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Special Considerations in Working With Homosexual Populations

Special Considerations in Working With Homosexual Populations. Wade Hawkins Taylor Darsey SOWK 7273 Dr. Bliss. Objectives. Prevalence Treatment Considerations Treatment Plan Impact on Self/Others. Prevalence.

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Special Considerations in Working With Homosexual Populations

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  1. Special Considerations in Working With Homosexual Populations Wade Hawkins Taylor Darsey SOWK 7273 Dr. Bliss

  2. Objectives • Prevalence • Treatment Considerations • Treatment Plan • Impact on Self/Others

  3. Prevalence • Alcohol and drug abuse effects approximately 30% of the homosexual population, a rate which is 3x higher than that of the rest of the population (AIDS Prevention website, 2004). • Nearly 10% of gay/bisexual men reported that they participated in unprotected sex while under the influence of mood-altering substances (AIDS Prevention website, 2004).

  4. Prevalence • Alcohol abuse, crystal methamphetamine, and “club drugs” (GHB, Ketamine, ecstasy) are commonly abused among the homosexual population (AIDS Prevention website, 2004).

  5. Brian's Intervention

  6. Treatment Considerations • Over-empathizing • Addressing multiple factors (Young, 1998) • Separation of sexuality and drug abuse • Lack of substance-free alternatives (AIDS Prevention website, 2004) • Scarcity of GBLT-specific treatment (Straussner, 2004)

  7. Treatment Plan • Identity/Addiction • Cognitive-Behavioral Therapy (Whitten, 2006) • GLBT-specific treatment (AA/NA/SA) • Nicotine Addiction (Straussner, 2004) • Associated Physical/Emotional Health Risks • Relapse

  8. Web-based Resources • UGA LGBT Resource Center • http://www.uga.edu/lgbtcenter/ • The Galano Club, Inc. • http://www.galanoatlanta.org/ • Freedom Rings Treatment Center • http://www.gay-rehab.com

  9. “. . . the experience of being gay or bisexual in our society overwhelms any potential differences in social categories involving age, ethnicity, race, social class or geographical region of the country (Rosario, et. al., 1992).” “The gay bar has historically been the protected place where homosexual persons could meet, socialize, be the dominate culture, make sexual contacts, start relationships, hold hands, dance, belong—all the things nongays can integrate into the totality of their lives and therefore take for granted (Straussner, 2004).” “The absence of significant subculturally valued alternatives to drinking settings [. . .] contributes to the dependency on alcohol as an acceptable solution to feelings of anxiety, alienation and low self-esteem (Nardi, 1982)”

  10. Impact on Self/Others • Lesbians • Gay Men • Bisexuals • Questioning • Age

  11. References • Young, R. (1998). Alcoholism & Addiction in Homosexuals: Etiology, Prevalence, & Treatment. Retrieved July 26, 2009 from: http://www.royy.com/pap.html • Nardi, P.N. (1982). Alcoholism and homosexuality: a theoretical perspective. Journal of Homosexuality, 7(4). 9. • Rosario, M., Hunter, J., & Rotheram-Borus, M.J. (1992). HIV risk acts of lesbian adolescents. Unpublished manuscript, Columbia University. Quoted from Savin-Williams, R.C. (1994). Verbal and physical abuse as stressors in the lives of lesbian, gay male, and bisexual youths: associations with school problems, running away, substance abuse, prostitution and suicide. Journal of Consulting and Clinical Psychology, 62(2). 261. • Fact Sheet About Gay/Lesbian Substance Abuse. Retrieved July 26, 2009 from: http://www.aidsprevention.org/ADAPT/facts.htm • Straussner, S.L.A. (1993/2004). Clinical Work with Substance-Abusing Clients (2nd ed.). New York: The Guilford Press. • Whitten, L. (2006). Treatment Curbs Methamphetamine Abuse Among Gay and Bisexual Men. NIDA Notes, 20(4).

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