Applying an Ecological Framework to Understanding Drug Addiction and Recovery

ABSTRACT

A new conceptual model of drug addiction and recovery, the Acculturation Model, is presented, with “addiction” and “recovery” understood as distinct sociocultural phenomena with their unique prescribed behaviors, rituals, symbols, and language that serve to construct and consolidate a cultural identity. The model suggests that individuals in recovery from drug addiction will need to make a cultural transformation in order to maintain sobriety. Examples of specific rituals that may help facilitate movement from addiction to recovery are detailed.     

Women's Spirituality: A Proposed Practice Model

SUMMARY

The values and spirituality of clients are an important area for social workers, counselors, and other mental, health professionals to consider in their work. This article addresses the need for professionals to be sensitive to this aspect of growth and development for all clients. Noting that until recently, religious writings have tended to reflect a male-centered bias and patriarchal values, issues related to women's spirituality are identified, implications for therapeutic interventions are discussed, and a model for understanding and facilitating women's spirituality is proposed.     

“I AM STILL SUFFERING:” THE DILEMMA OF MULTIPLE RECOVERIES IN THE LIVES OF METHADONE MAINTENANCE PATIENTS

This study examines narratives on the meaning of addiction recovery through interviews with 45 methadone maintenance treatment (MMT) patients. Results show that heroin addicts are dealing with multiple recoveries and many are simultaneous to each other: recoveries concerning (1) addiction, (2) associational disruptions, (3) self-identity and actualization, (4) drug induced diseases (HIV/AIDS, HCV, etc.), and (5) catalyzing event(s). The research findings, anathema of clinical MMT views on recovery, suggest that drug addicted individuals might benefit from interventions that address their multiple recovery issues as opposed to ones that emphasize recovery strictly in sobriety terms.     

Substance Abuse,Homelessness, Developmental Decision-Making and Spirituality: A Women's Health Issue

ABSTRACT

A qualitative methodology was used to examine the relationship between homeless women's spirituality, substance abuse, moral reasoning and developmental decision-making. Findings indicated that a lack of development in spirituality and the ability to make decisions in childhood is related to homeless, addicted women's inability to maintain abstinence and achieve social independence. Spirituality impacted decisions to abstain from substance abuse and increased the women's social independence. Findings suggest that treatment needs to incorporate spirituality, family of origin, and the development of skills for independent decision-making. The authors propose that childhood maltreatment, homelessness and substance abuse impede spiritual development. Therefore, substance abuse treatment needs to include a focus on spirituality and moral reasoning in the recovery process.     

Latinas in Treatment

Abstract

This study analyzed secondary data collected from a recovery home specifically for Hispanic female substance abusers, and from four other recovery homes. Demographics, drug use history, and length of stay were compared to determine if participants of the culturally specific home remained in the program longer, and the reasons why. Results indicated that the women in the Hispanic recovery home stayed over a month longer and were more likely to be poor, unemployed, and methamphetamine or heroin addicts. Regression analysis was used to determine how these and other characteristics predicted length of stay, a variable that has been found to correlate with successful outcomes. Length of stay was associated with the culturally specific program, prior arrests, and years of problem drug usage. Implications for program design and treatment are discussed.     

Addiction Treatment with Deaf and Hard of Hearing People: An Application of the CENAPS Model

ABSTRACT

Alcohol and drug addiction is a significant problem among deaf and hard of hearing people. Looking through a Deaf culture lens, treatment for alcohol and drug addiction is key for providing care for deaf and hard of hearing clients. Using the CENAPS model, an applied cognitive-behavioral therapy program is recommended for addiction treatment. The CENAPS model provides clinicians with tools for stabilizing deaf and hard of hearing clients, supporting their transition to early recovery. Educating the client about the stages of relapse and the stages of recovery, clinicians using this model can better treat and prepare deaf and hard of hearing clients for long-term recovery.     

Social Workers' Personal Spiritual Characteristics and Their Conceptualizations of Spirituality and Religion

Abstract

Do social workers' personal spiritual characteristics affect their conceptualizations of spirituality and religion? In light of growing professional interest in spirituality and religion, we attempt to answer this question using a mixed methods approach in conjunction with a nationally representative sample of NASW-affiliated graduate students (N = 303). The results suggest that respondents' faith tradition, orthodoxy, and degree of spiritual motivation have a relatively minor effect upon how they defined (1) spirituality, (2) religion, and (3) their understanding of the relationship between spirituality and religion. We conclude by discussing the implications of the findings and suggesting avenues for further research.     

Do religiosity and spirituality really matter for social,mental, and physical health?: A tale of two samples

ABSTRACT

Some prior research has found that religiosity and spirituality can be related to health. However, the relationships are inconsistent, measures of religiosity and spirituality are often problematic and conflated with the health outcomes they are supposed to predict, and very little research on this topic specifies which aspects of health supposedly benefit from religiosity and spirituality. Using two sets of survey data (Sample 1 N = 347; Sample 2 N = 404), we examined whether religiosity and spirituality had direct or indirect effects on physical, mental, and/or social health. We found that spirituality, when conceptualized as belief and experience of the supernatural, had no direct or indirect effect on physical, mental, or social health. Religiosity had a small but significant direct effect on social health in one sample but not the other. We consider our findings in relation to religious privileging in the United States and how proreligious biases can lead to health inequalities.     

The evolution of spirituality and religion in international social work discourse: Strengths and limitations of the contemporary understanding

ABSTRACT

As the profession’s interest in spirituality and religion has grown, new understandings of these two constructs have emerged. As in other areas of academic discourse, it is important to be informed about diverse understandings. Toward this end, the present article describes the emergence of the contemporary understanding of spirituality and religion in social work discourse and, perhaps more importantly, the strengths and limitations associated with the contemporary perspective. By illuminating some of the diverse arguments in favor of and against contemporary conceptualizations, the profession is better equipped to understand and work with these concepts in a professional and ethical manner.     

Drug and Alcohol Addiction in Singapore: Issues and Challenges in Control and Treatment Strategies

SUMMARY

The problem of drug addiction in Singapore has been relatively under control over the past few years. This is a result of the strategy of controlling supply to reduce demand for drugs. Alcohol consumption in Singapore is relatively low compared to Western countries. This paper provides an overview of the drug and alcohol control and treatment strategies adopted in Singapore. While new strategies have been formulated, some issues and challenges still remain. These issues and challenges are discussed and findings of a recent study conducted by the author are described. They include the need to focus on gateway drugs like alcohol, intervention involving family members, opportunities for regular employment for drug addicts, and the role of religion in aftercare treatment.     

Beyond “Dry Drunkenness”: Facilitating Second Stage Recovery Using Wilber's “Spectrum of Consciousness” Developmental Model

ABSTRACT

The usefulness of Wilber's “Spectrum of Consciousness” developmental model in the treatment of substance abuse is demonstrated by a case study that illustrates how underlying emotional pain and intimacy issues can be worked through in the counselling process with a client during the second stage of recovery from addiction. Wilber's model allows for narcissistic, critical self, social, identity, intimacy, existential, and psycho-spiritual issues to be integrated into the counselling process for long-term recovery. This model provides social workers and addictions counselors with a useful map in embracing client recovery.     

Students’ views on expanding contours of social work practice through spirituality

ABSTRACT

This article surveys the views of 15,067 social work students across 12 countries on social work practice and spirituality. Responses were elicited on precoded binary response categories as derived from literature. Results of the logistic regression analyses, as embedded in the original study design, showed that students from Australia, European countries, and the United States; women; postgraduate students; Christians; and those with higher self-reported spirituality scores saw mindfulness-based spiritually–sensitive interventions as the core mode of micro–level work with individuals and groups. Spirituality was seen as philosophically expanding the contours of practice by laying newer ways of assessment, intervention, and change.     

Neuroscience in Social Work Practice and Education

Abstract

In the past two decades, advances in neuroscience research have revolutionized the scientific community's understanding of branehavior connections. Social work is now taking note of this trend. Specialists in substance abuse, addiction, and co-occurring diagnoses are beginning to relinquish long-held beliefs in mind-body dualism in favor of a truly integrated biopsychosocial understanding. This article identifies challenges related to social work and argues that neurobiological knowledge is essential for a biopsychosocial understanding of substance abuse and addiction, other mental disorders, co-occurring conditions, and human behavior. It gives examples of drawing on neurobiological knowledge for practice applications. These include educating users, families, and providers about neurobiological aspects of substance abuse (psychoeducation); using neuroscience research on mental illness and addiction to develop integrated approaches for dually diagnosed persons; and considering a range of medication options to alleviate cravings and reduce relapse.     

Guest Editorial―An Update to the Role and Status of Women in Social Work Education: Past and Future Considerations

ABSTRACT

Spirituality and religion predicted the development of social justice orientation (SJO) among young adults in a previous study (Chenot &; Kim, 2013). The current study explores the manner in which the effects of spirituality and religion on social justice orientation vary depending on the career aspirations of young adults. The longitudinal data (two waves) used for this study was gathered from 14,527 students at 136 universities in the USA. Results of structural equation modeling analyses revealed that spirituality significantly predicted projected SJO behaviors among those who aspire to join the helping professions and the SJO attitudes of those who sought to join other professions. The implications of the findings for social work and social work education are discussed.     

Magic happens: Revisiting the spirituality and social work debate

Abstract

The social work profession is currently undergoing a resurgence of interest regarding the issue of spirituality in social work. This article attempts to summarise and explore the debate so far and to discuss the implications of this in a practice context. Current issues including definitions of spirituality and the key concerns in the areas of both practice and education are addressed. The article concludes with an overview of a model of spiritually sensitive social work practice, and poses options for further professional reflection on the place of spirituality in social work practice.     

Spiritual Transformations in Clinical Relationships Between Social Workers and Individuals Living with Disabilities

Abstract

Some individuals living with disabilities have expressed a need to have spirituality recognized within clinical relationships. Social workers and other professionals have not responded to this need and therefore, there is a growing difference between what individuals with disabilities need and what clinicians, including social workers, are providing. Jean Vanier is a Canadian who has spiritual wisdom gained from over 40 years of living with people who have disabilities. Applying insights from both Vanier and transformational learning theory, this paper demonstrates that Vanier's approach is an important resource as social workers integrate spirituality into the clinical relationship with disabled individuals.     

DRUG ABUSE AND IDENTITY:

The quest to link micro and macro phenomena in symbolic interactionism has gained considerable attention over the years. The present study builds on this endeavor by linking micro and macro phenomena in the transformation of identities accompanying the movement into drug addiction. A qualitative approach is employed, featuring in depth interviewing with a purposive sample ( N = 30) of currently abstinent drug addicts from the 12-Step programs of Alcoholics Anonymous (A.A.) and Narcotics Anonymous (N.A.) in the Washington, D.C. Metropolitan Area. Findings indicate that identity change is a product of both micro ("ego identity discomfort,""status passages,""and a loss of control in defining one's identity") and macro phenomena ("social appraisal sources" and a "social climate conducive to drug use") and, thus, offers empirical support to symbolic interactionsm's ability to deal with the macro as well as the micro. Findings also uncover insights into the etiology of drug addiction and pinpoint new directions for combatting substance abuse.     

Correlates of Recovery from Substance Use Disorders

A sample of 263 respondents from 2 recovery networks were surveyed to explore the role recovery capital contributed to their recovery. Recovery capital was conceptualized as social support, affiliation with 12-step groups (e.g., Alcoholics Anonymous), spirituality, and respondents’ financial situation. It was hypothesized that greater levels of recovery capital are associated with higher levels of alcohol or drug abstinence self-efficacy. Findings revealed that recovery capital is a statistically significant predictor of alcohol and drug abstinence self-efficacy. Given the salience in positively influencing ongoing substance use recovery, the authors promoted the idea that social workers should be educated on the construct of recovery in its relevance to practice