You are here

Delays in shipping: Due to current delays in our warehouse shipping services, please expect longer than usual delivery times for any print book orders. If you need access to content immediately, please consider ordering a digital product. We apologize for any inconvenience and thank you for your patience.

If you need further assistance please visit our Contact us page for further information. 

Criminal Conduct and Substance Abuse Treatment for Adolescents: Pathways to Self-Discovery and Change

Criminal Conduct and Substance Abuse Treatment for Adolescents: Pathways to Self-Discovery and Change
The Provider's Guide

Second Edition

July 2012 | 648 pages | SAGE Publications, Inc


This Provider's Guide introduces a comprehensive and developmentally appropriate treatment program, Pathways for Self-Discovery and Change (PSDC), which provides the specific tools necessary for improving evaluation and treatment of at-risk youth, a particularly vulnerable patient population in the justice system. Using an adolescent-focused format, this protocol identifies psychological, biological, and social factors that contribute to the onset of adolescent deviance, and establishes guidelines for delivery of a 32-session treatment curriculum designed to rehabilitate both male and female adolescents with co-occurring substance abuse and criminal conduct.


Now in its Second Edition, this guide provides treatment practitioners, program evaluators, and youth services administrators with the most up to date, comprehensive, and accessible information for the treatment and rehabilitation of juvenile justice clients. It is built on theoretical and research advances in the treatment and rehabilitation of juvenile justice clients, as well as feedback over the past seven years from PSDC counselees, treatment providers, and program administrators.

SAGE offers treatment and training programs for mental health providers that you can easily incorporate into your existing programs. Visit to learn more about these treatment and training programs.

List of Figures
List of Tables
Presentation Guidelines List of Tables
List of Reflection Poems
Introduction: Promoting Adolescent Resiliency
Section I: Theoretical and Research Perspectives
1. Adolescent Development and Pathways to Problem Behavior
2. Causes, Correlates, and Consequences of Adolescent Substance Abuse
3. Co-occurring Substance Abuse and Mental Disorder
4. Substance Abuse and the Adolescent Brain
5. Juvenile Crime and Violence
6. Addressing Gang Culture in the Context of Treatment
7. Female-Focused Treatment in the Juvenile Justice System
8. Youth Culture and Diversity
Section II: Foundational Treatment Models: Evidence-Based Approaches
9. Treatment Systems, Modalities, and Models of Care
10. The Cognitive-Behavioral Model and Core Treatment Strategies for Adolescents
11. Community Reintegration: Reinforcing Change Through Continuing Care
Section III: Operational Guidelines
12. Guidelines for the Assessment of Juvenile Justice Clients
13. Methods and Procedures for Program Delivery
Section IV: The Treatment Curriculum: Presentation Guidelines
14. Guidelines for Session Delivery: Pathways to Self-Discovery and Change (PSDC) Program Orientation
Section V: Adjunct Provider's Guide for Treating Female Juvenile Justice Clients
15. Gender-Focused Session Enhancements

"Milkman and Wanberg's program rests upon the best that science has to offer. Once this workbook stimulates change, it pays attention to the principles of relapse prevention that will help young people stay changed - and this is the litmus test for any treatment program that targets behavioral problems." 

Dr. Howard J. Shaffer, Ph.D., C.A.S.
Director & Associate Professor, Division on Addictions, Harvard Medical School Psychology of Addictive Behaviors

"Pathways to Self-Discovery and Change is the most comprehensive and thoughtful program we have seen to help at-risk youth gain freedom from crime and drugs and develop attitudes and skills to lead productive prosocial lives."

G. Alan Marlatt, Ph.D. and George A. Parks, Ph.D
Addictive Behaviors Research Center, University of Washington

"This exceptional and widely needed program shows great promise as a developmentally appropriate treatment model for adolescents who manifest co-occurring disturbances with substance abuse and criminal activity. It is uniquely designed to interest and engage high-risk teenagers in a thoughtful array of cognitive-behavioral restructuring exercises that are geared to promote fulfilling and responsible life choices."

Lloyd I. Sederer, MD
Formerly Director of Clinical Services, American Psychiatric Association, and Medical Director , McLean Hospital/Harvard Medical School
Key features

New to the Second Edition

  • Introduces The Treatment Curriculum, which gives providers ready access to information needed for in-depth knowledge and ownership of the content, interactive exercises, and take-home messages for each session
  • Includes a new section on gender appropriate treatment, focusing on providing a safe and female friendly environment to promote female empowerment and bolster feelings of strength, achievement, and pride in clients
  • Provides an overview of co-occurring mental disorders likely to be encountered in clients, as well as diagnosis criteria and specific guidelines and resources for dealing with the disorders
  • Discusses adolescent gang involvement from legal, psychological, social and family contexts while providing literature on prevention, intervention, and treatment for prospective, emergent, and practicing gang members
  • Reviews research-driven approaches to successful re-entry of adolescents into their communities, offering existing models of aftercare that utilize individual, family, and neighborhood approaches
  • Presents a comprehensive framework for monitoring the client's response to treatment, as well as suggestions for successful therapeutic interactions between clients, counselors, peers, family members, and support personnel

Key Features

  • Field tested success
  • Separate participant's workbook and provider's guide
  • The first developmentally appropriate treatment program designed specifically for adolescents
  • An approach that includes the influences of social class, gender, sexual orientation, race, ethnicity, etc. on substance abuse, criminality and treatment.

Sample Materials & Chapters


ch 1

ch 3,4

For instructors

Select a Purchasing Option

Rent or Buy eBook
ISBN: 9781452289601

ISBN: 9781452205809

This title is also available on SAGE Knowledge, the ultimate social sciences online library. If your library doesn’t have access, ask your librarian to start a trial.