Substance Abuse Prevention:

Components of a successful substance abuse prevention program are discussed. Substance use and abuse trends in school-aged populations are briefly reviewed. Prevention program strategies deemed desirable through recent research efforts are incorporated in describing a model program. Educational approaches and substance abuse intervention strategies are differentiated. Program planning guideliens are presented and discussed. These guidelines are designed to establish and maintain school and community support for prevention programs.     

A Sociocognitive Analysis of Substance Abuse: An Agentic Perspective

This article presents a social-cognitive theory of substance abuse. The exercise of self-regulatory agency plays a central role in this approach. Perceived self-efficacy is the foundation of human agency. Unless people believe they can produce desired effects by their actions, they have little incentive to act. Self-efficacy beliefs promote desired changes through cognitive, motivational, affective, and choice processes. Perceived self-efficacy exerts its effects on every phase of personal change—the initiation of efforts to overcome substance abuse, achievement of desired changes, recovery from relapses, and long-term maintenance of a drug-free life. Assessments of perceived efficacy identify areas of vulnerability and provide guides for treatment. Substance abuse is a social problem, not just a personal one. Reducing substance abuse also requires policy initiatives and social remedies achieved through the exercise of collective efficacy.     

Disability and Family Intervention: A Perspective for Counselors

Thomas H. Hohenshil and Rodney K. Goodyear , Special Assignment Editors Disability and Family Intervention: A Perspective for Counselors Hilda P. Versluys, Physical Rehabilitation and Family Dynamics. Rehabilitation Literature, March-April, 1980, 41 (3–4), 58–65.     

Clinical Supervision of Substance Abuse Counselors: Current and Preferred Practices

A national survey of substance abuse counselors (N = 134) was conducted to learn their current and preferred supervision practices. Results are presented for the entire sample, as well as within-group comparisons based on counselor recovery status and education level.     

Mediation: An Intervention Strategy for Counselors

Conflict resolution is a rapidly expanding field, one in which counselors need to be more knowledgeable. An overview of conflict resolution and mediation concepts is presented with a comparison to therapeutic counseling interventions. Applications are provided for various areas such as family mediation, community disputes, and mediation in public education. Implications for counseling and the role of the counselor are discussed.     

School-Based Substance Abuse Prevention Programs

Substance abuse has been identified as a significant problem among adolescents. Personal and social coping skills training programs implemented in school settings have shown evidence of effectiveness as a primary prevention approach. Early intervention programs for students most at risk are also needed, however, few have been adequately evaluated. Special services providers possess training and skills that are well suited for planning and implementing school-based programs that address the substance abuse issue.     

Perceptions of the Supervisory Relationship: Recovering and Nonrecovering Substance Abuse Counselors

The unique set of dynamics found in the substance abuse field (i.e., recovering and nonrecovering counselors and supervisors) calls for a separate examination of the supervisory relationship within this context. The authors examined differences in counselors' perceptions of the supervisory relationship based on counselor and supervisor recovery status, and the match or mismatch of counselor and supervisor recovery status. Substance abuse counselors (N = 547) working in a statewide public mental health system located in the Southeast rated satisfaction with supervision and reported perceptions of various dimensions of the supervisory relationship. Results of the 2 (counselor recovery status: nonrecovering and recovering) × 2 (supervisor recovery status: nonrecovering and recovering) multivariate analysis of variance indicated no significant differences in ratings of satisfaction or relationship dimensions based on either the counselors' or supervisors' recovery status. A significant interaction effect for counselor and supervisor recovery status (i.e., match or mismatch of recovery status) was found for all satisfaction and relationship measures.     

Sexual Abuse Prevention for Individuals with Mental Retardation: Considerations for Genetic Counselors

It is now widely recognized that children, adolescents, and adults with mental retardation are especially vulnerable to sexual abuse. Because at least 10% of genetic conditions are reported to include mental retardation as a feature, the provision of services to individuals with mental retardation represents a substantial portion of the case load for many genetic counselors. Our objective is to educate genetic counselors and other health professionals about this vulnerable population in order to enhance the frequency and efficacy of inquiry into sexual education and sexual abuse prevention training for patients with mental retardation. The following review article is intended to assist genetic counselors by increasing their knowledge of factors that lead to sexual abuse and provides recommendations for integrating this information into the counseling interaction.     

Applying Primary Prevention Precepts to Campus Substance Abuse Programs

The authors identify five primary prevention programming precepts dealing with perspective, targets, methods, intentionality, and ethic. They describe how the United States Department of Education's Fund for the Improvement of Post Secondary Education (FIPSE) sponsored University of Cincinnati substance abuse prevention project was developed by following these precepts. They hope that this information will aid others in their development of primary prevention programs in college substance abuse (i.e., alcohol and other drug abuse) or in other areas.     

The Development of a Campus-Based Substance Abuse Prevention Program

The development of a campus-based Substance Abuse Prevention Program (SAPP) is discussed. The program has been designed in accordance with recommendations made by prominent authorities in this field, keeping in mind the needs of the campus at which the program is located. Suggestions for developing such programs are provided.     

Abuse and Older Persons: Issues and Implications for Counselors

Counselors can play a vital role in addressing the needs of increasing numbers of older persons subject to and at risk for abuse from their families, caretakers, and themselves.     

Executive Cognitive Functioning and Risk for Substance Abuse

Individuals with a substance use disorder (SUD) exhibit deficits in executive cognitive functioning (ECF). ECF is involved in the regulation of goal-directed behavior and includes abilities such as attentional control, strategic goal planning, organization, and cognitive flexibility. The prefrontal cortex is believed to be the primary cortical substrate that subserves ECF. Children deemed at high risk for drug abuse because they have parents with SUD similarly demonstrate cognitive limitations suggesting an ECF deficit. High-risk children, as a group, also exhibit deviations in temperament, an attenuated amplitude of the P300 event-related potential, and heightened aggressivity compared with control groups. These latter characteristics are associated with low ECF capacity and are believed to reflect dysfunction within the prefrontal cortex. It is hypothesized that deviations on these traits form a core disorder of affective, cognitive, and behavioral dysregulation that serves as a general vulnerability factor for SUD.     

Working With Couples and Substance Abuse: Recommendations for Clinical Practice

Misuse of alcohol and drugs is widespread in modern society with the associated emotional and physical tolls on individuals, couples, and families. Yet, many therapists do not assess nor address substance misuse when clients do not identify it as a presenting problem. This article presents an overview of the literature on key aspects of couples and substance use and makes important clinical recommendations for mental health professionals who work with couples that struggle with substance use.     

Family Dynamics and Substance Abuse: A Preliminary Study

The authors discuss family patterns of interaction that are thought to contribute to the maintenance of substance abuse. Preliminary research findings pertaining to the interaction patterns are also presented. The data suggest that these families are often highly interdependent, that in about 50% of the cases they ideally desire some sort of triangulation between parents and offspring, and that in about 50% of the cases they have or are working toward a hierarchical reversal. Therefore, in addition to evaluating characteristics of the substance abuser, the authors recommend that counselors consider the nature of relationships within the client's family of origin.     

Examination of Life Satisfaction,Child Maltreatment Potential and Substance Use in Mothers Referred for Treatment by Child Protective Services for Child Neglect and Substance Abuse: Implications for Intervention Planning

There is evidence to suggest mothers who are served by child protective service agencies are relatively dissatisfied in their lives, leading some investigators to conclude life dissatisfaction may be associated with child maltreatment. To assist in better understanding this relationship the Life Satisfaction Scale for Caregivers (LSSC) was psychometrically developed in a sample of 72 mothers who were referred for behavioral treatment for child neglect and substance abuse by caseworkers from a local child protective service agency. The LSSC was developed to assess mothers’ happiness in nine domains (family, friendships, employment/work, spirituality/religion, safety, sex life/dating, ability to avoid drugs, ability to avoid alcohol, control over one’s own life). Results indicated two factors that appeared to be relevant to Social Satisfaction and Safety and Control Satisfaction. Higher satisfaction scores on both of these scales were negatively associated with child maltreatment potential and substance use at baseline (i.e., positive urinalysis test). Mothers who exposed their children to substances in utero or in infancy (a distinct type of child neglect) were found to report higher satisfaction scores on the LSSC than other types of child neglect. Hispanic-American, African-American, and Caucasian women reported similar levels of life satisfaction. Application of the LSSC as a non-stigmatizing, wellness-focused instrument is discussed within the context of intervention planning.