Pub Date : 2022-05-11DOI: 10.1080/1533256x.2022.2071822
Ana Ning, R. Csiernik
{"title":"Why has the Opioid Crisis Remained Unchanged in Canada? The Limits of Bio-Scientific Based Policy Approaches","authors":"Ana Ning, R. Csiernik","doi":"10.1080/1533256x.2022.2071822","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2071822","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41339214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-12DOI: 10.1080/1533256X.2022.2063345
Carl R. Morgan, Cory B. Dennis
ABSTRACT There are many challenges to treating people for a substance use disorder. This study focuses on factors that might predict how long people stay in treatment, and whether it is enough time to complete treatment. Using data from a statewide subsample of the TEDS-D dataset, the results showed that free treatment leads to increased length of stay, while substance use frequency and days waiting to enter treatment have a negative effect on length of stay. Further length of stay predicted treatment completion. We also conducted a post hoc analysis looking at differences between inpatient and outpatient treatment settings. This study offers information that can support efforts to keep clients long enough in treatment to complete it as part of their recovery.
{"title":"Addressing length of stay in substance use treatment to predict successful completion","authors":"Carl R. Morgan, Cory B. Dennis","doi":"10.1080/1533256X.2022.2063345","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2063345","url":null,"abstract":"ABSTRACT There are many challenges to treating people for a substance use disorder. This study focuses on factors that might predict how long people stay in treatment, and whether it is enough time to complete treatment. Using data from a statewide subsample of the TEDS-D dataset, the results showed that free treatment leads to increased length of stay, while substance use frequency and days waiting to enter treatment have a negative effect on length of stay. Further length of stay predicted treatment completion. We also conducted a post hoc analysis looking at differences between inpatient and outpatient treatment settings. This study offers information that can support efforts to keep clients long enough in treatment to complete it as part of their recovery.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41999478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-04DOI: 10.1080/1533256X.2022.2059849
L. Nower, Wen Li Anthony, Jackie F. Stanmyre, Doug Behan
ABSTRACT Despite the rapid expansion of legalized gambling, few social workers are trained to identify problem gambling symptoms. This study explored gambling knowledge, behavior, and problem symptoms in a sample of 1,777 clinical social workers through an online survey. Findings indicate about 77% of social workers gambled and more than 4% of those who gambled reported at least one problem gambling symptom. Participants answered less than half of the knowledge questions correctly, and a majority were unaware of the current diagnostic classification for gambling disorder or the legal age for gambling. Results of a multivariate regression analysis found that social workers in practice 8 to 15 years, employed in substance treatment facilities or universities, and/or with training in gambling treatment had higher levels of knowledge about gambling and gambling treatment. Findings underscore the need for social work schools and organizations to prioritize education and training for problem gambling identification and treatment.
{"title":"Gambling knowledge and experience among clinical social workers","authors":"L. Nower, Wen Li Anthony, Jackie F. Stanmyre, Doug Behan","doi":"10.1080/1533256X.2022.2059849","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2059849","url":null,"abstract":"ABSTRACT Despite the rapid expansion of legalized gambling, few social workers are trained to identify problem gambling symptoms. This study explored gambling knowledge, behavior, and problem symptoms in a sample of 1,777 clinical social workers through an online survey. Findings indicate about 77% of social workers gambled and more than 4% of those who gambled reported at least one problem gambling symptom. Participants answered less than half of the knowledge questions correctly, and a majority were unaware of the current diagnostic classification for gambling disorder or the legal age for gambling. Results of a multivariate regression analysis found that social workers in practice 8 to 15 years, employed in substance treatment facilities or universities, and/or with training in gambling treatment had higher levels of knowledge about gambling and gambling treatment. Findings underscore the need for social work schools and organizations to prioritize education and training for problem gambling identification and treatment.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41971939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-16DOI: 10.1080/1533256X.2022.2054155
Michael Campbell, R. Lucio, S. Cashwell, James Cowser
ABSTRACT The Opioid epidemic and the subsequent Opioid use disorders (OUD) stemming from this epidemic have devastated individuals, families, and communities. These impacts have an outsized effect on rural communities and are exacerbated by the discrepancy in best practice recommendations that call for a resource-intensive framework of integrated treatment options and the limited treatment resources found in rural communities. This pilot study explores data collected from several members (n=45) of an establishing ambulatory clinic-based treatment team (composed of medical, behavioral health, and administrative staff) from a network of five primary care sites, which were developed to address OUD in rural America Appalachia. Participants completed the Assessment for Collaborative Environments (ACE-15) and four open ended questions about team integration. The findings call for changes to OUD treatment from policy makers and providers, adaptations to higher education focus in social work, competency-based learning, a call for action in stigma reduction, and interagency collaboration.
{"title":"A mixed-methods study of applied team integration for opioid use disorder treatment in rural settings","authors":"Michael Campbell, R. Lucio, S. Cashwell, James Cowser","doi":"10.1080/1533256X.2022.2054155","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2054155","url":null,"abstract":"ABSTRACT The Opioid epidemic and the subsequent Opioid use disorders (OUD) stemming from this epidemic have devastated individuals, families, and communities. These impacts have an outsized effect on rural communities and are exacerbated by the discrepancy in best practice recommendations that call for a resource-intensive framework of integrated treatment options and the limited treatment resources found in rural communities. This pilot study explores data collected from several members (n=45) of an establishing ambulatory clinic-based treatment team (composed of medical, behavioral health, and administrative staff) from a network of five primary care sites, which were developed to address OUD in rural America Appalachia. Participants completed the Assessment for Collaborative Environments (ACE-15) and four open ended questions about team integration. The findings call for changes to OUD treatment from policy makers and providers, adaptations to higher education focus in social work, competency-based learning, a call for action in stigma reduction, and interagency collaboration.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.1080/1533256x.2022.2051898
K. Farkas
{"title":"The Routledge handbook of social work and addictive behaviors","authors":"K. Farkas","doi":"10.1080/1533256x.2022.2051898","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2051898","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47400336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.1080/1533256x.2022.2051899
S. Rose
In South Africa for many years, substance use consisted primarily of the misuse of locally produced alcohol, cannabis, and tobacco due to the isolation wrought by apartheid (United Nations Office for Drug Control and Crime Prevention (UNODCCP), 1999). While the use of other illicit drugs has increased (Atkins, 1997) alcohol continues to be the most commonly misused substance, most especially among males (South African Community Epidemiology Network on Drug Use (SACENDU), 2006). In the 2002– 2004 South African Stress and Health study, researchers reported that 38.7% of the population use alcohol, 30% use tobacco 8.4% use cannabis, with other drug use and nonprescription psychoactive drug use at 21.3% (Van Heerden et al., 2009). However, over 80% of those who abuse substances, report that alcohol is their primary substance of misuse. Despite efforts to control alcohol consumption through ‘demand reduction,’ alcohol use is reported to remain high (Vellios & Van Walbeek, 2018) and is considered the primary substance of abuse in the country, with an estimated burden of disease attributed to it of 7.1% of all deaths (Peltzer et al., 2011). Not only is the amount of alcohol consumption the greatest on the African continent, fetal alcohol syndrome (FAS) is reported to be higher than almost any other countries in the world (Parry et al., 2005). The percentage of women in Africa who drink alcohol is also above the world average, raising concerns for minor children in their care (Cupido, 2021). There are many different treatment resources available to persons in South Africa, but the 12-step program advocated by Alcoholics Anonymous is a consistent element across treatment programs. Outpatient treatment program, rehabilitation centers, and referral to AA support groups is strongly supported. Today we talk with Dr. Varoshini Nadesan, Senior Lecturer in Social Work and Community Development at the University of Johannesburg, South Africa. Dr. Nadesan has worked closely with many community organizations and has served three terms as a nonalcoholic Board member of Alcoholics Anonymous South Africa and was recently elected as an AA World Services Delegate in 2020, representing South Africa on AA International. We discuss with her the patterns of drinking and treatment among various groups in multicultural South Africa.
多年来，在南非，由于种族隔离造成的孤立，药物使用主要包括滥用当地生产的酒精、大麻和烟草（联合国药物管制和预防犯罪办事处，1999年）。尽管其他非法药物的使用有所增加（Atkins，1997年），但酒精仍然是最常见的滥用物质，尤其是在男性中（南非社区药物使用流行病学网络，2006年）。在2002–2004年南非压力与健康研究中，研究人员报告称，38.7%的人口饮酒，30%的人口吸烟，8.4%的人吸食大麻，其他药物和非处方精神药物的使用率为21.3%（Van Heerden等人，2009）。然而，超过80%的滥用药物的人报告说，酒精是他们滥用药物的主要物质。尽管努力通过“减少需求”来控制酒精消费，但据报道，酒精使用量仍然很高（Vellios&Van Walbeek，2018），并被认为是该国滥用的主要物质，估计其疾病负担占所有死亡人数的7.1%（Peltzer等人，2011）。据报道，胎儿酒精综合征（FAS）不仅是非洲大陆饮酒量最大的国家，而且几乎高于世界上任何其他国家（Parry et al.，2005）。非洲女性饮酒的比例也高于世界平均水平，这引发了人们对其照顾的未成年儿童的担忧（Cupid o，2021）。南非有许多不同的治疗资源，但匿名酗酒者倡导的12步计划是各种治疗计划的一致要素。大力支持门诊治疗计划、康复中心和转诊至AA支持小组。今天，我们采访了南非约翰内斯堡大学社会工作和社区发展高级讲师Varoshini Nadesan博士。Nadesan博士与许多社区组织密切合作，曾三届担任南非匿名酗酒者协会非酒精理事会成员，最近于2020年当选为AA世界服务代表，代表南非参加AA国际。我们与她讨论了多元文化的南非不同群体的饮酒和待遇模式。
{"title":"Issues of Alcohol Misuse and treatment in Multicultural South Africa: An Interview with Varoshini Nadesan, PhD","authors":"S. Rose","doi":"10.1080/1533256x.2022.2051899","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2051899","url":null,"abstract":"In South Africa for many years, substance use consisted primarily of the misuse of locally produced alcohol, cannabis, and tobacco due to the isolation wrought by apartheid (United Nations Office for Drug Control and Crime Prevention (UNODCCP), 1999). While the use of other illicit drugs has increased (Atkins, 1997) alcohol continues to be the most commonly misused substance, most especially among males (South African Community Epidemiology Network on Drug Use (SACENDU), 2006). In the 2002– 2004 South African Stress and Health study, researchers reported that 38.7% of the population use alcohol, 30% use tobacco 8.4% use cannabis, with other drug use and nonprescription psychoactive drug use at 21.3% (Van Heerden et al., 2009). However, over 80% of those who abuse substances, report that alcohol is their primary substance of misuse. Despite efforts to control alcohol consumption through ‘demand reduction,’ alcohol use is reported to remain high (Vellios & Van Walbeek, 2018) and is considered the primary substance of abuse in the country, with an estimated burden of disease attributed to it of 7.1% of all deaths (Peltzer et al., 2011). Not only is the amount of alcohol consumption the greatest on the African continent, fetal alcohol syndrome (FAS) is reported to be higher than almost any other countries in the world (Parry et al., 2005). The percentage of women in Africa who drink alcohol is also above the world average, raising concerns for minor children in their care (Cupido, 2021). There are many different treatment resources available to persons in South Africa, but the 12-step program advocated by Alcoholics Anonymous is a consistent element across treatment programs. Outpatient treatment program, rehabilitation centers, and referral to AA support groups is strongly supported. Today we talk with Dr. Varoshini Nadesan, Senior Lecturer in Social Work and Community Development at the University of Johannesburg, South Africa. Dr. Nadesan has worked closely with many community organizations and has served three terms as a nonalcoholic Board member of Alcoholics Anonymous South Africa and was recently elected as an AA World Services Delegate in 2020, representing South Africa on AA International. We discuss with her the patterns of drinking and treatment among various groups in multicultural South Africa.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43488131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-02DOI: 10.1080/1533256X.2022.2047561
Annah K. Bender, J. Pickard, Madeline Webster
ABSTRACT The purpose of this study was to understand how older adults in recovery from substance use disorders experienced the transition from in-person to virtual 12-step meetings. We interviewed 11 older adults (age 50+) who self-identified as being members of 12-step programs. Participants completed an online survey including standardized measures assessing depression, anxiety, social isolation, and quality of life. Three themes emerged from interviews: Importance of the program; Promises and Limits of Technology; and Concern for Others. Participants’ high level of commitment to their groups enabled them to adapt quickly to virtual meetings. Participants described their concerns about members of their groups who were unable to make this transition. Older adults in this study adapted quickly to virtual recovery groups. The social support participants received during groups, whether virtual or in person, may have acted as a buffer protecting them from the isolative effects of the pandemic.
{"title":"Exploring the impact of COVID-19 on older adults in 12-step programs","authors":"Annah K. Bender, J. Pickard, Madeline Webster","doi":"10.1080/1533256X.2022.2047561","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2047561","url":null,"abstract":"ABSTRACT The purpose of this study was to understand how older adults in recovery from substance use disorders experienced the transition from in-person to virtual 12-step meetings. We interviewed 11 older adults (age 50+) who self-identified as being members of 12-step programs. Participants completed an online survey including standardized measures assessing depression, anxiety, social isolation, and quality of life. Three themes emerged from interviews: Importance of the program; Promises and Limits of Technology; and Concern for Others. Participants’ high level of commitment to their groups enabled them to adapt quickly to virtual meetings. Participants described their concerns about members of their groups who were unable to make this transition. Older adults in this study adapted quickly to virtual recovery groups. The social support participants received during groups, whether virtual or in person, may have acted as a buffer protecting them from the isolative effects of the pandemic.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42271470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-16DOI: 10.1080/1533256X.2022.2040115
V. Lushin, E. Matthews, V. Stanhope, R. Rivera, J. Rzewinski, R. Stewart, J. Rees, S. Marcus
ABSTRACT Despite the escalating opioid epidemic, as little as 11% of patients with opioid use disorder (OUD) receive medication-assisted treatment (MAT), the best-practice intervention for OUD. Many patients do not receive education about the benefits of MAT and thus hold negative beliefs about MAT, which reduces MAT uptake. Shared decision-making (SDM) helps engage patients in beneficial treatment decisions but is not systematically integrated into MAT counseling. A structured SDM session guide for front-line counselors, with a health-record template using a collaborative documentation (CD) approach, was developed and its feasibility and acceptability was pilot-tested. The session guide (CD MAT Tool) contains a training manual and session templates. Counselors (n = 11) were trained with the CD MAT Tool and used it with their patients (n = 9). Qualitative interviews and focus groups with counselors and patients demonstrated high feasibility, acceptability, and positive session impact of the CD MAT Tool. Implications for further research and practice use are discussed.
摘要尽管阿片类药物的流行不断升级，但只有11%的阿片类使用障碍（OUD）患者接受了药物辅助治疗（MAT），这是治疗OUD的最佳实践干预措施。许多患者没有接受过关于MAT益处的教育，因此对MAT持有负面看法，这会减少MAT的摄入。共享决策（SDM）有助于让患者参与有益的治疗决策，但没有系统地纳入MAT咨询。为一线辅导员制定了一份结构化的SDM会话指南，其中包括使用协作文档（CD）方法的健康记录模板，并对其可行性和可接受性进行了试点测试。课程指南（CD MAT Tool）包含培训手册和课程模板。咨询师（n=11）接受了CD MAT工具的培训，并与患者（n=9）一起使用。咨询师和患者的定性访谈和焦点小组展示了CD MAT工具的高度可行性、可接受性和积极的会话影响。讨论了对进一步研究和实践使用的启示。
{"title":"Feasibility and acceptability of collaborative documentation tool for implementing medication-assisted treatment in substance use disorder counseling","authors":"V. Lushin, E. Matthews, V. Stanhope, R. Rivera, J. Rzewinski, R. Stewart, J. Rees, S. Marcus","doi":"10.1080/1533256X.2022.2040115","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2040115","url":null,"abstract":"ABSTRACT Despite the escalating opioid epidemic, as little as 11% of patients with opioid use disorder (OUD) receive medication-assisted treatment (MAT), the best-practice intervention for OUD. Many patients do not receive education about the benefits of MAT and thus hold negative beliefs about MAT, which reduces MAT uptake. Shared decision-making (SDM) helps engage patients in beneficial treatment decisions but is not systematically integrated into MAT counseling. A structured SDM session guide for front-line counselors, with a health-record template using a collaborative documentation (CD) approach, was developed and its feasibility and acceptability was pilot-tested. The session guide (CD MAT Tool) contains a training manual and session templates. Counselors (n = 11) were trained with the CD MAT Tool and used it with their patients (n = 9). Qualitative interviews and focus groups with counselors and patients demonstrated high feasibility, acceptability, and positive session impact of the CD MAT Tool. Implications for further research and practice use are discussed.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45656807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-07DOI: 10.1080/1533256X.2021.2018644
Andrew J. Flaherty, Aidyn L Iachini, Melissa C. Reitmeier, D. Dehart
ABSTRACT SBIRT is an evidenced-based intervention model designed to reduce substance use. While initially used in medical settings, SBIRT implementation has evolved into non-medical settings with mixed evidence of effectiveness. This exploratory qualitative study sought to understand what factors influence implementation of SBIRT in non-medical settings. Interviews were conducted with 15 practitioners trained in SBIRT. Findings suggest that eight factors influenced SBIRT implementation in these settings, including compatibility of SBIRT with the setting, staff training/staffing, client factors, time, leadership, policy, available resources, and perception of advantage/efficacy of SBIRT. Implications of these findings for social work practice are discussed.
{"title":"Factors that influence SBIRT implementation in non-medical settings","authors":"Andrew J. Flaherty, Aidyn L Iachini, Melissa C. Reitmeier, D. Dehart","doi":"10.1080/1533256X.2021.2018644","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2018644","url":null,"abstract":"ABSTRACT SBIRT is an evidenced-based intervention model designed to reduce substance use. While initially used in medical settings, SBIRT implementation has evolved into non-medical settings with mixed evidence of effectiveness. This exploratory qualitative study sought to understand what factors influence implementation of SBIRT in non-medical settings. Interviews were conducted with 15 practitioners trained in SBIRT. Findings suggest that eight factors influenced SBIRT implementation in these settings, including compatibility of SBIRT with the setting, staff training/staffing, client factors, time, leadership, policy, available resources, and perception of advantage/efficacy of SBIRT. Implications of these findings for social work practice are discussed.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48937600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-16DOI: 10.1080/1533256X.2022.2028120
Christopher Rusk, S. Sarabia
ABSTRACT The Capabilities Approach provides an alternate lens to conceptualize substance misuse that embraces human dignity. This paper provides an overview of the Capabilities Approach, describes three overarching areas of substance misuse that hurt people who use substances, and explains how a shift to a Capabilities Approach would reduce that burden. These include (1) the stigmatizing effects of attributing substance misuse to personal responsibility while minimizing structural contributing factors; (2) the fragmented, siloed services separating micro and macro approaches; and (3) a rigid, prescriptive view of recovery based on 12 step philosophy with the sole outcome of abstinence thus not supporting a person-centered, multiple pathways approach, and in turn, self-determination. Finally, implications for Capabilities guided approaches to social work practice highlight person-in-environment, integrated practice, and a client-centered focus while replacing policies such as the War on Drugs with harm reduction and drug
{"title":"A capabilities approach: re-envision addressing substance misuse","authors":"Christopher Rusk, S. Sarabia","doi":"10.1080/1533256X.2022.2028120","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2028120","url":null,"abstract":"ABSTRACT The Capabilities Approach provides an alternate lens to conceptualize substance misuse that embraces human dignity. This paper provides an overview of the Capabilities Approach, describes three overarching areas of substance misuse that hurt people who use substances, and explains how a shift to a Capabilities Approach would reduce that burden. These include (1) the stigmatizing effects of attributing substance misuse to personal responsibility while minimizing structural contributing factors; (2) the fragmented, siloed services separating micro and macro approaches; and (3) a rigid, prescriptive view of recovery based on 12 step philosophy with the sole outcome of abstinence thus not supporting a person-centered, multiple pathways approach, and in turn, self-determination. Finally, implications for Capabilities guided approaches to social work practice highlight person-in-environment, integrated practice, and a client-centered focus while replacing policies such as the War on Drugs with harm reduction and drug","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45926380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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