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• W2992609293 abstract "Alcholism is a disease that crosses all social, economic, ethnic, racial, and geographical lines. Estimates on its prevalence in the United States vary from 4% of those eighteen years and older to 10% of the males and 5% of the females eighteen years and older (Gallant, 1987). A 1978 Gallup Poll asked the question, Has liquor ever been a cause of trouble in your family? and 24% of those queried responded positively (Apthorp, 1985). There can be little doubt that rehabilitation counselors will encounter persons who have this disease. Whether counselors have a general caseload to manage, or a specialized caseload of clients whose disability is alcoholism, there are certain issues related to alcoholism that must be addressed for effective case management. Such issues may be divided into four general areas, as illustrated by Figure One. First, there are issues concerning a counselor's personal experience with the disease and the subsequent perceptions and reactions to persons with the disease. Second, the disease of alcoholism affects all family members. The involvement of the client's family members in the disease process and in the rehabilitation process will be a source of issues to be evaluated. Third, alcoholism entails issues affecting the client's employment history (e.g., multiple positions, unfocused future, and lack of acceptable work habits). Finally, there are issues specifically relating to the client. These relate to the chronic, progressive and potentially fatal nature of the disease of alcoholism. Counselor Issues The first area of discussion focuses on issues arising from the counselor's personal experience with the disease. One of the realities about alcoholism is that it is characterized by highly charged emotional undercurrents--everyone has an opinion. These undercurrents may manifest themselves in both personal and social ways. The counselor should begin by looking to his or her own experience with alcohol and alcoholism. This personal evaluation can begin with some basic questions. Did the counselor grow up in a home where one or both parents were alcoholic? Is the counselor married to an alcoholic? Does the counselor have reason to be concerned about her or his own use of alcohol? Is the counselor a recovering alcoholic? Is the counselor currently abusing alcohol? Affirmative answers to any of the above questions should be warning flags for the counselor. The counselor's effectiveness with clients with alcoholism may be determined by a personal experience with the disease. This same awareness also applies to counselors who grew up in a dysfunctional family of any description. The estimates are that one in three helping professionals are adult children of alcoholics, because helping others is an easy and natural role for adult children. These persons had family roles of care-takers from an early age, and it was an easy transition to teaching and helping professions (Anonymous, 1988). It is possible to believe that a person should be knowledgeable about working with persons with alcoholism, because they grew up in a home where alcoholism was present. As with so many factors related to alcoholism, the obvious and logical cannot be taken for granted because of the dysfunctional thinking that grows out of the dysfunctional family system. In some ways the least effective counselor, whether an alcoholic or the adult child of an alcoholic, is the one who has not acknowledged and dealt with a personal history with alcoholism. Anonymous (1988) warned that our early experiences in alcoholic homes may have caused us to develop attitudes and to exhibit behaviors that actually impede the work of the school [or rehabilitation agency] in substance abuse prevention and recovery (p. 22). It is easy for the counselor to become a professional enabler, making it possible for clients and colleagues to avoid the consequences of their addictions (Anonymous, 1988). …" @default.
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• W2992609293 date "1991-10-01" @default.
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• W2992609293 title "Issues in Managing an Alcoholism Caseload" @default.
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