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Practice Methods in
Substance Abuse Treatment
S.W. 250U, Fall 2007
(2 Units)

Peter Manoleas, LCSW

General Description : Objectives : Format :
Required Text : Assignments : Grading Procedures : Topic Areas

General Description

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For a printable copy of the syllabus in Word [click here] to download.
 


The purpose of this course is to give the student an introductory overview of various theories and methodologies currently used in the diagnosis and treatment of a wide range of substance abuse disorders. Emphasis will be placed on evidence-based practice, and on the unique practice role of social work in the prevention/intervention of substance abuse problems, and on diverse populations. The course is offered in web-based format using the University's bSpace software.
   
Objectives
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As a result of participation in this course, the student should be able to:

  • Identify biological, social, and psychological consequences of various types of substance abuse.
  • Show familiarity with the range of treatment approaches and the ability to select appropriate interventions.
  • Be able to critically examine various treatment methods and substance abuse concepts in their applicability to diverse populations.
  • Be familiar with the interplay of substance abuse and other psychopathological/therapeutic, and sociopolitical issues.
  • Show familiarity with the unique focus of social work interventions in the treatment of substance abuse.
  • Show familiarity with the principles of motivational enhancement and relapse prevention.

 

   
Format
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The format of this course will be lecture and discussion with some case vignette practice and skills building. Attendance is required. Typically the first hour will be spent with a lecture given by the instructor and the second hour will be a seminar discussion led by the instructor. Students will be expected to read the weekly assignments, which are all available via the bSpace site, before each class.
   
Required Text
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There is no text or reader. All readings are available via the bSpace site. Students will have the option of either reading them online, or printing them out. There will also be one hard copy of each required reading on reserve in the library should students wish to read or reproduce from that format.

Much information has been uploaded to the course website. In addition to required readings for each topic (week), there are "recommended readings" and "for further research" headings. The latter two are for students with particular interest in the topic, and/or wishing to do their paper on the topic. In addition, an extensive bibliography can be found under the "resources" section of the web page.

   
Assignments
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See Grading below.
   
Grading
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Each student will complete a term assignment and a final examination. The term paper will constitute 40% of the grade, the comprehensive, in-class final will constitute 40%, and class participation will constitute 20%. The 10-page research paper will be due November 6 in electronic format. Details will be presented in class, and can be found under the "assignments" section of the site. Since a good portion of the course will be practice oriented and participatory, attendance is crucial.
   
Topic Areas
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DATE
CLASS DISCUSSION
ASSIGNMENTS
 
Week 1
8/28/07
 Course Introduction and Overview, Prevalence of AOD Problems, Costs, Attitudinal Self-Assessment
  Required Reading:
  • There are no required readings for week one.

Recommended Reading:

  • Hoover_Commission_Drug_Tx.pdf (453673 Bytes)

For a recent policy overview and recommendations regarding the prevention and amelioration of substance use related problems in the State of California, see the report to the Governor and Legislature by the Little Hoover Commission dated March, 2003.

For Further Reading:

  • Drug_Epi_2000.pdf (7128242 Bytes)

Epidemiologic Trends In Drug Abuse, June 2000.

National Institutes of Health
Division of Epidemiology, Services and Prevention Research
National Institute on Drug Abuse
6001 Executive Boulevard
Bethesda, Maryland 20892
  • JTAdvanc.pdf (4045136 Bytes)

Treatment for addiction advancing the common good: Recommendations from a policy panel on addiction treatment and recovery, Robert E. McAfee, M.D., Panel Chair, Past President, American Medical Association, Portland, ME.

For more on stigma: http://www.naturalism.org/addictio.htm#Stigma
Week 2
9/04/07		 History, Models of Abuse and Addictions
  Required Reading:
  • Ruelfi & Rogers (2004). How do drug users define their progress in harm reduction programs? Qualitative research to develop user generated outcomes. Harm Reduction Journal, 1(8), Electronic Version.
  • Addiction_Models.pdf (1199522 Bytes)
    Miller & Hester (1989). Developmental history of alcohol and other drug abuse behaviors. From Curriculum modules on alcohol and other drug problems for schools of social work. CSAT, 1995.
Week 3
9/11/07		 Key Terminology, A0D Taxonomy and Effects - I
  Required Reading:
  • Lewis_et_al_.pdf (2918490 Bytes)

Characteristics of drugs. From Lewis, et al. (1988), Substance abuse counseling: An individualized approach (pp. 43-73). Brooks/Cole.

Recommended Reading:

  • For further reading on some of the medical complications of heavy alcohol use go to
    http://www.ensuringsolutions.org/pages/primer/primer1b.html
  • Methamphetamine_facts.pdf (60318 Bytes)

A fact sheet on methamphetamine including commonly held myths and treatment outcome information.

Websites For Further Research:

  • Addiction Science Network http://www.addictionscience.net/

This site has the full text version of the book Methods of assessing the reinforcing properties of abused drugs, published by Springer-Verlag and edited by M. A. Bozarth.

  • Drugstory http://www.drugstory.org/

This site is sponsored by the Office of National Drug Control Policy, and is an informational resource for entertainment writers and journalists. The site has information on different drugs, links to other Internet resources, and a searchable database.

Week 4
9/18/07

Terminology, Taxonomy and Effects - II

Video: Uppers, Downers, All-Arounders - Part I
  Required Reading:
  • Psychoactive Substances.pdf (3780147 Bytes)

Psychoactive Substances. Source: http://www.usdoj.gov/dea/pubs

Sedative chart taken from R. Julien (1995). A primer of drug action (7th edition). New York: W. H. Freeman.

For Further Reading:

  • street_terms.pdf (130827 Bytes)

A listing of street/slang terms for various drugs, compiled by the U.S. Office of Drug Control Policy.

For more information and resources in print, video, and audio media by drug category, much of it free, see the government website at: http://store.health.org/catalog/drugs.aspx

Week 5
9/25/07


Assessment
  Required Reading:
  • Doweiko1.pdf (2192102 Bytes)

Doweiko, H. (1993). Assessment of chemical dependency. In Concepts of chemical dependency (pp. 21-228). Brooks/Cole.

  • ER_Screening.pdf (28473 Bytes)

NIAAA, Alcohol Screening and Brief Intervention in the Emergency Room


Week 6
10/02/07		 Problem Gambling

Guest Lecturer: Michael Liao, MSW - NICOS Chinese Health Coalition

  • No Required Readings
Week 7
10/09/07		 Treatment/Intervention I - Early Phase Recovery Issues, Motivational Enhancement
  Required Reading:
  • Hohman.pdf (873055 Bytes)

Hohman, M. M. (1998). Motivational interviewing: An intervention tool for child welfare case workers working with substance-abusing parents. Child Welfare, 77(3), 275-289.
  • Sowards, K. A. et al. (2006). Inspiring hope, envisioning alternatives: The importance of peer role models in a mandated treatment program for women. Journal of Social Work Practice in the Addictions, 6(4), 55-70.

Recommended Reading:

  • TIP_35.html (2009391 Bytes)

Enhancing Motivation for Change in Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series 35. William R. Miller, Ph.D., Consensus Panel Chair. U.S. Department Of Health And Human Services.
  • African_Centered_Motivational_Intervention.pdf (1356493 Bytes)

Los Angeles Practice Improvement Collaborative (2001). African-Centered Motivational Intervention: Counselor Manual.

Websites For Further Research:
  • Motivational Interviewing http://www.motivationalinterview.org/

This site is maintained by the Mid-Atlantic Technology Transfer Center and has information for clinicians and researchers, full-text material explaining motivational interviewing, and abstracts of empirical work.

  • Treatment Improvement Exchange http://www.treatment.org/

This site is funded by SAMHSA and contains full-text TIPS and TAPS as well as links to other Internet resources for researchers and clinicians.

A complete annotated bibliography on motivational interviewing can be found at:

http://www.motivationalinterview.org/library/biblio.html

Week 8
10/16/07		 Treatment/Intervention II - Treatment Models, Treatment Matching, Middle State Recovery, Relapse Prevention
  Required Reading:
  • Drug_Tx_Principles.pdf (248113 Bytes)

National Institute on Drug Abuse, Principles of Drug Addiction Treatment: A Research Based Guide. National Institute of Health, 1999. Read pp. 1-47.
  • Relapse_Prevention_Required.pdf (1663327 Bytes)

Larimer, M. E., Palmer, R. S., & Marlatt, G. A. (1999). Relapse prevention: An overview of Marlatt's cognitive-behavioral model. Alcohol Research & Health, 23(2), 151-159.

Recommended Reading:

  • Counseling_Approaches.pdf (1368644 Bytes)

Eleven different counseling approaches, empirically validated as effective with substance abusers are reviewed in the document entitled, Approaches to Drug Abuse Counseling. National Institute on Drug Abuse NIH Publication No. 00-4151. Printed July 2000

For Further Reading:
  • IngredientsAlcohol_Tx.pdf (257880 Bytes)

The active ingredients of effective treatment for alcohol problems. Ensuring solutions to alcohol problems. The George Washington University Medical Center (pp. 1-33).

Further Links To Specific Treatment Modalities:
  • Buprenorphine http://www.buprenorphine.samhsa.gov/

For Further Reading:

  • Science_Based_Prevention_Principles.pdf (8899118 Bytes)

SAHSA (2002). Science based prevention programs and principles. 258 pages

Websites For Further Research:

  • The Addiction Web Site of Terence T. Gorski http://www.tgorski.com/

This site contains a full-text article by Gorski explaining his research-based treatment model, and other material relevant to substance abuse treatment.

  • American Society of Addiction Medicine http://www.asam.org

This site has an extensive list of links to other Internet resources in all areas of substance use and treatment.

Week 9
10/23/07		 Diverse Populations I - Women and Addictions
 
  • Required Reading:

    Covington.pdf (2157307 Bytes)

Covington, S. S. (2002). Helping women recover: Creating gender responsive treatment. In S. L. A. Straussner and S. Brown (Eds.), The handbook of addiction treatment for women (Chapter 3, pp. 52-72). San Francisco: Jossey-Bass.

Recommended Reading:

  • Women_of_Color__Disparities.pdf (324102 Bytes)

Meeting the Challenge: Ending Treatment Disparities for Women of Color, A Background Paper.

Week 10
10/30/07

Diverse Populations II - Adolescents, Native Indians
 

Required Reading:

  • Coyhis.pdf (2852570 Bytes)

Coyhis, D. (2000). Culturally specific addiction recovery for Native Americans. In J. Krestin (Ed.), Bridges to recovery: Addiction, family therapy, and multicultural treatment (Chapter 3, pp. 77-102). New York: The Free Press.

  • Adolescent_Treatment.pdf (97566 Bytes)

Margolis, R., Kilpatrick, A., & Mooney, B. (2000). A retrospective look at long-term adolescent recovery: Clinicians talk to researchers. Journal of Psychoactive Drugs, 32(1).

Websites For Further Research:

  • Focus Adolescent Services http://www.focusas.com/

This site is a clearinghouse of information and resources for substance-using adolescents and their families, and has full text articles, a nationwide directory of adolescent treatment facilities, and online bookstore with book reviews.

Week 11
11/06/07

Treatment/Intervention IV - Families & Groups

Papers Due

 

Required Reading:

  • Self_Help_Groups.pdf (2887051 Bytes)

McCrady, B. S., & Sadi, I. D. (1995). Self-help groups. In Handbook of alcoholism treatment approaches (Chapter 10, pp. 160-175). Allyn & Bacon.

Recommended Reading:

  • http://aspe.hhs.gov/hsp/subabuse99/subabuse.htm

This Health and Human Services (HHS) Report to Congress on Substance Abuse and Child Protection Services describes the extent and scope of the problem of substance abuse in the child welfare population, the types of services provided to this population, and the outcomes resulting from the provision of such services. The report includes recommendations for any legislation that may be needed to improve coordination in providing these services.

For Further Research:

Austin, M.J., & Lemon, K., Substance Abuse Interventions for Parents Involved in the Child Welfare System: Evidence and Implications. This is a thorough literature review on the topic done by the Bay Area Social Services Consortium.

Week 12
11/13/07

 Diverse Populations III - African-Americans, Lesbians & Gays
 

Required Reading:

  • Henderson, et al (2002 ) African- American Substance Users and Abusers, Chapter 4 In: Ma, G.X., and Henderson, G., Ethnicity and Substance Abuse, Springfield, Ill.: Charles C. Thomas Publisher..
  • LGBT__Cabaj_et_al.pdf (1738452 Bytes)

Cabaj, R. P. et al. (2001). Overview of treatment approaches, modalities, and issues of accessibility in the continuum of care (Chapter 4). In A provider's introduction to substance abuse treatment for lesbian, gay, bisexual, and transgender individuals. U.S. Dept. of Health and Human Services Publication No. (SMA) 01-3498.

Recommended Reading:

  • LGBT_Substance_Tx.pdf (603053 Bytes)

Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, A Providers Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals.
  • afam0603.pdf (116306 Bytes)

Alcohol is the drug most widely used by African-American youth. Although African-American youth drink less than other youth (according to the National Household Survey on Drug Abuse) African Americans suffer more from alcohol-related diseases than other groups in the population. The marketing of alcohol products in African-American communities has stirred national controversy and met with fierce resistance from African Americans and others. Charges of over-concentration of alcohol bill-boards in African-American neighborhoods have prompted protests and legislative fights in many U.S. cities. This study explores the targeted marketing of alcohol to African-American youth via radio and television (pp. 1-14).

Week 13
11/20/07

 Diverse Populations IV - Asian-Americans and Latinos
  Required Reading:
  • DeLarosa, et al. (2005). Substance abuse among U.S. Latinos: A Review of the Literature. Journal of Social Work Practice in the Addictions, 5(1-2), 1-21.
  • Wong, et al (2004 ). Alcohol, tobacco, and other drug use among Asian-American and Pacific Islander adolescents in California and Hawaii. Addictive Behaviors, 29, 127-141.

Recommended Reading:

  • Race_Relations.pdf (395366 Bytes)

Lessons learned: How community efforts to reduce substance abuse have influenced race relations. Join Together, 1-7.

Further Reading:
  • For further reading on Asian-Americans and substance abuse, including abstracts and full text of the most recent research, go to:

    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&DB=PubMed&term=
    asian+americans+AND+substance+abuse

  • Bodega_Project.pdf (592498 Bytes)

Since 1996, an experimental program in New York City has tried to show that by engaging and helping the families of drug users, the criminal justice system can overcome the limitations of its present focus on punishment and treatment of users alone. The program, La Bodega de la Familia, engages both substance abusers and their family members in family case management and other services as a supplement to probation, parole, or pre-trial supervision. By providing support to the families of drug users in the criminal justice system, Bodega aims to increase the success of drug treatment, reduce the use of incarceration to punish relapse, and reduce the harms addiction causes within families. This report, by the Vera Institute (2002) describes the program and evaluative outcomes (85 pages).

Week 14
11/27/07		 Comorbidity - Substance Abuse & Psychopathology
  Required Reading:
  • Watkins, T. R., et al. (2001). Issues and problems with dual diagnosis (Chapter 2). In Watkins, Lewellen, and Barrett, Dual diagnosis: An integrated approach to treatment. San Francisco: Sage Publications.

Recommended Reading:

  • Gender_Differences.htm (119923 Bytes)

DiNitto, D. M., Webb, D. K. Rubin, A. (2002). Gender differences in dually-diagnosed clients receiving chemical dependency treatment. Journal of Psychoactive Drugs, 34(1), pp 105-117.

12/04/07 In-Class Final Examination 
[Posted 8/24/07]
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