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¶ … chemical dependency is a complex problem, with multiple causes and manifestations, there is no single best treatment model. However, the dual diagnosis model combines a variety of treatment modalities and approaches, accounting for individual differences as well as environmental factors. Studies by Brower, Blow & Beresford (1989) revealed the benefits of the dual diagnosis model, which presumes the need for an integrative approach. Moral models like those employed in Twelve Step programs might prove useful for some clients, but an integrative approach allows greater flexibility. From an organizational perspective, a flexible approach is essential because of the need to address a diverse workforce.
Models of treatment may be broken down into constituent parts, according to the situation and the needs of the client. Research on the hearing impaired, for example, shows that differential needs of the client base will lead to the therapist designing a multifaceted treatment program (Guthmann, n.d.). The same can be said for a diverse workforce such as that in law enforcement. Some clients will respond...
However, a therapist can borrow some elements from a model like cognitive-behavioral therapy and combine those elements with models like the social model or the moral model. In fact, Guthmann (n.d.) points out that cognitive-behavioral therapy is especially compatible with other models. Elements of cognitive behavioral therapy that can be included and combined with other models allow for an exploration of dysfunctional thoughts and harmful emotions, which may underlie the impetus to use drugs or alcohol.
The therapist working with an organization like law enforcement also needs to be sensitive to organizational culture and environmental issues that might impact the individual's mental health. Viewing chemical dependency as a coping mechanism allows the therapist to frame substance abuse within the appropriate social environment, and one that views moral issues as being largely black-and-white. Because law enforcement relies on a deontological approach, officers with substance abuse…
References
Brower, K.J., Blow, F.C. & Beresford, T.P. (1989). Treatment implications of chemical dependency models in an integrative approach. Journal of Substance Abuse and Treatment 6(3): 147-157.
Guthmann, D. (n.d.). Models of alcohol and other drug treatment for consideration when working with deaf and hard of hearing individuals. Retrieved online: http://www.mncddeaf.org/articles/models_ad.htm
Krupski, A., et al. (2010). Impact of brief interventions and brief treatment on admissions to chemical dependency treatment. Drug and Alcohol Dependence 110(1-2): 126-136.
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