Counselors’ Attitudes Towards Working With Clients With Substance Use Disorders

2020 ◽  
Vol 48 (5) ◽  
pp. 630-656
Author(s):  
Zachary A. D. Cornfield ◽  
Anita M. Hubley

Substance use disorders (SUDs) are a significant and growing problem in all walks of life in Canada and the United States. Counselors are increasingly likely to have clients with SUDs regardless of their area of expertise. There is limited research on counselors’ attitudes towards working with such clients, or the factors that contribute to these attitudes. In an online survey of 263 Canadian counselors, we found attitudes were mostly positive, although statistically significantly less positive than toward working with clients with major depression. Numerous variables showed significant bivariate relationships with attitudes towards working with clients with SUDs, but only more frequent contact with such clients, fewer workplace situational constraints, and less frequent feelings of anger towards such clients remained as significant predictors of more positive attitudes in a regression analysis. Our research highlights the importance of providing more support for counselors to ensure better service to clients with SUDs.

Author(s):  
Hans Oh ◽  
Ai Koyanagi ◽  
Jordan DeVylder ◽  
Andrew Stickley

Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001–2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.


Author(s):  
Jorge Delva ◽  
Sandra L. Momper ◽  
Claudette L. Grinnel-Davis ◽  
Mark B. Padilla

This chapter begins with a description of the role of culture on the etiology of substance use, misuse, and disorders among youth in the United States. This is followed by a discussion of how present constructions of majority-minority groups oversimplify the tremendous diversity individuals experience and how they tend to negate individual agency and fail to critique the structural forces that impact individuals’ drug-using behaviors. The chapter concludes with the thesis that a critical intersectionality framework is necessary to understand how substance use disorders vary as a function of individuals’ multiple dimensions, including how these are manifested and impacted by societies’ social and structural forces.


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