The author describes how 5 Buddhist practices--enlightenment, compassion, acceptance, mindfulness/meditation, and the spiritual community--can serve as a foundation for an integrated recovery model that incorporates numerous perspectives from the 12-step program of Alcoholics Anonymous. An application of the model illustrates how it is applied to…

The disease model of alcoholism, which has gained prominence since the mid-20th century as the major etiological model of alcoholism, suffers from several limitations including its overemphasis on biological factors at the expense of other psychosocial factors, in addition to its lack of consistency with a holistic, social work…

Piecewise latent trajectory models for longitudinal data are useful in a wide variety of situations, such as when a simple model is needed to describe nonlinear change, or when the purpose of the analysis is to evaluate hypotheses about change occurring during a particular period of time within a model for a longer overall time frame, such as…

The first part of this report on alcohol and drug abuse summarizes major recommendations from testimony and written statements from a hearing on alcohol and drug abuse. Testimony from these witnesses is included: (1) Reed Bell, Director, Office of Substance Abuse Prevention, United States Department of Health and Human Services; (2) Merita…

This model starts with the assumption that a drinking problem is a family problem. Alcoholism is seen as a complex, progressive illness dangerous not only to the individual drinker but also to his family, friends, and society as a whole. Early intervention is seen as important in dealing with the problem. Early warning signs and symptoms are set…

Supervisors of alcoholic employees sometimes develop a range of strong feelings similar in nature to those of the employees they wish to help. These strong feelings prevent supervisors from dealing with alcoholic employees in objective, constructive ways. To overcome these barriers supervisors require specialized counseling. A proposed framework…

Estimates of the prevalence of alcohol dependence among Americans approach 14% (Read, Kahler, & Stevenson, 2001). Alcohol dependence was once considered among the most recalcitrant of problem behaviors, with only 20% to 30% attaining sustained abstinence (Hunt Barnett & Branch 1971). Although current definitions of treatment success now consider…

This article describes a practical approach to treating addictive families, designed to help them repair the damage, create more satisfying lives, and prevent long-lasting deleterious effects, commonly associated with "co-dependency" and "children of addicts." This approach is grounded in a developmental model of family recovery which was devised…

Alcoholic women living with their children are recognized as a treatment population needing special environmental support as part of their recovery. The Family Rehabilitation Coordinator Project is a pilot research and training effort to aid the recovery of alcoholic women and their children and families. Trainees work in the home of an alcoholic…

This paper establishes a uniform drug abuse policy for organizational employees. This policy is modeled after recommendations made by the National Council on Alcoholism, Inc., and deals with alcoholism as an element of the drug abuse problem. Organizational behavior understudy involves the standard of on-the-job-performance. When…

Outlines a small group model that provides elementary school counselors with a creative way to help children of alcoholics build resiliency and develop protective strategies. Emphasizes the importance of the school counselor in taking a proactive approach and reaching out to help children develop the skills needed to survive an alcoholic home.…

A course in the early detection and outpatient management of alcoholism for medical residents is discussed. Unlike other courses on alcoholism that have emphasized changes in physicians' attitudes, this course was designed to promote changes in residents' practice behavior and to foster the development of necessary clinical skills. (MLW)

The effects of alcohol and other drug abuse are recognized as a serious problem in U.S. communities. Policy efforts and increased law enforcement have only a minimal impact if prevention strategies are not consistent with the community's level of readiness, are not culturally relevant, and are not community-specific. A model has been developed for…

The Pittsburg State University project described in this report was designed to use existing law enforcement personnel to provide drug-free education to students, primarily in grades 5 and 6, in a large, primarily rural area. The project developed a curriculum and provided inservice training to law enforcement personnel. In addition, the…

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…