Discusses the problems of relapse with alcoholics and other drug abusers from three perspectives: client-related variables, common erroneous beliefs and myths held by professionals regarding relapse, and treatment system problems that may contribute to relapse. Offers proposed solutions and describes a relapse prevention model. (Author/ABB)

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…

Describes dimensions of current cocaine problem in United States, drug treatment models, and cocaine treatment effectiveness and outcome. Analyzes research on effectiveness of specific drug treatments, including women-sensitive services. Notes that recommended treatment approaches incorporate variety of rehabilitative services and call for social…

Presents a preliminary view of a continuing care substance abuse recovery services program designed to assist the substance-affected family. The program focuses on helping substance abusers and their families achieve relapse prevention by addressing functioning in four domains: individual actions and cognitions; individual recovery actions; family…

Discusses current ideologies of care in the substance abuse arena, including the disease-abstinence, psychosocial, ecological, and harm-reduction approaches. Also examines social work managers' beliefs about substance abuse programs to determine if there are differences between those who have a social work background and those who do not. (RJM)

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)

Discusses an approach to case management for rural clients in drug abuse treatment. Describes the philosophy and goals of the Iowa Case Management model and compares it to other models. The model allows case managers, through a series of activities, to help clients develop and achieve goals as they finish substance abuse treatment. (JDM)

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)