SWK FINAL

rules of an alcoholic family

don't talk, don't trust, don't feel talking about the problem is difficult after not talking about it for so long when children lose their sense of safety and when rituals and routines are perpetually broken end result as children in alcoholic or addict homes get out of touch with feelings they cannot communicate that do not get validated

moderation for males (moderation management)

no more than four drinks per day and no more than four drinking days per week and no more than fourteen standard drinks per week

moderation for females

no more than three standard drinks per day, no more than four drinking days a week, and no more than nine drinks per week

historical trauma, what is it?

refers to the cumulative cultural emotional and psychological wounding across generations that results from a person's collective dramatic experiences. substance abuse, suicide, depression, anxiety, and difficulty expressing emotions and features most frequently associated with this

Al-Anon

serve families of AA members, started as just wives, not men are involved too - focus is on group support and establishing independence from the sick patterns associated with addiction - clients should be prepared for a open and friendly and intrusive setting - the 12 steps are pertaining to people who are powerless not over alcohol but over another use of alcohol.

kerr vs. farrey

Kerr is a prisoner that had his first amendment rights violated because he was coerced into attending a NA program and if he would not attend, he would be transferred to a medium security prison. He did not want to take the program because of religious reasons. If SMART or Women for sobriety are offered additionally to AA or NA, rights are not violated (key factor)

group to attend that focuses on managing your drinking

alcohol anonymous - gamblers anonymous - women for sobriety - smart recovery {{{{{{moderation management}}}}}}

CRAFT

a motivational approach - community reinforcement and family training approach - trains family members in how beset to deal with the addicted client and getting them into treatment - 12 hour sessions created by robert myers - therapists teaches families skills needed to help change their interaction style and develop a new way of dealing with the drinker or drug user. encourages participants to take care of their personal needs and to provide positive feedback when their loved ones is sober - utilizes an approach that is conceptually opposite to al-anon in counseling family members that indeed they can have an influence on their loved ones substance use and on initiating treatment - teaches specific skills to family members in the belief that they can make a difference - reinforcement for reduction in alcohol or drug use, encouragement to seek help, scheduling other events during usual substance use periods, and emotional withdrawal when he or she is using

assets of drug dealers, what happens

a person's money and property can be seized on the presumption of guilt instead of innocence - federal and state law enforcement agencies do this and keep most of the proceeds - because of power abuse some states have created reforms that in order for seizure of assets, criminal conviction must occur first and then send the property to other budgets such as education rather than law enforcement. when assets of drug dealers are seized, the whole family and other uninvolved people suffer - even if charges are dismissed, results can be devastating

major thesis of chapter 10 on family counseling

elicit residence and healing in family members rather than focusing on the family's presumed role in perpetuating addiction - phase approach - views treatment needs in terms of the five basic intervals - pre contemplation to maintenance. family rules, roles, communication, love

harm reduction as it applies to chapter 13

harm reduction is more adaptable to people based on their geographical locations, poverty level -- the more money that is available for materials such as syringes, the more success a state will have with providing harm reduction

moderation management

mutual help group dedicated to supporting individuals who have a desire to drink alcohol moderately. Drinking problems are viewed as bad habits rather than a disease. Not intended for "those who experience significant withdrawal symptoms when they stop drinking or those with an physical or mental condition, including pregnancy that could be adversely affected by alcohol even in moderate amounts. Not indented for former dependent drinkers who are not abstaining viewed as a prevention measure or a harm reduction strategy for persons who wish to drink moderately

poverty rates and families

native american holds the fist with 27.6 percent and african americans holds the second with 22.4 percent

metaphor disease; three fold disease including what three parts

physical, mental, and spiritual - to be fully human, the physical mental and spiritual parts must be integrated. "disease" negative - emphasizing pathological, not the healthy positive - emphasizing wellness and nonhierarchical and collaborative helping relationships and recovery goals

SMART recovery

self management and recovery training, another alternative mutual help group as an offshoot of rational recovery drawn from the principles of cognitive behavioral therapy and and rational emotional behavior therapy developed by albert ellis addiction is viewed as more of a maladaptive behavior than a disease and could arise from both substances use and involvement in activities "we assume that there are degrees of addictive behavior and that all individuals to some degree experience it"

items addressed in substance abuse treatment but ignored by professional therapist

therapists often conceptualize substance misuse as a symptom and dysfunction in the family that serves a purpose within the family unit. family therapy focuses on inner dynamics of the family but substance abuse treatment is geared toward the client and involves the family only for the purpose of helping the client with the addiction problem. spiritually addressed in substance abuse treatment but relatively ignored in family therapy family therapists ten to overlook the stress imposed on family and substance abuse focuses on the addictive behavior itself outside of the context of family dynamics

goals of smart recovery

to help individuals gain independence from addictive behavior through abstinence and to teach people how to enhance and maintain motivation to abstain, cope with urges, manage thoughts feelings and behavior, and balance momentary and enduring satisfactions. In order to accomplish this, cognitive behavior techniques, communication skills/anger management skills, and stress management techniques are incorporated into meetings the meetings are discussions of primary goals, activating events, and analysis of the events using a cognitive approach personal homework project are usually assigned to put ideas from meetings into practice Coordinators are volunteers trained from literature available at the website, recommended readings, and regular consultation with a volunteer professional advisor who is typically a licensed professional with addiction training and experience. the program online offers a message board, online library, chat room, meetings, voice chats, and special event speakers

MM strategies

voluntary abstention from alcohol for 30 days during which the person is asked to examine how drinking has affected his or her life, write down priories, and take a look at how much how often and under what circumstances drinking occurs

know what the concept of mandatory minimum sentence is

women of color have been disproportionately affected by this passed by congress in 1986 and signed by the president in the urgent rush to capitalize on the much publicized death of college basketball star Len Bias who died from an overdose of cocaine drug offenders are sentenced to a certain number of years in prison without parole, often a minimum of five years and up to life. Hardest sentences are reserved for crimes related to crack cocaine laws geared towards dealers but also applied to anyone involved in a drug conspiracy