Skip to main content

Portrait of Addiction

  • Chapter
  • First Online:

Part of the book series: Advances in Mental Health and Addiction ((AMHA))

Abstract

An ever-increasing cultural diversification within American society has resulted in variegated dialogues involving different cultural backgrounds, beliefs, values, practices, behaviors, and/or languages. These demographic changes combined with the complexities of contemporary racism, racial prejudice, and/or cultural miscommunication have impacted the level of addiction treatment needs for communities of color, in particular, African American and Hispanic communities. This lack of recognition of cultural differences has often led to the development and implementation of ineffective, inefficient, and inequitable substance use disorder (SUD) treatment services. Cultural competency is necessary for the effectiveness of delivery and the quality of services; however, studies have shown that some SUD treatment organizations have failed to adequately understand African American and Hispanic clients with regard to their treatment needs. To facilitate in the process of improving SUD treatment services for African American and Hispanic communities, this chapter will discuss challenges associated with SUDs by gender via the identified groups. The chapter will also explore risk factors, cultural issues, and complexities in diagnosing SUDs and co-occurring disorders (i.e., alcohol or drugs and mental health). Finally, treatment recommendations and service models that have shown to be effective when working with these two communities of color will also be presented.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Adams, G. B., & Balfour, D. L. (2004). Unmasking administrative evil (rev. ed.). Armonk, NY: M. E. Sharpe.

    Google Scholar 

  • Agrawal, A., Gardner, C. O., Prescott, C. A., & Kendler, K. S. (2005). The differential impact of risk factors on illicit drug involvement in females. Social Psychiatry and Psychiatric Epidemiology, 40(6), 454–466.

    Article  PubMed  Google Scholar 

  • Amaro, H., Arevalo, S., Gonzalez, G., Szapocznik, J., & Iguchi, M. Y. (2006). Needs and scientific opportunities for research on substance abuse treatment among Hispanic adults. Drug and Alcohol Dependence, 84S, S64–S75.

    Article  Google Scholar 

  • Amaro, H., Larson, M. J., Gampel, J., Richardson, E., Savage, A., & Wagler, D. (2005). Racial/ethnic differences in social vulnerability among women with co-occurring mental health and substance abuse disorders: Implications for treatment services. Journal of Community Psychology, 33(4), 495–511.

    Article  Google Scholar 

  • American Counseling Association. (2014). American Counseling Association code of ethics. Retrieved January 4, 2017, from http://www.counseling.org/Resources/aca-code-of-ethics.pdf.

  • Aponte, J. F., & Johnson, L. R. (2000). The impact of culture on intervention and treatment and ethnic populations. In J. F. Aponte & J. Wohl (Eds.), Psychological intervention and cultural diversity (pp. 18–39). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Barr, K. E. M., Farrell, M. P., Barnes, G. M., & Welte, J. W. (1993). Race, class and gender differences in substance abuse: Evidence of middle-class/underclass polarization among black males. Social Problems, 40(3), 314–327.

    Article  Google Scholar 

  • Brocato, J. (2013). The impact of acculturation, motivation and the therapeutic alliance on treatment retention and outcomes for the Hispanic drug involved probationers. Journal of Ethnic Criminal Justice, 11(3), 150–180.

    Article  Google Scholar 

  • Butler, S. (1994). A conversation guide for mirrors of privilege: Making whiteness visible: Heart-to-heart conversation guide. Word Trust Educational Services, Inc. Retrieved November 15, 2015, from www.world-trust.org.

  • Carter, R. T. (1995). The influence of race and racial identity in psychotherapy: Toward a racially inclusive model. New York, NY: Wiley.

    Google Scholar 

  • Center for Substance Abuse Treatment. (2005, 2007, 2008, and 2011). Substance abuse Treatment: For personas with co-occurring disorders. Treatment improvement protocol (TIP) series 42. HHS Publication No. (SMA) 08-3992. Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Center for Substance Abuse Treatment. (2009). Substance abuse treatment: Addressing the specific needs of women. Treatment improvement protocol (TIP) series 51. HHS Publication No. (SMA) 09-4426. Rockville, MD: Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Claunch, K., Marlow, S., Ramsey, A., Drymon, C., & Patterson, D. A. (2015, Sept-Oct). Therapeutic alliances in substance abuse treatment. Counselor Magazine, 1–9. Retrieved January 15, 2017, from http://www.counselormagazine.com/detailpageoverride.aspx?pageid=1729&id=6442455832.

  • Collins, R. L., & McNair, L. D. (2003). Minority women and alcohol use. National Institute on Alcohol Abuse and Alcoholism. Retrieved July 28, 2017, from https://pubs.niaa.nih.gov/publications/arh26-4/251-2256.htm.

  • Day-Vines, N., Wood, S., Grothaus, T., Craigen, L., Holman, A., Dotson-Blake, K., et al. (2007). Broaching styles of race, ethnicity, and culture during the counseling process. Journal of Counseling & Development, 85, 401–409.

    Article  Google Scholar 

  • Diller, J. V. (2015, 2011, 2007). Cultural diversity: A primer for the human services. (5th ed.). Stamford, CT: Cengage Learning.

    Google Scholar 

  • Erving, C. L. (2017). Physical-psychiatric comorbidity: Implications for health measurement and the Hispanic epidemiological paradox. Journal of Social Science Research, 64, 197–213.

    Article  PubMed  Google Scholar 

  • Gooden, S. T. (2014). Race and social equity: A nervous area of government. Armonk, NY: M. E. Sharpe Inc.

    Google Scholar 

  • Green, C. A. (2006). Gender and use of substance abuse treatment services. National Institute on Alcohol Abuse and Alcoholism. https://pubs.niaaa.nih.gov/publications/arh291/55-62.htm.

  • Greenfield, S., & Grella, C. (2009). What is “women-focused” treatment for substance use disorders? Psychiatric Services, 60(7), 880–882.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guba, E. G., & Lincoln, Y. S. (2005). Paradigmatic controversies, contradictions, and emerging confluences. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed., pp. 191–215). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Hammond, W., & Zimmerman, R. (2012). A strengths-based perspective. Resiliency Initiatives. Retrieved January 15, 2017, from http://resiliencyinitiatives.ca/cms/wp-content/uploads/2013/03/STRENGTH_BASED_PERSPECTIVE-Dec-10-2012.pdf.

  • Johnson, S. D., Striley, C., & Cottle, L. B. (2006). The association of substance abuse disorders with trauma exposure and PTSD among African American drug users. Addictive Behaviors, 31, 2063–2073.

    Article  PubMed  Google Scholar 

  • Krieger, N. (1999). Embodying inequality: A review of concepts, measures, and methods for studying health consequences of discrimination. International Journal of Health Services, 29(2), 395–352.

    Article  Google Scholar 

  • Lee, H. (1960). To kill a mockingbird. New York, NY: Grand Central Publishing.

    Google Scholar 

  • Liddle, H. A., Jackson-Gilfort, A., & Marvel, F. A. (2006). An empirically supported and culturally specific engagement and intervention strategy for African American adolescent males. American Journal of Orthopsychiatry, 75(2), 215–225.

    Article  Google Scholar 

  • Longabaugh, R., & Morgenstern, J. (1999). Cognitive-behavioral coping-skills therapy for alcohol dependence: Current status and future directions. Alcohol Research & Health, 23(2), 78–85.

    Google Scholar 

  • Loue, S. (2003). Diversity issues in substance abuse treatment and research. New York, NY: Kluwer/Plenum Publishers.

    Book  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change. New York, NY: Guilford Press.

    Google Scholar 

  • Minority Nurse Staff. (2013). African Americans, substance abuse and spirituality. Minority Nurse. Retrieved January 15, 2017, from http://minoritynurse.com/african-americans-substance-abuse-and-spirituality.

  • National Drug Control Strategy (2011). Washington, DC. From obamawhitehouse.archives.gov.

    Google Scholar 

  • National Health Care for the Homeless Council. (2010). Harm reduction: Preparing people for change. Retrieved January 7, 2015, from http://www.nhchc.org/wp-content/uploads/2011/09/harmreductionFS_Apr10.pdf.

  • National Institute on Drug Abuse (NIDA). (1998, 1995). Drug use among racial/ethnic minorities. NIH Publication No. 98-3888. Bethesda, MD.

    Google Scholar 

  • National Institute on Drug Abuse (NIDA). (2012). Principles of drug addiction treatment: A research-based guide (3rd ed.). Retrieved January 8, 2017, from https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition.

  • Newmann, J. P., & Sallmann, J. (2004). Women, trauma histories, and co-occurring disorders: Assessing the scope of the problem. Social Service Review, 78(3), 466–498.

    Google Scholar 

  • Norman-Major, K. A., & Gooden, S. T. (2012). Cultural competency and public administration. In K. A. Norman-Major & S. T. Gooden (Eds.), Cultural competency for public administrators (pp. 3–16). New York, NY: M. E. Sharpe.

    Google Scholar 

  • Resnicow, K., & McMaster, F. (2012). Motivational interviewing: Moving from why to how with autonomy support. International Journal of Behavioral Nutrition and Physical Activity. Retrieved December 15, 2016, from http://www.ijbnpa.org/content/9/1/19.

  • Resnicow, K., Soler, R., Braithwaite, R. L., Ahluwalia, J. S., & Butler, J. (2000). Cultural sensitivity in substance use prevention. Journal of Community Psychology, 28(3), 271–290.

    Article  Google Scholar 

  • Rodriguiez, R. A., Henderson, C. E., Rowe, C. L., Burnett, K. F., Dakof, G. A., & Liddle, H. A. (2007). Acculturation and drug use among dually diagnosed Hispanic adolescents. Journal of Ethnicity in Substance Abuse, 6(2), 97–113.

    Article  Google Scholar 

  • Saleebey, D. (1992). Introduction: Power in the people. In D. Saleebey (Ed.), The strengths perspective in social work practice. New York, NY: Longman.

    Google Scholar 

  • Sanders, M. (2002). The response of African American communities to addiction: An opportunity for treatment providers. Alcoholism Treatment Quarterly, 20(¾), 167–174.

    Article  Google Scholar 

  • Simon, J. K., & Berg, K. (n.d.). Solution-focused brief therapy with long-term problems. Retrieved January 8, 2017, from http://www.0to10.net/sflong.pdf.

  • Staton-Tindall, M. (2010). Female offender drug use and related issues. Retrieved January 8, 2017, from https://www.nij.gov/topics/drugs/markets/adam/Documents/staton-paper.pdf?Redirected=true.

  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2013). Addressing the specific behavioral health needs of men. Treatment improvement protocol (TIP) series 56. HHS Publication No. (SMA) 13-4736. Rockville, MD.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2015). Quick guide for clinicians: Substance abuse treatment for persons with co-occurring disorders (TIP) series 42. Rockville, MD.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2016). Racial and ethnic minority populations. Retrieved August 28, 2017, from http://www.samhsa.gov/specific-populations/racial-ethnic-minority.

  • Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Behavioral Health Statistics and Quality. (2014, April 3). The TEDS report: Gender differences in primary substance abuse across age groups. Rockville, MD.

    Google Scholar 

  • Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken, NJ: Wiley.

    Google Scholar 

  • Sue, D. W., Nadal, K. L., Capodilupo, C. M., Lin, A. I., Torino, G. C., & Rivera, D. P. (2008). Racial microaggressions against black Americans: Implications for counseling. Journal of Counseling & Development, Summer, 86, 330–338.

    Google Scholar 

  • Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th ed.). Hoboken, NJ: Wiley.

    Google Scholar 

  • van Wormer, K., & Davis, D. R. (2013). Addiction treatment: Strengths perspective (3rd ed.). Belmont, CA: Brooks/Cole Cengage Learning.

    Google Scholar 

  • Wisdom, J. P., Hoffman, K., Rechbergre, E., Seim, K., & Owens, B. (2009). Women-focused treatment agencies and process improvement: Strategies to increase client engagement. Women & Therapy, 32, 69–87.

    Article  Google Scholar 

  • Wise, T. (2012). Dear white America: Letter to a new minority. San Francisco, CA: City Lights Books.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jermaine J. Monk .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Redding-Raines, A., Monk, J.J. (2018). Portrait of Addiction. In: MacMillan, T., Sisselman-Borgia, A. (eds) New Directions in Treatment, Education, and Outreach for Mental Health and Addiction. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-319-72778-3_4

Download citation

Publish with us

Policies and ethics