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A Contemporary Approach to Substance Use Disorders and Addiction Counseling von Brooks, Ford (eBook)

  • Erscheinungsdatum: 29.01.2015
  • Verlag: American Counseling Association
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A Contemporary Approach to Substance Use Disorders and Addiction Counseling

Written as an introduction to the field of addiction counseling, this text covers the fundamental knowledge and skills necessary to counsel people who are struggling with addiction. Drs. Brooks and McHenry provide a straightforward and holistic approach to treatment and recovery, from the major theoretical underpinnings, to assessment and diagnosis, to relapse prevention and spirituality. With a focus on current clinical applications and how-tos, this book is ideal both for master's-level addictions courses and mental health clinicians. Topics covered are cultural and gender issues, including work with LGBT clients; drug classifications and referral; assessment, diagnosis, and interview techniques; the continuum from nonuse to addiction; work in college/university, school, and community/mental health agency settings; developmental approaches in treatment; the role of the family; grief and loss in addiction; group counseling; relapse and recovery; spirituality and support groups; addictions training, certification, and ethics; and the importance of counselor self-care. Exploration questions and suggested activities are presented in each chapter. Requests for digital versions from the ACA can be found on wiley.com. To request print copies, please visit the ACA website permissions@counseling.org . Ford Brooks, EdD, is a professor in the Department of Counseling and College Student Personnel at Shippensburg University of Pennsylvania. Bill McHenry, PhD, is dean of Graduate Studies and Research at Texas A&M University, Texarkana.


    Format: ePUB
    Kopierschutz: AdobeDRM
    Seitenzahl: 328
    Erscheinungsdatum: 29.01.2015
    Sprache: Englisch
    ISBN: 9781119098195
    Verlag: American Counseling Association
    Größe: 610 kBytes
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A Contemporary Approach to Substance Use Disorders and Addiction Counseling

Chapter 2
Diversity Issues in Substance Abuse Treatment

It is difficult for a single chapter to embrace, honor, celebrate, and inform students on multicultural, gender, and diversity issues pertaining to alcohol and drug counseling. We strongly suggest that multicultural counseling is deeply woven into every counseling relationship.

In this chapter, you will be introduced to various worldviews, cultures, and experiences of alcohol- and drug-using clients and learn how these aspects of their identity significantly affect their therapeutic work with counselors. Presented here is a springboard of selected literature focused on infusing multiculturalism with addictions counseling. Throughout the text, gender-, cultural-, and diversity-related vignettes and questions for discussion are presented. Note, however, that all counseling is multicultural.

The spirit of this chapter continues further throughout the text. Our intent is to emphasize the value of connecting multicultural awareness to each and every aspect of counseling alcohol- and drug-addicted clients by intertwining vignettes that parallel current thought on multicultural and diversity training. Aspects of working with older persons and people with disabilities are explored later in the chapter.
The Role of Multicultural Awareness in Addiction Treatment

The addiction treatment field has learned over time that one treatment approach does not work with all clients, particularly in the area of relapse prevention. One size does not fit all . We want to pass this important lesson on to you. Unfortunately, regardless of their ethnic group, most clients who abuse substances and enter treatment tend to receive the same treatment approach (Straussner, 2002). As such, the attention to worldview, culture, and diversity of clients has until recently been lacking. The imposition of treatment approaches, some of which may actually dishonor client culture, onto clients without understanding their ecological frame of reference ultimately can create resistance and disconnection from counselors and the overall treatment process (Sue & Sue, 2013).

Historically, alcohol and drug treatment providers used traditional approaches to substance abuse, which were developed by and for European American males (L. Schmidt, 1996). Gorski, a nationally known relapse prevention specialist, concluded that 80%-90% of his African American clients were discontinuing attendance in aftercare groups. He also recognized that a majority of the treatment programs around the area where he worked were structured and based on the assumption of clients being middle-class males (Gorski, 1989a). This fact continues to support the current data that ethnic minorities may be more likely to drop out of treatment prematurely (King & Canada, 2004).

In addition to typical complications of treatment (e.g., self-pay vs. insurance, mandated vs. self-referred, outpatient vs. inpatient, relapse vs. first time in treatment), research suggests that many minority clients discontinue counseling or treatment after one session, which means counselors need to be culturally competent enough to develop rapport quickly (Sue & Sue, 2013). In addition to competence is the increased awareness of general racial and gender disparities as far as access to health care that disproportionately affects African Americans (Institute of Medicine, 2003). Community programs offering substance abuse services need to have counselors who match the majority of the cultural population being served. Education and training programs in addiction counseling need to be actively recruiting ethnoculturally diverse students to work within local, state, and regional communities. We want counselors reading this book to recognize that managed care, for example, has caused some good and some difficulty for our field. One good thing we believe is that

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