Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change

Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change

Helping Individuals, Families, and Groups to Empower Themselves

This book is the first to utilize the empowerment approach of social work practice with substance-abusing clients, bridging clinical, community, and social policy approaches in order to place individual addiction in its sociopolitical context. As Lorraine Gutiérrez points out in her foreword, the book "challenges us to transform our thinking about substance abuse and move beyond our existing focus on individual deficits." Arguing that pathology-focused definitions of substance abuse tend to transform people into their problems, Freeman instead advocates for strengths-centered policies and regulations as the means to empower clients, communities, and society as a whole.

Freeman outlines basic empowerment principles and practices, then details the service delivery processes; offers a context for power, policy, and funding decisions; and examines the needs of special populations. Case examples supplement each chapter, and the final part examines four exemplary programs that demonstrate the empowerment process in action.
  • Table of Contents
  • Series Editor’s Note
  • Foreword
  • Preface and Acknowledgments
  • Part 1. Foundations of Empowerment Principles and Practice in Substance Abuse Services
    • 1. Conceptual, Theoretical, and Research Issues Related to Empowerment Practice
    • 2. Understanding the Substance Abuse and Addiction Process from an Empowerment Perspective
  • Part 2. The Multilevel Substance Abuse Service System: A Context for Power, Policy, and Funding Decisions
    • 3. The Substance Abuse Policy and Funding Subsystem: Sociopolitical and Power Issues
    • 4. The Community Development and Primary Group Subsystem: Sources of Power, Resiliency, and Substance Abuse Prevention
    • 5. The Substance Abuse Program Subsystem: Organizational, Administrative, and Direct Service Issues
  • Part 3. An Empowered Substance Abuse Service Delivery Process: Expanding the Client-Centered Continuum of Care
    • 6. Intervention: An Empowerment-Based Preservice Foundation for Prevention and Rehabilitation
    • 7. Community Prevention: Empowerment, Systems Change, and Culturally Sensitive Evaluation
    • 8. Assessment: Clients as Experts on Their Experiences, Recovery Motivation, and Power Resources
    • 9. Group Approaches to Collective Empowerment in Rehab, Self-Help, and Prevention Programs
    • 10. Family-Centered Rehabilitative Services: Intergenerational and Nuclear Family Empowerment and Evaluation Strategies
    • 11. Building on Cultural Diversity in Client-Centered Individual Work: Implications for Self-Empowerment
    • 12. Phased Services During Aftercare and Termination: Evaluation of Empowerment Outcomes
  • 4. Part 4. Empowering, Microcosm, and Empowered Substance Abuse Programs: The Voices of Special Populations
    • 13. New Alternatives: A Drug and Alcohol Rehab Program for a Multicultural Adolescent Population
    • 14. Restore and Repair: Perinatal Rehab Services for Women and Children
    • 15. Recovery Works: Rehab Services for Adults with Dual Diagnoses
    • 16. Dareisa Rehab Services: A Culture-Specific Program for African American Adults
  • Epilogue: Lessons Learned from Empowerment Research: Implications for the Future of Empowerment Practice
  • References
  • Index

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