Barriers and Limitations in the Treatment of Alcohol and Substance Abuse

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Alcohol and Substance Abuse Treatment Barriers and Limitations in the Community Background of the Problem and Situational Overview Individuals plagued with alcohol and other substance-abuse problems face numerous barriers along the way to their recovery (Cunningham, Sobell, Sobell, Agrawal & Toneatte, 1993). At the micro-level, some of the primary barriers relate to the potential threat to their employment and income as a result of acknowledging their problems. They include the financial risks associated with disclosure of the problem to employers. At the macro-level, there are relatively few high-quality opportunities for community-funded programs, particularly for middle and upper-middle-class working individuals. Those barriers include the relative unavailability of publicly-funded programs that are well-regulated and staffed by professionals with licenses in substance abuse fields. At the psychosocial level, there are significant barriers in the form of societal behavioral norms that pose barriers of different types based substantially on gender (Beckman & Amaro, 1986). They include general societal behavioral norms that promote alcoholism and substance abuse and particular psychosocial interpersonal dynamics at work and in the home that present different types of barriers to effective treatment based largely on gender (Beckman & Amaro, 1986; Jessup, Humphreys, Brindis & Lee, 2003). Micro-level Barriers One of the most significant micro-level barriers for
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