Treatment of the Chemically Dependent Homeless


Book Description

Develop new programs or improve existing programs with these helpful descriptions of theoretical foundations and practical implementation of innovative projects. Treatment of the Chemically Dependent Homeless presents fourteen projects, funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in cooperation with the National Institute on Drug Abuse (NIDA), that were designed to develop strategies to combat the dual problems of homelessness and substance abuse, and then analyze program effectiveness. Contributors describe projects occurring in a variety of major cities and focus on the theory behind each program and its practical implementation. Treatment professionals seeking new directions for their own programs will benefit from chapters that compare conventional services with new innovative treatments. They also demonstrate how the new programs will effectively meet the needs of the target population and fill the gaps where current services fail. Treatment of the Chemically Dependent Homeless presents detailed discussions of each program's theoretical foundation, design, and implementation that will be invaluable to clinicians and researchers needing information about the complex nature of various experimental interventions. The book begins by presenting an overview of the background and rules of the NIAAA Cooperative agreement. The subsequent chapters follow a logical sequence by concentrating on one or two of the following aspects of program development: theory of treatment local political and social milieus special populations outreach strategies relapse and retention issues residential care programs case management transition to independence Doctors, nurses, psychologists, social workers, substance abuse counselors, and researchers who treat or study the chemically dependent homeless will value this groundbreaking information for studying, developing, and improving their own treatment programs. Teachers who seek to educate their classes regarding state-of-the-art service provision for homeless substance abusers will also find this an essential resource for innovative ideas and practical examples of program implementation.




Homelessness Prevention in Treatment of Substance Abuse and Mental Illness


Book Description

Through Homelessness Prevention in Treatment of Substance Abuse and Mental Illness: Logic Models and Implementation of Eight American Projects, psychiatrist, psychologists, and social workers will discover the results of eight, three-year long development projects funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to prevent homelessness in high- risk populations who have problems with alcoholism, drug abuse, and/or mental illness. Through this informative book, you will examine the theory or logic guiding each program, including an up-to-date review of the literature supporting each theory. You will also find a description of the implementation of the program as well as its history, the practical issues involved in delivering services, the pitfalls, lessons learned, and recommendations for the future so you can use the best ideas to implement in your own community and stop these individuals from reaching the streets. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides insight into how to deal with many common issues that you are faced with every day, such as matching clients to appropriate services, preventing relapse, case management, training in independent living skills and money management, acquiring and maintaining housing, and benefits and employment for your disadvantaged clients. Compelling and informative, this unique book provides you with many tips and suggestions on how you can help the disadvantaged in our population avoid the added trauma of becoming homeless, such as: examining a new modified therapeutic community (TC) intervention program for mothers recovering from substance abuse who live with their children so you can learn to treat the family as a whole and not just treat the person with a "problem" gaining insight into a new intervention program for families caring for another family member with serious mental illness or substance abuse disorders so you can address such issues as the importance of respite for the family and home visits for relationship building among the entire household discovering a new, independent living model which allows clients with serious mental illnesses to select their own apartments learning about a new program in Philadelphia that offers support services to clients with serious mental illnesses and substance use disorders and provides several levels of housing from emergency shelter to highly supportive permanent housing discovering a community counseling center in Chicago that operates a “bank” that helps mentally ill clients or those with substance use disorders develop skills to independently manage their financial affairs through the use of “vouchers” that can be redeemed for cash for the payment of monthly bills Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides you with new insights into how you can help your clients overcome political, economic, and environmental barriers to treatment that can lead to homelessness. This essential book will help you improve your services to your clients as well as give you step-by-step guide to implement these new programs in your community.




Chemically Dependent


Book Description

First published in 1992. Part I of the book covers phases of treatment for specific phases of recovery by describing key concepts and focusing on three dominant treatment modalities, inpatient, outpatient, and long-term residential therapeutic communities. Part II covers, in substantial depth, psychoanalytic/psychodynamic approaches. art III of the book examines cognitive-behavioral, self-help, and relapse prevention approaches to the treatment of the chemically dependent. Part VI mentions in all phases of treatment and recovery. Part IV of the book provides an overview of contemporary trends in research, while also discussing implications for treatment. n the therapeutic community. Part V attempts to draw the field of chemical dependency toward recognition of the importance of considering distinct population characteristics and how these characteristics may dictate modifications in treatment design. The book is suitable as a text in a course on substance abuse or as a critical reference for anyone doing clinical work or research in the field of chemical dependency.




Comprehensive Case Management for Substance Abuse Treatment


Book Description

A Treatment Improvement Protocol on case management, which can be described as a coordinated approach to the delivery of health, substance abuse, mental health, & social services, linking clients with appropriate services to address specific needs & achieve stated goals. Case management lends itself to the treatment of substance abuse, particularly for clients with other disorders & conditions who require multiple services over extended periods of time & who face difficulty in gaining access to those services. This report details the factors that programs should consider as they decide to implement case management or modify their current case management activities.




Comprehensive Case Management for Substance Abuse Treatment - TIP 27


Book Description

Case management has been variously classified as a skill group, a core function, service coordination, or a network of "friendly neighbors." Although it defies precise definition, case management generally can be described as a coordinated approach to the delivery of health, substance abuse, mental health, and social services, linking clients with appropriate services to address specific needs and achieve stated goals. The Consensus Panel that developed this TIP believes that case management lends itself to the treatment of substance abuse, particularly for clients with other disorders and conditions who require multiple services over extended periods of time and who face difficulty in gaining access to those services. This document details the factors that programs should consider as they decide to implement case management or modify their current case management activities. This summary is excerpted from the main text, in which references to the research appear.




Familial Responses to Alcohol Problems


Book Description

Effective interventions for alcohol problems that devastate families An individual’s alcohol abuse can devastate the rest of his or her family in various ways. Familial Responses to Alcohol Problems explores the latest research and state-of-the-art programs that provide effective strategies for prevention and treatment. Experts in the fields of alcohol and families discuss the most current studies, innovative programs, and practical therapy approaches that focus on the goal of bringing alcoholic individuals into recovery and mending the psychological impact on other family members. This single volume provides specific guides and evidence-based best practices, making it invaluable to any professional providing therapy or counseling to families experiencing the issues and challenges involved in recovery. Drawing upon the perspectives from family systems theory, Familial Responses to Alcohol Problems reviews the current literature, research programs, and therapy approaches to family response to alcohol. This comprehensive text discusses the topic from various points in the lifespan, including childhood, adolescence and youth, and older age. Discussions include examining situations when parents have the disease that impacts their children and other relatives, parents interacting with children to prevent or reduce a child’s involvement with alcohol, attempting to involve a family member in seeking help with alcoholism, children intervening in a parent’s alcohol abuse, couples who enter into recovery and deal with subsequent issues stemming from that misuse, co-occurrence of other disorders, and recovery that includes attention to spiritual development. Topics discussed in Familial Responses to Alcohol Problems include: the Michigan Longitudinal Study insight into the effect alcohol abuse in the family has on three developmental pathways of children three researched-based approaches to treating adolescent alcohol misuse in a family an overview describing the “invisible epidemic” of alcohol abuse by older family members three stages families encounter as they advance in recovery bringing a family member into treatment the impact of family recovery on members a research-based approach to bring the individual with the alcohol problem into contact with professionals evolving issues in recovery process, including couple identity, family origin issues, couple interdependence issues in four common comorbidity diagnoses with alcohol problems how and when spiritual issues may be used in family recovery Familial Responses to Alcohol Problems is a timely single resource presenting up-to-date research and therapy approaches, making this text important reading for educators, therapists, addictions counselors, and graduate students.







Clinical Guide to the Treatment of the Mentally Ill Homeless Person


Book Description

A case-based, clinical guide applicable to a variety of settings, this book offers evidence-based expert advice on the difficult challenges inherent in working with underserved homeless populations. The American Association of Community Psychiatrists' Clinical Guide to the Treatment of the Mentally Ill Homeless Person is a concise, practical work that gives busy clinicians the information they need; it not only is more up-to-date than existing publications, but also offers case- and site-based content that provides more hands-on, practical advice. Written by clinicians, for clinicians, it offers approaches to therapy and rehabilitation from the vantage point of the treatment environment, from street to housing and everything in between. The book reflects approaches to the clinical care of homeless people refined over two decades, building not only on the work of academic research but more importantly on the firsthand experience of clinicians. Its organization by treatment setting or specific subpopulation allows readers quick access to the chapters most relevant to their work. The first five chapters follow a sequence of naturalistic settings -- such as shelters and the work of Assertive Community Treatment Teams -- that demonstrate a model of engagement, intensive care, and ongoing rehabilitation. Subsequent chapters define specific scenarios that depict patients at various points on the engagement-rehabilitation continuum. Each chapter contains a clinical case example; guides to differential diagnosis, treatment planning, and accessing entitlements; and a flow chart for rehabilitation, including opportunities for student/resident or community involvement. The book emphasizes: A real-world orientation that provides a nuts-and-bolts approach to such cases as families, homeless children, veterans -- even individuals in rural settings. Cases that enable readers to follow the progress of individuals as they progress through the network of care. The importance of Assertive Community Treatment and "housing first" models of rehabilitation. Data supporting the importance of Critical Time Intervention, particularly with regard to homeless families. Examples of clinical interviewing techniques for engagement and treatment of challenging individuals who are being seen in community settings. These illustrated techniques can be incorporated into educational curricula. This is an indispensable resource for any mental health professional working with homeless populations and is also useful for medical students' clinical rotation in community psychiatric settings. Its examples of clinically engaging the homeless person are equally instructive for teaching interviewing skills to any professionals -- whether in law enforcement, social work, substance abuse treatment, or the clergy -- who encounter these forgotten members of society.




Latinos and Alcohol Use/Abuse Revisited


Book Description

The one-of-a-kind exploration of effective alcohol prevention and treatment for Latinos-now and for the future! By the year 2020, the Latino population in the United States will increase to 60 million, making up 18 percent of all residents. Latinos and Alcohol Use/Abuse Revisited: Advances and Challenges for Prevention and Treatment Programs brings into sharp focus how present and future demographic shifts in Latino population are being felt in alcohol programs across the United States. Case studies and in-depth research clearly illustrate the practical steps various culturally competent programs recommend to effectively deal with alcohol use, prevention, and treatment for Latinos. Alcohol abuse, though rampant in Latino populations, has not received the attention that other types of drug abuse has received, even though the death rates, health problems, and financial costs from alcohol are staggering. Latinos and Alcohol Use/Abuse Revisited presents respected authorities tackling the tough questions about demographics, culturally competent research, and effective prevention and treatment programs. The book provides an up-to-date socio-demographic foundation, then builds upon current research and information to present a clear picture of the needs of various Latino populations for alcohol abuse programs now and in the future. Latinos and Alcohol Use/Abuse Revisited discusses: the Latino demographic profile—an overview patterns of need and treatment among Mexican-origin adults in central California alcohol abuse among Dominican-Americans the onset of alcohol and other drug use among gang members incarcerated Latinas, alcohol, and other drug abuse rural Latino grandparents raising grandchildren of substance abusing parents alcohol use among Puerto Rican active injecting drug users alcohol and other drug abuse prevention for high-risk youth a case study of a Puerto Rican community in Massachusetts detailed recommendations for prevention and treatment Latinos and Alcohol Use/Abuse Revisited is a detailed examination of prevention and treatment programs for Latinos, invaluable for substance abuse professionals, social workers, practitioners, and professionals in charge of alcohol prevention and treatment programs.




Over the Edge


Book Description

Often described as an emergency, homelessness in America is becoming a chronic condition that reflects an overall decline in the nation's standard of living and the general state of the economy. This is the disturbing conclusion drawn by Martha Burt in Over the Edge, a timely book that takes a clear-eyed look at the astonishing surge in the homeless population during the 1980s. Assembling and analyzing data from 147 U.S. cities, Burt documents the increase in homelessness and proposes a comprehensive explanation of its causes, incorporating economic, personal, and policy determinants. Her unique research answers many provocative questions: Why did homelessness continue to spiral even after economic conditions improved in 1983? Why is it significantly greater in cities with both high poverty rates and high per capita income? What can be done about the problem? Burt points to the significant catalysts of homelessness—the decline of manufacturing jobs in the inner city, the increased cost of living, the tight rental housing market, diminished household income, and reductions in public benefit programs—all of which exert pressures on the more vulnerable of the extremely poor. She looks at the special problems facing the homeless, including the growing number of mentally ill and chemically dependent individuals, and explains why certain groups—minorities and low-skilled men, single men and women, and families headed by women—are at greatest risk of becoming homeless. Burt's analysis reveals that homelessness arises from no single factor, but is instead perpetuated by pivotal interactions between external social and economic conditions and personal vulnerabilities. From an understanding of these interactions, Over the Edge builds lucid, realistic recommendations for policymakers struggling to alleviate a situation of grave consequence for our entire society.