Substance Abuse

Substance abuse refers to a dependency on any form of drug, including prescription and over the counter drugs, alcohol, food, or other addictive substance with harmful or negative side effects. Often, those who have a substance abuse problem may not realize how dependent they are. That’s because repeated substance use can cause changes in the brain, which affect self-control and inhibit a person’s ability to resist intense urges to use the substance. It becomes a physical condition in the body and many people cannot stop their substance abuse despite wanting to. Substance abuse can be scary and isolating, for both the addict, as well as their family, friends and loved ones. It can also have serious health and well-being consequences, affecting work, family, money, and school, as well as have long-lasting legal consequences. We are here to help. If you aren’t sure if substance use has turned into abuse, or if you have questions or concerns about addiction, please click on the resources listed below.

You are not alone. Connect with others who may be going through the same thing, find professional help and resources near you. The Kinjunxion community is here to help.

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Rethinking Substance Abuse

What the Science Shows, and What We Should Do about It

While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social–environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

Adolescents, Alcohol, and Substance Abuse

Reaching Teens through Brief Interventions

This volume reviews a range of empirically supported approaches to prevention and treatment of adolescent substance use problems. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on cutting-edge knowledge on addictive behavior change. From expert contributors, coverage encompasses alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.

Treating Substance Abuse

Theory and Technique

Widely adopted, this state-of-the-art work is grounded in the best available knowledge about substance abuse and its treatment. The editors and contributors are leading authorities who provide a complete introduction to each of today's major evidence-based treatment approaches -- from conceptual underpinnings to clinical applications. The third edition has been revised and updated to reflect significant advances in research, theory, and technique. Entirely new chapters cover the biology of substance use disorders, treatment in primary care settings, and case management. The third edition retains the structure that makes the book so popular as a course text and practitioner resource. Following an introductory overview, paired chapters focus respectively on the theory and practice of each approach, including motivational, contingency management, cognitive-behavioral, 12-step, family, and pharmacological models. Theory chapters explain basic assumptions about how people develop, maintain, and recover from substance use disorders and concisely review the research support for each approach. Practice chapters then offer a start-to-finish view of treatment, covering such crucial topics as the therapeutic relationship, assessment procedures, goal setting, the sequencing of interventions, how "denial" and "resistance" are addressed, the role of self-help groups, and strategies for preventing and dealing with relapse. Illustrative case examples are included. The volume concludes with three chapters on integrating different techniques to meet patients' needs in a range of clinical settings. Written for a broad audience, this book is an essential text for courses in substance abuse treatment and addiction counseling. Experienced substance abuse clinicians -- including clinical psychologists, clinical social workers, psychiatric nurses, counselors, and psychiatrists -- will find it a valuable reference for staying up to date on current treatment approaches.

Substance Abuse

Information for School Counselors, Social Workers, Therapists, and Counselors

This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. In an accessible writing style, Fisher and Harrison’s Substance Abuse: Information for School Counselors, Social Workers, Therapists and Counselors presents succinct, practical coverage of alcohol and other drug prevention, treatment, and recovery for generalist students, prospective mental health professionals, and allied professionals. It includes basic information on substances of abuse and focuses on clinically relevant knowledge on such topics as cultural competence, co-occurring disorders, other behavioral addictions, children and families, and ethics and confidentiality. Each chapter includes clinical application cases and questions for further discussion. The new edition inclues a new chapter on “Co-Occurring Disorders and Other Special Populations,” new information on cultural competencies and intervening with special populations such as the elderly and LGBTQQI, and new information on risk factors for alcohol and other drugs for culturally and ethnically diverse populations.

Group Treatment for Substance Abuse, Second Edition

A Stages-of-Change Therapy Manual

The leading manual on group-based treatment of substance use disorders, this highly practical book is grounded in the transtheoretical model and emphasizes the experiential and behavioral processes of change. The program helps clients move through the stages of change by building skills for acknowledging a problem, deciding to act, developing and executing a plan, and accomplishing other critical tasks. The expert authors provide step-by-step guidelines for implementing the 35 structured sessions, along with strategies for enhancing motivation. In a large-size format with lay-flat binding for easy photocopying, the volume includes 58 reproducible handouts. Purchasers get access to a Web page where they can download and print the reproducible materials. New to This Edition *Reflects significant developments in research and clinical practice. *Eight new sessions focusing on the brain and substance use, gratitude, self-control, mindfulness, acceptance, and more. *Updated discussions of motivational interviewing and the use of cognitive-behavioral techniques with groups. *41 of the 58 handouts are new or revised; all are now downloadable. See also Substance Abuse Treatment and the Stages of Change, Second Edition, by Gerard J. Connors et al., which explores how the transtheoretical model can inform treatment planning and intervention in diverse clinical contexts.

Codependent No More

How to Stop Controlling Others and Start Caring for Yourself

The healing touchstone of millions, this modern classic by one of America's best-loved and most inspirational authors holds the key to understanding codependency and to unlocking its stultifying hold on your life. Is someone else's problem your problem? If, like so many others, you've lost sight of your own life in the drama of tending to someone else's, you may be codependent--and you may find yourself in this book--Codependent No More.The healing touchstone of millions, this modern classic by one of America's best-loved and most inspirational authors holds the key to understanding codependency and to unlocking its stultifying hold on your life.With instructive life stories, personal reflections, exercises, and self-tests, Codependent No More is a simple, straightforward, readable map of the perplexing world of codependency--charting the path to freedom and a lifetime of healing, hope, and happiness.Melody Beattie is the author of Beyond Codependency, The Language of Letting Go, Stop Being Mean to Yourself, The Codependent No More Workbook and Playing It by Heart.

Substance Abuse

A Comprehensive Textbook

The premier text on substance abuse and addictive behaviors is now in its updated and expanded Fourth Edition, with up-to-the-minute insights from more than 150 experts at the front lines of patient management and research. This edition features expanded coverage of the neurobiology of abused substances, new pharmacologic therapies for addictions, and complete information on “club drugs” such as Ecstasy. New sections focus on addiction in children, adolescents, adults, and the elderly and women’s health issues, including pregnancy. The expanded behavioral addictions section now includes hoarding, shopping, and computer/Internet abuse. Includes access to a Companion wesbite that has fully searchable text.

Substance Abuse and Emotion

The devastating psychological, physical, and spiritual damage wrought by the misuse of drugs is indisputable. However, there is a recurring debate over the causes of substance abuse that typically divides along two common assumptions: People either abuse drugs and alcohol out of sheer pleasure-seeking drives run amok or to escape or assuage aversive states of comorbid anxiety or depression. Substance Abuse and Emotion goes beyond this dichotomy in its exploration of recent, significant field observations, theory construction and rigorous testing, and laboratory research to advance working models for a new research paradigm on substance abuse and comorbidity. Notably, the relationship between drugs and emotion is emerging as paramount in understanding drug abuse etiology, maintenance, and relapse. Part I of this edited volume examines various theoretical perspectives on the interrelationship between substance abuse and emotion, such as craving and positive/negative reinforcement; cognitive theories; relapse; and developmental, sociobiological, and evolutionary perspectives. Part II explores new assessment methodologies, such as ecological momentary assessment and the linkage between affect and cognitive deficits among drug users. The book concludes with a research agenda to expand the volumes new paradigm in understanding and treating substance abuse.

Brief Interventions for Adolescent Alcohol and Substance Abuse

Bringing together leading experts, this book demonstrates the unique value of brief motivational interventions for addressing adolescent alcohol and other substance use in a range of clinical contexts. It presents cutting-edge knowledge on the etiology and developmental context of adolescent addictive behaviors and reviews exemplary treatment approaches. Effective strategies are described for intervening with diverse populations, such as college students, youth in the justice system and in foster care, those with co-occurring substance abuse and psychiatric problems, LGBT youth, and Latino and American Indian adolescents. This book replaces the editors' influential earlier work, Adolescents, Alcohol, and Substance Abuse. With an expanded focus on practical applications, most content is completely new. ÿ

Neurological Aspects of Substance Abuse

Neurologic symptoms and signs are associated with the use of recreationally abused drugs. Among the serious neurologic and medical complications are coma, trauma, infection, seizures, stroke, altered mentation, peripheral neuropathies, myelopathies, Parkinsonism, visual disturbances, dyskinesias, cerebellar ataxia, impotence, and fetal effects. The less alarming sequelae are myriad (fatigue, loss of appetite, headaches, dizziness, etc.). Dr. Brust has written the most comprehensive source available to the point of being encyclpedic, including references. But, as one reviewer points outt, "The book is not tedious reading..." It is in fact well organized and readable, with his own brand of erudition. Almost entertaining, Dr Brust's style does delight, as in: "Bizzare even by the often rococo standards of substance abuse is "toad licking."

A Parent's Guide to Substance Abuse and Addiction

A Parents Guide to Substance Abuse and Addiction: provides a necessary education on what the main substances of abuse are, how they are used, how addiction occurs, and the resulting physical, psychological, and legal consequences. This concise and factual guide is a useful reference for both parents and their teens. Its main purpose is to educate and open a pathway of communication, trust, and respect between parents and their teens about drug and alcohol abuse and how and why addiction occurs. It arms teens with vital knowledge about the pitfalls and possible dangers of substance abuse so that they can make educated choices throughout their teenage years and beyond.

Solution-Focused Substance Abuse Treatment

Solution-Focused Substance Abuse Treatment describes the standard of care for substance abuse treatment, demonstrates how solution-focused brief therapy exceeds this standard, and shows how it can effectively be used in substance abuse evaluation, case management, and both individual and group treatment. Beginning and advanced concepts are provided to address the questions of even the most advanced clinician, all placed in the context of cultural awareness. Most importantly, the author answers the many questions professionals may have about how solution-focused brief therapy can be successfully integrated into the field of substance abuse. It provides a thorough understanding of the issues that therapists face when working with this at times challenging population, and demonstrates how the use of solution-focused brief therapy can minimize power struggles and enhance client success. Sample forms and handouts are included, as are additional resources for effective evaluation and treatment.

Substance Abuse

Prevention of Child Abuse

Domestic Abuse

Sexual Abuse

Ending Child Abuse

ABUSE

Catholic Family Services of Hamilton - Women's Support Groups

Supports women and children who have experienced abuse. Services include trauma-informed individual and group counselling (drop-in and registered), awareness-building and education on the dynamics of abuse and negative impacts on self-esteem, parenting, relationships, substance use, sleep, and mood, and counselling for children exposed to violence, abuse, and trauma.

T. A. Patterson and Associates - Paradigm

A community based treatment program funded by the Ministry of Community Safety and Correctional Services which is designed for individuals who have experienced legal consequences as a result of their substance abuse.

St. Leonard's Society of Hamilton (The) - Emerald Street Treatment Centre - 24 Emerald St

A 30-bed substance abuse treatment centre.

Halton Regional Police Service - Elder Abuse Enquiries / Reporting - Oakville - North Service Rd - Headquarters

Working in partnership with community service agencies, the HRPS' Elder Services Unit responds and assists seniors and their families in a number of key areas, including:

* issues of neglect
* financial abuse
* physical and/or psychological mistreatment

To deter and prevent the perpetuation of crime against seniors living and working in the community, the Halton Regional Police Service Elder Service's Unit offers a series of topical presentations to older adults, their families and service providers.

HRPS' Elder Services Unit consists of three Seniors Crime Investigators, an Elder Services Coordinator, District Community Response Officers and the Victim Services Unit.

T. A. Patterson and Associates - Perspectives

For youth with substance use issues serving a youth probation order through the Ministry of Children and Youth Services Youth Justice Services. Phases of the program are assessment, treatment and aftercare.

The objectives of the program include:
* assessing an individual’s substance use
* educating participants about alcohol/drugs and their effects
* assisting with identifying the consequences of client’s substance use
* encouraging further positive change
* match intervention to client’s stage of readiness for change

Catholic Family Services of Hamilton - Woman Abuse Program

Offers trauma informed support to women and children who have been exposed to abuse, violence and/or trauma within a non-judgmental, inclusive environment in which they can increase their knowledge and understanding of woman abuse, and explore the options, resources and supports available.

Services offered:
Woman Abuse Counselling
Children's Counselling
Partner Assault Response (PAR)
Learning Effective Anti-Violence in Families (LEAF)

Catholic Family Services of Hamilton - Elder Abuse / Neglect

Provides intensive case coordination with an in-depth, personalized, flexible and creative approach. Specializes in elder abuse, including physical, psychological/verbal, financial, neglect or self-neglect. Service is free and confidential.

Nina's Place - Regional Sexual Assault / Domestic Violence Care Centre - Joseph Brant Hospital

If you are in immediate danger call 911;
* If you have experienced sexual assault or domestic violence within the past 12 days, go to Joseph Brant Hospital Emergency Dept and ask for Nina's Place
* If your assault was greater than 12 days but less than 2 years, and you would like counselling, contact the Nina's Place trauma informed Social Worker at 905-681-4880

A sexual assault/domestic violence crisis centre providing specialized health care to any survivor who has experienced a recent sexual assault (within the past 12 days) and/or domestic violence
* specially-trained nurses are on call Mon-Sun 24 hours

Major services:
* a physical exam and treatment of any physical injuries
* testing and prevention for possible pregnancy
* testing and preventive treatment of sexually transmitted infections
* crisis intervention
* risk assessment and safety planning
* documentation and/or photographing of any injuries
* collection of forensic evidence of the assault for 6-month storage or immediate release to police
* providing information about navigating the legal system and reporting options
* follow-up medical care, counselling and referral to community agencies
* links to community resources such as Halton Region Sexual Health Clinic, Halton Women's Place, Sexual Assault and Violence Intervention Services (SAVIS)
* a sensitivity to race, gender, ethnicity, age, sexual orientation, socioeconomic status and/or abilities of individuals will be maintained

* support, welcome, and advocate for survivors of all genders, sexualities, races, abilities, religions, and cultural backgrounds
* clients may consent to all or parts of the offered care options
* clients have the choice whether to involve the police or not

Alternatives for Youth (AY)

A variety of services are available for youth who are experiencing difficulties related to substance use/abuse and support for families or caregivers.

YMCA of Greater Toronto - Youth Substance Abuse Program, Mississauga YMCA Centre - Mississauga YMCA Centre

Non-residential substance use treatment program * assessment, individual counselling, crisis intervention, referral * educational workshops * outreach counselling * no emergency services * for other YMCA/YSAP locations in Toronto and Peel Region, see separate entries

Fixed site for Peel Works Needle Exchange program, harm reduction supplies

Halton Women's Place - Emergency Shelter and Crisis Services - Burlington and Milton - Unpublished

Major Services:
* 24 hour crisis lines for abused women
* safe shelter accommodation, food, and basic personal items for a maximum of 8 weeks for abused women and their dependent children
* individual and/or supportive group counselling at the shelter
* community agency information and referral when necessary
* court support for interim custody and restraining orders
* children's services
* emergency transportation to shelter, if necessary
* depart planning
* advocacy and public education around ending violence against women
* transitional support program
* accepts donations of goods for those in the shelter and those moving from the shelter to permanent housing (see list of needs here).

Family Court Support Worker Program
* information on the family court process
* assistance in preparing for family court proceedings (documenting history of abuse, accessing Legal Aid)
* referral to specialized services and supports in the community
* safety planning
* court accompaniment to proceedings when appropriate

Schools programs
* Healthy Relationships = Healthy Communities program, for Grades 1 to 12, addresses students in an age-appropriate manner about healthy friendships, bullying and abuse, and domestic violence
* EngageMENt 'male ally' program is a conversation-based 8-week program led by a male facilitator that guides male students through discussion around popular and sports culture, through a gender lens, and discusses what 'healthy masculinity' means, wrapping up by planning an experiential or service learning initiative (participants may receive up to 15 volunteer hours toward their Community Involvement requirement)

Catholic Family Services of Hamilton - Women's Support Groups

Supports women and children who have experienced abuse. Services include trauma-informed individual and group counselling (drop-in and registered), awareness-building and education on the dynamics of abuse and negative impacts on self-esteem, parenting, relationships, substance use, sleep, and mood, and counselling for children exposed to violence, abuse, and trauma.