Combining Medication and Psychosocial Treatments for Addictions: The BRENDA Approach [Hardcover]

Helen M. Pettinati (Author), Charles P. O'Brien (Author), Helen M. Petinati (Author)

Book Description

Publication Date: March 7, 2001 | ISBN-10: 1572306181 | ISBN-13: 978-1572306189 | Edition: 1

Recent studies have shown combined addiction treatments to be more effective than either medication or talk therapy alone. This practical manual presents an empirically supported 6-stage framework for managing biopsychosocial treatment of alcohol and drug dependence. The BRENDA approach helps practitioners integrate emerging and established psychosocial and medical intervention approaches into a comprehensive treatment program that is tailored to the needs of the individual patient. Fully compatible with cognitive-behavioral and 12-step treatment models, BRENDA incorporates the use of newly developed medications, such as naltrexone, that target the biological underpinnings of addiction. The approach has been demonstrated effective in more than 80% of alcohol dependent referrals to the authors' treatment program. Illustrated with extended case examples, the manual describes how to conduct a thorough evaluation and assessment, select appropriate interventions, enhance the patient's motivation to change, coordinate service delivery with other providers as needed, and maximize treatment compliance. Appendices include samples of substance abuse screening instruments and information about naltrexone pharmacotherapy.

Editorial Reviews

Review

"This is a groundbreaking book--the first in the field to provide a clear, clinically useful, and practical explication of how to enhance patient compliance with medication and addictions treatment. While there have been other publications that have addressed this important issue in the age of increasing attention to neurobiological treatments for addiction, none has been as comprehensive or as solidly grounded in research findings. It is a 'must read' for all clinicians working with addicted patients in settings where medications are a part of treatment, or where other treatment compliance issues are important to address. It will also be useful in professional training for physicians, psychologists, social workers, and addiction counselors." --Frederick Rotgers, PsyD, Assistant Chief Psychologist, Smithers Addiction Treatment and Research Center, St. Luke's-Roosevelt Hospital Center, New York, NY

"This book describes treatment principles that are helpful to 80% of drug and alcohol patients! Within the BRENDA approach, psychosocial and pharmacological treatment choices are individualized, with emphasis on naltrexone for alcohol addiction. These talented researcher-practitioners have produced a much-needed guide that will be readily understood and used in practice and teaching by psychologists, counselors, social workers, nurse practitioners, and others." --Lester Luborsky, PhD, Professor of Psychology in Psychiatry, School of Medicine, University of Pennsylvania

"Medications for treating addiction are usually not successful unless combined with appropriate psychosocial methods. Unfortunately, many programs lack the necessary sophistication in one or the other of these to carry out the combination. BRENDA offers an easily taught and understood way of integrating the two components. It has been tested and improved for over 5 years by one of the most outstanding teams of addiction clinical researchers in the United States and could significantly improve treatment outcome." --Herbert D. Kleber, MD., Professor of Psychiatry, Director, Division on Substance Abuse, Columbia University College of Physicians and Surgeon

About the Author

Joseph R. Volpicelli, MD, PhD, Associate Professor and Senior Scientist,University of Pennsylvania

Helen M. Pettinati, PhD, Associate Professor, Department of Psychiatry, Treatment Research Center, University of Pennsylvania

A. Thomas McLellan, PhD, Senior Scientist, Treatment Research Institute, Philadelphia, PA

Charles P. O'Brien, MD, PhD, Treatment Research Center, University of Pennsylvania

See all Editorial Reviews

Product Details

• Hardcover: 208 pages
• Publisher: Guilford Press; 1 edition (March 7, 2001)
• Language: English
• ISBN-10: 1572306181
• ISBN-13: 978-1572306189
• Product Dimensions: 9.2 x 6.2 x 0.8 inches
• Shipping Weight: 1 pounds (View shipping rates and policies)
• Amazon Best Sellers Rank: #1,982,141 in Books (See Top 100 in Books)