Adolescent substance misuse - problems, prevention and treatment
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Work with young people on issues of substance misuse has for too long been based on adult-oriented research and adapted from adult-focussed practice. Introducing and assessing the evidence base that is being developed around work with children and young people, Youthoria provides startling and compelling conclusions that revise not only our understanding of problematic young substance users, but also of young people in all contexts of need. It:
Youthoria will help anyone working with young people and families, not only to develop a framework for learning and practice that makes sense of the complexity of young people's needs... but to do so in ways which make sense to young people too. It:
A stimulating challenge to academics and practitioners alike, it will help them:
Large format. 280 pages. 9781905541829. Published 2013. £27.95.
To see a question and answer session with the author, Phil Harris, about issues raised in Youthoria, please click here.
Available direct from RHP only by phoning 01297 443948 or by e-mailing firstname.lastname@example.org
20 copies - £40.46 each, with free delivery
30 copies - £38.21 each, with free delivery
50 copies - £35.96 each, with free delivery
Discounts on larger quantities can be made by arrangement with RHP.
Substance misuse youth workers, youth workers, criminal justice workers, teachers, social workers, housing workers and officers, family workers, counsellors, families, adult drug and alcohol workers, commissioners.
Who is this book for?
How common is substance use in young people?
Prevalence rates of tobacco, alcohol and drugs
Prevalence of drug and alcohol problems
Variation in substance use across cultures
Informal cultural control of use
Young people's use and the media
Variation within cultures
How young people acquire drugs and alcohol
What is adolescent development?
The evolution of the modern family
Perspectives on adolescent development
Parent and adolescent interactions
Developmental processes of adolescence
Puberty: physical changes
Puberty: cognitive changes
Developmental delay and substance use
Adolescent mental health
How do substance use problems develop?
Models of cause and effect
Risk and protection factors
Key issues in risk and protection theory
Age of initiation
Substance abuse trajectories
Trajectories and mental health
What is problematic use in young people?
Origins of diagnosis
Young people and diagnostic criteria
The rate of acquisition of substance-related problems
Comprehensive assessment: overview
Comprehensive assessment: dependence
Comprehensive assessment: social functioning
Comprehensive assessment: treatment planning
Future developments in diagnostic criteria
Can substance use be prevented in young people?
Prevention and education controversies
Defining drug and alcohol prevention and education
School-based approaches to prevention and education
College and university based approaches
Family based prevention approaches
Mass media campaigns
Multilevel community programmes
The outcomes of prevention and education programmes
Core elements of effective programmes
Does treatment work for young people?
Treatment outcomes with young people
What really matters in treatment?
Comprehensive treatment pathways
Specific modalities: Pharmacotherapy
Specific modalities: controlled drinking programmes
Specific modalities: Motivational Interviewing
Specific modalities: Cognitive Behavioural and Behavioural approaches
Specific modalities: The Twelve Step Approach
Treatment matching interventions
Treatment for externalized disorders
Treatment for depression
Treatment for anxiety disorders
Treatment for Post-Traumatic Stress Disorders
Treatment for suicidal young people
Family involvement and treatment
Family involvement: motivating young people for treatment
Family involvement: family therapy
Family involvement: Family Conferencing and Network Therapy
ABOUT THE AUTHOR
Phil Harris is an independent writer who has worked in direct access drug services for over twenty years. He has designed and delivered internationally recognised treatment programmes and accredited training courses throughout the UK & Europe. Having worked as a drugs treatment advisor to DST's, Criminal Justice Services and Youth Services, he has also managed several organisations and implemented innovative, practical and effective approaches to addressing people's problems with misuse of drugs and alcohol. He continues to practise in the south west of England.
"The author does a remarkable job in synthesising extensive research findings to provide a comprehensive and coherent framework for understanding and effectively responding to substance use by today's youth.
"The strength of the book lies in:
"Refreshingly, the book ignores policy and political agendas and instead focuses on the natural history of young people's drug and alcohol use as it actually evolves, establishes itself and the recedes in their lives. In this way, the author achieves what he clearly sets out to deliver - a clear, authoritative framework that articulates developmentally-informed interventions which directly address the realities and complexities of young people's lives.
"Youthoria is a highly readable and engaging book that provides invaluable insights, strategies and tools for commissioners of services and for staff involved in supporting young people and their families. It will also be of immense help to academics and social work/care students alike." Professional Social Work
"Phil Harris' experience and wisdom provides new perspectives on the complexities of adolescent drug use, and effective and ineffective intervention strategies... His compelling results... will be helpful for youth workers, families with adolescents and anyone curious about the mysterious functions of the adolescent brain." YFX Magazine, Australian Clearing House of Youth Studies
"The recent NTA (2012) report shows a reduction in numbers of young people in treatment which is consistent with an overall decline in drug use for that age group. But, for those 20,000 or so young people with issues surrounding substance use, the picture is complex and such use is often a symptom of wider issues in their lives.
"This book is a very welcomed monograph on this subject. The strange (yet enticing) title of this book makes sense when coupled with the subtitle of the book, Adolescent Substance Misuse: Problems, Prevention and Treatment.
"I think this is a unique book which is arguably unrivalled in its scope. Phil Harris weaves together a range of perspectives on adolescence substance use in a highly readable text. This is a work of wisdom and scholarship cleverly combined with a great deal of useful and practical information. It is intellectually challenging but always an easy read. The clarity of the argument is aided by a tight focused structure.
"Chapter 1 provides commentary on the patterns of alcohol and other drug use by young people across and within cultures. In doing so, Harris demonstrates that consumption and problems are best understood within a wider context of the dynamic, historical and cultural forces which exert huge influence over the type, range and frequency of problems that young people experience. This, in turn, Harris argues in Chapter 2, actually defines the structure of adolescent development itself. Perhaps the most controversial section of the book, this chapter charts the distinct elements of adolescent development including psychological and biological maturation, life task achievement, identity formation and the shifting patterns of relationships. It examines how substance misuse can disrupt these processes and potentially curtail a young person's preparation for adult life.
"Chapter 3 extends the argument regarding the relationship between substance misuse and adolescent development. Harris convincingly offers the proposition that substance misuse does not happen at random points in a young person's life, but occurs at key moments within the life course. At this point, the book offers a radically different perspective in arguing that problematic substance using youth are not a homogenous group-they are part of a sub-population with distinct clinical profiles. Accepting this obviously has implications for any subsequent treatment options and this is explored in Chapter 4. Here, the author identifies specific differences between adult and young people's problematic substance use and highlights why an adult diagnostic criterion represents a 'poor fit' for young people. In doing so, Harris returns to his key theme-how young people's use evolves through clearly identifiable phases. This, in turn, logically means a move to more appropriate assessment and care planning which will provide a more accurate understanding of young people's needs which will lead to an enhanced treatment outcome.
"Chapter 5 continues the theme regarding adopting an 'adult perspective', when Harris turns his attention to the effectiveness (or otherwise) of prevention and education programmes. Offering a historical angle on such provision, it is argued, these operated on adult assumptions regarding young people's drug and alcohol use. With regard to such programmes, Harris acknowledges that we have come a little way. However, it is still the case that the lack of credibility surrounding many such approaches taints the reputation of a lot of prevention and education work. We get a gentle reminder here of the fact that young people most vulnerable to problematic drug use share a number of divergent risk profiles. This all leads very smoothly to Chapter 6, which examines the impact of treatment on young people. Not surprisingly, Harris is generally critical of a number of treatment models because (highlighting the recurrent theme) they are not specifically developed for young people.
"There is no index but you do not need one; you can easily find your way around. The book features a variety of figures, tables, graphs, etc. and each chapter is broken up appropriately with headings and sub-headings-the detailed text flows smoothly and effortlessly, making for an engaging, informative and essential read for all professionals working with adolescents." British Journal of Social Work.
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