Urban Religious Congregations’ Responses to Community Substance Use: An Exploratory Study of Four Cases
- 73 Downloads
Faith-based drug treatment programs are common, and many are implemented through congregations; however, little is documented about how congregations conceptualize and implement these programs. We use case study analysis to explore congregational approaches to drug treatment; qualitative findings emerged in three areas: (1) religion’s role in congregational responses to substance use, (2) relationships between program participants and the broader congregation, and (3) interactions between congregational programs and the external community. Congregational approaches to drug treatment can be comprehensive, but work is needed to evaluate such efforts. Congregants’ attitudes may influence whether program participants become members of a sustaining congregational community.
KeywordsSubstance abuse Religious congregations Faith based Case study Health disparities
Dr. Hidalgo completed much of the work for this paper while a Summer Associate at the RAND Corporation during his PhD program at the University of Illinois, Urbana-Campaign. The authors thank the study’s Community Advisory Board who provided excellent guidance and counsel throughout the study, especially the Rev. Michael Mata, Delis Alejandro, Deborah Collins, Mario Pérez, Father Chris Ponnet, and Richard Zaldivar. We also thank the 4 case study congregations included in this manuscript and their leaders, who, for confidentiality reasons, are not named.
This study was supported by the National Institutes of Health or NIH (Grant Numbers R01HD050150 and R24MD007943). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
This study was approved the by authors’ institutional review board.
Informed consent was obtained from all individual participants included in the study.
- Allamani, A. (2010). The relationship between addiction and religion and its possible implication for care. Substance Use and Misuse, 45(14), 2375–2377.Google Scholar
- Bourgois, P., & Hart, L. K. (2010). Science, religion and the challenges of substance abuse treatment. Substance Use and Misuse, 45(14), 2395.Google Scholar
- Center for Behavioral Health Statistics and Quality. (2016). 2015 National survey on drug use: Detailed tables. Retrieved February 27, 2019 from https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015/NSDUH-DetTabs-2015.pdf.
- Chaves, M. (2004). Congregations in America. Cambridge, MA: Harvard University Press.Google Scholar
- Davis, M. T. (2008). Redemption or rehabilitation: A comparative analysis of religion in faith-based and traditional secular substance abuse treatment. Waltham: The Heller School for Social Policy and Management, Brandeis University.Google Scholar
- Dominguez, A. W., Ip, C. C., Hoover, D., Oleari, A., McMinn, M. R., Lee, T. W., et al. (2006). Faith-based substance abuse treatment programs. In M. R. McMinn & A. W. Dominguez (Eds.), Psychology and the Church (pp. 19–30). Nova Science Publishers, Inc.Google Scholar
- Israel, B. A., Coombe, C. M., Cheezum, R. R., Schulz, A. J., McGranaghan, R. J., Lichtenstein, R., et al. (2010). Community-based participatory research: A capacity-building approach for policy advocacy aimed at eliminating health disparities. American Journal of Public Health, 100(11), 2094–2102. https://doi.org/10.2105/AJPH.2009.170506.CrossRefGoogle Scholar
- Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202. https://doi.org/10.1146/annurev.publhealth.19.1.173.CrossRefGoogle Scholar
- Krippendorff, K. (1980). Content analysis: An introduction to its methodology. Beverly Hills: Sage Publications.Google Scholar
- Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Thousand Oaks: Sage Publications.Google Scholar
- Muhr, T. (2006). Atlas.ti (Version 5.2) [computer program]. Berlin: Scientific Software Development GmbH.Google Scholar
- Pew Research Center. (2015). America’s changing religious landscape. Retrieved February 27, 2019 from http://www.pewforum.org/2015/05/12/americas-changing-religious-landscape/.
- Sloboda, Z. (2010). The role and function of faith-based organizations in the delivery of effective substance user treatment services. Substance Use and Misuse, 45(14), 2406–2410.Google Scholar
- Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks: Sage Publications.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2010). The N-SSATS report: Substance abuse treatment facilities affiliated with a religious organization. Retrieved from Rockville, MD.Google Scholar