Ethnocultural Factors In Substance Abuse Treatment


This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes...
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This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the book makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.
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Editorial Reviews

From the Publisher

"This is a superb, comprehensive primer for all clinicians. In uniformly thorough and clear chapters, the editor and contributing authors teach the reader how to think about the theoretical and practical significance of context and the multiple factors of race, ethnicity, and culture--always present and always wielding a critical influence. Reading this text is like learning a new language whose ideas and vocabulary open a wide new territory. In a world where diversity is normal, the concepts of cultural identity and ethnocultural conflict are key. This volume provides a map of cultural sensitivity that adds a vital, expanding dimension to traditional ways of thinking about addiction. It should be a basic text and clinical resource for years to come."--Stephanie Brown, PhD, Director, The Addictions Institute

"This volume lays out the critical clinical issues involved in culturally competent practice. The authors provide a rich context for understanding current substance abuse patterns in an impressive range of ethnic groups--more than I have ever seen discussed under one cover. The information presented is well researched and referenced, and the authors do a nice job of avoiding rigidity in their recommendations. Several chapters address such groups within the culture as women, adolescents, and refugees, who have unique needs and for whom the clinician may need to vary his or her approach. The case examples give depth to the discussion and illustrate important intervention techniques. Social work students at all levels will find this text helpful." --Maryann Amodeo, MSW, PhD, Director, Alcohol and Drug Institute for Policy, Training and Research, and Associate Professor, Boston University School of Social Work


"An extraordinarily sensitive work on substance abuse treatment, offering clinically illustrated, expert discussion of addictive behavior and treatment within 19 distinct ethnocultural groups."--Choice
Doody's Review Service
Reviewer: Linda Toelke, RN, MS, CARN (Rush University Medical Center)
Description: This practical guide examines the unique beliefs, customs, and values of 19 ethnocultural groups as they relate to alcohol and other drug issues and how this information can be applied to treatment.
Purpose: The purpose is to explore various aspects of culture and ethnicity that are important in understanding clients and in offering culturally competent substance abuse treatment. Previous literature on ethnicity tends to be broad and oversimplistic, offering little in practical applications. Expert contributors to this book provide concrete recommendations to enhance treatment outcomes with diverse clients.
Audience: This book should have widespread appeal with all levels of therapists or counselors working with substance abuse clients. The author suggests this will serve as a book in advanced courses in clinical psychology, social work, psychiatry, addictions counseling, and other related fields. The author and the selected expert contributors appear to be credible authorities in substance abuse treatment and for the wide range of ethnocultural groups represented in the book.
Features: Each chapter describes a different ethnocultural group. A brief history is given in each chapter as it relates to that group's cultural beliefs and values, and the issue of substance use in that culture is addressed. Themes such as issues related to migration, problems with acculturation, family structure, spiritual values, and treatment of adolescents and women are included. Especially useful are descriptive case histories and useful guidelines for working with the clients and families. Concrete recommendations to enhance treatment outcomes are helpful and provided throughout the book. Each chapter is concise and well written with a wealth of information that gives a snapshot view of that particular ethnocultural group. The contributors are sensitive to the problems of labeling and consistently illustrate that these are general guidelines and quickly point out the level of diversity within each ethnocultural group. The book is well organized and user friendly with good use of highlighted headings and extensive reference lists.
Assessment: This is a delight to read. It consistently supplies well written, concise, sensitive, practical information that busy clinicians would relish.
Straussner (social work, New York U.) presents 20 contributions that address how substance abuse treatment providers earn the trust of the people they seek to treat when these professionals' ethnocultural backgrounds differ radically from those of their clients. The various chapters discuss the roots of culturally idiosyncratic attitude toward the use of alcohol and drugs and offer guidelines for treatment. Each of the chapters is devoted to an individual cultural group, covering people from African, Native American, Cuban, Mexican, Caribbean, Puerto Rican, British, French, Irish, Italian, Polish, Russian, Arab, Jewish, Cambodian, Chinese, Indian, Japanese, and Korean backgrounds. Annotation c. Book News, Inc., Portland, OR (

5 Stars! from Doody
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Product Details

  • ISBN-13: 9781572306301
  • Publisher: Guilford Publications, Inc.
  • Publication date: 3/1/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 464
  • Sales rank: 501,299
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.19 (d)

Meet the Author

Shulamith Lala Ashenberg Straussner, DSW, LCSW, is Professor at the Shirley M. Ehrenkranz School of Social Work at New York University, where she is also Director of the Post-Master's Program in the Treatment of Alcohol- and Drug-Abusing Clients. She was a Fulbright Senior Scholar to Israel in 2003; Distinguished Visiting Professor at Ben-Gurion University of the Negev in Beer-Sheva, Israel, in January 2002; and Visiting Professor at the Omsk State Pedagogical University in Siberia, Russia, in the spring of 2000. Dr. Straussner has authored and edited numerous publications dealing with substance abuse and is the founding editor of the new Journal of Social Work Practice in the Addictions. She has served on the National Center on Substance Abuse Treatment panel on workforce issues and is a founding board member of the New York State Institute for Professional Development in Addictions. She serves as a consultant to various hospitals, agencies, and other organizations in New York and lectures on a variety of topics throughout the United States and abroad. She also has a private therapeutic and supervisory practice in New York City.

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Table of Contents

I. Introduction
1. Ethnocultural Issues in Substance Abuse Treatment: An Overview, Shulamith Lala Ashenberg Straussner
II. Working with Clients of African Background
2. Substance Abuse in African American Communities, Ednita M. Wright
3. Substance Abuse Issues among English-Speaking Caribbean People of African Ancestry, Eda F. Harris-Hastick
III. Working with Clients of Native American and Latino Backgrounds
4. Native Americans and Substance Abuse, Hilary N. Weaver
5. Substance Abuse among Cuban Americans, Eugenio M. Rothe
6. Substance Abuse in the Mexican American Population, Louis R. Alvarez
7. Toward an Understanding of Puerto Rican Ethnicity and Substance Abuse, Catherine Medina
IV. Working with Clients of European Background
8. Substance Abuse among Americans of British Descent, Katherine Stuart van Wormer
9. Substance Abuse Treatment with Clients of French Background, Ann A. Abbott
10. The Irish and Substance Abuse, Philip O'Dwyer
11. Italian Culture and Its Impact on Addiction, Pia Marinangeli
12. Polish Identity and Substance Abuse, Jim Gilbert and Jan Langrod
13. Russian-Speaking Substance Abusers in Transition: New Country, Old Problems, Helen Kagan and Kathryn C. Shafer
V. Working with Clients of Middle Eastern Background
14. Substance Use among Arabs and Arab Americans, Nuha Abudabbeh and Andrew Hamid
15. Jewish Substance Abusers: Existing but Invisible, Shulamith Lala Ashenberg Straussner
VI. Working with Clients of Asian Background
16. Substance Abuse Treatment Issues with Cambodian Americans, Mary Ann Bromley and Chhem Sip
17. Ethnocultural Background and Substance Abuse Treatment of Chinese Americans, Ting-Fun May Lai
18. Ethnocultural Background and Substance Abuse Treatment of Asian Indian Americans, Daya Singh Sandhu and Ruby Malik
19. Substance Abuse Interventions for Japanese and Japanese American Clients, Jun Matsuyoshi
20. Substance Abuse among Korean Americans: A Sociocultural Perspective and Framework for Intervention, Young Hee Kwon-Ahn
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