According to the Diagnostic and Statistical Manual of Mental Disorders (DSM), substance abuse is characterized as, “a pattern of substance use leading to significant impairment or distress” (American Psychological Association [APA], 2013, para. 1). Table one of the DSM on Criteria for Substance Abuse and Dependency notes impairment or distress manifest in one or more of the following ways, in a 12 month period: “Failure to fulfill major role obligations at work, school, and home, frequent use of substances in situations in which it is physically hazardous, frequent legal problems, and continued use despite having persistent or recurrent social or interpersonal problems.”(APA, 2013, para. 1). Examples of these impairments or distress are as followed in accordance to the DSM, “repeated absences or poor work performance, suspensions, expulsions, and neglect of children or household as a result of substance abuse, driving an automobile or operating machinery when impaired by substance use, an arrest or disorderly conduct as a result of substance use, and physical and/or verbal arguments with a spouse about consequences intoxication.” (APA, 2013, para. 1). All of these are examples that fit the Diagnostic and Statistical Manual of Mental Disorders criteria for substance abuse. The DSM characterizes substance abuse and substance dependence as two separate social problems. Both are characterized as a significant impairment or distress. Substance abuse is defined as a pattern during a twelve-month period of one or more of the following examples previously stated, while substance dependence is defined as a dependence of three or more. These three or more forms of impairment and distress for substance dependence are further defined as inc... ... middle of paper ... ...ethics a social worker is held to in their practice. Code 1.05, Cultural Competence and Social Diversity in the National Association of Social Worker Code of Ethics is prevalent in working to address the factors associated with substance abuse. This means not carrying any cultural attitude, norms, and expectations it vital to guide our practice with this problem Along with being culturally sensitive in a population or with a person dealing with substance abuse, it is also important to be aware of environmental and individual factors. This is a covers competence, it shows our ability to learn and gain expertise on the subject at hand. All of these factors contribute to service, gaining a better understanding helps us to better help those suffering from substance abuse as well as shows our commitment to our clients. (National Association of Social Workers, 2008).
George F. Koob defines addiction as a compulsion to take a drug without control over the intake and a chronic relapse disorder (1). The Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association defined "substance dependence" as a syndrome basically equivalent to addiction, and the diagnostic criteria used to describe the symptoms of substance dependence to a large extent define compulsion and loss of control of drug intake (1). Considering drug addiction as a disorder implies that there are some biological factors as well as social factors.
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
A psychological assessment is defined as “the gathering and integration of psychology-related data for the purpose of making a psychological evaluation that is accomplished through the use of tools such as tests, interviews, case studies, behavioral observation, and specially designed apparatuses and measurement procedures” (Cohen, Swerdlik, &Sturman, 2013). Although examiners strive toward the assessment being good enough to be useful, they sometimes have to make decisions about what type of error is acceptable. There are many psychological assessments that have been used in the study of addictions, but we will take a look at the Addiction Severity Index.
Generally speaking, the Diagnostic and Statistical Manual of Mental Disorders (DSM) references substance dependence (in this case, alcohol) as a cluster of cognitive, behavioral, and physiological symptoms that shows that the person is continuing use of the substance even with adverse effects on the individual’s life. Specifically, for a person to be diagnosed with substance dependence they must show at least three of the following symptoms; tolerance, withdrawal, substance being taken in larger amounts of over a longer period of time than intended, an unsuccessful desire or effort to control the use of the substance, there is a great deal of time devoted to the drug, important social, occupational, or recreational activities are given up or reduced due to the substance, and the individual continues use of the substance even with the knowledge that the substance is causing physical or psychological problems (APA, 2000).
The Addition Severity Index is a well-known and widely used tool for use in treating alcoholics and other addicts. It is an approximately 45 to 60 minute long interview comprised of questions about the patient’s life. The interview covers eight subscales focusing on many different parts of a person’s life which helps to provide a comprehensive understanding of their life. The severity is scored on a ten point scale ranging from no problem or treatment indicated to extreme problem, treatment absolutely necessary. The scale helps the interviewer determine the seriousness of a client’s problem and to plan an effective course of treatment. The ASI can also be found in a self-administered paper-and-pencil form and an interactive CD-ROM multimedia version for the computer (Maleka, 2004). This test has been found to be reliable by most but some others do not agree. It is difficult to say whether or not the test is a reliable and valid measure of treatment due to the complexity of the questions. Once a client’s psychosocial needs are identified it is easier to find treatment suitable for that client. There are some problems with the test such as it is not properly designed to cover such a wide population (Maleka, 2004). Other problems include irrelevant questions for alcoholics and other drug users, difficulty remembering relevant information, and lying and exaggerating information for the best interest of the patient (Maleka, 2004). Use of the ASI can be found to be particularly problematic when used with the homeless or double-diagnosis patients. The ASI can be used in a wide range of treatment settings including clinical, research, and administrative. This comprehensive evaluation is a useful tool that helps professionals understand the
In the National Association for Social Workers (NASW) Code of Ethics, there are many standards a social worker should uphold in order to promote a healthy and helpful relationship with the client. One such aptitude is Cultural Competence and Social Diversity, which is in section 1.05 of the NASW code of ethics (National Association of Social Workers, 2008). There are three sections associated with this competency “Social workers should understand culture and its function in human behavior and society, recognizing the strengths in all cultures”. It is assumed that “social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients”. As a final point “Social workers should obtain education” in order to understand cultural diversity and oppression in people (NASW, 2008, p. 9).
Wilkes, E, Gray, D, Saggesr, S, Casey, W & Stearne, A 2010, ‘Substance Misuse and Mental Health
Substance abuse is when a person want their mind to be altered with the use of drugs. Substance abuse affect all ages, race, religion, and income. When it comes to the characteristics of substance abusers there are many factors one must consider such as internal and external, physical, behavioral, and psychological. According to Demand Media (2013), stated that internal substance abuse is when someone feels the need to use drugs regularly, having that feeling like you need the drug to get through problems and have trouble when one is trying to stop taking the drug. External substance abuse characteristic is when people often notice behavioral, physical, and psychological changes (Demand Media, 2013). According to demand media, (2013), stated that physical changes are lack in hygiene, changes in the person pupils such as being dilated or constricted, and changes in their weight. Some behavioral changes are decrease in work performance, changes in the type of friends and interest and asking for/ or need money (Demand Media, 2013). Psychological changes are personality change, mood swings an...
Substance abuse is not a subject to be taken lightly. It is classified as the overconsumption
As a social worker, the ability to merge cultural competencies with social work methods and theories allows intervention to be customized to meet their client’s need-based which vary upon culture. Since there are a massive amount of different cultures with different traditions, values, and beliefs the social worker needs to obtain the fundamentals of the culture in order to assess and advocate for the ethnic group effectively. The NASW of Ethics clearly values the competence and the Ethical Principle of Social workers practice within the areas of competence and enhances their professional expertise. In addition, “ Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system or agency or among professionals and enable the system, agency, or professionals to work effectively in cross-cultural situations” (NASW, 2000b, p. 61). Cultural competency ensures that our primary mission of the social work profession to enhance human well-being and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty.
Substance abusers seek this impairment for a variety of reasons such as to get away from reality or to escape their problems. In the process of getting this “high” their brain chemistry changes and they become addicted. “Addiction is the repeated compulsive use of a substance even after the person suffers from the physical, mental, and legal consequences” (Williams, 2011). Substance abuse causes many negative effects to the person who is addicted as well as their loved ones. Even though these effects are devastating, the person continues to use because their brain and body are reprogrammed to need the substance. When the person isn 't using the substance they begin to suffer from withdrawal symptoms. “Withdrawal is a physical response to the sudden cessation of a substance that has been used over a period of time; these symptoms are specific to the substance” (Williams, 2011). When a person is suffering from withdrawal symptoms they have mental and physical effects. These effects can range from sweating to seizures. Physical symptoms are usually the first step followed by mental symptoms, these two steps together can last up to a few weeks. (Melemis, 2016). I was recently able to observe at a substance abuse rehabilitation facility where I witnessed a client withdrawing. This client seemed to be agitated and anxious. Also he was very red in
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
Substance abuse disorders are common in our society. It is a disorder that each one of us will most likely experience through a family member, friend, or our self. I felt very drawn to this topic due to the fact that I have a family that has background of substance abuse and I myself have battle the demon. Not until I struggled with my own addiction did I become more tolerable and understanding to those that have a substance abuse disorder. Substance abuse is not something anyone wants to have; it is a disorder that takes control of a person’s life. It is a beast that tears a person apart; from their being to the lives of their loved ones. This disorder is not biased in anyway; rich or poor, male or female, employed or unemployed, young or old, and any race or ethnicity” (E Not Alone).
Cultural Competence is being able to engage in respectful and effective practice with diverse individuals, families, and communities, preserving their dignity and affirming their worth. A social worker should be aware of their clients’ cultural and environmental contexts, in order to know a client’s strengths, but cultural competence is never fully realized, achieved, or completed, but rather cultural competence is a lifelong process for social workers who will always encounter diverse clients and new situations in their practice. Social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients’ cultures. Social workers should obtain education
It is imperative that social workers become knowledgeable about their clients’ cultures and are culturally sensitive. In learning about their clients’ cultures, social workers need to be aware of how powerful and significant culture is in relating to clients’ behavior, values, and beliefs. Becoming culturally competent requires the ability to integrate awareness, knowledge, and skills while maintaining a positive working relationship with the client (Sue and Zane, 1987). Today, the concerns regarding cultural competency continue to accentuate the importance of preparing social workers for a diversified society.