THE UNIVERSITY OF NORTH CAROLINA CHAPEL HILL SCHOOL OF SOCIAL WORK

ATOD & Diverse Populations

Syllabus: Spring 2008

THE UNIVERSITY OF NORTH CAROLINA CHAPEL HILL

COURSE NUMBER: SOWO 761

SCHOOL OF SOCIAL WORK

COURSE TITLE: ALCOHOL, TOBACCO, & OTHER DRUGS (ATOD): SOCIAL

WORK PRACTICE WITH CULTURALLY DIVERSE POPULATIONS

SEMESTER: SPRING 2008, TUESDAY EVENINGS 6-8:50, ROOM 135

Sherylyn H. Pitt, MSW, LCSW, LCAS

Feather Path LLC

2664 Timber Drive

Suite 235

Garner, NC 27529

Phone: 919/749-3646

Email: Sherylyn@featherpath.com

OFFICE HOURS:

Tuesday evenings 4:30 – 5:30 TTK building & by appointment

Amelia C. Roberts, Ph.D., LCSW

School of Social Work

301 Pittsboro Street

CB-3550

Office Suite: 324-C

Chapel Hill, NC 27599-3550

Phone: 919/962-6428

Fax: 919/962-1486

Email: amrobert@email.unc.edu

OFFICE HOURS : Tuesdays, 12-2 pm, or by appointment.

COURSE DESCRIPTION:

This course provides an overview of the unique problems and needs of diverse populations who misuse ATOD and focuses on the application of culturally sensitive social intervention strategies.

COURSE OBJECTIVES:

At the conclusion of this course, students should be able to:

1.

Discuss a blended multi-cultural social work assessment for working with culturally diverse groups;

2. Identify the social, political, cultural and environmental influence on the use and misuse of

ATOD in distinct populations;

3. Define the specific core issues, challenges and factors associated with each group, understand the myths, stereotypes, and stigma associated with each group and its implications for the recovery process and culturally sensitive interventions;

1



4. Discuss issues sometimes noted as ‘resistance to treatment’ in a manner that demonstrates cultural awareness (i.e., verbal and nonverbal behaviors, barriers to treatment, etc.);

5. Identify their own culture and values, and assess how one’s own identity contrasts and interacts with those different from oneself;

6. Understand the process of becoming culturally competent and identify areas of needed personal growth;

7. Identify and assume an informed social work values position regarding selected ethical dilemmas and legal issues that challenge clients and families who are struggling with substance abuse.

8. Discuss appropriate social intervention strategies that are evidence based and culturally relevant for each group studied.

EXPANDED COURSE DESCRIPTION

This course will build on three previous courses: social discrimination (SOWO 203), the foundation practice course (SOWO 227), and SOWO 252: ATOD: Substance Abuse and Dependence.

SOWO 252 is a prerequisite for entrance into this course. The following groups: Adolescents,

African-Americans, European-Americans, Native Americans, Hispanics/Latinos, Women,

Gay/Lesbian/Bi-Sexual/Transgender (GLBT), and Persons with HIV/AIDS will be studied in relation to ATOD misuse. Due to time limitations Rural/Appalachian families will be mentioned throughout the course but not formally studied. You will find recommended readings in the syllabus on this topic. More time will be spent on groups you will mostly likely serve.

Issues of social class and ethics will be addressed throughout the course. By the end of this course, students will be able to:

1. Apply a multi-cultural framework as a means to assess the unique needs of a particular cultural or sub-cultural group of clients;

2. Establish a culturally relevant and evidenced based social intervention plan for a client;

3. Identify aspects of their own personal identity and style, and indicate how ‘the use of self’ can be used creatively in intervening with clients from diverse groups in treatment.

4. Apply the skills (i.e., global questions, cover terms, use of a cultural guide, etc.) learned in the Ethnographic Interview technique.

REQUIRED TEXT:

Straussner, S.L. A. (2001). Ethnocultural factors in substance abuse treatment . In Shulamith

Lala Ashenberg Straussner (Ed.). New York: Guilford Press.

Several articles are assigned and they can be found at Blackboard.

Texts can be purchased at the student bookstore.

RECOMMENDED TEXTS

2



Loue, Sana. (2003). Diversity issues in substance abuse treatment and research. NY: Kluwer

Academic/ Plenum Publishers.

McNeece, C.A., & DiNitto, D.M. (2005). Chemical dependency: A systems approach. Needham

Heights, MA: Allyn & Bacon.

TEACHING METHODS: The instructors will lecture on key concepts and content. Guest speakers will be invited to share specific case examples and highlight the most important issues for their particular groups. Some guest speakers will share about substance abuse from their personal life experience. Videos, case examples, and role plays will be interspersed at various times during the semester. Students are expected to complete required and independent readings before class and expected to participate in class discussion by introducing relevant case examples and/or questions.

CLASS PARTICIPATION :

94-100 is assigned to those students who have consistently attended and have been active participants. 90-93 is for students who have missed one to two classes, but who regularly participate. 85-89 is for students who have either attended regularly, but do not participate often, or for students who participate but do not have very regular attendance. 80-84 is for students who have not participated actively, but they may have fairly regular attendance. Under 80 means that the student has irregular attendance, and has demonstrated through class discussions that s/he has not done the readings or actively disengages with class activities. It is expected that students attend all class sessions unless unforeseen difficulties. Absences are to be communicated to the professor. For those students involved in the Certificate Program, missed classes will have to be made up via additional assignments.

CLASS ASSIGNMENTS for MSW STUDENTS

10% Class Participation

5% Assigned Reading Themes

20% Ethnographic Interview

30% Student Group Presentation

35% Take Home Examination

All exams/quizzes will be submitted with your student ID number. Any names on submitted exams/quizzes will automatically result in a loss of 3 points.

CLASS ASSIGNMENTS for MSW PRACTITIONERS

15% Class Participation

10% Assigned Reading Themes

35% Ethnographic Interviewing OR Student Group Presentation

40% Take Home Examination

All exams will be submitted with your Social Security number. Any names on submitted exams will automatically result in a loss of 3 points.

GRADING SYSTEM

H = 94 and above

P = 80 to 93

L = 70 to 79

F = 69 and below

3



POLICY ON INCOMPLETE AND LATE ASSIGNMENTS

Students are expected to turn in all assignments on time. Any exceptions will be graded down 5 points each class session. Incomplete assignments will be discussed with the particular student.

POLICY ON ACADEMIC DISHONESTY

“Please refer to the APA Style Guide, The SSW Manual, and the SSW Writing Guide for information on attribution of quotes, plagiarism and appropriate use of assistance in preparing assignments. All written assignments should contain a signed pledge from you stating that “I have not given or received unauthorized aid in preparing this written work”.

In keeping with the UNC Honor Code, if reason exists to believe that academic dishonesty has occurred, a referral will be made to the Office of the Student Attorney General for investigation and further action as required.

4



Proposed Calendar – SOWO 761 - ATOD & Diverse Populations

Class 1 Tues, Jan. 15 Introductions & Course Overview

Class 2 Tues, Jan. 22

Class 3

Class 4

Tues, Jan. 29

Tues, Feb. 5

Bio-Psycho-Social-Spiritual Framework

Multi-cultural Research & Framework

Ethnographic Interviewing Technique

Overview / European Americans

Class 5 Tues., Feb. 12 Cross Cutting Issues:

Sexual Assault, Domestic Violence, & ATOD

Class 6

Class 7

Class 8

Tues., Feb. 19

Tues., Feb. 26

Tues., Mar. 4

African/Black-Americans

Ethnographic Interviews Due

Native Americans

Hispanic/Latin Americans - Speaker

Student Presentation - Tobacco (1 hour)

No Class

Class 9

Tues., Mar 11

Tues., Mar 18

Class 10

Class 11

Class 12

Class 13

Class 14

Tues., Mar 25

Tues., April 1

Tues, April 8

Tues, April 15

Tues, April 22

Spring Break

LGBT & Persons with HIV & AIDS

Speaker

Student Presentations –

Criminal Justice; Older Adults

Student Presentation – Spirituality

Cross Cutting Issue: Dual Diagnosis

Take Home Exam

Women/Adolescents

Summary and Termination Ritual

Take Home - Examination Due

5



READINGS AND COURSE OUTLINE

CLASS 1: Introductions & Course Overview

CLASS 2: Bio-Psycho-Social-Spiritual Framework

Research & Multi-Cultural Frameworks

Required Readings

Campbell, C.I. & Alexander, J. A. (2002). Culturally competent treatment practices and ancillary service used in outpatient substance abuse treatment. Journal of

Substance Abuse Treatment, 22, 109-119.

Olmstead, T. & Sindelar, J. L. (2004). To what extent are key services offered in treatment programs for special populations?

Journal of Substance Abuse

Treatment, 27(1), 9-15.

Straussner, S. L., Chapter 1, “Ethnocultural issues in substance abuse treatment:

An overview”, pp. 3-28.

Recommended Readings

Borrell-Carrio, F., Suchman, A. & Epstein, R. (2004). The biopsychosoial model 25 years later: Principles, practice, and scientific inquiry. Annals of Family Medicine. 2 (6),

576-582.

McNeece & DiNitto, Chapter 1, “ Definitions and epidemiology of substance use, abuse, and disorders, pp. 3-24.

Alexander, C. M., & Sussman, L. (1994). Creative approaches in multicultural counseling. In Joseph G. Ponterotto, J. Manual Casas, Lisa A. Suzuki, & Charlene

M. Alexander (Eds.). Handbook of Multicultural Counseling. Thousand Oaks, CA:

Sage.

CLASS 3 – Ethnographic Interviewing Technique


Resnicow, K., Soler, R., Braithwaite, R.L., Ahluwalia, J.S., & Butler, J. (2000). Cultural sensitivity in substance use prevention. Journal of Community Psychology, 28 (3),

271-290.

CLASS 4: European-Americans


Foster, R. P. (1999). The clinician's cultural counter-transference: The psychodynamics of cultural competent practice. Clinical Social Work Journal, 26 (3), 253-270.

Edgington, A., (2000) “Moving Beyond White Guilt”. Chapter 2, Readings for Diversity and

Social Justice pp. 127 – 129.

6



Straussner, S. L., Chapter 8, “Substance abuse among Americans of British descent”, pp. 167- 179.

Straussner, S. L., Chapter 10, “The Irish and substance abuse”, pp. 199- 215.

Straussner, S. L., Chapter 11, “Italian culture and it’s impact on addiction”, pp. 216-233.


McNeece & DiNitto: Chapter 11, Substance use and abuse among Jewish Americans, pp.

279-384.

CLASS 5: Cross Cutting Issues: Sexual Assault, Domestic Violence and ATOD


Farley, M. & Barkan, H. (2000). Prostitution, Violence and Post Traumatic Stress Disorder.

Women & Health, 27 (3), pp 37-49.

Westly-Clark, H. & Power, A.K. (2005) Women, Co-occuring Disorders, and Violence

Study: A case for trauma-informed care. Journal of Substance Abuse Treatment,

1(2), 145-146.

Roberts, A ., Nishimoto, R., & Kirk, R. (2003). Cocaine abusing women who report sexual abuse: Implications for treatment. Journal of Social Work Practice in the

Addictions, 3 (1), 5 – 24.

Dragan, M. & Lis-Turlejska, M. (2007). Lifetime Exposure to Potentially Traumatic Events in a Sample of Alcohol-Dependent Patients in Poland. Journal of Traumatic Stress,

20 (6), 1041-1051.


Fazzone, P.A., Holton, J.K., & Reed, B.G. (2003). Substance abuse treatment and domestic violence.

[Treatment Improvement Protocol (Tip) Series 25]. Rockville,

MD: Substance Abuse and Mental Health Services Administration van der Kolk, B.A. (1996). The body keeps score: Approaches to the psychobiology of post traumatic stress disorder. In van der Kolk, B.A., McFarlane, A.C., Weisaeth, L.

(Eds.). Traumatic stress: The effects of overwhelming experience on mind, body and society.

New York: Guilford Press: 214-241.

Kilpatrick, DG., Resnick, H.S., Saunders, B.E., & Best, C.L. Victimization, posttraumatic stress disorder, and substance use among women. In National Institute on Drug

Abuse Drug addiction research and the health of women.

(2002). (NIH Publication

No. 02-4290). (pp. 285-308). Bethesda, MD: U.S. Department of Health and Human

Services.

7



CLASS 6: African/Black Americans

ETHNOGRAPHIC INTERVIEWS DUE – FEBRUARY 19, 2008


Howard, D. (2003). Culturally competent treatment of African American clients among a national sample of outpatient substance abuse treatment units. Journal of

Substance Abuse Treatment, 24(2), 89-102.

Jackson-Gilfort, Liddle, H.A., Tejeda, M. J., & Dakof, G. A. (2001). Faciltating engagement of African American male adolescents in family therapy: A cultural theme process study. Journal of Black Psychology 27 (3), 321-340.

Roberts, A., Jackson, M., & Carlton-LaNey, I. (2000). Revisiting the need for feminism and Afrocentric theory when treating African American female substance abusers.

Journal of Drug Issues, 30, (4), 901-918.

Straussner, S. L., Chapter 2, “Substance abuse in African American communities”, pp. 31- 51.


Longshore, D., Grills, C., Annon, K. Grady, R. (1998). Promoting recovery from drug abuse: An Africentric intervention. Journal of Black Studies, 28( 3), 319-333.

Jackson, M.S., Stephens, R.C, Smith, R. L. (1997). Afrocentric treatment in residential substance abuse care: The Iwo San. Journal of Substance Abuse

Treatment, 14(1), 87-92.

McNeece & DiNitto, Chapter 11, “Substance use and abuse among African Americans, pp. 344-356.

Straussner, S. L., Chapter 3, “Substance abuse issues among English-speaking

Carribean people of African ancestry”, pp. 52-74.

CLASS 7: First Nations / American Indians / Native Americans


Balsam, K, Huang, B. U., Fieland, K. C., Simoni, J. M., Walters, K.L. (2004). Culture, trauma, and wellness: A comparison of heterosexual and Lesbian, Gay, Bisexual, and Two-Spirit Native Americans. Cultural Diversity and Ethnic Minority Psychology,

Volume 10( 3), pp. 287-301.

French, L. A. (2004). Alcohol and other drug addictions among Native Americans: The movement toward tribal-centric treatment programs. Alcoholism Treatment

Quarterly, 22 (1), 81-91.

Kasee, C. (1995). Identity, recovery, and religious imperialism: Native American Women

8


Syllabus: Spring 2008 and the New Age. Women’s spirituality, women’s lives. Haworth Press, Inc.

Straussner, S. L., Chapter 4, “Native Americans and substance abuse”, pp. 77-96.

Recommended Readings

McNeece & Dinitto, Chapter 11, Substance use and abuse among American Indians and

Alaskan natives”, pp. 330-342.

CLASS 8:

Student Presentation – Tobacco & Treatment – Due March 4

Hispanic and Latino Populations


Alvarez, J., Olson, B. D. , Jason, L. A. , Davis, M. I., & Ferrari, J. R. (2004).

Heterogeneity among Latinas and Latinos entering substance abuse treatment: Findings from a national database. Journal of Substance Abuse Treatment, 26(4), pp 277-284.

Gloria, A. M. & Peregoy, J. J. (1996). Counseling Latino alcohol and other substance

users/abusers. (2), pp. 119-126.

Hughes, J. (2007). An algorithm for choosing among smoking cessation treatments.

Journal of Substance abuse Treatment. In Press, Corrected Proof

Trepper, T.S., Nelson, T.S., McCollum, E.E., McAvoy, P. (1997). Improving substance abuse service delivery to Hispanic women through increased cultural competencies:

A qualitative study. Journal of Substance Abuse Treatment , 14 (3), pp 225-234

Straussner, S. L., Chapter 5, “Substance abuse among Cuban Americans”, pp. 97-110.


McNeece & DiNitto, Chapter 11, “Substance use and abuse among Hispanic Americans”, pp. 356-364.

NO CLASS - TUESDAY –March 11, 2006 - SPRING BREAK

CLASS 9: Lesbian, Gay, Bisexual, Transgender (GBLT)

HIV & AIDS


CSAT TIP: Substance Abuse Resource Guide: Lesbian, Gay, Bisexual and

9



Transgendered populations

Lombardi, E.L., & Servellen, G.V. (2000). Building cultural sensitive substance use prevention and treatment programs for transgendered populations. Journal of

Substance Abuse Treatment 19, 291-296.


Amaro, H, Raj, A., Vega, R. R., Mangione, T. W., Perez, L. N. (2001). Racial/Ethnic disparities in the HIV and substance abuse epidemics: Communities responding to need. Public Health Reports , 116, 434-448.

Eliason, M. J. (2000). Substance abuse counselor's attitudes regarding lesbian, gay, bisexual, and transgendered clients . Journal of Substance Abuse Treatment, 12(4), pp. 311-328.

Faryna, E., Morales, E. (2000). Self-efficacy & HIV related risk behaviors among multiethnic adolescents. Cultural Diversity and Ethnic Minority Psychology, 6(1), pp.

42-56.

McNeece & DiNitto. Chapter 12, “Substance abuse treatment with sexual minorities”,

401-422.

Reyes, M. (1998). Latina lesbians and alcohol and other drugs: Social work implications.

In M. Delgado (Ed.), Alcohol use/abuse among Latinos: Issues and examples of culturally competence services. Alcoholism Treatment Quarterly, 16 (1/2), 179-

191.

CLASS 10 - Student Group presentations:

Criminal Justice Older Adults

MARCH 25, 2008


CSAT TIP: 26. Chapter 1, Substance Abuse Among Older Adults: An Invisible Epidemic. http://ncadi.samhsa.gov/govpubs/bkd250/26d.aspx

Arnold, L. M., Kirk, R., Roberts, A., Griffith, D., Meadows, K. (2003). Treatment of incarcerated sexually-abused adolescent females: An outcome study. Journal of

Child Sexual Abuse, 12 (1), 123-139.

Belenko, S. (2006). Assessing released inmates for substance abuse related service needs. Crime & Delinquency, 52, 94-115.

CLASS 11 - Student Group presentation: Spirituality

April 1, 2008

Professor Lecture: 12 Step


10



Bormann, J.E., Gifford, A.L et al. (2006). Effects of spiritual mantram repetition on HIV outcomes: A randomized controlled trial. Journal of Behavioral Medicine. 29 (4),

359-368.

Leigh, J., Bowen, S., & Marlatt, G.A. (2005). Spirituality, mindfulness, and substance abuse. Addictive Behaviors, 30 , 1335-1341.

Sahlein, J. (2002). When religion enters the dialogue: A guide for practitioners. Clinical

Social Work Journal 30 (4) 381-401.


Sargent, N. M. (1989). Spirituality and adult survivors of child sexual abuse: Some treatment issues . In Suzanne M. Sgroi (Ed.). Vulnerable populations: Sexual abuse treatment for children, adult survivors, offenders, and persons with mental retardation, Volume 2, (pp. 2-36). Lexington Mass: Lexington Books.

Zemore, S. E., & Kaskutas, L.A. (2004). Helping, spirituality, and Alcoholic Anonymous in recovery. Journal of Studies in Alcohol, 65, 383-391.

Violet L. Wright. (2003). Phenomenological exploration of spirituality among African

American women recovering from substance abuse. Archives of Psychiatric

Nursing, 17(4), pp. 173-185.

CLASS 12 – Dual Diagnosis

Take Home Examination –

April 8, 2008


*SAMHSA (2005). Substance abuse treatment for persons with co-occurring disorders. A treatment improvement protocol: TIP #42.

Rockville, MD: DHHS.

*This will be distributed to the class.


SAMHSA (2005). Anger Management for Substance Abuse and Mental Health Clients: A

Cognitive Behavioral Therapy Manual Rockville, MD: DHHS.

*This will be distributed to the class.

CLASS 13: Woman & Adolescents

Required Readings - Women

Baker, P.L. & Carson, A. (1999). “I take care of my kids”: Mothering practices of substance abusing women. Gender and Society, 13(3), 347-363.

Boyd, M. A., Phillips, K., & Dorsey, C. J. (2003). Alcohol and other drug disorders,

Co-morbidity, and violence: comparison of rural African American and Caucasian women. Archives of Psychiatric Nursing, 1(6), pp. 249-258.

11



Johnson, J.E. & Zlotnick, C. (2007). A pilot study of group interpersonal psychotherapy for depression in substance-abusing female prisoners. Journal of Substance Abuse

Treatment. In Press, Corrected Proof.

Recommended Readings for Women

McNeece & DiNitto, Chapter 15, “Gender and the use of drugs and alcohol: Fact, fiction, and unanswered questions”, 503-532.

Covington, S. & Surrey, J.L. The relational model of women’s psychological development:

Implications for substance abuse. Stone Center: Wellesley College.

Cunningham, J., Pearce, T., & Pearce, P. (1988). Childhood sexual abuse and medical complaints in adult women . Journal of Interpersonal Violence, 3: 131-144.

Required Readings for Child & Adolescent Populations

Burke, A.S., & Early, T.J. (2003). Readiness to adopt best practices among adolesents’

AOD treatment providers. Health and Social Work, 28 (2), 99-105.

Harvey, A. R., & Hill, R.B. (2004). Africentric youth and family rites of passage program:

Promoting resilience among at-risk African American youths. Social Work (National

Association of Social Workers), 49 (1), pp. 65-74

Tubman, J., Wagner, E. F., Gil, A.G., & Pate, K. N. (2002). Brief motivational intervention for substance abusing delinquent adolescents: Guided self-change as a social work practice innovation. Health & Social Work, 27 (3), 208-212.

Recommended Readings for Adolescents

McNeece & DiNitto, Chapter 9, “Treating substance-abusing youth, 269-292.

CLASS 14: Summary and Termination Rituals

Take Home Examination

Due - April 22, 2008

12



CLASS ASSIGNMENTS

Note different weight in grades for MSW Students & Practitioners.

Practitioners must choose between the Ethnographic Interview and Examination II.

Assignment 1: Assigned ReadingThemes – dates to be determined (TBD).

(5% of grade MSW Students ; 10% Practitioners)

Select an article or a book chapter from the course required readings. There are three parts to this one-page written assignment. The first part will include a listing of the themes that are reflected in the text. Next, make notation of what you consider to be the strong and weak points of the text, and finally submit two questions that could be used to stimulate a group discussion about the text.

This assignment is due on the day the selected reading is assigned.

Assignment 2: Ethnographic Interview

Due: February 19, 2008 (see separate sheet).

( MSW - 20% of grade; Practitioners – 35% ).

Assignment 5: Student Group Presentation

(MSW – 30 % of grade; Practitioners – 35%) .

Please select one of the below issues/topics and plan to make a presentation to the class. See fuller description in this syllabus.

1. Topic: Tobacco & Treatment

2. Cross Cutting Issue: Criminal Justice

3. Topic: Older Adults & ATOD

4. Cross Cutting Issue: Spirituality

Assignment 4: Examination

(MSW – 35% of grade; Practitioners – 40%).

Take home, open book exam. Examinations, administered under the University’s Honor Code, are designed to evaluate knowledge and understanding of the material covered in class and in the required readings. This exam will have true/false, multiple choice, a brief discussion format and a self-reflection essay question. This examination will cover lectures, readings, topics and exercises shared from Class 1 through – Class 13 .

13



Assignment: Ethnographic Interview

Objective: To learn what it was like for a particular cultural/ethnic individual, d ifferent from yourself, to engage in substance misuse and move into recovery. You will attempt to understand the experience of becoming addicted from an “insiders” point of view.

Guidelines :

Interview a recovering person from a ‘cultural’ group of your choice. Explore what the history and experience of addiction has been for them. Use global open-ended questions so that you obtain a lot of information. Pay close attention to Cover Terms and Descriptors. Take the role of a learner and your interviewee becomes the Cultural Guide, teaching you about their unique experience. Below are several questions that can be explored: a. When and why did you first begin using substances? b. When did you realize you were having a problem? c. How did your ethnicity, culture, philosophical or religious beliefs affect the experience,

(i.e., increase guilt and/or shame because of your religious beliefs)? d. What are the usual attitudes of your group towards the abuse and dependency of drugs? e. What were the factors that led you to begin the recovery process? f. How have you maintained your recovery? Have you relapsed? g. What kinds of support, if any, are received from family and friends? h. Were there particular people who helped to empower you in the recovery process?

Who were they? i. Were there people who disempowered you? If so, who and in what way? What were the things that helped you in the treatment process? j. What was the impact of your addiction and treatment on self, family, life, work, career , and social relationships, etc. k. Do you have any fears that you will not maintain your recovery?

Summarize your interview in 3-5 double spaced pages (removing all identifying names).

Include at least three direct quotes from the informant. In addition, provide a 1-2 page critique of your interview addressing all of the questions below:

1. In general, how well do you think that you elicited information from the informant about the experience of addiction? Did you identify cover terms and ask for descriptors?

2. Name two things you might have done differently.

3.

Looking back, what areas do you wish you had covered in the interview, but

did not?

4.

How ‘connected’ did you feel to the informant and why? What part of the

interview was most difficult for you to ‘stay with’ and why?

5. What was the most compelling thing that you learned about the informant’s experience from an insider’s perspective?

6.

What have you learned about yourself in this process? What positive and/or negative emotional reactions did you have towards the client?

Interviews should be approximately 60-90 minutes and may be taped (with the permission of the informant) or recorded by taking detailed handwritten notes during the session. Confidentiality must be upheld and discussed with the informant before the interview occurs.

14



ASSIGNMENT: Student Group Presentation

Below are two cross cutting issues and two topics related to the field of substance abuse that are prominent in literature and research. You will experience some aspects of all of these from time to time in your treatment of diverse populations.

Topics and current dates for presentations:

1. Topic: Tobacco & Treatment

2. Cross Cutting Issue: Criminal Justice

3. Topic: Older Adults & ATOD

4. Cross Cutting Issue: Spirituality

March 4

March 25

March 25

April 1

Choose one of the above. Address this issue/topic from the standpoint of current research, differential impact and implications for diverse groups, and the best practices in regard to treatment. Are there evidence based practices that you can discuss? If so, please provide concrete examples of what can be done. A student should be able to have one or two concrete interventions to add to their professional tool box at the completion of your presentation.

Your presentation style as a group is to be interactive, creative, and engaging of the other class members. Feel free to be as creative as you desire. I have developed a grading grid sheet for you

.

15



3/4/08 Topic:

Tobacco & Treatment

Both the Oral Presentation and

Handouts are included in the scoring.

STUDENT GROUP PRESENTATIONS

Spring 2008

3/25/08 Cross Cutting

Issue: Criminal Justice

3/25/08 Topic:

Older Adults

%

Fails to meet

Expectations

Meets

Expectations

4/1/08 Cross Cutting Issue:

Spirituality

Exceeds

Expectations

20% Describe the problem, epidemiology, populations affected, empirical data, etc.

20% Best practices and evidence based practices;

Ethical / Legal Issues

Intervention Techniques

(Emphasis is on adding to Clinical

Tool Box)

Delivery of Presentation

Class Handouts

Class Involvement

Creativity

10%

25%

10%

5%

5%

5%

16



RECOMMENDED ADDITIONAL READINGS

Multi-Cultural Frameworks

Berg, I. K. (1995). Solution-focused brief therapy with substance abusers. In A. M. Washton (Ed .), Psychotherapy and substance abuse: A practitioner’s handbook (pp. 223-242). New York: Guildford Press.

Harper, K. V., & Lantz, J. (1996). Cross-cultural curative factors. In

K.V. Harper & J. Lantz (Eds.), Cross-cultural practice: Social work with diverse populations (pp. 6-26). Chicago, Illinois: Lyceum Books, Inc.

Washton (Ed.), Psychotherapy and substance abuse: A practitioner’s handbook (pp. 3-22). New York: The Guildford Press.

Straussner, S. L. A. (1993). Assessment and treatment of clients with alcohol and other drug abuse problems: An overview. In S. L. A.

Straussner (Ed.), Clinical work with substance-abusing clients (pp. 1-

33). New York: The Guilford Press.

African-American Populations

Allen, K. (1995). Barriers to treatment for addicted African-American women. Journal of the National Medical Association, 87 (10), 751-756.

Bell, C.C. (1996). Treatment issues for African-American men.

Psychiatric Annals, 26, 33-36.

Beverly, C. (1989). Treatment issues for black alcoholic clients . Social

Casework, June 1989, 370-374.

Brisbane, F. L. (1992). Culture-based counseling for people of African- ancestry: Africentric counseling. In J. U. Gordon (Ed.), Multiculturalism in alcohol and other drug abuse services (pp. 43-52). University of Kansas: Kansas State

Printing Plant.

Jones, B.E., & Gray, B.A. (1983). Black males and psychotherapy:

Theoretical issues . American Journal of Psychotherapy, 37, 77-85.

Lundy, A., Gottheil, E., Serota, R., Weinstein, S. & Sterling, R.

(1995). Gender differences and similarities in African-American crack cocaine abusers. The Journal of Nervous and Mental Disease, 183(4), 260-265.

Poitier, Niliwaambieni, & Rowe. (1997). A rite of passage approach designed to preserve the families of substance abusing African-

American women. Child Welfare League of America, 76 (1), 173-195.

Taylor, J., & Jackson, B. (1990). Factors affecting alcohol consumption of black women. The International Journal of the Addictions, 25 (11), 1287-1300.

Asian American Populations

Ho, M. K. (1994). Asian-American perspective. In J.U. Gordon. (Ed.),

Managing multiculturalism in substance abuse services (pp. 72-98). Thousand

Oaks, CA: Sage Publication.

Lee, D. B. (1992). Multicultural approach to substance abuse: Asian American perspectives. In J. U. Gordon (Ed.), Multiculturalism in alcohol and other drug abuse services (pp. 75-86). University of Kansas: Kansas State Printing Plant.

McNeece, C.A., & DiNitto, D.M. (2005). Chemical dependency: A systems approach.

Needham Heights, MA: Allyn & Bacon.

Children and adolescents

17



Doweiko, H. F. (1993). Child And Adolescent Substance Abuse.

Concepts of chemical dependency (pp. 236-247). Pacific Grove, Ca: Brooks/Cole

Publishing Company.

Feigelman, B., & Feigelman, W. (1993). Treating the adolescent substance abuser. In S. L. A. Straussner (Ed.), Clinical work with substanceabusing client (pp. 233-250). New York: The Guilford Press.

Hawkins, D., Catalano, R., & Miller, J. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood:

Implications for substance abuse prevention. Psychological Bulletin, 112 (1), 64-

102.

Morehouse, E.R. (1989). Treating adolescent alcohol abusers. Social

Casework, June, 1989, 355-363.

Perkinson, R. R. (1997). Adolescent treatment. Chemical dependency counseling: A practical guide (pp. 163-172). Thousand Oaks, Ca: Sage Publication.

Smith, T. E., & Springer, D.W. (1998). Treating chemically dependent children and adolescents. In C. A. McNeece & D. M. DiNitto (Eds.), Chemical dependency: A systems approach (pp. 213-228). Needham Heights, MA: Allyn

Bacon.

Dual Diagnosis Populations

Burns, K., Melamed, W., Chasnoff, I., & Hatcher, R. (1985). Chemical dependency and clinical depression in pregnancy. Journal of Clinical Psychology,

41(6), 851-854.

Chavkin, W., Paone, D., Friedman, P. & Wilets, I. (1993). Psychiatric history of drug using mothers: Treatment implications. Journal of Substance Abuse

Treatment, 10, 445-448.

Doweiko, H. F. (1993). The dual-diagnosis client: Addiction and mental illness. Concepts of chemical dependency (pp. 248-260). Pacific Grove, Ca:

Brooks/Cole Publishing Company

Goldstein, E. G. (1993). The borderline substance abuser. In S. L. A.

Straussner. (Ed.). Clinical work with substance-abusing clients (pp. 270-290).

New York: The Guilford Press.

Orlin, L., & Davis, J. (1993). Assessment and intervention with drug and alcohol abusers in psychiatric settings. In S. L. A. Straussner (Ed.), Clinical work with substance-abusing clients (pp. 50-68). New York: The Guilford Press.

Ortman, D. (1997). The dually diagnosed: A therapist’s guide to helping the substance abusing psychologically disturbed patient.

Northvale, NJ:

Jason Arronson, Inc.

Chapter 1. The ongoing dialogue: introduction. (pp. 3-19).

Chapter 6. If you don’t ask the question you won’t get the answer : assessing the disorders. (pp. 83- 107).

Chapter 7. Do you see what I see? Addressing denial. (pp. 109-132).

Elderly

Cornelius, J.R., Fabrega, H., Maher, P.J., Jones-Barlock, A., Salloum,

I.M., Ulrich, R.F., & Mezzich, J.E. (1997). Age effects on the clinical presentation of alcoholics at a psychiatric hospital. Comprehensive Psychiatry, 38 (4), 213-217.

Evans, D.J., Street, S.D., & Lynch, D.J. (1996). Alcohol withdrawal at

18


Syllabus: Spring 2008 home: Pilot project for frail elderly people. Canadian Family Physicians, 42, 937-

945.

Gurnack, A. (1995). Older adults: Misuse of alcohol, medicine, or other drugs.

. In A. M. Washton (Ed.), Psychotherapy and substance abuse: A practitioner’s handbook (pp.413-427). New York: The Guildford Press.

Harper, K.V., & Lantz, J. (1996). Elderly Clients. In K.V. Harper & J.

Lantz (Eds.), Cross-cultural practice: Social work with diverse populations (pp. 142-

156). Chicago, Illinois: Lyceum Books, Inc.

Zimberg, S. (1995). The Elderly. In A. M. Washton (Ed.),

Psychotherapy and substance abuse: A practitioner’s handbook (pp.413-427).

New York: The Guildford Press.

European Americans

McNeece & DiNitto:

Chapter 2, “ The Etiology of Addiction”.

Chapter 3, “Becoming Addicted”.

Stern, A. (1992). European-American issues: Assisting communities to strengthen drug abuse services. In J. U. Gordon (Ed .), Multicultualism in alcohol and other drug abuse services (pp. 67-73). University of Kansas: Kansas State

Printing Plant.

Family Treatment & Substance Abuse

Azzi-Lessing, L., & Olsen, L. J. (1996). Substance abuse-affected families in the child welfare system: New challenges, new alliances. Social Work,

41 (1), 15-23.

Doweiko, H. F. (1993). Concepts of chemical dependency.

Pacific Grove,

Ca: Brooks/Cole Publishing Company.

Chapter 20. Other hidden victims of chemical dependency. (pp. 228- 235).

Chapter 23. Codependency and enabling. (pp. 261-272).

Chapter 24. Addiction and the family. (pp. 273-284).

Markowitz, R. (1993). Dynamics and treatment issues with children of drug and alcohol abusers. In S. L. A. Straussner. (Ed.). Clinical work with substance-abusing clients (pp. 214-232). New York: The Guilford Press.

McIntyre, J. R. (1993). Family treatment of substance abuse. In S. L.

A. Straussner (Ed.), Clinical work with substance-abusing clients (pp. 171-195).


Perkinson, R. R. (1997). Chemical dependency counseling: A practical guide. Thousand Oaks, Ca: Sage Publication.

Chapter 11. The family program. (pp. 173-180).

Chapter 15. The good counselor. (pp. 211-218).

Zelvin, E. (1993). Treating the partners of substance abusers. In S. L.

A. Straussner (Ed.), Clinical work with substance-abusing clients (pp. 196-213).


Female Substance Abusers

Beckman, L. (1994). Treatment needs of women with alcohol problems.

Special focus: women and alcohol. Alcohol Health and Research World, 18 (3),

206-211.

Bennett, E. M., & Kemper, K. J. (1994). Is abuse during childhood a

19


Syllabus: Spring 2008 risk factor for developing substance abuse problems as an adult? Developmental and Behavioral Pediatrics, 15 (6), 426-429.

Bennett, L. (1995). Substance abuse and the domestic assault of women. Social Work, 40 (6), 760-771.

Blume, S. (1990). Chemical dependency in women: Important issues.

American Journal of Drug and Alcohol Abuse, 16 (3 & 4), 297-307.

Boyd, C. (1993). The antecedents of women's crack cocaine abuse:

Family substance abuse, sexual abuse, depression and illicit drug use. Journal of

Substance Abuse Treatment, 10, 433-438.

Finkelstein, N. (1994). Treatment issues for alcohol and drug dependent pregnant and parenting women. Health and Social Work, 19 (1), 7-15.

Finkelstein, N. (1993). Treatment programming for alcohol and drug dependent women. The International Journal of the Addictions, 28 (13), 1275-1309.

Harrison, M. (1991). Drug addiction in pregnancy: The interface of science, emotion and social policy. Journal of Substance Abuse Treatment, 8, 261-

268.

Marcenko, M. & Spence, M. (1995). Social and psychological correlates of substance abuse among pregnant women. Social Work Research, 19 (2), 103-

109.

Nelson-Zlupko, L., Kauffman, E., & Dore, M.M. (1995). Gender differences in drug addiction and treatment. Social Work, 40 (1), 45-53.

Pape, P. A. (1993). Issues in assessment and intervention with alcohol and drug abusing women. In S. L. A. Straussner (Ed.), Clinical work with substance-abusing clients. (pp. 251-290). New York: The Guilford Press.

Root, M. (1989). Treatment failures: The role of sexual victimization in women's addictive behavior. American Journal of Orthopsychiatry, 59 (4), 542-549.

Van Den Berg, N. (1992). Feminist perspectives on addictions.

New

York: Springer Publishing Co.

LGBT / Sexual Minority Populations

Anderson, G. (1996). The older gay man. In K. M. Nokes (Ed.),

HIV/AIDS and the older adult (pp.63-79). New York: Taylor & Francis.

Chachkes, E. (1993). AIDS: Future directions for education and practice. In V. J. Lynch, G. A. Lloyd, and M.F. Fimbres. The changing face of

AIDS: Implications for social work practice. (pp.1-18). Westport, Connecticut:

Auburn House.

Fishman, J.M. (1994). Countertransference, the therapeutic frame, and

AIDS: One psychotherapist’s response. In S.A.Caldwell, R.A.Burnham, & M.

Forstein (Eds.), Therapists on the frontline:

Psychotherapy with gay men in the age of AIDS (pp.497-516). Washington, DC:

American Psychiatric Press.

Leukefeld, C.G. (1993). Introduction: Challenges for the social worker in meeting the AIDS crisis. In V. J. Lynch, G. A. Lloyd, and M.F. Fimbres. The changing face of AIDS: Implications for social work practice (pp.xix-xxix).

Westport, Connecticut: Auburn House.

Puleo, J.H. (1996). Scope of the challenge. In K. M. Nokes (Ed.),

HIV/AIDS and the older adult . (pp.1-8). New York: Taylor & Francis.

Ratner, E. (1988). A model for the treatment of gay and lesbian alcohol abusers. Alcoholism Treatment Quarterly, 5 (1/2/), 25-46.

20



HIV & AIDS

Brauer, S.B. (1994). The HIV-infected gay man: Group work as rite of passage. In S.A.Caldwell, R.A.Burnham, & M. Forstein (Eds.), Therapists on the frontline: Psychotherapy with gay men in the age of AIDS (pp.223-235).

Washington, DC: American Psychiatric Press.

Cadwell, S.A. (1994). Twice removed: The stigma suffered by gay men with AIDS. In S.A.Caldwell, R.A.Burnham, & M. Forstein (Eds.), Therapists on the frontline: Psychotherapy with gay men in the age of AIDS. (pp.3-24). Washington,

DC: American Psychiatric Press.

Rabkin, J.G., & Ferrando, S. (1997). A ‘second life’ agenda: Psychiatric research issues raised by Protease Inhibitor treatments for people with Human

Immunodeficiency Virus or the Acquired Immunodeficiency Syndrome. Archives of

General Psychiatry, 54 (11, 1049-1053.

Sobo, E. J. (1993). Inner-city women and AIDS: The psychosocial benefits of unsafe sex . Culture, medicine and psychiatry, 17.

455-485.

Latino Populations

Comas-Diaz, L. (1986). Puerto Rican alcoholic women: Treatment considerations.

Alcoholism Treatment Quarterly, 3 (1), 47-57.

Delgado, M. (1998). Cultural competence and the field of ATOD:

Latinos as a case example. In M. Delgado (Ed.), Alcohol use/abuse among

Latinos: Issues and examples of culturally competence services. Alcoholism

Treatment Quarterly, 16 (1/2), 5-19.

Mora, J. (1998). The treatment of alcohol dependency among Latinas:

A feminist, cultural and community perspective. In M. Delgado (Ed.), Alcohol use/abuse among Latinos: Issues and examples of culturally competence services .

Alcoholism Treatment Quarterly, 16 (1/2), 163-175.

Rodriguez-Andrew, S. (1998). Alcohol use and abuse among Latinos: issues and examples of culturally competent services. In M. Delgado (Ed.), Alcohol use/abuse among Latinos: Issues and examples of culturally competence services.

Alcoholism Treatment Quarterly, 16 (1/2), 55-69.

Miscellaneous Issues In Substance Abuse Treatment


Pacific Grove,

Ca: Brooks/Cole Publishing Company.

Chapter 26. The process of intervention. (pp. 304-312).

Chapter 29. Pharmacological intervention tactics and substance abuse.(pp. 347-

357).

Perkinson, R. R. (1997). Chemical dependency counseling: A practical guide. Thousand Oaks, Ca: Sage Publication.

Chapter 9. Special Problems. (pp. 127-161).

Chapter 15. The good counselor. (pp. 211-218).

Rural Populations

Delaney, T.M.S. (1987). Alcoholism in the invisible minority: Some

Appalachian issues. Alcohol, Health, and Research World, Summer 1987, 85-87.

Harper, K. V., & Lantz, J. (1996). Appalachian Clients. Cross-cultural practice: Social work with diverse populations (pp.84-97). Chicago, Illinois:

Lyceum Books, Inc.

Jones, L. (1977). Old-time Baptists and mainline Christianity. In J.

21



W. Williamson (Ed.), An Appalachian Symposium.

(pp. 121-130). NC:

Appalachian State University Press.

Keefe, S.E. (1993). Mental health issues in the southern Appalachian culture. An anthropologist’s perspective. Paper presented at the Influence of the southern Appalachian culture on mental health and substance abuse treatment conference. (pp. 1-14). September 17, 1993. Sponsored by the MAHEC in

Asheville.

Keefe, S.E. (1988). Mental health in Appalachia: An anthropologist’s perspective. Paper presented at the Third Annual Conference on Appalachia:

Health in Appalachia. (pp. 1-19). The Appalachian Center, University of Kentucky,

Lexington, KY.

Turner, W. H. (1993). African-Americans in Appalachia: Minority within a minority. Paper presented at Conference on the Influence of Southern

Appalachian Culture on Mental Health and Substance Abuse. September 17, 1993.

Lake Junaluska, NC.

Spirituality & Substance Abuse


Pacific

Grove, Ca: Brooks/Cole Publishing Company.

Chapter 18. Addiction as a disease of the human spirit. (pp. 203-216).

22

THE UNIVERSITY OF NORTH CAROLINA CHAPEL HILL SCHOOL OF SOCIAL WORK

GRADING SYSTEM

Related documents

Products

Support

THE UNIVERSITY OF NORTH CAROLINA CHAPEL HILL SCHOOL OF SOCIAL WORK

GRADING SYSTEM

Related documents

Add this document to collection(s)

Add this document to saved

Suggest us how to improve StudyLib