This article examines the impact of childhood sexual abuse on young adult lesbians' sexual identity and their recovery from chemical dependency. The authors recommend that counselors assess for sexual orientation (past and present), sexual abuse, and possible dual diagnosis. Implications for counselors are discussed.

People with drinking problems are overrepresented in counseling settings. Counselors have been unable to identify accurately the problem drinker, resulting in a decrease in counselor effectiveness. Describes seven variables that help identify problem drinking and two variables that help diagnose alcoholism. Suggestions for conducting the…

Most current substance abuse counselor certification education curricula do not include a systematic introduction to alcohol and substance abuse research. I believe that such an introduction would enhance counselor cooperation in research to practice efforts that are currently underway. In this paper I give a brief history of alcoholism and…

This paper describes the Gerontology Alcohol Project (GAP), which was established by the National Institute of Alcoholism and Alcohol Abuse as a pilot treatment/research project for late life drinkers, those who begin abusing alcohol after age 50. Two strategies developed by GAP for identifying elderly alcohol abusers are described including…

In comparing the personality characteristics of late adolescent and young adult children of alcoholics with those of their peers, it was found that individuals with grandparents who were alcoholics in the absence of parental alcoholism were very similar to children of alcoholics. Grandparents may exert a social influence by passing on…

This paper reviews issues in the provision of services to individuals who are mentally ill chemical abusers and addicted (MICAA). Introductory material defines this population and notes that these people are frequently ineligible for services aimed at either mental illness or chemical abuse alone. Service provisions within the psychiatric/mental…

This paper describes the consumer program, "Helpful People in Touch," a self-help treatment program for people with the multiple disorders of mental illness, drug addiction, and/or alcoholism. First, the terms, "Mentally Ill Chemical Abusers and Addicted" (MICAA) and "Chemical Abusing Mentally Ill" (CAMI) are defined…

The promotion of employee assistance programs (EAP) in higher education is considered in 24 chapters, with an emphasis on enhancing resources and the academic environment for faculty and staff. Seven topical areas are addressed: history of EAP; characteristics of higher education; alcoholism and other risks in the academic life-style; EAP models…