For use by addiction counselors, psychologists, psychiatrists, and other professionals working with clients with addictions, this work provides a supported framework for managing biophysical treatment of alcohol and drug dependence. Compatible with cognitive-behavioral and 12-step models, BRENDA is a collaborative, case-management approach to treatment that has been demonstrated effective in more than 80 percent of alcohol-dependent referrals.

I. The BRENDA Approach and How to Use It1. The Biopsychosocial Understanding of Addiction2. Managing Addiction Treatment Using the BRENDA Approach3. Biopsychosocial Assessment: How to Conduct It4. The Report: How to Prepare and Present the Assessment Results5. Empathetic Understanding: Listening to the Patient6. Needs: Indentifying Patient Needs and Priorities7. Direct Advice: Matching Needs to Treatment Options8. Assessment of the Patient's Reaction to Advice: Adjusting Advice to Patient Response9. Dealing with Pharmacotherapy and Medication Compliance Issues10. Applying the BRENDA Stages to Early Recovery Issues11. Applying the BRENDA Stages to Later Recovery IssuesII. The BRENDA Approach in Action12. The Case of Bill: A Successful Businessman with Alcohol Addiction13. The Case of Alissa: Cocaine and Alcohol Addiction with Severe Psychosocial Complications14. The Case of Stephen: A Binge Drinker/PrecontemplatorAPPENDIX A: InstrumentsCage QuestionnaireAlcohol Use Disorders Identification Test (AUDIT)Substance Use Disorders ScreenPsychological Distress Inventory--32 (PDI-32)APPENDIX B: Naltrexone Pharmacotherapy for Alcohol DependenceDosage and AdministrationPharmacokinetics/Mechanism of ActionDrug Interaction PrecautionsSide EffectsContraindicationsPatients' Frequently Asked Questions about NaltrexoneMedication Tips for Patients