The Role of Social Workers in the Treatment of Addictions

Abstract

This article describes the history of social workers' involvement in the treatment of addictions in the United States. Beginning with Mary Richmond, the “mother of social casework,” social workers have played an increasingly important role in the treatment of individuals with alcohol and other drug problems and of their family members. Today, social workers are important players not only in program development, administration, and treatment of chemical addictions, but also in “process” addictions, such as eating disorders and gambling. Moreover, social workers are increasingly involved in addictions research and policy arenas.     

Substance Use and Abuse and the Role of Social Workers in Germany

SUMMARY

The paper outlines major trends in consumption patterns of alcohol and other drugs in Germany with special focus on the use of cannabis among young people. It discusses primary prevention efforts and describes the current treatment system with its two branches: one for people with alcohol problems and the other for those with drug problems. It highlights the developing role of social work and identifies the research topics that are influenced by social workers and that will influence the debate regarding the future role of the profession.     

Reconceptualizing Substance Abuse Treatment in Therapeutic Communities: Resiliency Theory and the Role of Social Work Practitioners

ABSTRACT

Although therapeutic communities (TC) have achieved promising results in the treatment of substance abusers, several areas have been identified which might further enhance TC treatment effectiveness. Two of these, resiliency theory and the role of social work practitioners, are discussed. Resiliency theory provides a framework for re-conceptualizing interventions as they apply to therapeutic communities. Resiliency is explicated and illustrated via a case study of a therapeutic community TROSA (Triangle Residential Options for Substance Abusers), a non-profit TC in Durham, North Carolina. A number of contributions that social work practitioners can make to TCs are described.     

Spiritual Interventions in Substance Abuse Treatment and Prevention

Abstract

This article reviews the recent research literature related to the use of spiritual interventions in the prevention and treatment of substance abuse. Empirical outcome studies are critically reviewed and a brief overview is given of spiritual interventions which have yet to be studied empirically. Areas for further research are delineated and philosophical and methodological issues related to the study of spiritual interventions are discussed.     

Seven Rules to Live by: Accommodations in Social Work Education and the Field

Students with disabilities are a growing population in higher education (National Center for Education Statistics, 2009 National Center for Education Statistics . ( 2009 ). Number and percentage distribution of students enrolled in post-secondary institutions, by level, disability status, and selected student characteristics: 2003–04 and 2007–08 . Retrieved from http://nces.ed.gov/programs/digest/d09/tables/dt09_231.asp  [Google Scholar]). Providing accommodations for students with disabilities can raise ethical and social justice questions and pose challenges for social work faculty, administrators, and field instructors. Social work educators must balance the legal mandates for nondiscrimination and reasonable accommodation against ethical obligations around protection of clients and preparation for practice. This article presents case examples in the context of legal analysis to help social work educators make difficult decisions about student academic performance.     

Enhancing Health-Conscious Behaviors Among Clients in Substance Abuse Treatment Programs

The physical health of substance abuse clients significantly deteriorates because of the client’s prolonged abuse of alcohol and other drugs and accompanying behaviors. The purposes of this study are (a) to understand how substance abuse clinicians think about the health needs of their clients, (b) to identify the mechanisms through which clinicians seek to enhance health-conscious behaviors among their clients, and (c) to identify how substance abuse clinicians view their role in enhancing health-conscious behaviors among their clients. A qualitative study was conducted using in-depth, semistructured interviews with substance abuse clinicians (N = 16) from 4 substance abuse treatment centers. Using the theory of planned behavior as a framework for understanding the promotion of health-conscious behaviors in substance abuse treatment, the findings suggest that substance abuse clinicians are capable of enhancing health-conscious behaviors among clients in substance abuse programs.     

Science as a Strategy for Social Work

For more than one hundred years, various forms of science have been promoted to boost social work’s status as a profession. Evidence-based practice and talk about the science of social work are only the most recent manifestations of this pattern. Counter to this trend, this article argues that the latest upsurge of interest in scientific social work is no more likely than any of its predecessors to address the problems of the profession. Beginning with a linguistic analysis of the words science and scientific as positive signifiers, the article traces social work’s long history of science talk as a means of reassuring funding agencies and bolstering the profession’s status. Drawing on a critique of this discourse as the latest example of abstracted empiricism, it then contends that while scientific social work can only rarely capture what occurs in the field, its attempt to do so actually undercuts practitioners’ professional judgment and discretion. Last, after rejecting science talk as counterproductive, the article concludes with recommendations for an alternative strategy that might better position social work to reconcile its advocacy of social justice with its concerns about its professional status.     

New Media and Social Networks: Considerations from Clients in Addictions Treatment

Web-based (2.0) media will play an increasing role in substance abuse treatment. Two focus groups identified initial barriers and potential uses within a population living below the median income. Client suggestions included using different approaches to service delivery based on a person's access to web 2.0 media. Preliminary results indicated that contrary to the staff members' opinions, the majority of clients appeared to have sufficient Internet access and the requisite social networking skills in order to participate in online interventions. Future research should focus on using games as a potential mode of online service delivery, on the potential of the various forms of social networking, and whether classism exists between client and staff perceptions.     

Assessment of Integration of Disability Content into Social Work Education

ABSTRACT

Three hundred members of the Council on Social Work Education (CSWE) responded to a survey regarding the inclusion of disability content in social work courses and supports needed to increase disability content. Although respondents generally agreed that disability content is important in social work education, its inclusion is inconsistent, with most frequent inclusion in courses on diversity and least frequent inclusion in courses on research. Respondents identified barriers to increasing disability content, including lack of resources for teaching, lack of relevant faculty expertise, and an overcrowded curriculum. Strategies and resources for infusing disability content into social work education are discussed.     

War and Peace: Social Work and the State of Chemical Dependency Treatment in the United States

SUMMARY

In recent decades, treatment for alcohol and drug problems in the United States has been influenced by a number of factors. This article discusses several of these factors, including the “War on Drugs,” with its emphasis on law enforcement and interdiction, and managed health care, which has compromised access to treatment. In spite of these factors, the U.S. invests a goodly amount in alcohol and drug prevention and treatment services and research. Efforts are being made to ensure that research findings are being translated into improved clinical practice. Among the controversial issues in the treatment arena are recent efforts by the Bush administration to promote public funding of faith- or religious-based groups in delivering chemical dependency services. Social workers commonly see people with alcohol and drug problems in their practices, but only a small number of social workers are well prepared to treat this group of clients.     

Response to Greene 2001, Redefining Social Work

ABSTRACT

This article is in response to the article titled Redefining Social Work for the New Millennium: Setting a Context, by Dr. Roberta Greene. I have come to view social work as a profession that seeks to enable others not just the poor and undeserved, the opportunity to better understand and navigate any situation that causes them stress or presents some type of barrier to their health and well-being.     

The Decimation of America's Middle Class and Its Meaning for Social Work

The current deterioration of America's middle class will test the ability of the social work profession to take the concept of class seriously and sharpen our understanding of the maldistribution of wealth as a form of oppression. The effort requires identifying and discrediting prevailing ideologies in both the popular culture and our profession. The middle-class crisis provides the opportunity to devise innovative coalitions of working-class and middle-class Americans. Recent efforts may point the way for social workers to help catalyze such movements.     

Social work educators and social policy: a cross-professional perspective

This article seeks to contribute to the ongoing debate within European social work on the role of social work educators in influencing social policy. It reports on a study that examined the role of social work educators in furthering social policy by comparing Israeli social work educators’ engagement in policy with faculty members in professional schools with strong ties to social policy, namely education and healthcare. While the findings show some similarities between the three groups of educators, they also underscore marked differences between educators in social work and the other professions. In particular, social work educators are more involved in, and more committed to, social policy engagement than faculty members of other professional schools are. These divergences are attributed to the greater focus upon policy practice in social work and its prevalence in teaching programmes, as well as to the profession’s focus on disenfranchised clients, who are especially impacted by social policies.     

Measuring the Influence of Social Context Referents in Substance Abuse Treatment: An Instrument Validation Study

ABSTRACT

This paper introduces a newly developed assessment tool, the Ecological Assessment of Substance abuse Experiences (EASE) that has been designed to measure the influence of social context referents (i.e., family, peers, and community) on clients' attitudes and outcome beliefs related to substance abuse and recovery. An initial exploratory factor analysis was conducted with a small sample of adult treatment-seekers (N =103) to identify its underlying factors and to examine the instrument's item-factor fit. Items clustered onto four orthogonal factors: “belonging-recovery,” “belonging-drugs/alcohol,” “disconnect-recovery,” and “attitudinal congruence-recovery.” Preliminary findings suggest that socio-emotional outcome beliefs and attitudes about drug use and recovery behaviors, as related to family, peers, and community contexts, may be significant areas to address during routine assessment practices that may lead to more comprehensive and contextually appropriate treatment plans.     

Social Justice,Social Policy,and Social Work

ABSTRACT

This paper argues that the models underlying the conceptualization of social work functions affect the costs of integrating policy issues into practice, and, therefore, the probability that social justice goals will be pursued. An inclusive approach to policy design is seen as lowering those costs. The nature of the costs and how they vary between the models is discussed.     

Social Work Leadership: Identifying Core Attributes

This article argues that social work academics are educationally remiss for not defining the concepts touted as important for the profession and for our students. Through a content analysis of published literature, the author distilled five core attributes of social work leadership that underpin all other knowledge, personal, and skilled capacities. These core attributes are defined and how they have been used to date is described. This work is aspirational, and the author hopes that other academics and social work professionals may add to its thinking and application.     

民族问题、民族工作与民族社会工作探析

民族问题是一个国家正常发展的主要问题之一,民族问题具有长期性、重要性、国际性、复杂性、普遍性的特点。解决民族问题的方法很多种,其中民族社会工作是有效的方法之一。民族地区现存的社会问题主要是贫困问题、生态环境问题、性别不平等问题。民族社会工作的应对措施包括大力发展少数民族地区社会工作、建立并完善管理机构、强化民间组织的主体地位,弱化政府的行政力量、实现民族地区社会工作的创新。     

DSM-IV and Social Work Professionals

Abstract

This six-hour group training was designed to gather information in regard to the role of social workers using the Diagnostic and Statistical Manual for Mental Health Disorders (DSM-IV). The intention of the group training was to explore social workers' knowledge and comfort in using the DSM-IV as well as assessing the continuing education experience provided. In total, 132 surveys were circulated during two training groups. All participants were asked to give general information and perceptions of use of the DSM, and were pre and posttested for current levels of understanding and comfort regarding diagnostic usage. Significant relationships were noted between several study variables as well as between pretest and posttest scores. Overall, pre and posttest results yielded a significant positive correlation between comfort levels in utilization of the DSM-IV and formulating a diagnostic impression as a means of identifying certain mental health conditions. Furthermore, the results of this study support that attending this group training increased the comfort and knowledge level of social workers in regard to DSM-IV and 98% of the participants felt that training in this area should be man datory for all social work professionals. Suggestions for future research and education are presented.     

Combat Social Work During the Surge in Iraq

The military has long recognized the short-term psychiatric effects of war upon soldiers, a significant factor for combat operational readiness and strength (NATO, 2008). Currently referred to as combat stress reaction or combat operational stress reaction (COSR), the condition has debilitating, immediate effects as well as long-term consequences for soldiers and military units. For the wars in Iraq and Afghanistan, commanders expected psychiatric casualties rates equaling physical ones, stemming from the intensity and duration of these conflicts, nonlinear nature of the battlefields, unit morale, and soldier experiences and preparedness. For these recent wars, the concept of behavioral health, combat stress, and its military importance has dramatically changed, as have the protocols dictating the delivery of preventive and restorative combat behavioral health care. This article outlines the conceptual foundation of modern combat stress control, protocols, and the efforts of one social worker–led combat stress prevention team, forward deployed to a small base in a volatile area of Baghdad during the height of the surge in 2006–2007.     

The Social Work and Politics Initiative

Abstract

Social work is becoming a more politically oriented profession. In addition, social work education is including politics as a greater part of the curriculum. Still, much more can be done to increase the amount of political content in social work education. This paper describes a model for involving students in political social work without drastically altering current arrangements. The model consists of two parts: a class on politics and social work and field practica in state legislators' district offices. Following a discussion of the literature on education for political social work, we look closely at the Social Work and Politics Initiative. We also examine problems encountered with the program.