Human
services: Substance abuse counseling
Introduction
Imagine that young are sitting on a
bench in a busy park. Imagine that you are watching all the people that are
passing. There are high chances that many of those people are dealing with a
substance abuse issue, whether knowingly or unknowingly. Research has it that millions of people do
suffer from substance abuse every year, and it is the most common problem in
America (Richards & O'Hara, 2014).
The term substance abuse refers to the habitual usage of a mind altering
substance, and it can be alcohol or drugs. Many of the victims may see that
they are okay and blessed in some things, but the truth is that those
substances fracture their souls and harm their bodies. The abuse of substances like drugs or alcohol
always inflicts a person’s mind as well.
People suffering from substance abuse do not like themselves. For
example, somebody who has hot temper can become violent when under the
influence of alcohol or drugs. That is the reason it is an issue that requires
the intervention of human services to help the victims overcome as well as
conquer the dependencies on those substances such as alcohol and drugs.
Needs
Analysis
Substance abuse is the chronic or
habitual use of any chemical substance that can alter the mind of the body
other than the medically warranted purposes resulting in effects that are
detrimental to an individual. (Craig & Baucum, 2001). Substance abuse in
this paper refers to the misuse of legal products and illegal products like
cocaine, and cannabis that are harmful to the well-being of persons and the
welfare of the society. When people’s
abuse substances for a long time, they reach a point where they become
substance dependence. At this juncture,
there is uncontrollable craving as well as the use of the substances despite
their potential harm to the person or society. It incorporates both the legal
and illegal substances. Individuals that is dependent on substances become
unable to quit by themselves and need treatment to help them stop using those
substances.
Statement of the problem
Substance abuse, especially among the
youth In America, is increasing every day despite its effects on both
individuals and the community. Nevertheless, the victims of substance abuse
show signs of cultural influence. Many of the tribes have the cultures of
dealing as well as brewing substances in their homes, thus exposing the young
men to such substances at an early age. The consumption of those drugs and
alcohol increase due to peer pressure when those young people reach adolescence
(Kawaguchi, 2004). Many of those young
people prefer the strong local spirit put on miniature sachets, and it goes at
very low prices. Consequently, the young generation is having spoilage, rape,
imprisonment, joblessness, homelessness, and unwanted pregnancies. Forced marriages,
prostitution, and others die from HIV/AIDS.
Because of these problems, the future of America is not only at the
state of doubt, but it is also in a terrible dilemma because the youth are the
future parents and leaders. The solution
to the problem is to find the challenges of substance use among then youth in
America and then apply the substance abuse counseling and a better theoretical
approach to remedy the situation.
Types of abused
substances
The youth abuse both the legal as well
as the illegal substances. Legal substances include the socially acceptable and
psychoactive such as over the counter and prescribed medicines (Parry, 1998).
In addition to the above drugs with medicinal value, there are also other
substances abused by the youth such as solvents in glue, nicotine and
inhalants, alcohol beverages, petrol and nail polish. Illegal substances are
those prohibited and whose use, trading or possession constitutes a criminal
offense. Those substances include cocaine powder, examine, ecstasy, crack,
morphine, fentanyl, heroin, cannabis, mandrax, methamphetamine, flunitrazepam,
wellconal and opium (Craig & Baucum, 2001).
The causes of substance
abuse among the youth today
Young people are coming to the health
professionals or human services professionals for assistance use substances as
a means of coping with emotional or situational distress (Rose, 2000). The
influence of peer groups also is a key factor that leads to substance abuse
among the young people. Generally, in the current social set up, youths learn
by modeling –exposure from their peers due to anticipated rewards for
deliquescence engagement. As with sex,
substance issues may remain secretive for the adolescents. That is particularly
so when the young people perceive possible adverse consequences in case of
disclosure (e.g. judged, refused accommodation or parents informed).
Application of
cognitive behavioral treatment for the substance abuse problem
There are around ten years elapsed since
there was the emergence of cognitive behavioral therapies by Albert Ellis and
Aaron Beck. Academic literature began to embrace the theory in the 1990s as a
forming treatment for the victims of substance abuse and dependency. Cognitive
behavioral therapy abbreviated as CBT is an established form of treatment for
various issues, and its tenet is that people’s problems arise from their
evaluations, beliefs, and interpretation in light of life events. Currently,
CBT has universal applicability, and it is one of the few treatments
empirically supported by the American Psychological Association to handle
various issues and disorders (NIDA, 1998).
Specific uses of CBT in substance abuse application include motivational
interviewing, contingency management therapies, and cognition-focused drug
counseling. All those are variations of
CBT. It is a short-term comparative intervention, and it takes twelve to
sixteen weeks sessions conducted in community-based outpatient settings. It is
also flexible enough to have adaptation to individual patient therapeutic needs. Those features make it an ideal therapy for
some clients though it first has an outage for only heroin addicts.
Human service agents advise that CBT is
crucial for substance abusers although there can be other therapies combined
with it to make the outcome more successful.
Given the complexity of addiction that involves bio-psycho-social
mechanisms, the guiding principle for those human service agents is a
combination of therapeutic approaches tailored to individual patients. The agents and other medical practitioners
have it that CBT is maintaining effectiveness when used in conjunction with
other treatment options. Those treatment options include self-help groups,
vocational counseling, pharmacotherapy, family and couples therapy, and
parenting skill training. Substance abuse is a bio-psychological phenomenon,
and CBT therapy is very promising as many clients are showing positive
responses (NIDA, 1998). It incorporates
the client’s social as well as environmental context to reinforce the strength of
CBT’s modality since it is a type of treatment that emerged from moral or
disease models.
The approach of CBT is to start from
where the client is. To make the client maintain motivation on the therapy, the
social workers ensure that the client is comfortable with the therapy and
within the client-professional relationship. There is a mutual agreement of the
treatment goals by the client and the therapist with an emphasis on the
client’s identified problems and consideration of the skills and knowledge of
the professional. The collaboration
fosters the creation of a good working relationship and helps avoid a passive
stance by the therapist as it assures that the treatment is most relevant and
useful to the patient (NIDA, 1998). The maintenance of that client-professional
collaboration makes CBT vital in deconstructing the notion of personal
deficiency and blame that the client might be having over the years of
struggling to conquer substance dependency.
It helps to challenge the negative thoughts that contribute to harmful
behaviors that according to pure CBT theory culminate to self-regulated change
and more positive outcomes (Fisher, 1995).
Demographics
of chosen population
The demographics in this document
represent the survey done by MTF last year, 2014 regarding alcohol and drug
abuse that comprise substance abuse problem. The results show that the use of
electronics cigarettes is high among the youth in America and of those, only
14.2 percent that view it as harmful to their health. There is also the continuous use of marijuana
use among high school seniors whereby only 36. 1% of the users in these groups
say that the use of marijuana puts the user at a great risk. The study also shows that marijuana smoking
exceeds cigarette smoking whereby among the high school seniors 21.2% use
marijuana, compared to 13.6 percent who smoke cigarettes. Tobacco use is also
heightening with 22.95 of 12 graders using hooker in the year 2014.
References
Craig, J. & Baucum, D. (2001). Human
development. (9th Ed.). London: Prentice Hall.
Kawaguchi, D. (2004). Peer effects of substance use
among American teenagers. Journal of Population Economics, (17), 351-367.
NIDA (1998). A cognitive-behavioral approach:
treating cocaine addiction. Rockville, MD: Author.
NIH (2014). Monitoring the future survey, overview
of findings 2014.
Parry, H. (1998). Substance abuse in South Africa:
country report focusing on young persons.
Richards, S., & O'Hara, W. (2014). The Oxford handbook of depression
and comorbidity.
Rose, J. (2000). High risk youth: alcohol and other
drug use.
Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in custom essay paper writing if you need a similar paper you can place your order from custom research paper services.
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