Cultural sensitivity treatment and research issues with black adolescent drug users

Adolescent drug abuse is one of the nations' leading social problems. Secondary intervention programs have rarely designed treatments to address specific issues pertinent to the black adolescent drug user. Among these special issues is cultural sensitivity in clinical practice and research. A review of the research literature revealed no empirical work that has been conducted in the area of cultural sensitivity as it relates to black male adolescent substance abusers.The author proposes methodological considerations as applied to four phases of treatment: assessment, planning intervention, implementation, and termination and gives suggestions for how culturally sensitive therapeutic intervention can be conducted with chemically dependent adolescent black males.     

Compulsive gambling: Structured family intervention

Family intervention has been an effective procedure for getting alcoholics into treatment for more than twenty years. Now this technique is being used with compulsive gamblers. Because the gambling disorder is so easy to hide, the patient seems to be further into the illness by the time the family seeks help. Furthermore, because the gambling offers intermittent rewards, the denial in both the patient and family appears to be stronger than found with most alcoholics.During the intervention it is important to tell the compulsive gambler why the help of a professional was sought; what changes have been observed by family members and friends as a result of his/her gambling; how family relationships have been affected; what is feared will happen if he/she doesn't get help; and what each family member hopes will happen once the gambler is in recovery.Most concerned persons enter family interventions with the sole purpose of getting the gambler into treatment. However, since this is a family disease, ethically the primary goal of family intervention needs to be to getsomeone into treatment, if not the individual suffering with the disease then one or more of those concerned persons suffering from it.