In this article, the authors describe the development, psychometric characteristics, and potential utility of the "Wraparound Fidelity Index" (WFI), a multi-informant measure designed to assess providers' adherence during service delivery to the essential elements of wraparound. Results from 408 families across 16 sites in nine states indicated…

Suggests that pathological denial in alcoholics may be a reaction to stress from past traumatic events, the sequelae of alcoholism, or even the treatment process itself. A case is presented that illustrates this conceptualization, and relevant treatment nuances are discussed. (Author/JAC)

Discusses what makes an aftercare group for adolescent substance abusers function productively and describes the format that seems to work best for young adolescents in an aftercare group. Emphasizes importance of group facilitator skills in areas of leadership, safety, and structure in helping adolescents gain re-identification as abstaining…

Suggests that self-efficacy in relation to one's addiction is a factor in sustained sobriety, and explores implications for counseling. Treatment strategies that improve clients' coping skills, develop their sense of personal control, and enhance perceptions of self-efficacy reduce the risk of alcoholic relapses. (JAC)

Examines problem of alcohol abuse and role of communication in "home treatment" method associated with alcoholism intervention. Reviews nature of alcoholism and role of "home treatment scenario"; demonstrates how alcohol intervention involves communication issues and dynamic interpersonal influence; and outlines research…

Examines history of substance abuse treatment for women; identifies barriers to treatment access; and explores socioeconomic, clinical, and systemic issues in the treatment of alcohol- and drug-dependent women. Gives special attention to the effects of substance abuse on women's relationships as daughters, partners, and parents and to its role in…

Asserts that to be successful, drug prevention and intervention programs must be targeted at high-risk population groups. Proposes two-step, multilevel multivariate analysis strategy to estimate high-risk population groups in high-risk geographic areas. Contends that successful use of strategy could result in better data for decision makers to use…

Briefly examines research on prevention and promotion, then presents extended look at one recent effort to describe the power of promotion for reducing substance use and a wide range of other risk-taking behaviors. Moves away from preoccupation with disease, deficit, and deviance by targeting crucial strengths and assets that must be addressed to…

Reviews the history and theory of alcoholism and hypnosis and proposes a theoretical model of alcholism based on self-esteem. Suggets that hypnosis may be an effective tool in the treatment of alcoholism with cure as the goal, and calls for more consistency in theory and practice. (JAC)

Discusses a psychoeducational, experiential group for members of an alcohol treatment program which addressed loss, personal reaction to loss, and grief as a healing process. Explores the relationship between grieving and addiction, and presents the protocol for the group experience. (Author)

Based on experiences at the University of Massachusetts at Amherst and other campuses, this report attempts to define the extent of alcohol use and resultant problems of college students. Concludes that by drawing upon various models available in the literature, college and university faculty, staff, and students can approach alcohol problems in…

Describes intervention and treatment services available to youth and adolescents with chemical abuse problems. Discusses necessary components of a comprehensive approach. Reviews research on treatment outcomes within the various types of programs along with research on the treatment models employed. (Author/LHW)

Discusses how music, occupational, and recreation therapies can contribute to comprehensive treatment programs for chemical dependency. Sees prime contribution of activity therapy as lying in nature of experiential education, applying insight gained in counseling sessions and discussion groups to practical real-life situations. (Author/NB)

Describes nature and usefulness of process evaluation techniques, stressing their importance in understanding why and how drug treatment programs succeed and fail. Specific aspects of process evaluation discussed include topics for conducting such analyses, diverse data sources which should be accessed in thorough process evaluation, and decision…

Statewide efforts by the California Department of Alcohol and Drug Programs to secure third-party payments for nonhospital alcoholism services gradually dissolved due to changes in political administration and overall priorities. San Mateo County, however, served as a demonstration county for the effort and has continued to explore third-party…