The chronic condition of alcoholism is a serious condition, resulting in withdrawal, illness and tragic repercussions. There are more than seventeen million alcoholics in the United States. The problem is very far reaching. Chances are you know–or are–an alcoholic. You may even be considering staging your own intervention. If that is your plan, talk to…

What do Drug Rehabilitation Centers do? Drug rehabilitation centers provide intervention. Intervention breaks the cycle. Drug rehabilitation centers provide detox. Detox removes the drug from your system so that you are free of its destructive influence. This step gets you through the biggest initial hurdle: withdrawal–in an environment where you are safe, as well as…

American Indian/Alaska Natives The number of LGBT individuals in American Indian and Alaska Native communities is not definitely known, although it is believed to resemble the parameters of the dominant population. From self-reports and the small amount of research findings available, American Indians and Alaska Natives in gay or lesbian relationships report a higher degree…

Accessibility Due to the homophobia and discrimination they experience, LGBT individuals may find it difficult, and sometimes uncomfortable, to access treatment services. Substance abuse treatment programs are often not equipped to meet the needs of this population. Heterosexual treatment staff may be either uninformed about LGBT issues, insensitive to their concerns, or antagonistic toward such…

Parenting Issues A common misconception is that LGBT individuals are not partnered and do not have children. The reality is that many LGBT individuals are coupled, have children, and exercise the same responsible parenting as their heterosexual counterparts. Many LGBT individuals have children from previous heterosexual marriages. Moreover, as more LGBT couples adopt, become foster…

Clinical Issues in Substance Abuse Treatment With Transgender Individuals Ratner (1993) points out that treating substance-abusing gay men and lesbians means being aware of their unique problems in order for treatment to be effective. The same can be said for transgender substance abusers. Aspects such as societal and internalized transphobia, violence, discrimination, family issues, isolation,…

A program committed to serving LGBT clients should first demonstrate its commitment in written administrative policies and procedures. When implemented, these policies and procedures will help ensure that the delivery of fair and equitable clinical services is built into the fabric of the organization and does not depend only on personal commitment by staff members.…

The Impact of Managed Care on Behavioral Health and LGBT Individuals By the end of 1995, the behavioral health care benefits of 142 million individuals were provided under managed care contracts (IOM [Institute of Medicine], 1997), and the number continues to grow. Both private and public health care purchasers are largely contracting with managed behavioral…