A survey of clinical practices and readiness to adopt evidence-based practices: Dissemination research in an addiction treatment system

http://people.uncw.edu/noeln/Articles/treatment2.pdf

Substance abuse treatment providers’ beliefs and objections regarding contingency management: Implications for dissemination

Characteristics, beliefs, and practices of community clinicians trained to provide manual-guided therapy for substance abusers

Substance abuse counselors' treatment philosophy and the content of treatment services provided to offenders in drug court programs.

In the 1940s, due to a shortage of professional counselors, combined with the hope of rehabilitation for the addict, there grew a belief that the recovered alcoholic could be trained to enter the field of addiction treatment as a paraprofessional. These early stages of addiction treatment and the emergence of the recovered substance abuser as a counselor fostered a discussion in the role played by the paraprofessional. This discussion subsequently encouraged an accumulation of literature during the early stages of substance abuse treatment in North America, which later began to diminish as the field moved forward towards the twenty-first century. This paper reviews the literature to examine the perceived potential risks for relapse associated with recovered addicts working in the addictions field. Potential risks for relapse discussed are the ex-addict's motivation for entering the addiction field, personal help from self-help groups may be lost once in the field, over involvement with clients, over invol...

Recovered addicts working in the addiction field: Pitfalls to substance abuse relapse

The goal of this study is to examine the influence of education and recovery status on substance abuse treatment counselors' approach to patients. Three hundred forty-four drug abuse and alcoholism treatment counselors were questioned about treatment goals. A subgroup of 197 were also questioned about treatment practices. The influences of education and recovery status on the choice of treatment goals and treatment practices were examined through structural modeling procedures. Level of education influenced neither treatment goals nor techniques. Being in recovery, however, was associated with more varied treatment techniques and a broader range of treatment goals. The other variable related to treatment goals and practices was treatment modality. Working in resi dential programs was linked to a wider range of treatment goals and treatment practices. Implications of these findings for counselor training and the movement to professionalize substance abuse treatment are discussed.

Laura A. Sherry

Papers

The influence of recovery status and education on addiction counselors' approach to treatment.