ATOD & Diverse Populations Syllabus: Spring 2010 THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF SOCIAL WORK COURSE NUMBER: SOWO 761 COURSE TITLE: ALCOHOL, TOBACCO, & OTHER DRUGS (ATOD): SOCIAL WORK PRACTICE WITH CULTURALLY DIVERSE POPULATIONS SEMESTER: SPRING 2010, TUESDAY EVENINGS 5:30-8:20, ROOM 135 Amelia Roberts-Lewis, Ph.D., LCSW School of Social Work 325 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: Mondays and 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 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; 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. 1 ATOD & Diverse Populations Syllabus: Spring 2010 EXPANDED COURSE DESCRIPTION This course will build on three previous courses: social discrimination (SOWO 501), the foundation practice course (SOWO 540), and SOWO 700: ATOD: Substance Abuse and Dependence. SOWO 700 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. (2003). Ethnocultural factors in substance abuse treatment. In Shulamith Lala Ashenberg Straussner (Ed.). New York: Guilford Press. Several articles are assigned and can be found at Blackboard. Texts can be purchased at the student bookstore. RECOMMENDED TEXTS 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 instructor 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. 2 ATOD & Diverse Populations Syllabus: Spring 2010 CLASS ASSIGNMENTS for MSW STUDENTS 5% Class Participation 5% Assigned Reading Themes 25% Ethnographic Interview 30% Student Group Presentation 5% Growth Journal 30% 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 10% Class Participation 5% Assigned Reading Themes 35% Ethnographic Interviewing OR Student Group Presentation 10% Growth Journal 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 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. 3 ATOD & Diverse Populations Syllabus: Spring 2010 PROPOSED CALENDAR – SOWO 761 - ATOD & DIVERSE POPULATIONS Class 1 Tues, Jan. 12 Introductions & Course Overview Class 2 Tues, Jan. 19 Research & Multi-cultural Frameworks Bio-Psycho-Social-Spiritual (BPSS) Framework Class 3 Tues, Jan. 26 Ethnographic Interviewing Technique Class 4 Tues, Feb. 2 Gender - Women & Substance Misuse Class 5 Tues, Feb. 9 Overview / European Americans Class 6 Tues., Feb. 16 African / Black-Americans Class 7 Tues., Feb. 23 Native Americans - Guest Speaker Ethnographic Interviews Due Class 8 Tues., March 2 Cross Cutting Issue - Student Presentation Co-Occurring Disorders (aka Dual Diagnosis)– No Class Tues., Mar. 9 Spring Break Class 9 Tues., Mar 16 LGBTQ Persons & Substance Abuse Speaker & Panel Discussion Class 10 Tues., Mar 23 Cross Cutting Issue- Student Presentation Trauma, PTSD & Substance Abuse Class 11 Tues., March 30 Cross Cutting Issue - Student Presentation Spirituality & Substance Abuse Class 12 Tues, April 6 Class 13 Tues, April 13 Cross Cutting Issue - Student Presentation Tobacco Use & Diverse Populations Class 14 April 20 HIV & AIDS – National & Global Issue Take Home Exam Class 15 April 27 Last Class Summary and Termination Ritual Take Home - Examination Due Latinos / Hispanic Americans 4 ATOD & Diverse Populations Syllabus: Spring 2010 READINGS AND COURSE OUTLINE CLASS 1 - January 12: Introductions & Course Overview CLASS 2 - January 19: Research & Multi-Cultural Frameworks Bio-Psycho-Social-Spiritual (BPSS) Framework 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), 915. 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 - January 26: Ethnographic Interviewing Technique Required Readings 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 – February 2: Women and Substance Misuse Required Readings - Women 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. 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, 5 ATOD & Diverse Populations Syllabus: Spring 2010 and unanswered questions”, 503-537. 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. CLASS 5 - February 9: European-Americans Required Readings Edgington, A., (2000) “Moving Beyond White Guilt”. Chapter 2, Readings for Diversity and Social Justice pp. 127 – 129. Foster, R. P. (1999). The clinician's cultural counter-transference: The psychodynamics of cultural competent practice. Clinical Social Work Journal, 26 (3), 253-270. 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. Straussner, S. L., Chapter 15, “Jewish Substance Abusers: Existing but Invisible”, pp. 291- 317. Sue, D. (2006). Chapter 6, “White Identity Development”. Recommended Readings McNeece & DiNitto: Chapter 11, Substance use and abuse among Jewish Americans, pp. 279-384. CLASS 6 - February 16: African/Black Americans Required Readings 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. Straussner, S. L., Chapter 3, “Substance abuse issues among English-speaking Carribean people of African ancestry”, pp. 52-74. 6 ATOD & Diverse Populations Syllabus: Spring 2010 Recommended Readings 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. ETHNOGRAPHIC INTERVIEWS DUE – FEBRUARY 23, 2009 CLASS 7 – February 23: First Nations / American Indians / Native Americans Required Readings 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 TwoSpirit 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), 8191. 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 – MARCH 2 - CROSS CUTTING ISSUE - STUDENT GROUP PRESENTATION CO-OCCURRING DISORDERS (aka DUAL DIAGNOSIS) Required Readings *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. Recommended Readings SAMHSA (2005). Anger Management for Substance Abuse and Mental Health Clients: A Cognitive Behavioral Therapy Manual Rockville, MD: DHHS. 7 ATOD & Diverse Populations Syllabus: Spring 2010 NO CLASS - TUESDAY – MARCH 9, 2009 - SPRING BREAK CLASS 9 - March 16: Lesbian, Gay, Bisexual, Transgender, & Queer (LGBTQ) Required Readings CSAT TIP: Substance Abuse Resource Guide: Lesbian, Gay, Bisexual and Transgendered populations. (Electronic copy on Blackboard). 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. Recommended Readings Eliason, M. J. (2000). Substance abuse counselor's attitudes regarding lesbian, gay, bisexual, and transgendered clients. Journal of Substance Abuse Treatment, 12(4), pp. 311328. 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 – MARCH 23 – CROSS CUTTING ISSUE: STUDENT GROUP PRESENTATION TRAUMA (e.g., SEXUAL ABUSE & DOMESTIC VIOLENCE, etc.), PTSD, & SUBSTANCE ABUSE Required Readings 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. 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. 8 ATOD & Diverse Populations Syllabus: Spring 2010 Recommended Readings 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. 285308). Bethesda, MD: U.S. Department of Health and Human Services. CLASS 11 - MARCH 30: CROSS CUTTING ISSUE - STUDENT GROUP PRESENTATION SPIRITUALITY & SUBSTANCE ABUSE Required Readings 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. Recommended Readings 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 - April 6: Hispanic / Latin-American & ATOD – Guest Speaker Required Readings 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. Trepper, T.S., Nelson, T.S., McCollum, E.E., McAvoy, P. (1997). Improving substance 9 ATOD & Diverse Populations Syllabus: Spring 2010 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. Straussner, S. L., Chapter 6, “Substance abuse in the Mexican American Population”, pp. 111-136. Straussner, S. L., Chapter 7, “Toward an Understanding of Puerto Rican Ethnicity and Substance Abuse”, pp.137-164. Recommended Readings Gloria, A. M. & Peregoy, J. J. (1996). Counseling Latino alcohol and other substance users/abusers. Journal of Substance Abuse Treatment, 13(2), pp. 119-126. McNeece & DiNitto, Chapter 11, “Substance use and abuse among Hispanic Americans”, pp. 356-364. CLASS 13 – APRIL 13, 2010 - CROSS CUTTING ISSUE – STUDENT PRESENTATION TOBACCO USE & SUBSTANCE ABUSE Required Readings Hughes, J. (2007). An algorithm for choosing among smoking cessation treatments. Journal of Substance abuse Treatment. In Press, Corrected Proof McCarthy, W.J., Collins, C. & Hser, Y. (2002). Does cigarette smoking affect drug abuse treatment? The Journal of Drug Issues, 32(1), pp. 61-79. Perkins, K. A. (2001). Smoking cessation in women: Special considerations. Central Nervous System Drugs 15, 391-411. Yu, J., & Lew, R. (2003). Enhancing cultural and community competence for tobacco control for Asian Americans and Pacific Islanders. Oakland, CA: Asian Pacific Partners for Empowerment and Leadership. Recommended Readings American Lung Association. (2008). Smoking 101 fact sheet. In Quit smoking. Retrieved March 19, 2009 from http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=39853. Campaign For Tobacco-Free Kids. (2009). Deadly in pink: Big tobacco steps up its and girls. In Tobacco-free kids. Retrieved March 19 from http://tobaccofreekids.org/reports/women_new/. targeting of women Campaign For Tobacco-Free Kids. (2009). The story in pictures: Historical marketing examples. In Tobacco10 ATOD & Diverse Populations Syllabus: Spring 2010 free kids. Retrieved March 19, 2009 from http://tobaccofreekids.org/slideshow/deadlyinpink_2009_03/slideshow_full.html. CLASS 14 - April 20: HIV & AIDS – A National and Global Issue Required Readings (Will be Added) Recommended 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. 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. Roberts, A. C., Wechsberg, W. M., Zule, W., & Burroughs, A. R. (2003). Contextual factors and other correlates of sexual risk of HIV among African-American crack-abusing women. Addictive Behaviors, 28, 523-536. . Self-Efficacy and HIV-Related Risk TAKE HOME EXAM- APRIL 20, 2010 CLASS 15 - April 27 - LAST CLASS - Summary & Termination Ritual Take Home Examination – Due TAKE HOME EXAM - DUE - April 27, 2010 11 ATOD & Diverse Populations Syllabus: Spring 2010 GENERAL RECOMMENDED READINGS FOR DIVERSE GROUPS Recommended 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 McNeece & DiNitto, Chapter 9, “Treating substance-abusing youth, 269-292. 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 Older Populations CSAT TIP: 26. Chapter 1, Substance Abuse Among Older Adults: An Invisible Epidemic. http://ncadi.samhsa.gov/govpubs/bkd250/26d.aspx 12 ATOD & Diverse Populations Syllabus: Spring 2010 CLASS ASSIGNMENTS Note different weight in grades for MSW Students & Practitioners. Practitioners must choose between the Ethnographic Interview or Student Group Presentation. Assignment 1: Assigned Reading Themes –dates to be determined (TBD). (5% of grade MSW Students ; 5% Practitioners) Assigned Reading & Themes: Select an article or a book chapter from the course required or recommended 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 or recommended. Assignment 2: Ethnographic Interview Due: February 24, 2009 (see separate sheet). ( MSW - 25% of grade; Practitioners – 35% ). Assignment 3: 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. Cross Cutting Issue: Co-Occurring Disorders (aka Dual Diagnosis) 2. Cross Cutting Issue: Trauma, PTSD, & Substance Abuse 3. Cross Cutting Issue: Spirituality & Substance Abuse 4. Cross Cutting Issue: Tobacco Use & Diverse Populations Assignment 4: The Growth Journal - (MSW - 5% of grade; Practitioners – 10%). Write a one page description of your personal growth in the area of working with and thinking about diverse populations. Share where you were at the beginning of class, and the growth that has taken place as you have moved through the semester. Feel free to list areas of continued or constant struggle. Due - April 13, 2010. Assignment 5: Examination (MSW – 30% 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, brief discussion format, and a self-reflection essay question. This examination will cover lectures, readings, topics and exercises shared from Class 1 through – Class 14. CLASS PARTICIPATION: MSW – 5% of grade; Practitioner – 10% of grade. 13 ATOD & Diverse Populations Syllabus: Spring 2010 Assignment: Ethnographic Interview Objective: To learn what it was like for a particular cultural/ethnic individual, different 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. Work diligently to try to capture the issues around diversity: race, ethnicity, gender, sexual orientation, disability, etc. 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 ATOD & Diverse Populations Syllabus: Spring 2010 ASSIGNMENT: Student Group Presentation Below are cross cutting issues related to the field of substance abuse that are prominent in literature and research. You will experience and address some aspects of all of these issues from time to time in your treatment of diverse populations in the substance abuse field. Topics and current dates for presentations: 1. 2. 3. 4. Cross Cutting Issue: Co-Occurring Disorders Cross Cutting Issue: Trauma, PTSD, & ATOD Crossing Cutting Issue: Spirituality & ATOD Cross Cutting Issue: Tobacco & Diverse Pops March 2 March 23 March 30 April 13 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 ATOD & Diverse Populations Syllabus: Spring 2010 STUDENT GROUP PRESENTATIONS Spring 2010 March 2, 2010 Co-Occurring Disorders March 23, 2010 Trauma, PTSD, ATOD Both the Oral Presentation and Handouts are included in the scoring. % Describe the problem, epidemiology, populations affected, empirical data, etc. 20% Best practices and evidence based practices; 20% Ethical / Legal Issues 10% Intervention Techniques (Emphasis is on adding to Clinical Tool Box) 25% Delivery of Presentation 10% Class Handouts 5% Class Involvement 5% Creativity 5% March 30, 2010 Spirituality & Substance Abuse Fails to meet Expectations April 13, 2010 Tobacco Use & Diverse Populations Meets Expectations Exceeds Expectations 16