Role of Significant Others in Treatment
Chapter 2 - Overview
  • Overview of This Counseling Approach
  • Comparison of Addiction Counseling and Psychotherapy
  • Similar and Dissimilar Approaches
  • Compatibility With Other Treatments
Chapter 3 - Logistics of the Model
  • Frequency and Duration of Sessions
  • Duration of Treatment
  • Target Population
  • Setting
Chapter 4 - Assessment
  • Assessment
  • Addiction Severity Index
  • Biological Assays
Chapter 5 - The Role of the Addiction Counselor
  • Patient-Counselor Relationship
  • Therapeutic Alliance
  • Behaviors That Should Not Be Done
Chapter 6 - The Individual Drug Counseling Model
  • Goals and Objectives of Individual Drug Counseling
  • Stages of Treatment
  • In Each Session
    • Preparing for the Session
    • During Each Session
Chapter 7 - Treatment Initiation
  • Goals
  • Treatment Issues
    • Denial
    • Ambivalence
  • Introductory Sessions
    • Session 1
    • Session 2
Chapter 8 - Early Abstinence
  • Goals
  • Treatment Issues
    • Addiction and the Associated Symptoms
    • People, Places, and Things
    • Structuring One's Time
      • Sample Schedules
    • Craving
    • High-Risk Situations
    • Social Pressures To Use
    • Compulsive Sexual Behavior
    • Postacute Withdrawal Symptoms
    • Use of Other Drugs
    • 12-Step Participation
Chapter 9 - Maintaining Abstinence
  • Goals
  • Treatment Issues
    • Tools for Preventing Relapse
    • Identification of the Relapse Process
    • Relationships in Recovery
    • Development of a Drug-Free Lifestyle
    • Spirituality
    • Shame and Guilt
    • Personal Inventory
    • Character Defects
    • Identification and Fulfillment of Needs
    • Management of Anger
    • Relaxation and Leisure Time
    • Employment and Management of Money
    • Transfer of Addictive Behaviors
Chapter 10 - Advanced Recovery
  • Termination
  • Treatment Booster Sessions
  • Goals of Booster Sessions
Chapter 11 - Dealing With Problems That Arise
  • Dealing With Lateness or Nonattendance
  • Denial, Resistance, or Poor Motivation
  • Strategies for Dealing With Crises
  • Dealing With Relapse
  • Levels of Severity of Relapse
    • Slips
    • Several Days of Drug Use
    • Sustained Drug Use With Resumption of Addiction
Chapter 12 - Counselor Characteristics and Training
  • Ideal Personal Characteristics of the Counselor
  • Educational Requirements
  • Credentials and Experience Required
  • Counselors in Recovery Themselves
Chapter 13 - Supervision
  • Training and Supervision
  • Use of the Adherence Scale
References
Appendix: Adherence/Competence Scale for Individual Drug Counseling (IDC) for Cocaine Dependence

Therapy Manuals for Drug Abuse:
Manual 3

 



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Authors

Delinda E. Mercer, Ph.D.
George E. Woody, Ph.D.
University of Pennsylvania and
Veterans Affairs Medical Center

Acknowledgements

Disclaimer

The opinions expressed herein are the views of the authors and do not necessarily reflect the official policy or position of the National Institute on Drug Abuse or any other part of the U.S. Department of Health and Human Services. The U.S. Government does not endorse or favor any specific commercial product.

Public Domain Notice

All material appearing in this report is in the public domain and may be reproduced without permission from the National Institute on Drug Abuse or the authors. Citation of the source is appreciated.

National Institute on Drug Abuse
NIH Publication Number 99-4380
Printed September 1999

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This report is also available in PDF format, Manual 3.pdf, [PDF format, 279 K]
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