According to the National Institute on Drug Abuse, the abuse of alcohol, tobacco, and illicit drugs in United States costs over 740 billion yearly (https://www.drugabuse.gov/relatedtopics/trends-statistics, accessed March 2018). However, statistics like this rarely include the toll that alcohol tobacco, and illegal drugs takes on family members,…

The neuropsychological deficits which are found in a significant number of alcoholics participating in the rehabilitation process have been well documented. Recent concern has also been voiced that cognitive impairments present in alcoholics receiving treatment are more severe than what has been perceived through clinical observations.…

Couples therapy interventions can be used with alcohol abusers and alcoholics during three broadly defined states of recovery: (1) initial commitment to change; (2) change itself; and (3) long-term maintenance of change. Intervening with the alcoholic's spouse (and/or other nonalcoholic family members) can motivate and reinforce commitment to…

This paper describes Laurelhurst Manor's family treatment program to help families affected by chemical dependency, a 7-month program which treats family members from the perspective of developmental stages and family roles. The center, located in Portland, Oregon, is a 40-bed, free-standing facility having a 20-bed adolescent unit and a 20-bed…

Experiential activities provide each participant with the ability to see, feel, and experience whatever therapeutic issue the facilitator is addressing, and usually much more. This paper presents experiential activities to address the 12 steps of recovery adopted from Alcoholics Anonymous. These 12 steps are used worldwide for many other recovery…

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…

This document contains 10 papers from the ninth World Conference of Therapeutic Communities (TC) that deal with a variety of health-related subjects. Papers include: (1) "AIDS among IV Drug Users: Epidemiology, Natural History & TC Experiences" (Don C. Des Jarlais, et al.); (2) "AIDS and Therapeutic Communities: Policy Implications" (Don C. Des…

While extensive research has examined the personality of the alcoholic, current interest centers on the use of differential treatment for different personality types. The aim of such treatment is to focus on the disorder underlying the problem of alcoholism for each particular patient. To look for relationships among personality variables,…

The Minnesota Model of Chemical Dependency Treatment, which evolved from a combination of the grassroots Alcoholics Anonymous movement and the State Mental Health Services in the 1960s has made Minnesota an international leader in chemical dependency treatment efforts. Northeastern Minnesota has shared this reputation with the state. In spite of…

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…

Although stressful life change events are thought to influence the development of alcoholism and to enhance the probability of relapse after treatment, the actual coping responses to specific events among alcoholics remain largely unexplored. Efforts were made to operationalize and classify coping responses and to explore their relationship to…

The problem of adolescent drug/alcohol abuse seems to have once again intensified during the 1980s. When the school is the only constant in an adolescent's life and when those same teenagers bring drugs and alcohol-related problems to school, the school has an obligation to implement change. The first step is identification of the problem. Beyond…

Pomeroy House, a long-term residential treatment program in San Francisco, California, was created to help recovering alcoholic mothers and their children. Eight to 10 families stay at Pomeroy House for a minimum period of 6 months with extensions of up to 9 or 12 months, and the alcoholic mothers care for their children while recovering from…

Although much of traditional psychology assumes that a spiritual orientation is largely a matter of choice, it is contended here that such choices are embedded in the rich fabric of the cultural framework. This study explores a quantitative and qualitative contrast between Caucasian and Native American alcoholics on dimensions of spiritual…

Homeless people with alcohol and other drug problems present the traditional substance abuse services delivery provider with special challenges. This paper discusses the optimal designs of comprehensive treatment services for homeless persons with alcohol and other drug problems. Most importantly, the homeless must have immediate access to a safe…