Responding to the Oppression of Addiction: Canadian Social Work Perspectives

369 Pages·2003·20.51 MB·English

by  Rick Csiernik

RES PO ND IN G
TO THE OPPRESSION
OF ADDICTION:
Canadian Social Work
Perspectives
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RESPON D IN G
TO THE OPPRESSION
OF ADDICTION:
Canadian Social Work
Perspectives
edited by
Rick Csiernik and William S. Rowe
Toronto
Canadian Scholars’ Press Inc.
Disclaimer: Some images and text in the printed version of this book are not available for
inclusion in the eBook.
Responding to the Oppression of Addiction: Canadian Social Work Perspectives
edited by Rick Csiernik and William S. Rowe
First published in 2003 by
Canadian Scholars’P ress Inc.
180 Bloor Street West, Suite 801
Toronto, Ontario
M5S 2V6
www.cspi.org
Copyright 0R ick Csiernik, William S. Rowe, the contributing authors, and Canadian Scholars’
Press Inc. All rights reserved. No part of this publication may be photocopied, reproduced,
stored in a retrieval system, or transmitted, in any form or by any means, electronic,m echanical
or otherwise, without the written permission of Canadian Scholars’P ress Inc., except for brief
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to have any errors or omissions brought to its attention.
CSPI gratefully acknowledges financial support for our publishing activities from the
Government of Canada through the Book Publishing Industry Development Program (BPIDP)
and the Government of Ontario through the Ontario Book Initiative.
National Library of Canada Cataloguing in Publication Data
Responding to the oppression of addiction : Canadian social work perspectives /
edited by Rick Csiernik and William S. Rowe.
Includes bibliographical references.
ISBN 1-55130-240-3
1. Social work with narcotic addicts-Canada. 2. Social work with
alcoholics-Canada. 3. Substance abuse-Canada. 4. Compulsive gamblers-Canada. I.
Csiernik, Rick 11. Rowe, William S., 1949-
HV5000.C3R48 2003 362.29’153’0971 C2003-903702-9
Page design and layout by Brad Horning
Cover design by Drew Hawkins
Cover: Absinthe by Edgar Degas. 0F rancis G. Mayer/CORBIS/MAGMA
04 05 06 07 08 7 6 5 4 3 2
Printed and bound in Canada by AGMV Marquis Imprimeur Inc.
Canad3
For our sons, Alexander, Benjamin, Corey and Kyp
- we hope you hear, understand and carry the message.
V
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Contents
Preface ...............................................................................................xi
Acknowledgments ............................................................................. xv
l”
1. Creating A Social Work Understanding of Addiction
Rick Csiernik and William S. Rowe .................................. 3
PART 1: PREVENTION
2. Prevention As Controversy: Harm Reduction Approaches
Jim Watkin, William S. Rowe and Rick Csiernik ........ 19
3. Social Workers and Safer Injection Rooms:
...”
“We accept them the way they are
Leah Malowaniec and William S. Rowe ........................ 37
PART 2: PROGRAMS
4. Is Alcoholics Anonymous of Value for Social
Work Practice?
Rick Csiernik ..................................................................... 55
5. Professional-Peer Co-Leadership: The Elders
Health Care Program
Debra Kostyk, Don Fuchs, Ellen Tabisz
and William R. Jacyk ...................................................... 67
6. Vocational Rehabilitation of Substance Abusers:
A Challenge
Pauline Morissette and Marie-Joske De Montigny ....... 8 1
vii
7. A Model for Working with Women Dealing with Child
Sexual Abuse and Addiction: The Laurel Centre,
Winnipeg, Manitoba
Diane Hiebert-Murphy and Lee Woytkiw ...................... 91
8. The Role for Community-Based Residential Addiction
Treatment Programs in an Outpatient World
Rick Csiernik ................................................................... 109
9. Conducting Community-Based Research:
The Evaluation of a Relapse Prevention Group
Rick Csiernik and June Troller .................................... 117
PART 3: POPULATIONS
10. Going Home: Rediscovering the Family in Addiction
Treatment in Canada
Rick Csiernik and Ramona Alaggia ............................. 129
11. Patterns of Intimacy and Sexual Expression
in Interaction with Addictions
M. Louise Osmond and M. Dennis Kimberley ............. 149
12. Violent Substance Abusers in Domestic
Violence Treatment
Thomas Brown, Annette Werk, Tom Caplan
and Peter Seraganian ..................................................... 169
13. The Use of Prescribed Psychotropic Drugs by
Working Women
Pauline Morissette and Nicole Dedobbeleer ................. 185
14. The Experiences of Chinese in Drug Treatment
Programs in Vancouver
Siu-ming Kwok ............................................................... 201
15. Alcohol and Drug Addiction in Native Land
Mavis Etienne .................................................................. 2 15
16. Concurrent Disorders and Social Work Intervention
M. Dennis Kimberley and M. Louise Osmond ............. 227
17. Gender Differences in HIV Risk-Related Behaviours
among Injection Drug Users
Lynne Leonard ................................................................ 249
PART 4: POLICY
18. Many Paths to Prohibition: Drug Policy in Canada
Rick Csiernik ................................................................... 273
19. Drug Testing, Employability and Welfare
Rick Csiernik and Carolyne Gorlick ............................. 293
PART 5: PROBLEM GAMBI ING
20. An Examination of Gambling and
Problem Gambling in Canada
Clare Hargreave and Rick Csiernik .............................. 313
21. Social Work with Problem Gamblers: A Key
Informant Survey of Service Needs
James Chacko, Megan Palmer, Kevin M. Gorey
and Nadine Butler .......................................................... 335
List of Contributing Authors ......................................................... 345