Maryann Amodeo

Maryann Amodeo
Boston University | BU · School of Social Work

About

103
Publications
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Introduction
Dr. Maryann Amodeo, Professor Emeritus, School of Social Work, Boston University conducts research in the area of alcohol and drug use, with an emphasis on treatment practices, the training of health care professionals, and clinical social work interventions.

Publications

Publications (103)
Article
Full-text available
Objectives: Crucial to the resettlement experiences of immigrants is the degree to which the receiving country accepts them and affords them social support and opportunities. Through the factor structure and incremental validity of scores generated by the Negative Context of Reception (NCR) Scale, in the present study, we examine Indian American yo...
Article
Introduction: Although Indian Americans constitute the second-largest immigrant group in the United States, there is a paucity of information about Indian American youth, particularly with respect to substance use risk. We examined the relationship of social factors to permissive substance use beliefs (a proxy for substance use risk since they can...
Article
Full-text available
Indian Americans now constitute the nation's second largest foreign-born population group in the United States (U.S.). Concerning Indian American youth, there is a paucity of information about their experiences in the U.S., particularly with respect to cultural stress and model minority stress, and whether these stressors have an impact on their me...
Article
Social workers are in an ideal position to address the need for increased access to screening, brief intervention, and referral to treatment (SBIRT) for substance use disorder. This pre–post study explores the effects of SBIRT education and training among social work students from three campus environments (traditional, online, and satellite). Resu...
Article
Background: Many health professionals lack adequate training needed to effectively address alcohol and other drug (AOD)-related problems. Building upon our previously successful in-person faculty training programs, we designed and pilot tested the brief online Faculty Education in Addiction Training (FEAT) Program for social work and internal medic...
Article
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Background: We are at a unique moment in United States (US) history as heroin overdose rates are higher than at any time in recent memory. Based on prior research and the developmental risks faced by young adults (ages 18-25), we examine the trends and correlates of perceived access to heroin among this group over a 15-year period. Methods: We a...
Article
Introduction: Young adulthood, typically conceptualized as stretching from the late teens to the mid-twenties, is a period of elevated risk for residential mobility (i.e., moving or changing residences frequently) and drug involvement. However, our understanding of the trends and drug-related correlates of residential mobility among young adults r...
Article
This study is an educational evaluation of participants (N = 50) in a 4-day immersion training program funded by the National Institute on Alcohol Abuse and Alcoholism. Using a pretest–posttest design, clinical social work faculty participants showed statistically significant (p < .001) improvement in overall alcohol and other drug-related knowledg...
Article
This study provides up-to-date information on the practices and barriers faced by 50 clinical faculty from 29 Council on Social Work Education-accredited master’s in social work programs across the United States in the integration of alcohol and other drug (AOD) content into social work education. Faculty report that AOD-related content is covered...
Article
This Special Issue of Journal of Social Work Practice in the Addictions focuses on an emerging effort, the Alcohol and Other Drugs Education Program (ADEP), designed to advance social work faculty knowledge and teaching in the area of alcohol and other drug (AOD) use. In June 2017, with grant support from the National Institute on Alcohol Abuse and...
Article
This article presents the Alcohol and Other Drugs Education Program (ADEP) as a model for faculty training in evidence-based alcohol and other drug (AOD) identification and treatment. We make the case that AOD use is a serious social and public health issue and highlight faculty training as a strategic approach for addressing the pressing demand fo...
Article
This article builds on prior research demonstrating that intensive faculty training in alcohol and other drug (AOD) identification and treatment methods can result in increases in AOD knowledge and teaching efficacy. We provide examples of how faculty participants in the Alcohol and Other Drugs Education Program have adapted their teaching in clini...
Article
The term addictive personality needs to be retired permanently from use by the alcohol and drug (AOD) treatment field. The term engenders confusion and misunderstanding and undermines our ability to help individuals with AOD problems. This essay will: (1) identify assumptions in the literature regarding the addictive personality, (2) offer assertio...
Chapter
This chapter will describe 12-step programs, explain what occurs at meetings, and address common mis-conceptions. Our central goal is to present practical guidelines to help primary care physicians make referrals to 12-step programs. Effective referrals include introducing patients to these programs, motivating them to attend meetings, having follo...
Conference Paper
Purpose: Prior work by these authors has identified that clinical staff who reported higher levels of barriers in implementing an evidence-based practice (EBP) also report higher levels of modifications in implementing EBPs. This study explores for 311 addiction treatment staff, the ten most commonly implemented evidence-based practices (EBPs), EBP...
Article
Background: This qualitative effort examines training-related facilitators and barriers to implementing evidence-based practices (EBPs) in 285 community-based addiction treatment organizations (CBOs) nationwide that were funded by the Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment (SAMHSA/CSAT) to im...
Article
Unlabelled: Prior studies by the authors identified that clinical staff who reported that their treatment unit had lower levels of organizational readiness to change experienced higher levels of barriers in implementing an evidence-based practice (EBP). The current study examined whether clinical staff perceptions of their treatment unit's organiz...
Article
Full-text available
Unlabelled: In this Robert Wood Johnson Foundation-funded study (2009-2011), treatment staff (n = 178) from 330 federally funded U.S. addiction treatment programs provided data through semistructured telephone interviews about factors that facilitated their implementation of four evidence-based practices (EBPs). Such studies can assist the addicti...
Article
Background and methods: The authors designed and delivered an innovative Web course on cognitive behavioral therapy (CBT), a specific empirically based treatment, to a diverse group of addiction counselors and supervisors in 54 addiction units across the country, and conducted a randomized controlled trial of its effectiveness with 127 counselors....
Article
Social workers are needed to implement science-based treatments for alcohol and other drug (AOD) problems. Changes in insurance coverage through the Affordable Care Act will increase the demand for licensed Master of Social Work (MSW) clinicians. This national study of MSW programs (N = 210) examines prevalence of addiction courses and specializati...
Conference Paper
Background/Purpose: Prior studies by the authors have found that the level of organizational capacity in a substance abuse treatment (SAT) organization is associated with clinical staff perceptions of the level of difficulty of implementing an evidence-based practice (EBP). This study is the next step in our ongoing research effort examining whethe...
Article
Substantial professional education and training are delivered through partnerships between universities (typically schools of social work) and public child welfare agencies. These partnerships resulted from federal legislation that created funding opportunities for training. Most of what is known about these Title IV-E training partnerships is base...
Article
Prior studies have identified that working in an addiction treatment unit with higher levels of organizational capacity is a factor associated with positive staff attitudes about evidence-based addiction treatment practices (EBPs). The study presented here explored whether staff perceptions about the organizational capacity of their treatment unit...
Article
This qualitative research effort explored implementation of evidence-based practices (EBPs) in 100 community-based addiction treatment organizations (CBOs) nationwide. The study describes CBO program director attitudes on: (1) satisfaction with EBPs they were mandated to implement; (2) the extent to which their organization modified the EBPs; (3) r...
Article
Full-text available
This article describes a data management system (DMS) developed to support a large-scale randomized study of an innovative web-course that was designed to improve substance abuse counselors' knowledge and skills in applying a substance abuse treatment method (i.e., cognitive behavioral therapy; CBT). The randomized trial compared the performance of...
Article
This national study of addiction-treatment organizations' implementation of evidence-based practices examines: (1) organizational/leadership factors associated with director (n = 212) attitudes regarding staff resistance to organizational change, and (2) organizational/staff factors associated with staff (n = 312) attitudes regarding evidence-based...
Article
This qualitative study explored barriers to implementing evidence-based practices (EBPs) in community-based addiction treatment organizations (CBOs) by comparing staff descriptions of barriers for four EBPs: Motivational Interviewing (MI), Adolescent Community Reinforcement Approach (A-CRA), Assertive Community Treatment (ACT), and Cognitive-behavi...
Article
This article describes a data management system (DMS) developed to support a large-scale randomized study of an innovative web-course that was designed to improve substance abuse counselors' knowledge and skills in applying a substance abuse treatment method (i.e., cognitive behavioral therapy; CBT). The randomized trial compared the performance of...
Article
Parental alcoholism does not necessarily result in negative outcomes for the offspring; we examined whether it would result in negative perceptions of the experience. Black women and White women with alcoholic parents (N = 126) rated and described the effect of parental alcoholism on them: 65% reported a negative effect, 26% reported a positive eff...
Conference Paper
Objectives: This Robert Wood Johnson Foundation, Substance Abuse Policy Research Program funded study examined implementation of evidence-based practices (EBPs) by 250 community-based addiction treatment organizations (CBOs) nationwide. This preliminary research effort explores the range of social and behavioral EBPs selected for addiction treatmen...
Conference Paper
Objectives: Many vulnerable patient groups with addiction disorders receive treatment from independent, small community-based organizations (CBOs). A Robert Wood Johnson Substance Abuse Policy Research Program study surveyed CBO program directors in addiction treatment centers with grants from CSAT to implement evidence-based practices and assessed...
Article
Child physical abuse (CPA) has been associated with adverse adult psychosocial outcomes, although some reports describe minimal long-term effects. The search for the explanation for heterogeneous outcomes in women with CPA has led to an examination of a range of CPA-related factors, from the severity of CPA incidents to the childhood family environ...
Article
Full-text available
Federal and state funding agencies are encouraging or mandating the use of empirically supported treatments in addiction programs, yet many programs have not moved in this direction (Forman, Bovasso, and Woody, 2001 ; Roman and Johnson, 2002 ; Willenbring et al., 2004 ). To improve the skills of counselors in community addiction programs, the autho...
Article
This article describes youth involvement in a set of national curriculum development and training projects focused on assisting foster youth to transition successfully out of the child welfare system. Various forms of youth involvement occurred in these projects: youth served on advisory committees, as focus group members, as curriculum reviewers,...
Article
This study examined the effect of the co-occurrence of multiple categories of maltreatment on adolescent alcohol use. Data were from the National Longitudinal Study of Adolescent Health which used a nationally representative sample of adolescents (n = 14,078). Among those reporting any maltreatment, over one-third had experienced more than one type...
Article
Full-text available
Although public child welfare agencies, as well as contracted private providers, conduct extensive amounts of training, the evaluation evidence for effectiveness of training interventions is sparse. This article provides a critical review of published reports of the child welfare training evaluation literature. When we conducted a search of the lit...
Conference Paper
Objective: Federal grants for substance-abuse treatment require that community-based organizations (CBOs) implement evidence-based treatments (EBTs). Results from a national Robert Wood Johnson Foundation- funded study describe CBO variations in organizational responses to federal EBT requirements. Methods: Data from semi-structured phone-intervi...
Article
This article, written for state policy makers, child welfare administrators, and training directors, describes findings from a phone survey of 60 state child welfare training administrators; all 50 states and other governmental jurisdictions were included (92% response rate). The survey examined perceptions of the impact of the Child and Family Ser...
Article
The primary aim of this study was to identify the stresses and resources in childhood that mediate the relationship between parental alcoholism and adult outcomes in women. Adult outcomes included alcohol problems and measures of psychosocial adjustment. Standardized measures and a face-to-face interview were used to collect data on 290 community-d...
Article
Unlabelled: Studies have used siblings to verify subject reports of retrospective data and examined variables influencing subject-sibling agreement, but questions remain. From 1998 to 2000, we examined a community sample of women (N = 143) in a metropolitan area, aged 21-60, balanced by race, parental alcoholism, and social class, as well as their...
Article
Full-text available
This article describes (a) a Web-based course for substance abuse counselors on cognitive behavioral therapy (CBT), and (b) the evaluation of a prototype module from the Web-based course to determine the feasibility of the e-learning program for a community-based counselor audience. The course is part of a unique study that trains counselor-supervi...
Article
This article describes a cluster of child welfare training projects focused on assisting foster youth with transition to independent living. The article examines the extent to which the projects used best practice principles and, in cases where best practices were lacking, the factors that impeded such practices. The article provides a picture of t...
Article
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Education about substance use (SU) disorders remains inadequate in medical training. To describe the Chief Resident Immersion Training (CRIT) program in addiction medicine and to evaluate its impact on chief resident (CR) physicians' substance use knowledge, skills, clinical practice, and teaching. A controlled educational study of CRIT programs (2...
Article
Client drop out from treatment is of great concern to the substance abuse field. Completion rates across modalities vary from low to moderate, not ideal since length of stay has been positively and consistently associated with better client outcomes. The study explored whether client characteristics shown to be related to retention were associated...
Article
Training is widely believed to be an important element in promoting good child welfare practice. Scholarly attention to training, however, has been limited. To facilitate further development of child welfare training, in this article, we discuss the importance of conceptualization in the design and evaluation of training projects, offer a conceptua...
Article
Utilizing a longitudinal database (1996-2002) with all intake information from entries to all licensed drug treatment programs in Massachusetts (N = 27,801), this study examined factors associated with multiple detoxification admissions by injection drug users (IDUs). Four logistic regression models were developed. Although our hypothesis was that...
Article
Limited information is available on factors associated with STDs among Asian and Pacific Islander young adults. Such information is vital to developing effective interventions to reduce STDs within this group. Data were derived from the National Longitudinal Study of Adolescent Health, Wave 3; the sample consisted of 605 female and 578 male Asian a...
Article
The study explores the role of race and differences in coping among 290 white women and black women with and without alcoholic parents, addressing two questions: (1) Does coping vary by parental alcoholism or race? and (2) How is coping in adulthood affected by childhood stressors and resources and by adulthood resources? Standardized self-administ...
Article
Full-text available
Data were obtained from the National Longitudinal Study of Adolescent Health to examine the longitudinal association between Asian and Pacific Islander (API) adolescents’ perceptions of maternal approval of their sexual activity and contraception use, and four sexual outcomes during young adulthood. The study includes a nationally representative sa...
Article
Few studies have examined racial differences in perceptions of childhood. Little is known about how Blacks perceive their own families, particularly the family environment that they experienced in childhood. A community sample of 290 women (55% White, 45% Black) from two-parent families, heterogeneous in age and social class, was examined using a s...
Article
To respond to fluctuations in funding and community needs, human service organizations must develop mechanisms for designing, implementing, and solidifying agency-wide change. This article describes an agency change effort that was staff driven and behaviorally focused and included work teams of employees from all agency divisions. Organization dev...
Article
Federal, state, and local governments spend substantial resources on training child welfare staff. Moreover, enhanced training is often proposed as a core solution to many problems facing public child welfare and other human service agencies. In this paper we conceptualize training as an element of the policy implementation process. We use data fro...
Article
Opiate addiction is a major problem in our society in terms of its impact on children and families. Families affected by opiate addiction are often among the most vulnerable and exhibit many of the most challenging problems faced by child welfare workers. However, there are medications, such as Methadone and Buprenorphine shown to be effective in r...
Article
The goal of this article is to heighten awareness among social workers and other human service professionals about the use of injection drugs by adolescents and young adults. Although social work and other human service providers possess increasingly greater knowledge and skills in dealing with tobacco, alcohol, and marijuana use among adolescents...
Article
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Interest has grown in the positive youth development (PYD) approach and its application to youth in a variety of settings. When using the PYD approach, workers focus on youth assets rather than deficits, collaborate with youth in planning the youth's future, build youth competencies rather than doing tasks for the youth, adopt a holistic perspectiv...
Article
Differences in childhood sexual abuse (CSA) between Black women and White women are explored in a community sample of 290 women raised in two-parent families.A self-administered questionnaire and a face-to-face interview assessed CSA characteristics, aftermath, and prevalence as well as family structure and other childhood variables. Siblings serve...
Article
Full-text available
Social support was examined among 290 Black and White women recruited from the community. We hypothesized that (1) social support, adjusted for social class, would not vary by race and (2) social support would be related to well-being. Standardized measures were administered, examining support provided by friends versus kin separately. Multivariate...
Article
Training and credentialing are especially timely issues as the substance abuse field grapples with the challenges of responding to dually diagnosed clients, incorporating empirically supported practices, and preparing for the implementation of results-oriented management. The field has recognized the need for greater workforce profession- alism (Ca...
Article
This study explored common drug treatment utilization patterns in the first four types of treatments entered by injection drug users (IDUs) with multiple admissions. A Massachusetts longitudinal database with all entries to all licensed drug treatment programs was used. Treatment repeaters' admission patterns varied considerably. For the years 1997...
Article
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Dissemination of evidence-based practices (EBPs) in addiction settings is a national priority. We tested Organization Development (OD) methods for dissemination. Using OD in two addiction treatment programs we developed an organization-specific treatment plan using employee work teams with the goals of changes in organizational policies and procedu...
Article
This study examined the relationship among mental health symptoms, drug treatment use, and needle sharing in a sample of 507 injection drug users (IDUs). Mental health symptoms were measured through the ASI psychiatric scale. A logistic regression model identified that some of the ASI items were associated with needle sharing in an opposing directi...
Article
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Recognizing the challenges of addressing plagiarism within schools of social work and diverse faculty opinion on the issue, our school of social work engaged in several efforts to clarify issues and establish consensus among the faculty. Issues that required clarification included: definitions of plagiarism, steps to take when confronted with suspe...
Article
Full-text available
Child sexual abuse (CSA) has been associated with adverse adult psychosocial outcomes, although some reports describe minimal long-term effects. The search for explanations for the heterogeneous outcomes in women with CSA has led to an examination of a range of CSA-related factors, from the severity of individual CSA incidents to the childhood fami...
Article
This article examines whether female injection drug users (IDUs) who have a history of using mental health services (i.e., one or more psychiatric hospitalizations or counseling) enter types of drug treatment different from those of female IDUs who do not have a history of using mental health services. Data used for this exploration originate from...
Article
This article examines patterns of methadone maintenance treatment entry among 9018 adult women injection drug users (IDUs), with special attention to parental-status differences. The data originate from a statewide drug-treatment database covering all women IDUs who entered drug treatment in the State of Massachusetts over a four-year period. Throu...
Article
Logistic regression analysis was used to examine the likelihood of either entering residential treatment, methadone treatment or solely entering detoxification programs for 32,173 injection drug users (IDUs) using drug treatment in Massachusetts, 1996-1999. Those IDUs who were employed, more educated, health-insured, not homeless and who resided wi...
Article
An accurate multidisciplinary assessment of families shapes interventions that ensure children's safety and well being, the primary goal of public child welfare. Complete assessments consider the strengths parents bring to their relationships with their children, as well as the challenges posed when multiple, serious problems are present in the fam...
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Behavioral outcomes in agency, community, and personal arenas were examined for 81 social workers with Masters degrees (MSWs) who completed a clinical postgraduate substance abuse (SA) training program (trainees) and a matched group of 78 MSWs not enrolled in such a program (comparison subjects). Subject self-report data was collected via telephone...
Article
This article examines patterns of drug treatment entry among 28,000 adult injection drug users (IDUs), with special attention to racial and ethnic differences. The data analyzed originates from a statewide drug-treatment database covering four years. Through the use of logistic regression analysis, the study identified significant population differ...
Article
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This study interviewed 115 MSWs with substance abuse training working in general social service agencies to determine if they viewed their settings as facilitating or hindering their work with substance-abusing clients. This study builds on the work of Lightfoot and Orford (1986) who found that social workers were more hindered than helped by their...
Article
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Past research and reports from the field have described social workers as having a host of negative responses to alcohol- and drug-abusing clients. Some found that substance abuse training increased social workers' sense of security and legitimacy in the therapeutic role with such clients. We report on 23 master's level social workers (MSWs) who co...
Article
Past research and reports from the field have described social workers as having a host of negative responses to alcohol- and drug-abusing clients. Some found that substance abuse training increased social workers' sense of security and legitimacy in the therapeutic role with such clients. We report on 23 master's level social workers (MSWs) who co...
Article
This study examines the influence of substance abuse training on social workers in nonaddiction treatment settings. Eighty-one Masters level social workers who completed a 9-month training program were compared with a matched sample of 78 Masters level social workers who did not enroll, with supervisors as collateral informants. Subjects and superv...
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This article describes the results of an assessment of the substance abuse treatment training needs of social workers working in randomly selected substance abuse treatment facilities in New England. This assessment revealed that clinical supervision related to substance abuse treatment had not been available to a significant percentage of the resp...
Article
Empirical evidence for the efficacy of interdisciplinary teams is essential in the current context of managed care. Because careful assessment of the interdisciplinary team has important implications for patients and health care professionals, as well as employers, the authors read over 2,200 abstracts and analyzed 224 articles from four databases...
Article
This Special Issue presents the results of a multi-site, multi-year national demonstration project funded by the Center for Substance Abuse Treatment (CSAT). The overall project was designed to test the effectiveness of integrating street outreach programs aimed at preventing HIV infection, with referral to substance abuse treatment for populations...
Article
An evaluation was conducted in a graduate school of social work to assess the integration of substance abuse content into basic and advanced courses by instructors with and without specialized substance abuse training. Students in these courses completed questionnaires that asked about the amount, type, and usefulness of substance abuse content pre...
Article
Research suggests that African–American injection drug users, when compared with other ethnic and racial groups of injection drug users, are more likely to have no history of substance abuse treatment. The project evaluated was designed to attract African–American injection drug users to treatment by providing comprehensive pre-treatment services i...
Article
This article elaborates a cultural framework for viewing alcohol and drug abuse which, if used as a teaching tool, can lead to increased cultural awareness among students. The framework helps educators to illustrate the powerful role of culture in shaping behaviors such as drinking and drug use and to focus on several cultures or ethnic groups simu...
Article
Methods for coping with stress and reasons for not drinking were examined among abstinent alcoholics to determine whether change occurred with length of sobriety. Results showed that 1) alcoholics with briefer abstinence relied more heavily on coping methods, 2) alcoholics relied less on negative than positive coping methods regardless of length of...
Article
The following article describes the evaluation challenges faced in a cross-cultural substance abuse training program. Non-Southeast Asian instructors designed and taught courses for Cambodian and Vietnamese human service workers over a two-year period. Although cultural considerations were a central focus in the design of the program, instructors u...
Article
To examine intrafamilial differences in adulthood among children of alcoholic parents, 14 women with alcoholic parents and their sisters were assessed for this exploratory study. Reported here is the subset of eight "mixed" sister pairs, one with an impaired adult outcome and the other with a well-adjusted adult outcome. Subjects who scored signifi...
Article
Full-text available
Adult outcomes were investigated in 14 pairs of African-American and white daughters of alcoholic parents. On the basis of four outcome factors, subjects were divided into three sister-pair categories: well-adjusted, impaired, and mixed. Interviews and standardized questionnaires showed that family-of-origin variables contributing to the impaired a...
Article
The client population coming to substance abuse agencies includes refugees and immigrants from a host of ethnic groups who may speak insufficient English to be treated by an English-speaking clinician. This article describes the benefits and difficulties for clinicians of working with foreign language interpreters. It offers recommendations for eff...
Article
Alcohol abuse and alcoholism are significant problems among Southeast Asians resettled in the United States. Contributing factors include experiences of trauma during the refugee and resettlement experience and traditional beliefs about alcohol as a health-promoting substance. The need for routine screening for alcohol and other drug problems is hi...
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This article offers specific strategies for ensuring utilization of needs assessment findings. It is designed to help prevention specialists, community planners, program evaluators, and involved citizens maximize their efforts in developing community services by tying those services closely to community needs. Program evaluators who completed a bro...
Article
The authors present a conceptual framework for cross-cultural investigation of alcohol and other drug (AOD) issues, including attitudes, values, and behaviors. Elements include cultural views of using alcohol and other drugs, life problems, seeking help, relapse, and recovery. Acculturation, subgroup identity, and migration are critically important...
Article
Southeast Asians are experiencing increasing problems with alcohol and other drug abuse. Because few culturally specific treatment models are available, mainstream substance-abuse programs will increasingly be called on to provide services to clients and consultation to Southeast Asian human service agencies. The authors describe ways that existing...
Article
This article is designed to help planners and community groups anticipate challenges in implementing community based prevention programs in multicultural urban environments. Empowerment and public health goals are described as essential elements. Methods are recommended for capacity-building with inexperienced participants and balancing long and sh...
Article
This study examines the reasons given for not drinking by abstinent alcoholics with varying lengths of sobriety. A Reasons for Not Drinking Scale is tested, as well as the Purpose in Life Questionnaire and Life Satisfaction Scale. Subjects are 60 males from a VA population. Results show that subjects with less education and those treated in a detox...
Article
Denial in alcoholics is often a barrier to effective diagnosis, referral, and treatment. Successful intervention is enhanced if the caregivers understand the nature of denial and have strategies for working through it. Stages of denial include resistance to acknowledgement of the problem, resistance to treatment, and resistance to recovery. Manifes...

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