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13 - Substance Use Disorder Treatment and Recovery with LGBTQ+ Populations

from Part III - Assessment and Treatment in LGBTQ+ Affirmative Counseling

Published online by Cambridge University Press:  31 October 2024

By
Mike Chaney ,
Michael D. Brubaker  and
Dilani M. Perera
Edited by
Jeffry Moe ,
Amber L. Pope ,
Dilani M. Perera  and
Narketta Sparkman-Key
Jeffry Moe
Affiliation:
Old Dominion University, Virginia
Amber L. Pope
Affiliation:
William & Mary
Dilani M. Perera
Affiliation:
Fairfield University, Connecticut
Narketta Sparkman-Key
Affiliation:
James Madison University, Virginia
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Summary

People from LGBTQ+ communities are more likely than the general population to use alcohol and drugs and to be diagnosed with substance use disorder. LGBTQ+ individuals often do not seek or receive the substance use treatment that they need. We explore the substance use treatment trends of the LGBTQ+ population, including the efficacy of current evidence-based practices and group treatments for use with LGBTQ+ clients with substance use disorders. We then discuss the influence of spirituality in the lives of recovering LGBTQ+ individuals, define characteristics of LGBTQ+ affirmative relapse prevention, and provide a sample LGBTQ+ relapse prevention plan. We conclude with a theoretical case vignette.

Keywords

Substance use disorderLGBTQ+ affirmative counselingrelapse preventionaddictionspirituality
Type
Chapter
Information
LGBTQ+ Affirmative Counseling
A Student and Practitioner Handbook
 , pp. 233 - 248
Publisher: Cambridge University Press
Print publication year: 2024

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References

Al-Rousan, T., Rubenstein, L., Sieleni, B., Deol, H., & Wallace, R. B. (2017). Inside the nation’s largest mental health institution: A prevalence study in a state prison system. BMC Public Health, 17(1), 342. https://doi.org/10.1186/s12889-017-4257-0CrossRefGoogle Scholar
Broekaert, E., Vandevelde, S., Vanderplasschen, W., Soyez, V., & Poppe, A. (2002). Two decades of “research practice” encounters in the development of European therapeutic communities for substance abusers. Nordic Journal of Psychiatry, 56(5), 371–377. https://doi.org/10.1080/080394802760322141CrossRefGoogle ScholarPubMed
Brubaker, M. D., & Chaney, M. P. (2017). Best practices in counseling gay male youth with substance use disorders. Annual Review of Addictions and Offender Counseling, 3, 116–139.Google Scholar
Center for Substance Abuse Treatment. (2012). A provider’s introduction to substance abuse treatment for lesbian, gay, bisexual, and transgender individuals. US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. https://store.samhsa.gov/product/Providers-Introduction-Substance-Abuse-Treatment-Lesbian-Gay-Bisexual-Transgender/SMA12-4104Google Scholar
Chaney, M. P., & Brubaker, M. D. (2014). The impact of substance abuse and addiction in the lives of gay men, adolescents, and boys. In Kocet, M. (ed.), Counseling gay men, adolescents, and boys: A strengths-based resource guide for helping professionals and educators (pp. 109–128). London: Routledge.Google Scholar
Chaney, M. P., & Brubaker, M. D. (2023). Sexual and affectional orientation and heterosexism. In Hays, D. G. & Erford, B. T. (eds.), Developing multicultural counseling competence: A systems approach (4th edition; pp. 189–224). London: Pearson Education.Google Scholar
Chaney, M. P., & Urhahn-Schmitt, N. (2023). LGBTQ+ substance use and sexual health and wellbeing: A special commentary. Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education, 4(2), 66–69. https://doi.org/10.34296/04S11078CrossRefGoogle Scholar
Chaney, M. P., & Whitman, J. S. (2020). Affirmative wellness counseling with older LGBTQ+ adults. Journal of Mental Health Counseling, 42(4), 303–322. https://doi.org/10.17744/mehc.42.4.02CrossRefGoogle Scholar
Coleman, C. (2003). Spirituality and sexual orientation: Relationship to mental well-being and functional health status. Journal of Advanced Nursing, 43(5), 457–464. https://doi.org/10.1046/j.1365-2648.2003.02743.xCrossRefGoogle ScholarPubMed
Connolly, D., & Gilchrist, G. (2020). Prevalence and correlates of substance use among transgender adults: A systematic review. Addictive Behaviors, 111, 106544. https://doi.org/10.1016/j.addbeh.2020.106544CrossRefGoogle ScholarPubMed
de Brito Sena, M. A., Damiano, R. F., Lucchetti, G., & Peres, M. F. P. (2021). Defining spirituality in healthcare: A systematic review and conceptual framework. Frontiers in Psychology, 12, 756080. https://doi.org/10.3389/fpsyg.2021.756080CrossRefGoogle ScholarPubMed
Fals-Stewart, W., O’Farrell, T. J., & Lam, W. K. (2009). Behavioral couple therapy for gay and lesbian couples with alcohol use disorders. Journal of Substance Abuse Treatment, 37(4), 379–387. https://doi.org/doi:10.1016/j.jsat.2009.05.001CrossRefGoogle ScholarPubMed
Felner, J. K., Wisdom, J. P., Williams, T., Katuska, L., Haley, S. J., Jun, H. J., & Corliss, H. L. (2020). Stress, coping, and context: Examining substance use among LGBTQ+ young adults with probable substance use disorders. Psychiatric Services, 71(2), 112–120. https://doi.org/10.1176/appi.ps.201900029CrossRefGoogle ScholarPubMed
Frimpong, E. Y., Rowan, G. A., Williams, D., Li, M., Solano, L., Chaudhry, S., & Radigan, M. (2020). Health disparities, inpatient stays, and emergency room visits among lesbian, gay, and bisexual people: Evidence from a mental health system. Psychiatric services, 71(2), 128–135. https://doi.org/10.1176/appi.ps.201900188CrossRefGoogle ScholarPubMed
Goodman, S. V. (2017). Spirituality, healing and the whole person: Reconciling faith in the transgender community. Journal of Family Strengths, 17(2), 4. https://digitalcommons.library.tmc.edu/jfs/vol17/iss2/4CrossRefGoogle Scholar
Grim, B. J., & Grim, M. E. (2019). Belief, behavior, and belonging: How faith is indispensable in preventing and recovering from substance abuse. J Relig Health, 58(5), 1713–1750. https://doi.org/10.1007/s10943-019-00876-wCrossRefGoogle Scholar
Hendershot, C. S., Witkiewitz, K., George, W. H., & Marlatt, G. A. (2011). Relapse prevention for addictive behaviors. Substance Abuse, Treatment, Prevention, & Policy, 6, 17. https://doi.org/10.1186/1747-597X-6-17CrossRefGoogle ScholarPubMed
Henderson, E. R., Goldbach, J. T., & Blosnich, J. R. (2022). Social determinants of sexual and gender minority mental health. Current Treatment Options in Psychiatry, 9(3), 229–245. https://doi.org/10.1007/s40501-022-00269-zCrossRefGoogle Scholar
Hodge, D. R. (2006). A template for spiritual assessment: A review of the JCAHO requirements and guidelines for implementation. Social Work, 51(4), 317–326. https://doi.org/10.1093/sw/51.4.317CrossRefGoogle ScholarPubMed
Ji, C., & Cochran, B. (2022). The availability of sexual and gender minority (SGM) specific substance use services. Substance Use & Misuse, 57(14), 2126–2133. https://doi.org/10.1080/10826084.2022.2137812CrossRefGoogle ScholarPubMed
Jones, A. (2021, March). Visualizing the unequal treatment of LGBTQ+ people in the criminal justice system. Prison Policy Initiative Briefing. www.prisonpolicy.org/blog/2021/03/02/LGBTQ+/Google Scholar
Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., Jung, J., & Hasin, D. S. (2017). Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorders among sexual minorities in the United States. Drug and Alcohol Dependence, 170, 82–92. http://dx.doi.org/10.1016/j.drugalcdep.2016.10.038CrossRefGoogle ScholarPubMed
Kidd, J. D., Paschen-Wolff, M. M., Mericle, A. A., Caceres, B. A., Drabble, L. A., & Hughes, T. L. (2022). A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations. Journal of substance abuse treatment, 133, 108539. https://doi.org/10.1016/j.jsat.2021.108539CrossRefGoogle ScholarPubMed
Krueger, E. A., Fish, J. N., & Upchurch, D. M. (2020). Sexual orientation disparities in substance use: Investigating social stress mechanisms in a national sample. American Journal of Preventive Medicine, 58(1), 59–68. https://doi.org/10.1016/j.amepre.2019.08.034CrossRefGoogle ScholarPubMed
Lassiter, P. S., Spivey, M. S., & Johnson, D. (2022). Addiction and grief in the LGBTQ+ community. In Furr, S. R. & Hunsucker, K (eds.), Grief work in addictions counseling (pp. 168–179). London: Routledge.CrossRefGoogle Scholar
Mau, M., Muller, A. E., & Roessler, K. K. (2019). Alcohol relapse and near-relapse experiences show that relapse models need to be updated. Alcoholism Treatment Quarterly, 37(3), 285–301. https://doi.org/10.1080/07347324.2018.1532775CrossRefGoogle Scholar
McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689–1695. http://jama.ama-assn.org/cgi/content/full/284/13/1689CrossRefGoogle ScholarPubMed
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674CrossRefGoogle ScholarPubMed
Pachankis, J. E., & Safren, S. A. (2019). Adapting evidence-based practice for sexual and gender minorities: The current state and future promise of scientific and affirmative treatment approaches. In Pachankis, J. E. & Safren, S. A. (eds.), Handbook of evidence-based mental practice with sexual and gender minorities (pp. 3–22). Oxford: Oxford University Press.Google Scholar
Pantoja-Patiño, J. R. (2020). The socio-multidimensional sexual and gender minority oppression framework: A model for LGBTQ+ individuals experiencing oppression and substance use. Journal of LGBT Issues in Counseling, 14(3), 268–283. https://doi.org/10.1080/15538605.2020.1790469CrossRefGoogle Scholar
Peck, S. (2022). The criminal justice system and the LGBTQ+ community: An anti-queer regime. Themis: Research Journal of Justice Studies and Forensic Science, 10(1), 5. https://doi.org/10.31979/THEMIS.2022.1005CrossRefGoogle Scholar
Qeadan, F., Akofua Mensah, N., Gu, L.Y., Barbeau, W. A., Madden, E. F., Porucznik, C. A., & English, K. (2022). Factors associated with the availability of tailored programs for LGBT clients in substance use disorder treatment facilities in the U.S. from 2008 to 2018. Journal of Gay & Lesbian Social Services, 34(2), 247–268. https://doi.org/10.1080/10538720.2021.1954125CrossRefGoogle Scholar
Reisner, S. L., Hughto, J. M. W., Pardee, D. J., Kuhns, L., Garofalo, R., & Mimiaga, M. J. (2016). LifeSkills for Men (LS4 M): Pilot evaluation of a gender-affirmative HIV and STI prevention intervention for young adult transgender men who have sex with men. Journal of Urban Health, 93, 189–205. https://doi.org/doi:10.1007/s11524-015-0011-zCrossRefGoogle Scholar
Rosner, B., Neicun, J., Yang, J. C., & Roman-Urrestarazu, A. (2021). Substance use among sexual minorities in the US–Linked to inequalities and unmet need for mental health treatment? Results from the National Survey on Drug Use and Health (NSDUH). Journal of Psychiatric Research, 135, 107–118. https://doi.org/10.1016/j.jpsychires.2020.12.023CrossRefGoogle ScholarPubMed
Senreich, E. (2009). A comparison of perceptions, reported abstinence, and completion rates of gay, lesbian, bisexual, and heterosexual clients in substance abuse treatment. Journal of Gay & Lesbian Mental Health, 13(3), 145–169. https://doi.org/10.1080/19359700902870072CrossRefGoogle Scholar
Sliedrecht, W., de Waart, R., Witkiewitz, K., & Roozen, H. G. (2019). Alcohol use disorder relapse factors: A systematic review. Psychiatry Research, 278, 97–115. https://doi.org/10.1016/j.psychres.2019.05.038.CrossRefGoogle ScholarPubMed
Smith, N. G., Hart, T. A., Kidwai, A., Vernon, J. R., Blais, M., & Adam, B. (2017). Results of a pilot study to ameliorate psychological and behavioral outcomes of minority stress among young gay and bisexual men. Behavior Therapy, 48(5), 664–677. https://doi.org/10.1016/j.beth.2017.03.005CrossRefGoogle ScholarPubMed
Smith, T. B., McCullough, M. E., & Poll, J. (2003). Religiousness and depression: Evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin, 129(4), 614–636. https://doi.org/10.1037/0033-2909.129.4.614CrossRefGoogle ScholarPubMed
Sowe, B. J., Tylor, A. J., & Brown, J. (2017). Religious anti-gay prejudice as a predictor of mental health, abuse, and substance use. American Journal of Orthopsychiatry, 87(6), 690–703. https://doi.org/10.1037/ort0000297CrossRefGoogle ScholarPubMed
Stevens, P. W., & Smith, R. L. (2018). Substance use counseling: Theory and practice (6th edition). London: Pearson Education.Google Scholar
Sumerau, J. E., Cragun, R. T., & Mathers, L. A. B. (2016). Contemporary religion and the cisgendering of reality. Social Currents, 3(3), 293–311. https://doi.org/10.1177/2329496515604644CrossRefGoogle Scholar
Substance Abuse and Mental Health Services Administration. (2022). 2020 National survey on drug use and health: Lesbian, gay, or bisexual (LGB) adults. www.samhsa.gov/data/report/2020-nsduh-lesbian-gay-bisexual-lgb-adultsGoogle Scholar
Truman, J. L., & Morgan, R. E. (2022). Violent victimization by sexual orientation and gender identity, 2017–2020. Bureau of Justice Statistics. https://bjs.ojp.gov/library/publications/violent-victimization-sexual-orientation-and-gender-identity-2017-2020Google Scholar
Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374, 363–371. https://doi.org/10.1056/NEJMra1511480CrossRefGoogle ScholarPubMed
Ward, B. W., Dahlhamer, J. M., Galinsky, A. M., & Joestl, S. S. (2014). Sexual orientation and health among US adults: National Health Interview Survey, 2013. National health statistics reports; no 77. National Center for Health Statistics. https://stacks.cdc.gov/view/cdc/24087Google Scholar

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