?In this new book, the successor to the classic in the field Counseling Lesbian, Gay, Bisexual, and Transgender Substance Abusers: Dual Identities by Dana G. Finnegan and Emily B. McNally, Michael Shelton reviews the empirical literature and synthesizes what we know about the prevalence of LGBT substance use, abuse, and treatment availability, emphasizing the need for affirmative therapeutic practices. The principles of trauma-informed and culturally competent treatment/intervention are explained and assessed, as well as the challenges of minority stress and microaggressions experienced by the LGBT population. Separate sections focus on the sub-populations of lesbians, gay men, bisexuals, and transgender individuals. Separate chapters focus on LGBT youth, the elderly, family constellations and concerns, criminal justice issues, and rural LGBT substance abuse. This volume provides an introduction to the field that will be useful both as a primary textbook and as a handbook/reference for LGBT-focused and general substance-use disorder clinics and their administrators, clinicians, trainees, allies and volunteers.

Syringe exchange programs and safe injection services are outside-the-box interventions increasingly being used by governments, nonprofits and citizens to address dire issues percolating in tandem with America's burgeoning opioid epidemic. People who inject drugs (PWID)-almost a million Americans annually-commonly use painkillers such as heroin and fentanyl, as well as methamphetamine, benzodiazepines, barbiturates and cocaine. Yet the users themselves are often obscured or marginalized by the bigger picture. This collection of essays covers policies and practices aimed at preventing both opioid-related deaths and related infections of hepatitis and HIV.

When "The Natural History of Alcoholism" was first published in 1983, it was acclaimed in the press as the single most important contribution to the literature on alcoholism since the first edition of Alcoholic Anonymous's Big Book. George Vaillant took on the crucial questions of whether alcoholism is a symptom or a disease, whether it is progressive, whether alcoholics differ from others before the onset of their alcoholism, and whether alcoholics can safely drink. Based on an evaluation of more than 600 individuals followed for over forty years, Vaillant's monumental study offered new and authoritative answers to all of these questions.

In this updated version of his classic book Vaillant returns to the same subjects with the perspective gained from fifteen years of further follow-up. Alcoholics who had been studied to age 50 in the earlier book have now reached age 65 and beyond, and Vaillant reassesses what we know about alcoholism in light of both their experiences and the many new studies of the disease by other researchers. The result is a sharper focus on the nature and course of this devastating disorder as well as a sounder foundation for the assessment of various treatments.

It has long been established that addiction or SUD - Substance Use Disorder - ruins lives and leads to illness, destruction of families, and death. Chasing the "high" often brings the user closer to death each time the use is increased even though the person may choose to ignore the risk. Effective treatment is essential to help recovering addicts change their lives and become productive citizens, leading happy lives in perpetual sobriety. Helping them adjust their focus from shame and guilt to improved self-esteem and renewed sense of purpose in life is essential for avoiding prolonged substance abuse. In addition to traditional approaches, the use of creative writing as a treatment modality can help the addicted person obtain and deploy the tools necessary to remain sober. In this way, creative writing can help actualize the whole person. Inviting people with addictions to share their creative writing with the world helps them to connect their experiences, observations, and recommendations to others. This book is a collaborative effort between research, facilitation, and contributions of the creative men at St. Christopher's Inn. Adding to the variety and depth of the creative productions is the incorporation of post-program writing from men who have completed the program at St. Christopher's and have remained connected in this special endeavor. This allows a window into the minds of the longer-term recovering addicts, especially relating to the tools that help them through life's persistent challenges. With this book, we hope to show that writing does help in the treatment of chemical addiction.