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.
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