This volume presents an innovative model for the treatment of clients with alcohol and substance abuse problems. Demonstrating that traditional approaches to addictions are inappropriate for many substance users who also have psychological or emotional problems, Patt Denning shows how effective therapeutic work can be conducted with individuals who may still be using drugs. For the first time, the goals and methods of harm reduction are incorporated into a comprehensive psychotherapeutic approach - one that can be initiated without waiting for, or insisting upon, abstinence. Featuring a wealth of clinical examples and step-by-step guidelines for assessment and treatment, this wise and practical book will be immediately useful to therapists and counselors in a wide range of settings." "This book provides a powerful alternative to traditional addiction treatment methods. It is a resource for practicing psychologists, psychiatrists, social workers, and addictions counselors, as well as instructors, students, and trainees in these and related public health fields. It also may serve as a text in graduate-level courses.