Cognitive-behavioral therapy (CBT) is an effective modality for the treatment of alcoholism. Given widespread interest in incorporating spirituality into professional treatment, this article orients practitioners to spiritually modified CBT, an approach that may enhance outcomes with some spiritually motivated clients. More specifically, by…

Examined women (N=20) who were receiving alcoholism treatment in the skid-row area of Portland, Oregon. Women had histories of problem drinking and extensive treatment for alcoholism. Most had been married and had children. Despite transiency, the majority maintained contact with friends and relatives. Compared these women to New York City's…

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)

Proposes modifications of Problem Centered Systems Therapy (PCST)--a practice model for assessment and treatment--that addresses bicultural counseling with black families in general and black alcoholic families in particular. Defines culturally sensitive concepts considered important to treatment and integrates the identified concepts in…

Explores the widespread avoidance of the identification and treatment of alcoholism by the social work profession. Examines the underlying causes of this avoidance and suggests guidelines to overcome the organizational and the professional barriers that have kept alcoholics from seeking social work treatment. (Author/JAC)

Treatment of alcoholics has long been based on the concept that alcoholism is an illness. A more recent concept suggests that excessive drinking may be a symptom of the person's faulty interaction with family and others. Results of treatment on this basis are promising. (Author)

Alcoholism is a widespread but neglected problem in the lesbian community. The myths and realities of lesbian experience are described and suggested treatment strategies that address the special problems and needs of lesbian alcoholics are given. The literature is reviewed and the need to overcome homophobia among social workers and in agencies is…

In a study undertaken at a state hospital to determine quantitative influence of counselors on drug and alcohol problems, counselors had a significant impact on the patients' admission rates, their length of time in the hospital, their length of time back in the community, and their rates of readmission. (Author)

Most treatment programs for alcoholics and their families fail to show a systematic understanding of the interaction between the alcoholic, his drinking problem, and the family as a whole. Based on a review of the literature, the author presents a systems approach and ways of utilizing it in practice. (Author)

Describes study of representative case findings (N=100) in four social work programs which did not have in-house substance abuse treatment for indications whether the social worker had recognized substance abuse as a problem for the client or had made a referral for treatment. Findings suggest many clients were substance abusers, but few were…

SHARP is a hospital-based, self-help program for treating alcoholic veterans, which involves them in assuming major roles in governing the program and in helping one another. Because follow-up support is essential to maintaining sobriety, SHARP created an active social support system in the community. (Author)

This study of an information and referral service for problem drinkers examines two variables that affect its use: (1) the number of problems related to drinking and (2) the service provided by a social worker-information specialist. (Author)

Guidelines for casework with the family of the alcoholic indicate the importance of understanding that alcoholism is a treatable disease, of letting the alcoholic suffer the consequences of his drinking, and of demonstrating how self-help groups can be a valuable resource to the alcoholic and his family. (Author)

Addresses common critiques of Alcoholics Anonymous by offering a way of understanding it as a "normative narrative community" where identity transformation takes place through the use of metaphor and storytelling. Suggests alternative meanings of key metaphors, describes areas of program strength and potential barriers for social…

Suggests that in dealing with problem drinkers at the workplace, industrial social workers must consider organizational and group variables that contribute to a "culture of drinking," which fosters and sanctions the use of alcohol. Suggests interventions that promote a "culture of sobriety." (Author)