Diversity issues in substance abuse treatment and research / Sana Loue.

Format:

Book

Author/Creator:

Loue, Sana.

Language:

English

Subjects (All):

Minorities--Drug use--United States.

Minorities.

Women--Drug use--United States.

Women.

Women--Drug use.

Substance abuse--Treatment--Social aspects.

Substance abuse--Treatment.

Drug abuse--Treatment--Social aspects.

Drug abuse--Treatment.

Lesbians--Drug use.

Lesbians.

Gay people.

Minorities--Drug use.

United States.

Gay people--Drug use--United States.

Lesbians--Drug use--United States.

Drug abuse--Treatment--Social aspects--United States.

Drug abuse.

Substance abuse--Treatment--Social aspects--United States.

Substance abuse.

Drug abuse--Research--United States.

Drug abuse--Research.

Physical Description:

xi, 229 pages ; 24 cm

Place of Publication:

New York : Kluwer Academic/Plenum Publishers, [2003]

Summary:

Understanding diversity will help break down barriers to effective treatment and research of substance dependence. In this textbook, the author defines what is meant by diversity and reviews what we know today about the effects of alcohol, tobacco, marijuana, cocaine and crack, hallucinogens and heroin. This is then put into a broader context by examining the development of policy with particular emphasis on those who were perceived to be the most fervent users of substance. Communities examined include: African Americans; Asian and Pacific Islanders; Hispanic / Latinos; Women; Gay, Lesbian, Bisexual and Transgender. The book concludes with guidelines for the integration of diversity considerations into treatment programs for and research procedures within these communities. This is a useful textbook for classes on substance abuse and will also help the seasoned clinician to break down barriers in the understanding and treatment of substance dependence within specific communities.

Contents:

Chapter 1. Diversity: Theory and Meaning 1

Constructing Diversity 4

Theories of Individual and Collective Identity Construction 4

Diversity and the Construction of Racial and Ethnic Identities 6

Diversity in Sex, Gender, and Sexual Orientation 10

Barriers to Addressing Difference 16

Chapter 2. Substance Abuse and Dependence: Definition, Causation, Epidemiology, and Sequelae 19

The Epidemiology of Addiction 21

Theories of Causation 22

The Neurobiology of Addiction 22

The Genetic Contribution to Addiction 24

Psychosocial Factors Associated with Substance Use 24

Contextual Factors and Substance Use 25

Drugs: Usage and Outcomes 26

The Impact of Alcohol 26

The Impact of Tobacco 28

The Impact of Marijuana 30

The Impact of Cocaine and Crack 31

The Impact of Hallucinogens 34

The Impact of Heroin 35

Chapter 3. The Development of Drug Policy 37

Alcohol: Use, Abuse, and Policy 37

Practice, Perception, and Politics: The Interplay 37

The Economics of Alcohol Use, Abuse, and Dependence 42

Tobacco: Use, Abuse, and Policy 43

The Beginnings 43

Regulatory Efforts 45

Marijuana: Use, Abuse, and Policy 48

Practice, Perceptions, and Politics 48

The Initiation of Drug Regulations 49

The Economics of Marijuana Use, Abuse, and Dependence 56

Cocaine and Crack: Use, Abuse, and Policy 57

The Medical Era of Cocaine Use 57

The Popular Era of Cocaine Use 59

The Age of Crack 62

Hallucinogens: Use, Abuse, and Policy 63

Heroin, Use, Abuse, and Policy 64

Practice, Perception, and Politics 64

The Economic Impact of Heroin 66

Current Policies and Policy Options: Punish or Treat? 67

Prison and Prison-Based Treatment 67

Civil Commitment 68

Drug Courts 71

Harm Reduction 73

Chapter 4. Considering the Historical and Cultural Context: Race and Ethnicity 79

African-Americans: Historical and Cultural Context 80

The Historical Context 80

Asians and Pacific Islanders: Historical and Cultural Context 90

The Cultural and Historical Context 92

Substance Use and Health 100

Hispanic Communities in the United States: Historical and Cultural Context 105

Native Americans: Historical and Cultural Context 116

Origin and Culture Areas 116

Current Demographics 117

Substance Use and Health 123

Chapter 5. Considering the Historical and Cultural Context: Sex and Sexual Orientation 127

Women 127

Cultural and Historical Context: Sex and Gender 128

Queer Communities 135

Cultural and Historical Context 136

Substance Use and Health 138

Chapter 6. Diversity Issues in Treatment 145

Diversity and Service Delivery 145

Involving Community 146

Barriers to Treatment 147

Documentation of Need 147

Lack of Culturally Specific Models of Treatment 148

Legal Risks 149

Developing Culture-Centric Approaches 153

African-American Communities 153

Asian and Pacific Islander Communities 154

Hispanic/Latino Communities 155

Immigrant Communities 158

Native American Communities 159

Women 161

Queer Communities 161

Chapter 7. Diversity Issues in Addiction and Treatment Research 165

Barriers to Recruitment 167

History and Its Legacy 167

Stigmatization, Ostracism, and Violence 170

Economic Factors 171

Legal Difficulties 171

Developing Culture-Centric Approaches 171

Tailoring the Recruitment Efforts 171

Reducing Risks of Participation 172.

Notes:

Includes bibliographical references (pages 175-221) and index.

ISBN:

0306477750

OCLC:

52127724