Substance Use Disorders In Lesbian, Gay, Bisexual, And Transgender Clients by Sandra Anderson

Substance Use Disorders In Lesbian, Gay, Bisexual, And Transgender Clients

Assessment and Treatment

Sandra Anderson

Internalized homophobia, alienation, poor support structures, and high levels of depression all contribute to substance abuse among lesbian, gay, bisexual, and transgender individuals, with social activity at bars and clubs reinforcing addictive behavior. The threat of bias in treatment programs also prevents many from seeking help. An essential resource for human service professionals searching for the latest research on these unique issues, this volume features both state of the art practice methods for treating substance use disorders and up-to-date analyses of sexual orientation and gender identity issues, heterosexism, and the ethical challenges of working with the LGBT community. Sandra Anderson discusses practice with individuals, couples, families, and small groups, as well as practice at the program level. Drawing on case studies with her own clients and from social service agencies that treat LGBT clients, Anderson emphasizes evidence-based treatment models, including motivational enhancement therapy, contingency management, the matrix model, and community reinforcement. Packed with recommendations for effective practice, this singular volume confronts the obstacles faced not only by clients with addictions but also by the LGBT population as a whole.

The incidence of substance abuse among lesbian, gay, bisexual, andtransgender individuals is estimated to be twenty-five percent higher than that ofthe general population. Internalized homophobia, alienation, poor supportstructures, and high levels of depression are believed to contribute to thisstatistic, with social activity at bars and clubs reinforcing addictive behavior.The threat of heterosexual bias in treatment programs also prevents many fromseeking help.Human service professionals who work with LGBTclients are in dire need of a resource that offers the latest research on theseunique issues. Sandra Anderson has responded with a volume that features both stateof the art practices in treating substance use disorders and the most up-to-dateanalyses of sexual orientation and gender identity issues, heterosexism, and theethical challenges of working with members of the LGBT community. She discussespractice with individuals, couples, families, and small groups, as well as practiceat the program level. Drawing on case studies from her own practice and from socialservice agencies that treat LGBT clients, Anderson emphasizes evidence-basedtreatment models, including motivational enhancement therapy, contingencymanagement, the matrix model, and community reinforcement. Sure to become a leadingtext among students, scholars, and practitioners, this volume provides solid,empirically-based knowledge for confronting not only the issues faced by clientswith addictions but also by the LGBT populatio

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