A case example involving a Native American family referred to a child welfare agency illustrates social work intervention strategies that encourage cultural competence, recognize power differences between cultures, promote understanding of role variations and belief systems, consider alternative approaches for helping clients with drug or alcohol…

Project Adventure has seven programs for at-risk and adjudicated youth in Georgia, all using adventure counseling to help youth confront and manage their behaviors. Some programs are day programs for suspended students that involve family counseling and work. Others are residential programs for drug addicts, sexual offenders, and other adjudicated…

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

Studies characteristics of 29 pregnant homeless women (18 African Americans, 6 whites, and 5 others). In general, respondents are young, unmarried minority group members with no income other than entitlements, who have been without a home one year or less. These women have more health problems than the average population. (SLD)

Discusses the related nature of prevention and treatment of drug abuse and alcohol abuse. For both prevention and treatment, the focus must be on outreach, culturally specific needs, and community-based needs. Treatment modalities that have been most effective are those that put the basic needs of the client first. (SLD)

Reviews policies that address substance abuse among the homeless. Recommends that the changing needs of the homeless require an integration of alcoholism and drug abuse recovery services with programs for various groups, substance-free housing, and psychological knowledge incorporated into programs for those struggling with addiction and…

Investigates the effects of an intervention program involving educational, vocational, and parenting classes; social and drug rehabilitation; and infant day care on polydrug-using adolescent mothers. Results show that mothers' and infants' interactions improved, mothers demonstrated a lower incidence of drug use and pregnancy, and a greater number…

In a study to evaluate the drug treatment and aftercare efforts sponsored by the State Department's International Narcotics and Law Enforcement Affairs Bureau, residential Therapeutic Community (TC) treatment programs in three countries in Southeast Asia--Malaysia, Singapore, and Thailand--were examined to identify promising practices and to…

CARAT (Counselling, Assessment, Referral, Advice and Throughcare) schemes have been operational in prisons throughout England and Wales for three and a half years, designed to increase the support available to drug-using prisoners both during custody and on release. Specifically the CARAT service has a remit to "bridge the gap" between…

A subset of criminal offenders diverted from prison to treatment return to crime after successful completion of treatment. Identifying correlates of recidivism among treatment completers will improve our ability to help treated offenders to better capitalize on their treatment experiences. Data from 156 mandated clients of long-term residential…

What is being done at a local level, in the neighborhood, to prevent and discourage small-time drug dealers is discussed. Partnerships of law enforcement and grassroots citizens' groups are working in many places to reduce the availability and impact of drugs in their communities. The book opens with a discussion of drug use and the urban…

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…

There is no national policy on assisting drug-using pregnant mothers nor on the children they produce. This paper looks at the issue of "crack-cocaine" and mothers who give birth to children after using drugs during pregnancy. It attempts to lay out what is known, and it puts forth "best guesses" regarding helping children born…

In April 1988 a survey was conducted by a Board Committee on Substance Abuse to study illegal drug and alcohol abuse policies and procedures at Illinois community colleges. Of the 39 community college districts surveyed, 36 had policies, guidelines, or procedures addressing substance abuse; the remaining 3 districts had plans to adopt them in the…

Two major programs of the Spanish Family Guidance Center, a facility that addresses the mental health needs of Hispanics in the Greater Miami (Florida) area, are described in this report. One program, the Spanish Drug Rehabilitation Project (completed in 1977), compared a series of activities including: (1) research on the characteristics of…