Housing interventions for homeless,pregnant/parenting women with addictions: a systematic review

Family homelessness is a growing problem in North America with most of these families headed by single women. Homeless women also experience high rates of pregnancy and addiction (drugs and alcohol). Housing interventions have been identified as key to addressing the complex needs of pregnant/early parenting, homeless women with addictions. The aim of this systematic review is to determine what housing models and programs for this population yield the best outcomes. We systematically searched 10 databases and retrieved eight articles describing four distinct studies that met the inclusion criteria for this review. Overall, improved outcomes were found for all intervention groups with the most recent and rigorous studies favoring models combining Housing First and case management. However, methodological limitations, study quality, and varied outcomes made comparison across studies difficult. Further research must be done in this area using standardized outcomes and rigorous designs to develop evidence-based best practice guidelines to address the unique needs of this population.     

The Relationship of Expectancies to the Transtheoretical Model of Change in College Smokers

Abstract

Efforts on the part of the sci en tific com mu nity have resulted in in creased knowl edge about to bacco ad die tion and im proved treat ment ef fi cacy. De spite these gains, how ever, our un der stand ing of to bacco ad die tion re mains in com plete. Two el e ments that may help il lu-mi nate the knowl edge of this ad die tion pro cess and pro vide im pli ca tions for treat ment are the Transtheoretical Model of Change and the con cept of ex pec tan cies. This project is a be gin ning step in ex plor ing the re la tion ship be tween the transtheoretical model and fac ets of ex pec tan cies among col lege smokers.     

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.     

Social Work and the Treatment of Substance Abuse in Israel

SUMMARY

This paper examines the role of the social worker within the field of substance abuse in Israel at the start of the 21st century, its implications for the profession, and the training of its practitioners. Addiction to psychoactive substances is viewed as a bio-psycho-social phenomenon caused by a wide variety of factors and the respective interactions between them, placing it within the realm of the expertise of the social worker. The social worker plays a central role in providing both administrative and clinical interventions with this population. Additional ways in which the education and training of social workers can prepare them to deal more efficiently and comprehensively with the problem of substance abuse in both practical and academic terms is discussed.     

The influence of unconscious fantasy process in addictions and relapse

This discussion reaffirms the connection between addiction and underlying unconscious fantasy process. It suggests that unconscious fantasies play a determining role in persisting patterns of substance abuse and addiction. Within this context, addiction is understood both as a derivative of thepersistence of these unresolved fantasies and an inadequate compromise formation. It suggests that relapse is a manifestation of the episodic reassertion and influence of these powerful fantasies. Consequently, successful treatment requires the working through of the underlying fantasy process and the establishment of healthier compromise formations.     

Understanding perceptions of substance use education in social work: an analysis of survey responses from MSW program leaders

ABSTRACT

This article details the findings of a series of analyses regarding how the institutional leaders of Master of Social Work Programs (MSW) in the United States form their perceptions on the role and implementation of substance use concepts in social work education. Five statistical tests were performed on data collected from a 2017 substance use education (SUE) survey of MSW program leaders, and the analyses were used to explore how program leaders form their perceptions on: the importance of SUE to social work, the need for regulatory measures for SUE in social work, the SUE needs of individual MSW programs, the implementation of substance use course content, and graduating students’ substance use intervention capacities. Significant findings from the analyses showed that: the amount of foundational course emphasis on clinical SUE within individual programs is a significant predictor of program leader perceptions on students’ clinical substance use intervention capacities; different categories of substance use intervention preparedness have interconnected effects among domains of preparedness; and perceptions on the importance of SUE to social work have a significant impact on program leaders’ opinions regarding regulatory measures for SUE in social work.     

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.     

Charismatic/Pentecostal Christians,Spirituality, and Treatment: The Revival Phenomenon

ABSTRACT

This article examines the practice of revival as a means of “treating” people with addictions. Revival is practiced widely in Charismatic/Pentecostal circles and many people believe that that their recovery from addictions would not have been possible without it. The practice is reviewed and suggestions are made as to how to provide evidence-based practice while recognizing the contributions of revival practice.     

Asking About Sexual Orientation During Assessment for Drug and Alcohol Concerns: A Pilot Study

ABSTRACT

An assessment tool was designed to assist service providers in identifying lesbian, gay and bisexual (LGB) clients who present for assistance related to substance use concerns. Items were designed to facilitate self-disclosure of the individual's sexual orientation and identify concerns of LGB clients that will be relevant to treatment planning for substance use concerns. Therapists in general assessment and LGB-specialized services of a large treatment agency were trained to use the tool. This paper presents client and therapist comments made during the pilot study regarding the use and value of the assessment tool.     

Sex,Drugs, and Love Among the Middle Aged: A Case Study of a Serodiscordant Heterosexual Couple Coping with HIV

ABSTRACT

HIV infection attributable to injection is growing, as is the incidence among heterosexual persons. Some of the people affected are over 50, and we can anticipate a growing number of older people with substance use and HIV as primary concerns. Therefore, we need to know more about the intersections of age, addictions, and HIV. This article uses narrative analysis to examine a research interview with an African-American woman and her African-American HIV-infected male partner in order to gain insight about how a middle-aged serodiscordant drug-affected couple might struggle and succeed in the face of HIV. Implications for social work, policy and research are provided.