This volume presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. While emphasizing the need to see each client as a unique individual, the book examines how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the volume makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.
'This is a superb, comprehensive primer for all clinicians. In uniformly thorough and clear chapters, the editor and contributing authors teach the reader how to think about the theoretical and practical significance of context and the multiple factors of race, ethnicity, and culture--always present and always wielding a critical influence. Reading this text is like learning a new language whose ideas and vocabulary open a wide new territory. In a world where diversity is normal, the concepts of cultural identity and ethnocultural conflict are key. This volume provides a map of cultural sensitivity that adds a vital, expanding dimension to traditional ways of thinking about addiction. It should be a basic text and clinical resource for years to come.' - Stephanie Brown, PhD, The Addictions 'This volume lays out the critical clinical issues involved in culturally competent practice. The authors provide a rich context for understanding current substance abuse patterns in an impressive range of ethnic groups--more than I have ever seen discussed under one cover. The information presented is well researched and referenced, and the authors do a nice job of avoiding rigidity in their recommendations. Several chapters address such groups within the culture as women, adolescents, and refugees, who have unique needs and for whom the clinician may need to vary his or her approach. The case examples give depth to the discussion and illustrate important intervention techniques. Social work students at all levels will find this text helpful.' - Maryann Amodeo, MSW, PhD, Boston University School of Social Work