This book describes how substance abuse counselors should carry out the enhanced 12-step program used by the Keystone Treatment Center in Canton, SD. In that regard it is presumably adequate. (After all, the author is Keystone's clinical director.) As a general guide to substance abuse treatment , however, it is inadequate.

The book presents a completely one-sided view of 12-step rhetoric with excessive focus on God / Higher Power. A few sections are outdated even though the book was recently published. (The discussion on AIDS, for example, uses old terminology.) Finally, the book needs to be MUCH better referenced. ( )