BOISE STATE UNIVERSITY

SCHOOL OF SOCIAL WORK

COURSE OUTLINE

SOCWRK 583 Dr. Harkness

Spring, 2002 Office: E-712

Tuesday 10:40 AM - 12:30 PM Phone: 426-3148

WS 107 Dharkne@boisestate.edu

Hours: M 8:30 - 12:30, 1:00 - 3:00

SW 583

SELECTED TOPICS

ALCOHOLISM AND SUBSTANCE ABUSE

I. COURSE DESCRIPTION:

Examines theories and causes of alcoholism and substance abuse; criteria for assessment and major treatment approaches for working with individuals and families.

II. LEARNING OBJECTIVES:

Upon completion of this course the student will be able to:

A. Demonstrate sensitivity to the role of ethnicity (with particular emphasis where appropriate on the minority populations of Idaho), race, gender, age, sexual orientation, ability, and community norms as governing contexts of human behavior in the assessment and treatment of alcoholism and substance abuse.

B. Conduct multidimensional assessments of adults for alcoholism and substance abuse;

C. Review and evaluate the scientific literature to identify the state of the art of intervention and its outcomes for alcoholism and substance abuse with individuals and families;

D. Identify and describe the role and consequences of the oppression of individuals and groups in the etiology, assessment, treatment, and treatment outcomes of alcoholism and substance abuse.

E. Formulate and defend a plan informed by multidimensional assessment and the state of the art to improve through intervention the psychosocial functioning of a substance-abusing adult and her or his family.

III. COURSE REQUIREMENTS:

Students are expected to conduct substantive independent inquiry to amplify and augment core readings that include texts and handouts. Independent inquiry is organized by reaction papers and a major class project. Seminar participants will participate in appropriate self-disclosure to examine patterns of substance abuse and related attitudes in the classroom in preparation for professional practice. Seminar participants will examine the assessment and treatment of substance abuse in the shifting light of helping praradigms that emphasize consumer strengths as well as those which focus attention on pathology. Seminar participants will respect the confidentiality of collegial communication.

Submit two copies of each assignment, an original for feedback and a xerox for the instructors records. All written work must be word processed, free of error, in APA style. The APA manual is available in libraries and book stores. Staple the pages of each assignment in the upper left-hand corner. Do not use paper clips, and do not submit your work in plastic notebook covers, folders, or binders. Use bond paper. Do not use onion skin or erasable paper. Make sure that your name and SW 583 are typed on the paper. Submit an original and a copy of each assignment. The original will be returned; the copy will be kept.

Reaction Papers

Students will prepare and submit four reaction papers. Each reaction paper should discuss topical issues and exhibit independent inquiry and conceptualization of topical issues in light of assigned and extracurricular readings and experiences.

The first page of each reaction paper is an annotated bibliography of readings. The basis in addition to the texts for each reaction paper is to be five books, book chapters, or articles from refereed journals. Citations should conform in style to the APA standards adopted by the major social work journals.

Your selections should be guided by two considerations: (a) the selections should share a common focus, and (b) the selections should reflect different points of view. The discussion section of reaction papers should conceptualize as a controversial issue the focus of the selected literature, cull and organize from the literature the relevant evidence and arguments, and justify speculative implications for social work practice. The Encyclopedia of Social Work is often a useful point of departure. Articles that survey the literature identify sources of consensus and controversy. Historical articles give perspective. Follow citations to select literature for your examination and discussion.

Each reaction paper shall consist of four typewritten pages of well-organized discussion, double-spaced with one-inch margins on white bond paper, and free of error. Submit the original and one copy. The instructor will retain the copy.

The four topical issues for discussion are (a) multi-cultural views of substance use and abuse, (b) theories and methods of substance abuse assessment, (c) self-help groups, and (d) theories, methods, and outcomes of substance abuse treatment.

Multi-cultural views of substance use and abuse:

Discuss the construct of substance abuse in light of diversity, integrating assigned and three or more extracurricular readings (e.g., women and alcohol, chewing "khat" in Yemen and Somalia, peyote utilization in the Native American Church).

Due: Week 3

Models and methods of substance abuse assessment: Describe and evaluate models and methods of substance abuse assessment in light of assigned and three or more extracurricular readings. Due: Week 6

Self-help groups:

Describe and evaluate the role and process of self-help groups in the treatment of substance abuse, integrating assigned and one or more extracurricular readings in light of a visit to an open self-help group meeting (e.g., AA, NA, etc.).

Due: Week 9

Models and methods of substance abuse treatment: Describe and evaluate models, methods, and outcomes of substance abuse treatment in light of assigned and three or more extracurricular readings.

Due: Week 12

Major Project

The major assignment will be a 30 minute classroom presentation of the assessment and plan of treatment for a case of substance abuse. Students will provide their colleagues with appropriate case study reports and supporting material one week in advance of presentations.

IV. COURSE GRADE:

The letter grade "B" reflects good graduate-level work. The letter grade "A" is reserved for work of consistent and exceptional quality.

Reaction Papers: 50%

Major Assignment: 50%

V. REQUIRED TEXTS:

Daley, D. and Raskin, M. (1991). Treating the chemically dependent and their families. Sage Publications: Newbury Park, California.

Lewis, J., Dana, R., & Blevins, G. (1994). Substance abuse counseling (2nd ed.). Pacific Grove, Ca.: Brooks/Cole Publishing.

Mooney, A., Eisenberg, A., & Eisenberg, H. (1992). The recovery book. Workman Publishing Company: New York, New York.

VI. TOPICAL OUTLINE:

Week 1 Introduction

Asuni, T. (1978). The drug abuse scene in Nigeria. In R. Peterson, R. (Ed.). The international challenge of drug abuse (15-25). Rockville, Maryland: NIDA.

Horton, D. (1991). Alcohol use in primitive societies. In D. Pittman and H. White (Eds.). Society, culture, and drinking patterns reexamined (7-31). New Brunswick, New Jersey: Rutgers Center of Alcohol Studies.

Lewis, J., Dana, R., & Blevins, G. (1994). An introduction to substance abuse counseling. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (1-34). Pacific Grove, California: Brooks/Cole.

Week 2 Substances and Patterns of Abuse

Kingery-McCabe, L., & Campbell, F. (1991). Effects of addiction on the addict. In D. Daley and M. Raskin, Treating the chemically dependent and their families (57-78). Newbury Park, California: Sage.

Lewis, J., Dana, R., & Blevins, G. (1994). Drugs and their effects. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (35-66). Pacific Grove, California: Brooks/Cole.

Raskin, M., & Daley, D. (1991). Introduction and overview of addiction. In D. Daley and M. Raskin, Treating the chemically dependent and their families (1-14). Newbury Park, California: Sage.

Seilhamer, R. (1991). Effects of addiction on the family. In D. Daley and M. Raskin, Treating the chemically dependent and their families (172-194). Newbury Park, California: Sage.

Week 3 Theories of Dependency and Abuse

Anderson, S. (1995). Alcohol use. In NASW, Encyclopedia Of Social Work (19th ed.) (203-215). Washington, DC: Author.

Finagarette, H. (1991). Alcoholism: The mythical disease. In D. Pittman and H. White (Eds.). Society, culture, and drinking patterns reexamined (417-438). New Brunswick, New Jersey: Rutgers Center of Alcohol Studies.

Raskin, M., & Daley, D. (1991). Introduction and overview of addiction. In D. Daley and M. Raskin, Treating the chemically dependent and their families (15-21). Newbury Park, California: Sage.

Gray, M. (1995). Drug abuse. In NASW, Encyclopedia Of Social Work (19th ed.) (795-803). Washington, DC: Author.

Week 4 Assessment

Week 5 Assessment

O'Brien, C., Wesson, D., & Schnoll, S. (1976). Diagnosis and evaluation of the drug abusing patient for treatment staff physicians. Rockville, Maryland: NIDA.

Raskin, M., & Daley, D. (1991). Assessment of addiction problems. In D. Daley and M. Raskin, Treating the chemically dependent and their families (22-56). Newbury Park, California: Sage.

Selzer, M. (1971). The michigan alcoholism screening test: The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 89-94.

Week 6 Treatment

Lewis, J., Dana, R., & Blevins, G. (1988). Assessment and treatment planning. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (67-92). Pacific Grove, California: Brooks/Cole.

McLellan, A., Luborsky, L., Cacciola, J., Griffith, J., McGahan, P., & O-Brient, C. (1985). Guide to the addiction severity index: Background, administration, and field testing results. DHHS Publication No. (ADM)85-1419. Rockville, Maryland: NIDA.

Week 7 Treatment

Lewis, J., Dana, R., & Blevins, G. (1994). Changing substance-use behaviors. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (93-125). Pacific Grove, California: Brooks/Cole.

Lewis, J., Dana, R., & Blevins, G. (1994). Empowering clients through group work. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (126-142). Pacific Grove, California: Brooks/Cole.

Massela, J. (1991). Intervention: Breaking the addiction cycle. In D. Daley and M. Raskin, Treating the chemically dependent and their families (79-99). Newbury Park, California: Sage.

Marion, T., & Coleman, K. (1991). Recovery issues and treatment resources. In D. Daley and M. Raskin, Treating the chemically dependent and their families (100-127). Newbury Park, California: Sage.

Week 8 State of the Art

Koffinke, C. (1991). Family recovery issues and treatment resources. In D. Daley and M. Raskin, Treating the chemically dependent and their families (195-216). Newbury Park, California: Sage.

Lewis, J., Dana, R., & Blevins, G. (1994). Working with families. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (143-168). Pacific Grove, California: Brooks/Cole.

Lewis, J., Dana, R., & Blevins, G. (1994). Maintaining change in substance-use behaviors. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (169-191). Pacific Grove, California: Brooks/Cole.

Week 9 Conceptualization and Measurement of Co-dependency

Harkness, D., & Cotrell, G. (1997). The social construction of co-dependency in the treatment of substance abuse. Journal of Substance Abuse Treatment, 14(5), 473-480.

Harkness, D., Swenson, M., Madsen-Hampton, K., & Hale, R. (2001). The development, reliability, and validity of a clinical rating scale for codependency. Journal of Psychoactive Drugs, 33(2), 159-171.

Harkness, D., & Curtis, S. (2002). In sickness or in health: Gender as a moderator of the relationship among substance abuse in the family of origin, codependent attitude and behavior, and adult-offspring medical problems. (Manuscript submitted for publication)

Week 10 State of the Art

Lewis, J., Dana, R., & Blevins, G. (1994). Preventing substance abuse. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (192-218). Pacific Grove, California: Brooks/Cole.

Lewis, J., Dana, R., & Blevins, G. (1994). Program planning and evaluation. In J. Lewis, R. Dana, and G. Blevins. Substance abuse counseling: An individualized approach (219-243). Pacific Grove, California: Brooks/Cole.

Freeman, E. (1992). State-of-the-art issues in social work treatment. In E. Freeman (Ed.). The addiction process: Effective social work approaches (1-9). New york: Longman.

Jessor, R., Chase, J., Donovan, J. (1980). Psychosocial correlates of marijuana use and problem drinking in a national sample of adolescents. American Journal of Public Health, 70, 604-613.

Kendler, K., Heath, A., Neale, M., Kessler, R., & Eaves, L. (1992). A population-based twin study of alcoholism in women. Journal of the American Medical Association, 268, 1877-1882.

McKay, J., Murphey, R., & Longabaugh, R. (1991). The effectiveness of alcoholism treatment: Evidence from outcome studies. In S. Mirin, J. Gossett, & M. Grobb (Eds.). Psychiatric treatment: Advances in outcome research (pp. 143-158). Washington, DC: American Psychiatric Association.

McClellan, A., Woody, G., Metzger, D., McKay, J., Durell, J., Aterman, A., & O'Brien, C. (1996). Evaluating the effectiveness of addiction treatments: Reasonable expectations, appropriate comparisons. The Milbank Quarterly, 74(1), 51-85.

PROJECT MATCH RESEARCH GROUP. (1997). Matching alcoholism treatments to client hetrogeneity: PROJECT MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58(1), 7-27.

Raskin, M., & Daley, D. (1991). Relapse prevention and treatment effectiveness studies. In D. Daley and M. Raskin, Treating the chemically dependent and their families (128-171). Newbury Park, California: Sage.

Treaster, J. (1992). 20 years of war on drugs, and no victory yet. The New York Times, June 14, E-7.

Walsh, D., Hingson, R., Merrigan, D., Levenson, S., Cupples, L., Heeren, T., Coffman, G., Becker, C., Barker, T., Hamilton, S., McGuire, T., & Kelly, C. (1991). A randomized trial of treatment options for alcohol-abusing workers. New England Journal of Medicine, 325, 775-782.

Weisner, C., & Schmidt, L. (1992). Gender disparities in treatment for alcohol problems. Journal of the American Medical Association, 268, 1872-1878.

Week 11 Spring Break

Week 12 Special Topic

Mooney, A., Eisenberg, A., & Eisenberg, H. (1992). The recovery book. Workman Publishing Company: New York, New York.

Week 13 Student Presentations

Week 14 Student Presentations

Week 15 Student Presentations

Week 16 Student Presentations

VII. BIBLIOGRAPHY:

Asher, R. (1992). Women with alcoholic husbands: Ambivalence and the trap of codependency. Chapel Hill: The University of North Carolina Press.

Aguilar, M., DiNitto, D., Franklin, C., & Lopez-Pilkinton, B. (1991). Mexican-american families: A psychoeducational approach for addressing chemical dependency and codependency. Child and Adolescent Social Work, 8, 309-326.

Beckman, L. & Amaro, H. (1984). Patterns of women's use of alcohol treatment agencies. In S. Wilsnack & L. Beckman (Eds.). Alcohol problems in women: Antecedents, consequences, and intervention (319-348). New York: Guilford.

Benson, C. & Heller, K. (1987). Factors in the current adjustment of young adult daughters of alcoholic an problem drinking fathers. Journal of Abnormal Psychology, 96, 305-312.

Brown, S. (1988). Treating adult children of alcoholics: A developmental approach. New York: John Wiley & Sons.

El-Guebaly, N., & Offord, D. (1977). The offspring of alcoholics: A critical review. American Journal of Psychiatry, 134, 357-365.

Fischer, J., Spann, L., and Crawford, D. (1991). Measuring codependency. Alcoholism Treatment Quarterly, 8, 87-99.

Fischer, J., & Crawford, D. (1992). Codependency and parenting styles. Journal of Adolescent Research, 7, 352-363.

Fischer, J., Wampler, R., Lyness, K., and Thomas, E. (1992). Offspring codependency: Blocking the impact of the family of origin. Family Dynamics of Addiction Quarterly, 2, 1-12.

Freeman, E. (1992). (Ed.). The addiction process: Effective social work approaches. New York: Longman.

Katz, S., & Aimee, L. (1991). The codependency conspiracy. New York: Warner Books.

Kreestan, J., & Bepko, C. (1990). Codependency: The social reconstruction of female experience. Smith College Studies in Social Work, 60, 217-232.

Leland, J. (1984). Alcohol use and abuse in ethnic minority women. In S. Wilsnack & L. Beckman (Eds.). Alcohol problems in women: Antecedents, consequences, and intervention (66-96). New York: Guilford.

Lewis, J., Dana, R., & Blevins, G. (1988). An introduction to substance abuse counseling. In J. Lewis, R. Dana, and G. Blevins.Substance abuse counseling: An individualized approach (1-41). Pacific Grove, California: Brooks/Cole.

Lofland, J., & Lejeune, R. (1970). Initial interaction of newcomers in Alcoholics Anonymous: A field experiment in class symbols and socialization. In W. Filstead (Ed.). Qualitative methodology: Firsthand involvement with the social world (107-118). Chicago: Markham.

Lyon, D., and Greenberg, J. (1991). Evidence of codependency in women with an alcoholic parent: Helping out mr. wrong. Journal of Personality and Social Psychology, 61, 435-439.

May, P. (1994). The epidemiology of alcohol abuse among American Indians: The mythical and real properties. American Indian Culture and research Journal, 18(2), 121-143.

Miller, W. (1976). Alcoholism scales and objective assessment methods: A review. Psychological Bulletin, 83(4), 649-674.

Morgan, J. (1991). What is codependency? Journal of Clinical Psychology, 47, 720-729.

O'Brien, P., and Gaborit, M. (1992). Codependency: A disorder separate from chemical dependency. Journal of Clinical Psychology, 48, 129-136.

Peterson, R. (1978) (Ed.). The international challenge of drug abuse. Rockville, Maryland: NIDA.

Putman, E. (1979). The prohibition movement in Idaho, 1863-1934. Unpublished doctoral dissertation, University of Idaho, Moscow.

Putman, E., & Ronnenberg, H. (1982-1984). Pre-prohibition liquor use by the Nez Perce Indians and its interaction with Euro-American liquor questions. Journal of the Nez Perce County Historical Society.

Robinson, B. (1989). Working with children of alcoholics: The practitioners's handbook. Lexington, Massachusetts: Lexington Books.

Selzer, M., Vinokur, A., and Van Rooijen, L. (1975). A self-administered short Michigan alcoholism screening test (smast). Journal of Studies on Alcohol, 36, 117-126

Vannicelli, M. (1984). Treatment outcome of alcoholic women: The state of the art in relation to sex bias and expectancy effects. In S. Wilsnack & L. Beckman (Eds.). Alcohol problems in women: Antecedents, consequences, and intervention (369-412). New York: Guilford.

Weisner, C., & Schmidt, L. (1992). Gender disparities in treatment for alcohol problems. Journal of the American Medical Association, 268, 1872-1878.

West, M., & Prinz, R. (1987). Parental alcoholism and childhood psychopathology. Psychological Bulletin, 102, 204-218.