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Sandra Anderson - Substance Use Disorders in Lesbian, Gay, Bisexual, and Transgender Clients

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Substance Use Disorders in Lesbian, Gay, Bisexual, and Transgender Clients
FOUNDATIONS OF SOCIAL WORK KNOWLEDGE
Foundations of Social Work Knowledge
Frederic G. Reamer, Series Editor
Social work has a unique history, purpose, perspective, and method. The primary purpose of this series is to articulate these distinct qualities and to define and explore the ideas, concepts, and skills that together constitute social works intellectual foundations and boundaries and its emerging issues and concerns.
To accomplish this goal, the series will publish a cohesive collection of books that address both the core knowledge of the profession and its newly emerging topics. The core is defined by the evolving consensus, as primarily reflected in the Council of Social Work Educations Curriculum Policy Statement, concerning what courses accredited social work education programs must include in their curricula. The series will be characterized by an emphasis on the widely embraced ecological perspective; attention to issues concerning direct and indirect practice; and emphasis on cultural diversity and multiculturalism, social justice, oppression, populations at risk, and social work values and ethics. The series will have a dual focus on practice traditions and emerging issues and concepts.
David G. Gil, Confronting Injustice and Oppression: Concepts and Strategies for Social Workers
George Alan Appleby and Jeane W. Anastas, Not Just a Passing Phase: Social Work with Gay, Lesbian, and Bisexual People
Frederic G. Reamer, Social Work Research and Evaluation Skills
Pallassana R. Balgopal, Social Work Practice with Immigrants and Refugees
Dennis Saleeby, Human Behavior and Social Environments: A Biopsychosocial Approach
Frederic G. Reamer, Tangled Relationships: Managing Boundary Issues in the Human Services
Roger A. Lohmann and Nancy L. Lohmann, Social Administration
David M. Austin, Human Services Management: Organizational Leadership in Social Work Practice
Roger A. Lohmann and Nancy L. Lohmann, Social Administration
Toba Schwaber Kerson, Boundary Spanning: An Ecological Reinterpretation of Social Work Practice in Health and Mental Health Systems
David M. Austin, Human Services Management: Organizational Leadership in Social Work Practice
Anthony M. Maluccio, Barbara A. Pike, and Elizabeth M. Tracy, Social Work Practice with Families and Children
Joan Shireman, Critical Issues in Child Welfare
Robert G. Madden, Essential Law for Social Workers
Jerrold R. Brandell, Psychodynamic Social Work
Frederic G. Reamer, Social Work Malpractice and Liability: Strategies for Prevention, Second Edition
Stuart A. Kirk, Mental Disorders in the Social Environment
Sheila H. Akabas and Paul A. Kurzman, Work and the Workplace
Frederic G. Reamer, Social Work Values and Ethics, Third Edition
Nancy R. Hooyman and Betty J. Kramer, Living Through Loss: Interventions Across the Life Span
Thomas P. Holland and Roger A. Ritvo, Nonprofit Organizations: Principles and Practices
Substance Use Disorders in Lesbian, Gay, Bisexual, and Transgender Clients
Assessment and Treatment
SANDRA C. ANDERSON
Picture 1
Columbia University Press New York
Columbia University Press
Publishers Since 1893
New York Chichester, West Sussex
cup.columbia.edu
Copyright 2009 Columbia University Press
All rights reserved
E-ISBN 978-0-231-51269-5
Library of Congress Cataloging-in-Publication Data
Anderson, Sandra Caughran, 1942
Substance use disorders in lesbian, gay, bisexual, and transgender clients :
assessment and treatment / Sandra C. Anderson.
p. cm.(Foundations of social work knowledge series)
Includes bibliographical references and index.
ISBN 978-0-231-14274-8 (cloth : alk. paper)ISBN 978-0-231-14275-5 (pbk. :
alk. paper)ISBN 978-0-231-51269-5 (ebook)
1. Sexual minoritiesSubstance use. 2. Substance abuseTreatment.
I. Title. II. Series
HV4999.S49A53 2009
616.860086'6dc22
2009007999
A Columbia University Press E-book.
CUP would be pleased to hear about your reading experience with this e-book at .
References to Internet Web sites (URLs) were accurate at the time of writing.
Neither the author nor Columbia University Press is responsible for URLs that may
have expired or changed since the manuscript was prepared.
This book is dedicated to
Nancy, Christopher, Jennifer, Jason, Sophie, and Evan
Contents
A number of people have been instrumental in the writing of this book. A posttenure review award from Portland State University allowed me to have a graduate research assistant, Gy Holady, who was of enormous help in locating and reviewing existing literature on substance use disorders in LGBT populations. Relevant clinical case examples were provided by Michele Pearce and Tia Plympton. I am particularly indebted to Tia, who also contributed a valuable critique of the first draft of the book, and to Outside In, the Portland social service agency where she is an HIV-prevention specialist. Outside In provides healthcare, syringe exchange, housing, and mental health and substance abuse services for homeless and low-income youth and young adults. These services are critical to helping Oregon youth, many of whom are LGBT, successfully transition off the streets.
In addition, I am grateful to the other readers of the first draft of this book. Maria Talbott provided excellent suggestions, as did Ann Fields, whose expertise in motivational interviewing was particularly helpful. I thank them both for their thoughtful critical feedback as well as their friendship. My thanks also to Rick Reamer, editor of the Foundations of Social Work Knowledge Series, and Lauren Dockett, editor at Columbia University Press, who have provided support and helpful ideas since the initiation of this project.
It is impossible to adequately thank my partner, Nancy E. Wilder, who mastered relevant databases, searched diligently for obscure articles, and read and word-processed numerous drafts. Her attention to detail and wise counsel throughout the entire process were invaluable to me. Throughout late nights, weekends, and holidays spent writing, her patience and encouragement were unwavering.
My final thanks go to the most important contributors of allthe clients who have trusted me with their stories for the past forty-four years.
Goals of the Book
Treatment of substance use disorders in lesbian, gay, bisexual, and transgender (LGBT) clients is critically important, yet underexamined, in the professional research and clinical literature. Human service professionals who work with these clients must have access to the latest research on the treatment of substance use disorders as well as current knowledge of the unique challenges of working with LGBT clients. This book aims to bring together the most up-to-date knowledge bases in both of these areas, to provide the reader with state of the art information in treating substance use disorders in LGBT clients. Substance use disorders and sexual orientation and gender identity are defined, and heterosexism, relevant diversity issues, ethical challenges, and assessment and work with LGBT clients are examined. Practice with individuals, couples, families, and small groups, as well as practice at the program level, is discussed. Case materials are derived from the independent practice of the author and from social service agencies that treat LGBT clients with substance use disorders.
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