Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change: Helping Individuals, Families, and Groups to Empower Themselves

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Columbia University Press, 2001 M09 26 - 480 pages

This book is the first to utilize the empowerment approach of social work practice with substance-abusing clients, bridging clinical, community, and social policy approaches in order to place individual addiction in its sociopolitical context. As Lorraine Gutiérrez points out in her foreword, the book "challenges us to transform our thinking about substance abuse and move beyond our existing focus on individual deficits." Arguing that pathology-focused definitions of substance abuse tend to transform people into their problems, Freeman instead advocates for strengths-centered policies and regulations as the means to empower clients, communities, and society as a whole.

Freeman outlines basic empowerment principles and practices, then details the service delivery processes; offers a context for power, policy, and funding decisions; and examines the needs of special populations. Case examples supplement each chapter, and the final part examines four exemplary programs that demonstrate the empowerment process in action.

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Conceptual Theoretical and Research Issues Related to Empowerment Practice
Understanding the Substance Abuse and Addiction Process from an Empowerment Perspective
The Multilevel Substance Abuse Service System A Context for Power Policy and Funding Decisions
The Substance Abuse Policy and Funding Subsystem Sociopolitical and Power Issues
The Community Development and Primary Group Subsystem Sources of Power Resiliency and Substance Abuse Prevention
The Substance Abuse Program Subsystem Organizational Administrative and Direct Service Issues
An Empowered Substance Abuse Service Delivery Process Expanding the ClientCentered Continuum of Care
Intervention An EmpowermentBased Preservice Foundation for Prevention and Rehabilitation
Building on Cultural Diversity in ClientCentered Individual Work Implications for SelfEmpowerment
Phased Services During Aftercare and Termination Evaluation of Empowerment Outcomes
Empowering Microcosm and Empowered Substance Abuse Programs The Voices of Special Populations
New Alternatives A Drug and Alcohol Rehab Program for a Multicultural Adolescent Population
Restore and Repair Perinatal Rehab Services for Women and Children
Recovery Works Rehab Services for Adults with Dual Diagnoses
Dareisa Rehab Services A CultureSpecific Program for African American Adults
Lessons Learned from Empowerment Research Implications for the Future of Empowerment Practice

Community Prevention Empowerment Systems Change and Culturally Sensitive Evaluation
Assessment Clients as Experts on Their Experiences Recovery Motivation and Power Resources
Group Approaches to Collective Empowerment in Rehab SelfHelp and Prevention Programs
FamilyCentered Rehabilitative Services Intergenerational and Nuclear Family Empowerment and Evaluation Strategies

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Popular passages

Page 403 - Karenga in 1966, which promotes the following seven principles: (1) Umoja (unity), (2) Kujichagulia (selfdetermination), (3) Ujima (collective work and responsibility), (4) Ujamaa (cooperative economics), (5) Nia (purpose), (6) Kuumba (creativity), and (7) Imani (faith).
Page 91 - ... (National Institute for Social Work, 1982, p. 199). The Working Party's report defined community "as a network, or informal relationships between people connected with each other by kinship, common interest, geographical proximity, friendship, occupation, or the giving and receiving of services — or various combinations of these
Page 7 - ... a social action process that promotes participation of people, organizations, and communities in gaining control over their lives in the community and larger society.
Page 101 - Rothman's original framework: neighborhood and community organizing, organizing functional communities, community social and economic development, social planning, program development and community liaison, political and social action, coalitions, and social movements.
Page 101 - Community practice uses multiple methods of empowerment-based interventions to strengthen participation in democratic processes, assist groups and communities in advocating for their needs and organizing for social justice, and to improve the effectiveness and responsiveness of human service systems.
Page 8 - Simon (1994) identifies nine guidelines for social work practice within an empowerment mode: 1) Shape programs in response to the expressed preferences and demonstrated needs of clients and community members...
Page 5 - Rappaport (1987) presented it, empowerment refers to "a mechanism by which people, organizations, and communities gain mastery over their affairs
Page 8 - Call and build upon the strengths of clients and communities; 5) Devise and redevise interventions in response to the unique configuration of requests, issues, and needs that a client or client group presents. Resist becoming wedded to a favored...

About the author (2001)

Edith Freeman is a professor of social work at the University of Kansas, and is the author of several books, including Substance Abuse Treatment: A Family Systems Perspective, The Addiction Process: Effective Social Work Practice, and coauthor of Social Work Practice with Black Families: A Culture Specific Approach.

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