DEPARTMENT OF SOCIAL WORK
Social Work 4800: Practice in Addictive Disorders (3.0 credit hours)
Instructor:
Randy Haley, Ph.D., LCSW
Required
Text: Alcohol, Tobacco, and Other
Drugs: Challenging Myths.
Assessing Theories, Individualizing
Interventions. Ann A. Abbott,
Editor (2000). NASE Press,
Washington, D.C.
Contact
Information: Office (345-A Kyser);
Office Phone (357-6981); Home phone (472-9817); E-mail (haley@nsula.edu);
FAX:
(318) 357-6782 Office Hours (AS POSTED ON BLACKBOARD)
Course
Description:
This course is designed to familiarize the student with alcohol, drug,
and tobacco use/abuse problems and how they are successfully treated.
The course will also provide the student with an understanding of the
etiological, epidemiological, physiological and psychological aspects of
substance abuse. Major theoretical
underpinnings of both the addictive process and treatment protocols will also be
covered as related to individual’s families, groups, and communities.
Learning
Objectives:
Upon successful completion of this course, the student should demonstrate
a working knowledge in the following areas:
1.
The student will better understand the scope of the substance abuse
problem in the United States and to a lesser extent abroad.
2.
The student will better understand the etiology of substance abuse and
addictive disorders.
3.
The student will gain an understanding of the most effective and
efficacious diagnostic and treatment methods in the field of substance abuse.
4.
The student will better understand prevention techniques.
5.
The student will explore professional careers in substance abuse
practice.
Course
Requirements:
Students are expected to:
1.
Complete reading assignments prior to Internet class sessions in which
they will be covered (relates to learning objectives 1-5).
2.
Complete and turn in research project on time (relates to learning
objectives 1-5).
3.
Participate in class discussions in a manner so as to indicate the
student being prepared (relates to learning objectives 1-5).
4.
Complete examinations and quizzes on the scheduled date (make-up exams or
quizzes by university approved excused absences only (relates to learning
objectives 1-5).
Methods
of presentation:
Standard Internet blackboard course format with lesson presentations,
discussion boards and scheduled assignments.
Course
Evaluation:
1.
Quizzes:
Ten time-limited quizzes will be given. The questions will be derived from the
previous class session’s lecture. Each quiz must be taken during the assigned
time window. There will be 11 quizzes. They will be short answer in format. You
may drop or miss one quiz (presumably your lowest score). NO
OTHER MAKE-UP WILL BE ALLOWED UNDER ORDINARY CIRCUMSTANCES.
2.
A research proposal will be developed at the specified time during the
semester. It must include defining
a substance abuse practice-based research problem (macro/micro, etc.),
conducting a literature review, selecting an appropriate methodology to research
the presented problem and your anticipated results (with appropriate
references). More information will be provided at a later time.
3.
Examinations: A mid-term and a final examination will be given during
those associated periods with the dates to be announced.
4.
Two special discussion periods will be assigned, but not graded. You will
be encouraged to thoughtfully provide your opinion, but you will not be graded
(it will however be counted against you if you fail to sign on and participate)
Grading:
Quizzes
= 20%
Grading
Scale: 90-100=A
Research
project=20%
80 -89=B
Mid-term
Exam=30%
70 –79=C
Final
Exam=30%
60 –69=D
<60=F
NOTE:
Open communication is essential to effective social work practice.
Therefore, please discuss any special needs, problems or concerns with
the instructor at the earliest possible convenience.
Course
Outline
READINGS
(1)
INTRODUCTION
Instructor
Notes
NSU
LSBCSAC & LSBCPS Program Organization
(2)
12 Core Functions of Practice plus Knowledge, Skills
Instructor
Notes and Attitudes
(3)
Practice Context & Scope of the Problem 2 – 4
(4)
Historical Perspective on Substance Abuse 4
– 19
(5)
Social work and AODA Treatment 20 – 28
(6)
The Process of Addiction 111 – 143
(7)
The DSM-IV-TR and Substance Abuse Diagnostics Instructor Notes
(8)
Recovery 187 – 202
(9)
The Biology of Addiction 74 – 111
(10)
Alcohol and Drug Biochemistry 74 – 111
(11)
Psychological Theories of Change 111 – 143
(12)
Basic Counseling Skills and Processes 144
- 204
(13)
Crisis Intervention 305 – 340
(14)
Substance Abuse Prevention 144 - 204
(15)
Documentation Instructor Notes
(16)
Course Conclusion Instructor Notes
BIBLIOGRAPHY
AND RESOURCE MATERIAL ARE ATTACHED
NOTE:
The instructor reserves the right to deviate from this course outline
etc. on an as needed basis throughout the semester.
Student
With Disabilities
It
is the policy of NSU to accommodate student with disabilities, pursuant to
federal law, state law, and the university’s commitment to equal educational
opportunities. Any student with a
disability who needs accommodation, for example in seating placement or in
arrangements for examinations, should inform the instructor at the beginning of
the course. Students with
disabilities are encouraged to contact Disability Services, which is located in
Kyser Hall, room 237, telephone 357-6950 (TTD) 357-4393.
An
additional reading list and writing assignment relevant to the course and
commensurate with graduate level study will be assigned to any graduate student
who registers for the course. The graduate student will complete the assigned
readings and then a 12-15 page, double-spaced typed research paper considering
diagnosis and treatment of substance abuse (APA style). Graduate student grades
will be evaluated at 30% for each of two examinations, 5% for quizzes and 40%
for the two research papers.
Attendance,
Late/Missed Work & Cheating Policy
Internet
attendance of this class is assessed by NSU policy.
Quizzes are given throughout the semester.
No make-up assignments for these quizzes are given under most
circumstances. In addition, most test material will be taken from what is
gone over in class sessions. LATE
WORK AND MISSED ASSIGNMENTS WILL NOT BE ACCEPTED WITHOUT A UNIVERSITY APPROVED
EXCUSE. CHEATING ON ANY ASSIGNMENT
WILL RESULT IN AN AUTOMATIC 0 AND YOU WILL RISK RECEIVING AN F SEMESTER GRADE.
Annotated
Bibliography:
Barnes, G.M; Farrell, M.P.; and Cairns, A.L. Parental socialization factors
and adolescent drinking behaviors. Journal of marriage and family
48:27-36, 1986.
This article provides an excellent theoretical and
empirical perspective on the centrality of the family, particularly parental
role modeling and socialization processes, as a nexus for other social,
psychological, and biological influences that may contribute to adolescent
drinking behavior. The theoretical
framework is particularly relevant for translation to social work practice
emphases. The authors provide an
excellent view of the relationship between family structural factors, parental
role modeling, and family system dynamics and the development of adolescent
drinking behaviors.
Begleiter, H., and Porjesz, B. Potential biological markers in individuals at high
risk for developing alcoholism. Alcoholism: clinical and Experimental
Research 12:488-493, 1988.
This
article provides a good clinical and scientific, but technical, presentation of
the biological markers for vulnerability to alcoholism.
It discusses a composite of liabilities intrinsic to the organism and a
myriad of risk factors that can interact with environmental factors to augment
the likelihood of alcoholism for those who have a biological predisposition to
alcoholism.
Downs, W.R.; Flanagan, J.; and Robertson, J.F. Labeling and rejection of
adolescent heavy drinkers: Implications for treatment. Journal of Applied
Social Sciences 10:1-19, 1985-1986.
This
article uses research data to discuss how labeling and rejection affect youthful
alcohol abusers and what types of interventions may be necessary to avert the
loss of “normal” and “abusing” peer supports that adolescent users
experience. It is relevant for
applied purposes, because it provides data-based insights and some treatment
suggestions.
Gomberg, E.S.L Alcoholic women in treatment: Early histories and early
problem behavior. Advances in Alcohol and Substance Abuse
8:133-147, 1989.
This
article discusses and describes characteristics, early history, and general
background of the AOD use and misuse by women who enter s treatment.
It is easy to read.
Holder, H.D., and Flose, J.O. Alcoholism treatment and total health care
utilization and costs. Journal of the American Medical Association
256(11): 1456-1460, Sept. 1986.
This
article presents the results of a controlled treatment outcome study that
examined the effect of alcoholism treatment services on overall health care
utilization and costs for health insurance enrollees in a Federal and private
health insurance program. It used
claims filed by treated alcoholics and their family members over a four-year
period. It clearly demonstrates the positive effects and reduced
costs of treatment for both the alcoholic and the family members.
This article is an excellent resource to demonstrate the cost benefits
and positive effects of treatment.
Holder, H.D., and Hallan, J.B. Impact of alcoholism treatment on total health
care costs: A six-year study. Advances in Alcohol and Substance Abuse
6(1): 1-15, Fall, 1986.
This
article reports a well-designed year-year longitudinal study to assess whether a
primary diagnosis and treatment of alcoholism reduced total health care costs or
utilization for both the alcoholic and other, nonalcoholic family members.
The results indicated that utilization and costs of all forms of
inpatient care – for both the alcoholic and family members – dropped after
treatment began and ultimately reached the level of the comparison group.
Leonard, K.E. Family processes and alcoholism. In Collins, R.L.,; Leonard,
K.E.; and Searles, J.S., eds. Alcohol and the Family. New York:
Guilford Press, 1990. pp. 272-284.
This
chapter reviews and summarizes state-of-the-art research on family processes and
alcoholism. It also addresses
future research directions.
Luckey, J.W. Justifying alcohol treatment on the basis of cost savings: The
“offset” literature. Alcohol Health and Research World. Fall: 8-15.
1987.
This
article uses excellent data to provide an up-to-date review of the advantages of
health and treatment coverage for alcohol misuse and abuse.
It takes the position that the alcohol field has encountered difficulty
in becoming fully accepted as a component of mainstream health care because of
the lingering misconception that treatment is ineffective.
It discusses the role of insurance companies in failing to cover
the treatment costs for AODA during the past decade.
It reviews a series of studies known as the “offset” literature to
document the fact that most recipients of treatment experience major reductions
in long-range health care costs.
Miller, W.R., and Hester, R.K. Treating alcohol problems: Toward an informed
eclecticism. In Hester, R.K., and Miller, W.R., eds. Handbook on
Alcoholism Treatment Approaches. New York: MacMilan, 1989.
This
article provides a very good review of the variety of theoretical approaches for
understanding the etiology of alcohol abuse.
It uses this perspective to discuss treatment approaches, intervention
levels, and types of prevention and interventions strategies suggested by each
of the theoretical perspectives.
National Institute of Drug Abuse. Substance Abuse Among Blacks. NIDA
Pub. No. C-89-05.
Rockville, MD: NIDA, Oct. 1989
This
document is an excellent statistical and reference resource, presenting data on
the patterns of substance abuse among Blacks.
The data dispels myths regarding the extent of substance abuse that is
attributed to Blacks as a racial group.
Newcomb, M.D., and Bentler, P.M. Consequences of Adolescent Drug Use.
Beverly Hills: Sage, 1988.
This
book is an excellent resource for those who are interested in the consequences
of adolescent drug use. It uses a
unique longitudinal database of 654 young adults who have been followed since
early adolescence to examine the effects of adolescent drug use on young adult
family formation and stability, deviant behavior, sexual behavior and
involvement, educational pursuits, mental health, and social integration. It also discusses the emotional impact from the use of
various drugs (i.e., cocaine, alcohol, and PCP) on young adult development.
Schilit, R., and Gomberg, E.S.L. Drugs and Behavior. New York: Sage,
1991.
This
book is an excellent resource for human services professionals.
It is an impressive volume that providers a comprehensive review of drugs
and behavior; it also contains information on psychopharmacology and the central
nervous system relevant to drug use. This
book discusses the impact of AODA on the family and community and describes
various types of drugs (hashish, alcohol, central nervous system depressants,
hallucinogens, nicotine, and marijuana). This volume is unique in that it covers topics that are often
excluded from other resources, including etiological and explanatory theories,
assumptions involved in different treatment modalities, and AOD use patterns
among special populations – patterns related to age, gender, and ethnicity.
It is one of the few books that devote a chapter to substance use and
abuse among the elderly.
Schonfeld, L., and Dupree, L.W. Antecedents of drinking for early – and
late-onset elderly alcohol abusers. Journal of Studies on Alcohol. 52:6,
587-592, 1989.
This
article reports on antecedents of drinking among older adults, focusing on two
types of drinkers: early-onset and late-life drinkers.
It discusses the more established alcohol abuse or misuse among
early-onset drinkers. Late onset
drinking is usually associated with role losses due to age and developmental
decrements and is easier to treat.
Simons, R.L., and Robertson, J.F. The importance of parenting factors, deviant
peers and coping styles in the etiology of adolescent substance use.
Family Relations 38:278-281, July, 1980.
This
article is a good resource for social work practice concerns.
It focuses on the relationship between adolescent substance use and
family factors, friendship associations, and coping strategies.
In particular, it presents an empirically based discussion of how such
factors as parental acceptance and warmth, perceived parental rejection, family
conflict, peer relationships, and coping styles are implicated in the
development of adolescent abuse. It
also has a section on he implications for practices.
Wiseman, J.P. The Other Half: Wives of Alcoholics and Their
Social-Psychological Situation.
New York: Aldine de-Gruyter, 1991.
This
book is a very good resource for understanding spouses of alcoholics.
It provides the results of an ethnographic cross-cultural study of wives
of alcoholics in the United States and Finland that is well grounded in symbolic
interaction theory and is methodologically sophisticated.
The book has an excellent chapter on the rational for use qualitative
strategies both for fieldwork and for interpreting and analyzing data.
The study provides an understanding of the fit between within-person
variables and the economic, social, and extended family conditions that
influence wives’ conception.
Resource
List – AOD Information and Materials
·
ACTION, 806 Connecticut Ave., NW., Washington, DC 20525. (202) 634-9759.
·
AL-ANON FAMILY GROUPS, P.O. Box 862, Midtown Station, New York, NY
10018, (212) 302-7240.
·
ALCOHOL AND DRUG PROBLEMS ASSOCIATION OF NORTH AMERICA, 444 North Capitol
St., Suite 191, Washington, DC 20001, (202) 737-4340.
·
ALCOHOLICS ANONYMOUS (AA), P.O. Box 459, Grand Central Station, New York,
NY 10163, (212) 686-1100.
·
AMERICAN COUNCIL FOR DRUG EDUCAION, 204 Monroe St., Rockville, MD 20850,
() 294-0600.
·
BOY SCOUTS OF AMERICA, Drug Abuse Task Force $200, 1325 Walnut Hill Lane,
Irving, TX 75038-3096, (214) 580-2000.
·
CENTER FOR SUBSTANCE ABUSE PREVENTION (CSAP), 5600 Fishers Lane, Rockwall
II Bldg., Rockville, MD 20852, (301) 443-0373.
·
CHEMICAL PEOPLE PROJECT, WQED-TV, 4802 Fifth Ave., Pittsburgh, PA
15213. (412) 391-0900.
·
DAVID M. WINFIELD FOUNDATION, Turn It Around Campaign, 2050 Center Ave.,
Fort Lee, NJ 07024, (201) 461-5535.
·
ENTERTAINMENT INDUSTRIES COUNCIL, INC., 1760 Reston Parkway, Suite 415,
Reston, VA 22090, (703) 481-1414.
·
FAMILIES IN ACTION, 2296 Henderson Mill Rd., Suite 204, Atlanta, GA
30045, (404) 934-6364.
·
HAZELDEN FOUNDATION, Pleasant Valley RD, Box 176, Center City, MN
55012-0176, (800) 328-9000.
·
INSTITUTE ON BLACK CHEMICAL ABUSE (IBCA), 2614 Nicollet Ave.,
Minneapolis, MN 55408, (612)
871-7878.
·
INTERNATIONAL COMMITTEE ON ALCOHOL, DRUGS, AND TRAFFIC SAFETY, NATIONAL
SAFETY COUNCIL, 444 North Michigan Ave., Chicago, IL
60611-3991, (312) 527-4800.
·
JUST SAY NO FOUNDATION, 1777 North California Blvd., Suie 200, Walnut
Creek, CA 94596, (800) 258-2766.
In Caifornia call (415) 939-666.
·
JUVENILE JUSTICE CLEARINGHOUSE, Box 6000, Rockville, MD 20850, (301)
251-5307, (800) 638-8736
·
MOTHERS AGAINST DRUNK DRIVERS (MADD), 669 Airport Freeway, Hurst, TX
76053, (817) 268-6233.
·
NARCOTICS ANONYMOUS (NA), World Service Office, P.O. Box 9999, Van Nuys,
CA 91409, (818) 780-3951.
·
NATIONAL ASSOCIATION FOR CHILDREN OF ALCOHOLICS, 31582 Coast Highway,
Suite B, South Laguna, CA 92677,
(714) 499-3889.
·
NATIONAL ASSOCIATION OF STATE ALCOHOL AND DRUG ABUSE DIRECTORS (NASADAD),
444 North Capitol St., NW., Washington, DC 20001, (202) 783-6868.
·
NATIONAL CLEARANCEHOUSE FOR ALCOHOL AND DRUG INFORMATION (NCADI), P.O.
Box 2345, Rockville, MD 20852,
(301) 438-2600.
·
NATIONAL COUNCIL ON ALCOHOLISM (NCA), INC., 12 West 21st St.,
New York, NY 10010, (212) 206-6770.
·
NATIONAL CRIME PREVENTION COUNCIL, SUBSTANCE ABUSE PREVENTION PROGRAMS,
733 15th St., NW., Room 540, Washington, DC
20005, (202) 393-7141.
·
NATIONAL EDUCATION ASSOCIATION (NEA), 1201 16th St., NW.,
Washington, DC 20036, (202) 833-4000.
·
NATIONAL PTA DRUG AND ALCOHOL ABUSE PREVENTION PROJECT, 700 North Rush
St., Chicago, IL 60611, (312)
787-0977.
·
PARENTS’ RESOURCE INSTITUTE FOR DRUG EDUCATION (PRIDE), 100 Edgewood
Ave., Suite 1216, Atlanta, GA 30303,
(404) 310-9000. HOTELINE: (800) 241-9476.
·
SMART MOVES, Boys Clubs of America, 771 First Ave., New York, NY
10017, (212) 351-5900.
·
U.S. DEPARTMENT OF EDUCATION, ALCOHOL AND DRUG ABUSE EDUCATION PROGRAM,
400 Maryland Ave., SW., Room 4145, MS 6411, Washington, DC
20202, (202) 732-3030.
·
WORLD YOUTH AGAINST DRUGS (WYAD), 100 Edgewood Ave., Suite 1216, Atlanta,
GA 30303m (800) 241-9746.
YOUTH TO YOUTH, 700 Bryden Road, Columbus, OH 43215, (614) 224-4506.