Treating Alcoholism And Drug Abuse Among Homeless Men And Women

Understand and learn how to effectively address the burgeoning social problem of homelessness, particularly among alcoholics and drug addicts. Although one study cannot provide a definitive statement on the best services for the homeless, the variety of services and evaluation approaches described in this insightful book begin the process of identifying effective recovery approaches for homeless men and women with alcohol and drug problems. Professionals involved in the development and implementation of nine community demonstration grants in Alaska, California, Kentucky, Massachusetts, Minnesota, New York, and Pennsylvania reflect upon the unique needs and opportunities in their communities and explain the features of their programs in regards to clients, project services, project implementation, and evaluation. In Treating Alcoholism and Drug Abuse Among Homeless Men and Women, you will read about specially targeted programs for women, Alaskan natives, American Indians, blacks, and Hispanics, homeless individuals with mental illness, clients who use both drugs and alcohol, chronic alcoholics, and cocaine addicts. You will also observe the varying philosophical and programmatic differences; the problems of implementing programs, including community resistance and staffing issues; and the procedures for assessing the outcome of their programs. In addition to a comprehensive review of each project, this exciting new volume also includes an overview of the efforts of the National Institute on Alcohol Abuse and Alcoholism with the homeless and implications for future policy and programming decisions. An important book for health care providers, program administrators, state and local officials, researchers, and educators.

Develop new programs or improve existing programs with these helpful descriptions of theoretical foundations and practical implementation of innovative projects. Treatment of the Chemically Dependent Homeless presents fourteen projects, funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in cooperation with the National Institute on Drug Abuse (NIDA), that were designed to develop strategies to combat the dual problems of homelessness and substance abuse, and then analyze program effectiveness. Contributors describe projects occurring in a variety of major cities and focus on the theory behind each program and its practical implementation. Treatment professionals seeking new directions for their own programs will benefit from chapters that compare conventional services with new innovative treatments. They also demonstrate how the new programs will effectively meet the needs of the target population and fill the gaps where current services fail. Treatment of the Chemically Dependent Homeless presents detailed discussions of each program's theoretical foundation, design, and implementation that will be invaluable to clinicians and researchers needing information about the complex nature of various experimental interventions. The book begins by presenting an overview of the background and rules of the NIAAA Cooperative agreement. The subsequent chapters follow a logical sequence by concentrating on one or two of the following aspects of program development: theory of treatment local political and social milieus special populations outreach strategies relapse and retention issues residential care programs case management transition to independence Doctors, nurses, psychologists, social workers, substance abuse counselors, and researchers who treat or study the chemically dependent homeless will value this groundbreaking information for studying, developing, and improving their own treatment programs. Teachers who seek to educate their classes regarding state-of-the-art service provision for homeless substance abusers will also find this an essential resource for innovative ideas and practical examples of program implementation.

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

Through Homelessness Prevention in Treatment of Substance Abuse and Mental Illness: Logic Models and Implementation of Eight American Projects, psychiatrist, psychologists, and social workers will discover the results of eight, three-year long development projects funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to prevent homelessness in high- risk populations who have problems with alcoholism, drug abuse, and/or mental illness. Through this informative book, you will examine the theory or logic guiding each program, including an up-to-date review of the literature supporting each theory. You will also find a description of the implementation of the program as well as its history, the practical issues involved in delivering services, the pitfalls, lessons learned, and recommendations for the future so you can use the best ideas to implement in your own community and stop these individuals from reaching the streets. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides insight into how to deal with many common issues that you are faced with every day, such as matching clients to appropriate services, preventing relapse, case management, training in independent living skills and money management, acquiring and maintaining housing, and benefits and employment for your disadvantaged clients. Compelling and informative, this unique book provides you with many tips and suggestions on how you can help the disadvantaged in our population avoid the added trauma of becoming homeless, such as: examining a new modified therapeutic community (TC) intervention program for mothers recovering from substance abuse who live with their children so you can learn to treat the family as a whole and not just treat the person with a "problem" gaining insight into a new intervention program for families caring for another family member with serious mental illness or substance abuse disorders so you can address such issues as the importance of respite for the family and home visits for relationship building among the entire household discovering a new, independent living model which allows clients with serious mental illnesses to select their own apartments learning about a new program in Philadelphia that offers support services to clients with serious mental illnesses and substance use disorders and provides several levels of housing from emergency shelter to highly supportive permanent housing discovering a community counseling center in Chicago that operates a “bank” that helps mentally ill clients or those with substance use disorders develop skills to independently manage their financial affairs through the use of “vouchers” that can be redeemed for cash for the payment of monthly bills Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides you with new insights into how you can help your clients overcome political, economic, and environmental barriers to treatment that can lead to homelessness. This essential book will help you improve your services to your clients as well as give you step-by-step guide to implement these new programs in your community.

This resource is devoted exclusively to reporting the results of rigorous research concerning substance abuse treatment outcomes for homeless persons. The Effectiveness of Social Interventions for Homeless Substance Abusers reveals that while dropout rates are high for this population, it is essential to develop treatment programs that not only focus on the addiction, but also address the tangible needs of the homeless, notably housing, income support, and employment.

Treating Drinkers and Drug Users in the Community is the second book in a new collection from Addiction Press. Addiction Press was set up with the express purpose of communicating current ideas and evidence in this expanding field, not only to researchers and practising health professionals, but also to policy makers, students and interested non-specialists. These publications are designed to address the significant challenges that addiction presents to modern society. The drugs field has undergone a phase of rapid change in recent years and all the non-medical treatment interventions for those with alcohol problems and dependence can be equally helpful for drug users. This has opened the way for unification of alcohol and drug treatment services at a clinical level, with potential for more efficient service provision and for effective interventions which can be readily adopted in a wide range of settings. Modern drug and alcohol services and all professionals working with substance users will benefit from the initiatives and procedures discussed in this book. Key features * Describes a wide range of treatments for young people and adults with drug and alcohol dependence * Integrates alcohol and drug prevention and treatment * Provides an invaluable and accessible guide for many different professionals * Sets out assessment criteria, questionnaires, and a joint treatment framework

How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies

In Alcohol Use/Abuse Among Latinos: Issues and Examples of Culturally Competent Services, you will learn how to design and improve services for Latinos with substance abuse problems by understanding that the cultures and personal backgrounds of your clients are crucial to the counseling process. This text will also show you how these service skills apply to the individual, family, or an entire community. Studies show that, according to patients, culturally sensitive and responsive practitioners are generally more credible, trusted, and effective. Alcohol Use/Abuse Among Latinos takes into account several different aspects that will help you develop these traits and provide successful services for Latinos dealing with alcohol or other drug problems. You’ll gain valuable insight into: the five elements that are vital to a successful ATOD (Alcohol, tobacco and Other Drug) service--multiculturism, resilience/strengths, competence, community capacity development, and community participation--plus a detailed explanation of why they are needed step-by-step instructions for using three methods, supervision, inservice training, and consultation, as means of providing ongoing learning of cross-cultural competencies to practitioners why key factors such as economic background, gender, and sexual orientation need to be taken into consideration for ATOD services to be effective demographic patterns and case studies of Latino users and abusers of alcohol and other drugs that illustrate the growing number of Latinos in need of ATOD services why the practitioner needs to be aware of how family importance, values attached to cooperation versus competition, sociability, respect, and action-oriented problem-solving play a role in effective services for Latinos the need for practitioners to understand how ethnic identity, biculturality, Spanish language fluency, gender-specific role expectations, skin color, and overall sense of self can affect the success of services for Latino teenagers how excessive marketing of alcohol to Latino communities, lack of representation, and a lack of community involvement are key barriers to successful ATOD services for Latinos Alcohol Use/Abuse Among Latinos also discusses Latino mens’and womens’individual needs concerning substance abuse. One of the topics addressed, the loss of self-esteem, has been found to be a contributing factor to alcohol use and abuse for Latinas. It offers ways you can promote self-esteem in your Latina clients by focusing on their cultural heritage and pride. In addition, this text takes a unique look Latina lesbians and how training through educational and agency internship programs can promote awareness to your clients’ special needs concerning substance abuse. Alcohol Use/Abuse Among Latinos will help you provide all of your Latino clients with efficient and culture-friendly services for resisting or overcoming the abuse of alcohol, tobacco, or other drugs.