Showing papers in "Journal of Social Work Practice in The Addictions in 2010"
TL;DR: This article investigated distinct emotions in a sample of men seeking help for hypersexual behavior compared to a control group of college students (n = 100) using the Hypersexual Behavior Inventory and the Differential Emotions Scale.
Abstract: This study investigated distinct emotions in a sample of men (n = 103) seeking help for hypersexual behavior compared to a control group of college students (n = 100) using the Hypersexual Behavior Inventory and the Differential Emotions Scale. Significant differences between groups emerged on several domains of emotion and hypersexual behavior. Self-hostility was the most significant predictor of hypersexual behavior. These findings suggest that self-critical affect, such as shame, might exert an influence in precipitating or perpetuating hypersexual behavior.
121 citations
TL;DR: Using a personal social network framework, this qualitative study sought to understand how women in substance abuse treatment describe their network members' supportive and unsupportive behaviors related to recovery.
Abstract: Using a personal social network framework, this qualitative study sought to understand how women in substance abuse treatment describe their network members' supportive and unsupportive behaviors related to recovery. Eighty-six women were interviewed from residential and outpatient substance abuse treatment programs. Positive and negative aspects of women's social networks were assessed via open-ended questions. Analysis was guided by grounded theory techniques using three coders. The findings extend classic social support concepts such as emotional, tangible, and informational support. Practice implications are presented in light of the potential roles network members may play in substance use and recovery.
80 citations
TL;DR: Differences in time to reunification among the 4 groups of children placed in foster care in Oklahoma were significant and the neither alcohol nor other drug group was significantly different from the other 3 groups, but the alcohol-only group was different than the groups that included any drug involvement.
Abstract: This study examines the reunification outcomes of 4 groups of children placed in foster care in Oklahoma: those referred due to parental alcohol-only abuse, those due to parental drug-only abuse, those with both alcohol and drug involvement, and those with neither alcohol nor drug involvement. Following bivariate analysis to examine group differences, survival analysis was utilized to predict reunification rates. Overall, differences in time to reunification among the 4 groups were significant. The neither alcohol nor other drug group was significantly different from the other 3 groups, but the alcohol-only group was different from the groups that included any drug involvement.
67 citations
TL;DR: Positive and negative gender roles were significantly correlated with internalizing and externalizing problems for both boys and girls, with aggressive masculinity also predicting peer substance use for both genders.
Abstract: A sample of 60 male and 91 female Mexican-American adolescents (age 13-18) were administered measures of positive (i.e., assertive masculinity, affective femininity) and negative (i.e., aggressive masculinity, submissive femininity) gender roles, internalizing and externalizing problem behaviors, peer substance use, and own substance use (alcohol, cigarettes, marijuana). Negative gender roles were significantly correlated with internalizing and externalizing problems for both boys and girls, with aggressive masculinity also predicting peer substance use for both genders. Assertive masculinity significantly predicted lower alcohol use in boys, and this effect was not mediated by internalizing problems, externalizing problems, or peer substance use. Negative gender roles significantly predicted higher alcohol use in girls, but this effect was almost completely mediated by internalizing problems, externalizing problems, and peer substance use. Results are discussed in terms of gender role socialization among Mexican Americans.
51 citations
TL;DR: A consistent pattern of having experienced inadequate home life from an early age emerged and policies of reestablishing the traditional home for homeless and alcoholic women must consider the life experiences of the women along with their immediate need for shelter.
Abstract: An estimated 17% of the homeless population in the United States are women. In this qualitative study, interviews were conducted with 7 chronically homeless, alcoholic women selected from a related study, to gain deeper insights regarding their perceptions of housing. Interviews were audio-recorded and transcribed. To ensure reliability, several investigators worked to create categories from which patterns of themes emerged. A consistent pattern of having experienced inadequate home life from an early age emerged. Policies of reestablishing the traditional home for homeless and alcoholic women must consider the life experiences of the women along with their immediate need for shelter.
28 citations
TL;DR: In this paper, interpretive phenomenological data analysis was used to analyze transcribed, in-depth interviews conducted with 14 women recruited from a Midwestern program providing prostitution-specific services.
Abstract: Little is known about the impact of prostitution involvement on women's substance use and recovery. Interpretive phenomenological data analysis was used to analyze transcribed, in-depth interviews conducted with 14 women recruited from a Midwestern program providing prostitution-specific services. Interviews focused on what it means to be a woman who has engaged in prostitution. Participants described patterns of using substances and exchanging sex as “going hand-in-hand,” highlighting unique ways women understand the relationships between these phenomena and how they construct meaning. What emerges is a deeper understanding of the complexity and impact of these relationships, an issue not adequately addressed in existing literature.
27 citations
TL;DR: This article examined the predictors of treatment attrition among racial and ethnic minority adolescents from South Florida participating in treatment for substance use problems (N= 453) and found that African American youth were more than twice as likely as their Hispanic counterparts to leave treatment prematurely.
Abstract: This study examined the predictors of treatment attrition among racial and ethnic minority adolescents from South Florida participating in treatment for substance use problems (N= 453) The influences of individual, social, cultural, and treatment factors on treatment attrition were explored within 3 racial and ethnic subgroups of adolescents Multivariate logit analyses were conducted within each racial and ethnic subgroup Specific factors differentially predicted attrition within each racial and ethnic subgroup and African American youth were more than twice as likely as their Hispanic counterparts to leave treatment prematurely Findings underscore the importance of identifying and understanding unique treatment needs of racial and ethnic minority youth with substance use problems
26 citations
17 citations
TL;DR: In this paper, the authors compare the social work and addiction counseling cultures to enable social work clinical supervisors to recognize and bridge the divide between these two professions, and find that those supervisors who can bridge this divide can better support their supervisees' professional growth; they are also more likely to experience performance satisfaction.
Abstract: Over the past 30 years, increasing numbers of social workers have entered the field of alcohol and other drug addiction treatment. Many of them have assumed supervisory roles. Social workers who supervise addiction counselors are supervising across an often unrecognized cultural divide between the professions of social work and addictions counseling. This article compares the social work and addiction counseling cultures to enable social work clinical supervisors to recognize and bridge the divide between these 2 professions. Those supervisors who can bridge this divide can better support their supervisees' professional growth; they are also more likely to experience performance satisfaction.
11 citations
TL;DR: Studies have shown that substance abuse training makes social workers feel more competent in dealing with this population and it also increases the identification, referral, and referral of substance abuse disorders.
Abstract: According to the latest government data, approximately 22.3 million persons 12 years or older, or 9% of the population, meet the diagnostic criteria for substance dependence or abuse (Substance Abu...
11 citations
TL;DR: A review of the new ideas emerging from neuroscience regarding the question of why some people are compelled to use drugs can be found in this paper, which offers a new perspective on "loss of control" as well as offering implications for treatment.
Abstract: This article reviews the new ideas emerging from neuroscience regarding the question of why some people are compelled to use drugs. During the process of drug exposure, the brain's motivational system is changed and these changes, along with changes in the brain's self-regulatory structures, compel an individual to use drugs. Ways to reverse those changes in an addicted brain have been identified, as have ways to enhance self-regulatory control. The information from neuroscience offers a new perspective on “loss of control” as well as offering implications for treatment.
TL;DR: In this paper, the authors examined the relationship between substance use by both the perpetrators and the victims and the outcomes of intimate partner violence and found that substance use was not significantly related to increased risk of victims' physical injuries, but was significantly associated with poorer victim functionality after a domestic violence incident.
Abstract: There is considerable evidence linking perpetrators' substance use with unfavorable outcomes among victims of intimate partner violence. Little is known, however, about the relationship between substance use by both the perpetrators and the victims and the victims' outcomes. Using interview data from 117 women who have experienced abuse by their partners, this study examines the association of both perpetrators' and victims' substance use with victim outcomes through a series of hierarchical multiple regressions. Substance use by both perpetrators and victims was not significantly related to increased risk of victims' physical injuries, but was significantly associated with poorer victim functionality after an intimate partner violence incident.
TL;DR: This article investigated the attitudes of social workers toward clients mandated to substance abuse treatment, and found that mandated clients were rated lowest on all attitude dimensions, and three categories of attitudes were determined by a factor analysis of the semantic differential data.
Abstract: This study investigated the attitudes of social workers toward clients mandated to substance abuse treatment. Surveys were mailed nationwide to members of the National Association of Social Workers with a stated work focus of substance abuse (N = 779). Participants received 1 of 6 vignettes depicting a client scenario and a semantic differential scale on which to rate the client. Client status (mandated to treatment, volunteered for treatment, no substance abuse condition) was the independent variable. Three categories of attitudes (determined by a factor analysis of the semantic differential data) were the dependent variables. Mandated clients were rated lowest on all attitude dimensions.
TL;DR: This article used the conceptual frameworks of the transtheoretical model of behavior change and associated motivational interviewing techniques to enhance practitioners' ability to intervene with women in a holistic manner.
Abstract: Social workers working in substance abuse settings often find that their clients are also survivors of intimate partner violence. This article uses the conceptual frameworks of the transtheoretical model of behavior change and associated motivational interviewing techniques to enhance practitioners' ability to intervene with women in a holistic manner. We describe specific strategies to increase clients' motivation and offer specific skills to address abusive relationships. We finish with a case example.
TL;DR: The study shows that participation in outpatient substance abuse treatment may be associated with improved outcomes for adolescents with co-occurring substance abuse and violent behaviors.
Abstract: The purpose of this study was to evaluate whether substance-abusing adolescents with co-occurring violent behaviors showed reduction in these behaviors after exposure to outpatient drug treatment. Using a longitudinal research design, adolescents were classified based on 3 levels of the violence reported at intake and were assessed at 3 and 6 months following intake. The high-violence group showed significant reductions in the frequency of substance use, substance-related problems, and violence over time. The study shows that participation in outpatient substance abuse treatment may be associated with improved outcomes for adolescents with co-occurring substance abuse and violent behaviors.
TL;DR: An innovative approach to addressing the occupational rehabilitation needs of patients undergoing maintenance treatment in India, a country where there are no social security provisions for the underprivileged, and where there is a lack of employment opportunities for individuals with special needs, such as drug users in recovery.
Abstract: Occupational functioning is an important parameter of substance use treatment outcome. The rehabilitation needs of the patients undergoing recovery are unique and require a tailor‐ made approach. This article introduces an innovative approach to addressing the occupational rehabilitation needs of patients undergoing maintenance treatment in India, a country where there are no social security provisions for the underprivileged, and where there is a lack of employment opportunities for individuals with special needs, such as drug users in recovery. This article describes the implementation of a microcredit-based, low‐ cost vocational rehabilitation model for 55 male patients receiving agonist (buprenorphine) maintenance treatment. The results have been encouraging, with a promise of replicability.
TL;DR: This study followed 128 women for 6 months after admission to a state-funded demonstration project on cooccurring substance abuse and intimate partner violence on outcomes of self-efficacy, fear of violence, and substance use and examined the relationship between outcomes and door to service, substance use, and acuity of violence.
Abstract: Despite recent gains in understanding the links between intimate partner violence and substance abuse by women, the service issues related to these cooccurring problems are relatively unexplored. This study addresses 3 practice-related questions critical to the provision of services in coordinated or integrated substance abuse and intimate partner violence programs: (a) Are different “doors” to service associated with different outcomes? (b) Does the level of substance use prior to the onset of services predict changes in self-efficacy or vulnerability to battering? and (c) How does proximity of violence impact program outcomes? We followed 128 women for 6 months after admission to a state-funded demonstration project on cooccurring substance abuse and intimate partner violence on outcomes of self-efficacy, fear of violence, and substance use. The relationship between outcomes and door to service, substance use, and acuity of violence were examined using contingency analysis, analysis of covariance, and l...
TL;DR: This article found that a greater proportion of field instructors feel competent in their ability to supervise students around value-based substance abuse issues, rather than knowledge- or skill-based issues.
Abstract: Substance use is an undeniable problem in the United States. Field instructors are called on to supervise social work students on how to help address substance abuse issues. This exploratory study seeks to understand the perceived competence field instructors have in their ability to supervise students on the knowledge, skills, and values needed to work with individuals with substance abuse problems. Results indicate that a greater proportion of field instructors feel competent in their ability to supervise students around value-based substance abuse issues, rather than knowledge- or skill-based issues.
TL;DR: The treatment of drug and alcohol problems has been an exciting, creative, heroic, and, at times, contentious endeavor as discussed by the authors. Although this is beginning to change, the numerous fa...
Abstract: Over the last 70 years, the treatment of drug and alcohol problems has been an exciting, creative, heroic, and, at times, contentious endeavor. Although this is beginning to change, the numerous fa...
TL;DR: In this paper, a plan for social work clinicians working in the AOD treatment field to integrate the transtheoretical stages of change model into the process of monitoring clients who attend and work the 12 Steps of AA is presented.
Abstract: Numerous researchers have identified a gap between empirically based findings on alcohol and other drug (AOD) treatment interventions and their utilization within clinical practice. Although there are various reasons for this lack of dissemination and implementation of proven practices, it is important to provide front-line clinicians with a user-friendly and measurable tool that evaluates and monitors clients’ progress during treatment. Because many AOD treatment facilities include some form of 12-step group attendance, particularly Alcoholics Anonymous (AA), the natural fit of the transtheoretical stages of change model (Prochaska & DiClemente, 1986) would seem a viable option for connecting research and practice within existing treatment programs. We propose a plan for social work clinicians working in the AOD treatment field to integrate the transtheoretical stages of change model into the process of monitoring clients who attend and work the12 Steps of AA.
While the stages of change (SOC) model and the 12 Steps of AA (Alcoholics Anonymous, 1976) seem to be complementary, specific connections are not found in the literature. Connecting SOC and 12 Steps can assist treatment providers with client assessment, case formulation, treatment planning, and treatment implementation, along with evaluating and monitoring the client’s SOC process and 12 Step involvement.
TL;DR: In Cocaine and Methamphetamine Addiction: Treatment, Recovery and Relapse Prevention, Washton and Zweben revise Washton's 1989 work on cocaine addiction by addressing methamphetamine, as well.
Abstract: In Cocaine and Methamphetamine Addiction: Treatment, Recovery and Relapse Prevention, Washton and Zweben revise Washton's 1989 work on cocaine addiction by addressing methamphetamine, as well. This...
TL;DR: Six Veterans' Administration primary care clinics were studied for practice patterns of guidelines for alcohol problem screening and referral for further evaluation and treatment, and Barrier themes included communication patterns within and between primary care and specialty care.
Abstract: Six Veterans' Administration primary care clinics were studied for practice patterns of guidelines for alcohol problem screening and referral for further evaluation and treatment. Analysis of 31 primary care provider interviews and 650 patient electronic records revealed 75 patients (14%) scored positive on the AUDIT–C, but only 4 (5%) were referred. Electronic record prompt with practice guidelines ensured screening, but scoring was inconsistent and follow-up responsibility was diffuse. Barrier themes included (a) communication patterns within and between primary care and specialty care, (b) perceived role of behavioral health providers, and (c) provider attitudes and expectations about patients' alcohol-related behavior.
TL;DR: In this paper, a secondary analysis using the 2007 National Survey on Drug Use and Health to explore the relationship of family and school factors to adolescent heavy episodic drinking is presented. But, the hypotheses were only partially supported on the multivariate level, demonstrating that risk is cumulative.
Abstract: Adolescent heavy episodic drinking is of significant concern to social workers. This secondary analysis uses the 2007 National Survey on Drug Use and Health to explore the relationship of family and school factors to adolescent heavy episodic drinking. The sample included 17,727 adolescents between the ages of 12 and 17. The findings indicate that family and school factors are protective on the bivariate level. Yet, the hypotheses were only partially supported on the multivariate level, demonstrating that risk is cumulative. The data suggest that social work interventions must be sustained, implemented within multiple environments, and begun prior to adolescence.
TL;DR: In this paper, the authors discuss the right books to recommend to individuals struggling with addiction and to students learning how to understand those struggles, and how skeptical they were about recommending books to individuals.
Abstract: As I am always on the lookout for the right books to recommend to individuals struggling with addiction and to students learning how to understand those struggles, I wondered just how skeptical A. ...
TL;DR: In this article, Lemieux's book, Offenders and Substance Abuse: Bringing the Family Into Focus is aimed at correctional professionals who are faced with ever-increasing numbers of substance-abusing off...
Abstract: Catherine M. Lemieux's book, Offenders and Substance Abuse: Bringing the Family Into Focus is aimed at correctional professionals who are faced with ever-increasing numbers of substance-abusing off...
TL;DR: In this article, the authors describe the story from the recovering person's point of view and from the clinician working with the patient to capture "recovery" from three perspectives.
Abstract: This piece is designed to capture “recovery” from three perspectives. First, you will hear the story from the recovering person's point of view. Then, you will hear from the clinician working with ...
TL;DR: For instance, the authors found that successful treatment has largely been dependent on the quality of the therapist-client relationship, and that qualitative as well as quantitative factors were crucial for successful treatment of substance use problems.
Abstract: Treating persons with substance use problems is critical, but successful treatment has largely been dependent on the quality of the therapist–client relationship. Although important, qualitative as...
TL;DR: Holleran Steiker: First, can you share what your roles and experience are in relation to the topic of prostitution and how your experience lends itself to consideration of drug and alcohol issues w...
Abstract: Holleran Steiker: First, can you share what your roles and experience are in relation to the topic of prostitution and how your experience lends itself to consideration of drug and alcohol issues w...
TL;DR: Holleran Steiker as mentioned in this paper argues that supervision is critical in effective social work practice. But what makes for effective supervision? How can supervisors guide and oversee the complexities of clinician-client rel...
Abstract: Holleran Steiker: Supervision is critical in effective social work practice. But what makes for effective supervision? How can supervisors guide and oversee the complexities of clinician–client rel...
TL;DR: The paradigm developmental model of treatment (PDMT) as discussed by the authors was developed for use with multiple driving under the influence (DUI) offenders along with accompanying scale and manualized brief interventions, which was validated and applied to 162 DUI clients.
Abstract: Multiple driving under the influence (DUI) offenders present to DUI programs with a variety of needs, including alcohol and other drug use disorders, mood disorders, and psychosocial stressors. This article describes the paradigm developmental model of treatment (PDMT), developed for use with multiple DUI offenders along with accompanying scale and manualized brief interventions. Psychometrics of the PDMT scale are reported elsewhere, but this article describes a PDMT scale revalidation and application to 162 DUI clients. Four case examples are presented regarding the use of the scale by counselors in client assessment and intervention, demonstrating treatment matching for individual client counseling sessions.