CSAP Cultural Competence Series 4: Cultural Competence for Social Workers: A Guide for Alcohol and Other Drug Abuse Prevention Professionals Working With Ethnic/Racial Communities

236 Pages·1995·13.1 MB·English

by  SAMHSA Center for Substance Abuse Prevention;HRSA;HHS Office of Minority Health

Competence
Itural
Workers
for Social
A Guide for Alcohol and Other Drug Abuse
Prevention Professionals Working With
Communities
Ethnic/Racial
NASW/CSAPMonograph
Special Collaborative
SAMHSA
4
4 DEPARTMENT OF HEALTH AND HUMAN SERVICES
U.S.
Public Health Service
SubstanceAbuseandMental Health ServicesAdministration
Z^Z? Centerfor SubstanceAbuse Prevention

Offi^ce offMinority Health
CSAP Cultural CompKetence Series4 PO Bocxec£!763n3f7er
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Competence
Cultural
for Social Workers:
A
Guide Alcohol
for
and Other Drug Abuse
Prevention Professionals
Working With Ethnic/
Communities
Racial
Special Collaborative
NASW/CSAP Monograph
Editors:
JoannePhilleo, M.S.W.
Frances Larry Brisbane, Ph.D., Dean
School ofSocialWelfare
StateUniversity ofNewYork atStony Brook
Managing Editor
Leonard G. Epstein, M.S.W.
Division ofCommunity Prevention and Training
CenterforSubstanceAbusePrevention
Substance Abuse and Mental Health Services Administration
TheprimaryobjectiveoftheCenterforSubstanceAbusePreven-
tion (CSAP) CulturalCompetenceSeriesistopromotethedevel-
opment and dissemination of a scientific knowledge base that
assists prevention program evaluators, researchers, and practi-
tioners in working withmulticulturalcommunities.
CSAP supports the rigorous scientific analysis of programs
designedtopromotehealthandpreventalcohol,tobacco,andother
drug (ATOD) problems for all people. Allpositions taken on spe-
cificapproachestoconductingpractice,research,andevaluationon
ATOD problem prevention programs are positions of the re-
searchers,communities,preventionexperts,andauthorswhocon-
tributed to this monograph and may not necessarily reflect the
opinions, officialpolicy, orpositionofCSAP,theSubstanceAbuse
andMentalHealthServicesAdministration,thePublicHealthServ-
ice, or the U.S. Department ofHealth and Human Services. Other
groups that developed and/or implemented specific methods for
researching or evaluating ATOD abuse prevention programs are
documented inthetextofthismonograph.
All material in this volume, except quoted passages from
copyrighted sources, isinthepublicdomainand maybeused or
reproduced withoutpermissionfromCSAPortheauthors. Cita-
tion ofthe source is appreciated.
DHHS
Publication No. (SMA)95-3075
Printed 1995
Project Officers:
Leonard G. Epstein, M.S.W.
Armando Pollack, M.S.W.
CSAP Cultural Competence Series:
Elaine M. Johnson, Ph.D., Director, CSAP
Vivian L. Smith, M.S.W., Deputy Director, CSAP
Ruth Sanchez-Way, Ph.D., Director, DivisionofCommunity
Prevention and Training, CSAP
11
RobertW. Denniston, Director, Division ofPublic Education
and Dissemination, CSAP
This monograph was produced under contract from the Center
for Substance Abuse Prevention, Substance Abuse and Mental
Health Services Administration, No. 277-91-2006, with the Na-
tional Association of Social Workers, Norma Taylor, Ph.D.,
J.
ACSW,
ProjectDirector.
Co-sponsors of this monograph are the Council on Social
Work Education, the National Association of Deans and Direc-
tors, and the National Association of Baccalaureate Program
Directors.
Ifyouwouldliketoordermaterialsonalcohol,tobacco,andother
drugs,pleasecontacttheNationalClearinghouseforAlcoholand
Drug Information.
Telephone: [phone].
TDD: 1-800-487-4889
Telnet: ncadi.health.org
WWW:
http://www.health.org
111

Foreword
This fourth publication in CSAP's Cultural Competence Series
presents the results ofa highly productive partnership with the
NationalAssociationofSocialWorkers (NASW), theCouncilon
Social Work Education (CSWE), the National Association of
Deans and Directors, and the National Association ofBaccalau-
reate Program Directors. Without the strong commitment of
these four partners, this monograph would never have attained
the excellence that exemplifies the work of the social work pro-
fessional.
This volume is one result of a CSAP-NASW-CSWE project
thatexpandsthesubstanceabusecontentinsocialworktraining,
withparticularemphasisonpreventionand preventiveservices.
Thisprojectbringsnewknowledgeandinsighttothepreparation
of social workers at both the bachelor's and master's levels, as
wellas to thecontinuing education ofpractitioners. Thecurricu-
lumexpands exposureto substanceabuseprevention categories
and also addresses the crucial issue of cultural diversity and
cultural competency.
WebelievethatoneoftheimportantpartsoftheSocialWork
BSW/MSW
CurriculumEnhancementProjectisitsrecognitionof
the nature and complexity of social work and the need for addi-
tional information on the impact of culture on the prevention of
alcoholand otherdrugabuse.
We commend the NASW Curriculum Enhancement Task
Force,which demonstrated clarity ofpurpose and direction and
created a forum for authors that allowed free expression while
maintaining thehighest academic standards.
We
alsoacknowledgetheauthorsofthishistoriccurriculum.
CSAP and NASW deeplyappreciate their exceptionalworkand
contributions. They reflect well on the profession's ability to
anticipate and respond to the needs of the diverse populations
we
serve.
CSAP's Cultural Competence Series has as its primary goal
thescientificadvancementofpracticeandevaluationmethodolo-
V
gies designed specifically for alcohol, tobacco, and other drug
abuse (ATOD) problem prevention approaches within the mul-
ticulturalcontextofUnited States community settings. Thevari-
ous multicultural communities which make up our country
comprise a rich and diverse ethnic heritage. The Cultural Com-
petence Series is dedicated to exploring and understanding this
heritage and its critically important role in the development of
ATODproblemprevention programs.
The Center for Substance Abuse Prevention, the National
Association of Social Workers, and the Council on Social Work
Education are pleased to have participated in this creative col-
laboration.
ElaineM. Johnson,Ph.D., Director
Centerfor SubstanceAbusePrevention
VI
Contents
Introduction ix
FrancesLarryBrisbane
1 AMERICANINDIANS JamesR.Moran and
PhilipA. May
Introduction 3
TheAmerican Indian Population 4
Extentofthe Problem 5
The Literature onPrevention 9
Summaryand Conclusion 28
References 30
2 HISPANICS/LATINOS ....Melvin Delgado
HistoricalContext ofAlcohol and Other Drugs 43
ExtentoftheProblem 46
CulturalConsiderations 49
Culture-SpecificIntervention 52
Evaluation ofOutcomeMeasures 62
Conclusion 63
References 63
3 AFRICANAMERICANS Muriel Gray
Introduction 71
HistoricalContextofAlcohol and OtherDrug
UseAmong African Americans 71
Extentofthe Problem 84
Suggested PreventionStrategies 90
Evaluation ofOutcomeMeasures 95
Conclusion 96
References 97
Vll
4 ASIANAMERICANS FordH. Kuramoto
History 105
Extentofthe Problem 106
CulturalCharacteristicsoftheGroup 120
Suggested PreventionStrategies 134
Evaluation ofOutcomeMeasures 148
ClassroomExercises 150
References 151
5 PACIFICISLANDERS NoreenMokuau
Acknowledgments 158
Introduction 159
Population Description.. 161
ExtentoftheProblem 166
Suggested PreventionStrategies 171
Conclusion 178
Classroom Exercises 179
Recommended Readings 183
References 184
6 GAYANDLESBIANPERSONS Karen A. Holmesand
RobertH. Hodge
Introduction 191
Historyand Characteristics ofGay and
LesbianPersons 191
ExtentoftheProblem 197
AODAbuse PreventionAmongGay
and LesbianPersons 201
Conclusion 211
Classroom Exercises 212
Recommended Readings 216
References 216
Vlll