Few heroin addicts get high'' in their dreams. An exploration of the reasons for this failure provides some clues to the conflicts and other problems that retard an addict's progress in therapy. (Author)

This multimodality approach is geared primarily to the goal of abstinence. For addicts who cannot achieve this goal, methadone maintenance is suggested as the next step. The modalities described range from low-dose maintenance for clinic outpatients to intensive rehabilitation in a methadone maintenance residential center facility. (Author)

Examines gender-related beliefs about the causes of substance abuse, the power of various substances, the prevalence of substance use, and the effectiveness of various interventions. Results show that women were more likely to attribute causality to biological or environmental factors and to believe prevention and treatment were more effective.…

Describes voluntary testing for human immunodeficiency virus (HIV) in a residential substance abuse treatment program; highlights discussion group involving 5 clients who tested positive for HIV. Notes that clients in HIV groups dropped out of treatment at significantly lower percentages than clients in general, indicating HIV identification…

Experience with numbers of drug addicts has shown them to be singularly unmotivated to discontinue drug use. To develop motivation, a treatment program is described in terms of motivational progression: (1) confrontation of the problem; (2) development of an intellectual understanding of the problem and its harmful effects; and (3) development of…

The problem of drug dependency for some clients may be more effectively understood and worked with if it is seen as a symptom of family, rather than individual, dysfunction. (Author)

Persons concerned about drug addiction and who seek to help addicts must learn to distinguish between types of addicts. Three cases are reviewed. Those offering help to addicts in need should look beyond simple abstinence to the development of the total person. (Author/PC)

Treatment programs promote individual solutions to substance abuse through changing dysfunctional behavior and relying on spiritual beliefs and practices. Root problems are understood to be diseases within the person. However, the social conditions implicated in causing the addiction remain unaddressed. Questions whether social workers can bring…

Reports findings of qualitative, exploratory study that examined outcomes for 20 women who had successfully completed the Family Rehabilitation Program in New York City and identifies client characteristics associated with successful drug rehabilitation and practice interventions that support retention in drug treatment. (Author/FC)