A Practitioner's Guide to Cannabis expertly cuts through the political and cultural noise surrounding cannabis use and provides a relevant, timely, and agnostic analysis of cannabis use and abuse. Incisive and insightful, this book assists behavioral health practitioners to increase their skills in screening, assessment, and intervention while helping them to adopt evidence-based practices. Health care providers will come to rely on this comprehensive resource to understand the risks of cannabis use and to provide a set of intervention strategies effective in a variety of settings. The book…mehr
A Practitioner's Guide to Cannabis expertly cuts through the political and cultural noise surrounding cannabis use and provides a relevant, timely, and agnostic analysis of cannabis use and abuse. Incisive and insightful, this book assists behavioral health practitioners to increase their skills in screening, assessment, and intervention while helping them to adopt evidence-based practices. Health care providers will come to rely on this comprehensive resource to understand the risks of cannabis use and to provide a set of intervention strategies effective in a variety of settings. The book covers topics crucial for understanding the work of behavioral health and health practitioners dealing with cannabis issues, including: the complexities of cannabis science; our cultural interpretations of the use of cannabis; the risks involved with cannabis use; effective interventions; patients' expressions of their own "biopsychosocial" experience. The book is perfect for social workers, psychologists, professional counselors, alcohol/drug counselors, and providers of health care, including physicians, nurses, and physician's assistants.
Win Turner, PhD, LADC, is a licensed clinical psychologist and national subject matter expert in motivational interviewing, cognitive behavior therapy, SBIRT & programs for youth/young adults, as well as policy development. He is a nationally certified trainer for the Center for Behavioral Health Integration (C4BHI), working throughout the US to help systems of care (medical, community, university, and public school settings) deliver and evaluate effective screening and interventions for substance use and/or mental health.
Inhaltsangabe
Contents
1 Introduction 1
2 What is Cannabis? 5
The Geographical and Historical Origins of Cannabis 6
History of the Medicinal Use of Cannabis 7
Recent US History of Cannabis Use 9
Factors Influencing Cannabis Legalization in the United States 10
3 The Chemistry of Cannabis 13
Psychoactive Chemicals in Cannabis 13
Synthetic Cannabinoids 15
Cannabinoids and the Human Body 17
The Changing Chemistry of Cannabis and Synthetics 19
4 Cannabis Use in the United States 20
Potential Effects of Legalization of Cannabis in the United States 20
Risks and CUD 22
Risks Pertaining to Cannabis Delivery Methods and Potency 24
5 Cannabis, its Recreational Use, and its Effects 27
Recreational Use of Cannabis 29
Pregnancy 31
Highway Safety 33
Cognitive Impairment 33
6 Cannabis as Medicine and the User's Experience 35
Multiple Sclerosis 36
Chronic Pain 36
Epilepsy 38
Cancer 38
Psychiatric Conditions 39
Medical Cannabis Patients Describe Their Experiences 39
Positive Experiences 40
Negative Experiences 41
Recommendations 41
Summary 41
7 A New Approach to Cannabis Screening 42
Universal Screening for Substance Use Disorders 42
Rationale for a Cannabis Screener 43
Cannabis Intervention Screener 44
Development of the CIS 45
Summary of CIS Evaluation Findings 46
Cannabis Use Vs. Misuse Vs. Abuse 48
Implications from CIS Study Findings 51
Orientation to Clinical Interventions Addressing Cannabis Use Disorder 53
Motivational Interviewing and Motivational Enhancement Therapy 53
Brief MI Interaction for Cannabis Misuse 54
Cognitive Behavioral Therapy 55
Intrapersonal Skills Training 57
CBT Introduction 58
The Structure of a Session Delivery: "Law of Thirds" 59
Session 1. Eliciting the Life Movie 64
Clinician Preparation 65
Session 1 Outline and Overview 66
Session 1 Protocol with Scripts 68
Session 1. Eliciting Life Movie and Change Plan Handouts 78