Download 295 Z1

Substance Abuse & Treatment
PSYC 295
Fall 2007
Syllabus
Instructor:
Erica Peters, B.A.
Predoctoral student in Clinical Psychology
Departments of Psychology & Psychiatry
University of Vermont
Office Location: Ira Allen School (38 Fletcher Place), Room 109
Phone Number: 656-9626
E-mail: [email protected]
Office Hours: Monday 10am-12pm; Wednesday 1-3pm
Course Information:
Number of Credit Hours: 3
Meeting Time and Location: Tuesday, 5-8PM
Class Size: 30 students
Prerequisite: PSYC 001 – General Psychology
Catalog Description: This course is designed to provide a comprehensive understanding of
substance use disorders (SUDs). Through class lecture and discussion and outside readings,
students will learn about the causes and treatment of SUDs, as well as the societal impact of
these disorders. Students will apply this knowledge by formulating conceptualizations and
proposing treatment through case studies.
Goal and Structure: Welcome to Psychology 295, Substance Abuse & Treatment! The goal of
this course is for students to, first, acquire knowledge in identifying, assessing, and treating
substance use disorders (SUDs), and then apply this knowledge to case examples. I believe that
students can accomplish this goal and, more importantly, be engaged in this course through a
combination of passive learning (which is necessary to learn the material!) and active learning
(so that students can critically think about the material and apply what they have gained).
Therefore, class meetings and assignments will be structured around this combination.
Class meetings will last three hours, incorporating lecture and discussion. Lectures will
cover a rationale for the topic of the class and a comprehensive review of the topic, incorporating
assigned readings. Whenever possible, I will utilize a variety of material in my lecture, including
role-plays and relevant selections from movies. Informed discussion will be led by me, but
students are expected to actively participate and ask thoughtful questions.
Assignments will consist of weekly readings, two midterm examinations, a final
examination, and a research project. Weekly reading assignments will cover textbook chapters
and current empirical research. The examinations will cover readings and class discussion and
will require students to apply their knowledge to case examples. More on the research project
later…..
Specific Objectives:
1. Define diagnostic and clinical features of SUDs.
2. Describe the epidemiology, genetics, neurobiology, and social context of SUDs.
3. Demonstrate a comprehensive assessment of SUDs, and discuss treatment of SUDs,
including research-documented efficacy of different treatment modalities.
4. Apply knowledge to case studies.
Materials:
1. Textbook: Lowinson, J.H., et al. (2004). Substance Abuse: A Comprehensive Textbook,
4th Edition. Philadelphia: Lippincott Williams & Wilkins.
2. Selected readings that will be distributed in class.
•
Budney, A.J., Moore, B.A., Vandrey, R.G. & Hughes, J.R. (2003). The time course
and significance of cannabis withdrawal. Journal of Abnormal Psychology, 112, 393402.
•
Carroll, K.M. & Rounsaville, B.J. (2002). On beyond urine: clinically useful
assessment instruments in the treatment of drug dependence. Behaviour Research
and Therapy, 40, 1329-1344.
•
Helzer, J.E., van den Brink, W. & Guth, S.E. (2006). Should there be both
categorical and dimensional criteria for the substance use disorders in the DSM-V?
Addiction, 101, 17-22.
•
Higgins, S.T., Budney, A.J., Bickel, W.K., Hughes, J.R., Foerg, F. & Badger, G.
(1993). Achieving cocaine abstinence with a behavioral approach. American Journal
of Psychiatry, 150, 763-769.
•
Hser, Y., Anglin, M.D. & Powers, K. (1993). A 24-year follow-up of California
narcotics addicts. Archives of General Psychiatry, 50, 577-584.
•
Hughes, J.R. (2004). Nicotine-related disorders. In B.J. Sadock & V.A. Sadock
(Eds.), Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, 8th Edition (pp.
1257-1265). Lippincott Williams & Wilkins. (to be distributed in class)
•
Kessler, R.C. (2004). Impact of substance abuse on the diagnosis, course, and
treatment of mood disorders: the epidemiology of dual diagnosis. Biological
Psychiatry, 56, 730-737.
•
McCrady, B.S. (2001). Alcohol Use Disorders. In D.H. Barlow, Ed., Clinical
Handbok of Psychological Disorders, 3rd Edition. New York: The Guilford Press.
(to be distributed in class)
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•
McLellan, A.T., Lewis, D.C., O’Brien, C.P. & Kleber, H.D. (2000). Drug
dependence, a chronic medical illness: Implications for treatment, insurance, and
outcomes evaluation. JAMA, 284, 1689-1695.
•
Project MATCH Research Group (1997). Matching alcoholism treatments to client
heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies
on Alcohol, 58, 7-29.
•
Sloboda, Z. (2005). Epidemiology of Drug Abuse. New York: Springer. (selected
portions to be distributed in class)
Research Project:
At the first class meeting, I will randomly assign students to groups of 2 or 3. I will provide a
list of possible topics for the research project, and each group will decide which topic to
research. Each topic will deal with one class of substances, so during the class meeting where
we discuss a class of substances, this group will make a 15-minute presentation to the class on
what they have researched and then lead a discussion of their topic. They will also submit a 5-10
page paper on their research topic when they make their presentation. Finally, they will submit
to me a rough draft of this paper 3 weeks before their presentation.
Course Requirements:
1. I expect that students will attend every class, read the assigned material before class, and
participate in discussion of the material. If a student must miss class, he will notify me at
least 24 hours before the class meeting. Class participation will account for 10 points (10%
of the final grade).
2. Two midterm examinations will account for 25 points in total (12.5 points each; 25% of the
final grade). They will be taken during regular class time in our regular classroom. The first
midterm examination will cover all material from the beginning of the course, and the second
midterm examination will cover all material since the first midterm examination.
3. A final examination will account for 35 points (35% of the final grade). It will be taken
during the final exam period and will cover all material from the beginning of the course.
4. The research project will account for 30 points (30% of the final grade). The presentation
will account for 10 points, the rough draft of the paper will account for 10 points, and the
final draft will account for 10 points.
Grading: I recommend that you keep track of your own grades on each assignment and handcalculate your final grade at the end of the semester to monitor your progress and also to note
any discrepancies between my calculations and your own.
Grading Scale:
97-100% = A+
93-96% = A
90-92% = A87-89% = B+
83-86% = B
80-82% = B-
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77-79% = C+
73-76% = C
70-72% = C67-69% = D+
63-66% = D
60-62% = D59% and below = F
Make-up Policy: I do NOT expect students to miss the midterms or final examination. I
understand that emergency situations (e.g., severe illness, injury, family emergency) may arise,
but students must contact me as soon as possible to discuss how they might make up missed
requirements. I will determine on a case-by-case basis if students are eligible for make-up
exams.
Cheating and Plagiarism: Cheating and plagiarism are considered serious offenses and are not
tolerated in this course or at the University of Vermont. Anyone caught cheating and/or
plagiarizing a document (including a peer’s) in this class will automatically fail this course.
Please see me or the University’s Code of Integrity at
http://www.uvm.edu/~facsen/Academic%20Integrity.pdf for more information, or if these
policies are unclear.
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Schedule of Topics:
Week
Date
Topic
Lowinson
Readings
1
2
8/28/07
9/4/07
Introduction
Epidemiology of SUDs
---Chapter 2
3
9/11/07
Causes & Consequences
Chapter 4
4
9/18/07
Assessment
5
9/25/07
Treatment
6
10/2/07
1.
7
10/9/07
8
10/16/07 Substance Classes:
Stimulants
9
10/23/07 Substance Classes:
Stimulants
(continued, with a focus
on nicotine & tobacco)
10/30/07 Substance Classes:
Opiates
10
1st Midterm
Examination
2. Substance Classes:
Depressants
Substance Classes:
Depressants (continued)
11
11/6/07
12
11/13/07 1. 2nd Midterm
Examination
2. Prevention of SUDs
11/20/07 NO CLASS –
THANKSGIVING
BREAK
13
14
Chapters 42 & 52
(Chapter 36
optional)
----
Substance Classes:
Hallucinogens
11/27/07 Comorbid Conditions
5
Selected Readings
---1. Helzer et al. (2006)
2. NSDUH findings
3. Sloboda pp. 90-94,
99-111
1. Sloboda pp. 50-56
2. Time magazine article
1. McCrady pp. 389-397
2. Carroll & Rounsaville
(2002)
McLellan et al. (2000)
-----
Chapter 9
(Chapter 8
optional)
Chapter 13
(Chapter 12
optional)
Chapter 24
Project MATCH
Research Group (1997)
Chapters 11 & 26
(Chapter 10
optional)
Chapter 15
(Chapter 14
optional)
Chapters 76 & 79
(optional)
Hser et al. (1993)
Chapter 56
Kessler (2004)
Higgins et al. (1993)
Hughes (2004)
Budney et al. (2003)
-----
15
12/4/07
1. Polydrug Abuse
TBD
2. Review of Semester
& Preparation for
Final
FINALS 12/13/07 FINAL EXAMINATION ---PERIOD 7-10PM
TBD
----
Additional Resources:
Suggested Readings:
• Marlatt, G.A. & Donovan, D.M. (2005). Relapse Prevention, 2nd edition. New York:
The Guilford Press.
• Miller, W.R. & Rollnick, S. (2002). Motivational Interviewing, 2nd edition. New York:
The Guilford Press.
Internet Sites:
• www.drugabuse.gov (National Institute on Drug Abuse)
• http://csat.samhsa.gov (Center for Substance Abuse Treatment of the Substance Abuse
and Mental Health Services Administration
• http://depts.washington.edu/adai/ (Alcohol and Drug Institute at the University of
Washington)
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