Exam 11: Ethnicity, Culture, and Substance Use Disorders

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After 15 years of marriage, the wife of a Mexican American man left him due, she said, to his heavy drinking. He drank only after a hard day's work and does not think he has an alcohol problem. But since she left, he is thinking twice. What occurred?

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A U.S.-born Korean American man has been attending but not participating in AA meetings. He refuses a referral from the facilitator for individualized treatment from a therapist who is not Korean. Why do you think he refuses?

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Briefly, what is the history and background of substance use/abuse among Asian and Pacific Islander Americans? Briefly, what is the history and background of substance use/abuse among Jewish Americans?

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Substance use and abuse among Asian and Pacific Islander Americans has a complex history and background. Historically, substance use was not as prevalent in these communities, but with increased immigration and acculturation to American society, rates of substance use have risen. Factors such as discrimination, acculturation stress, and lack of access to culturally competent services have contributed to substance abuse issues among Asian and Pacific Islander Americans. Additionally, cultural stigma and shame surrounding mental health and substance abuse have made it difficult for individuals in these communities to seek help.

On the other hand, substance use and abuse among Jewish Americans also has a complex history and background. Historically, alcohol and drug use were not as prevalent in Jewish communities, but with increased assimilation and exposure to American culture, rates of substance use have risen. Factors such as stress, trauma, and mental health issues have contributed to substance abuse issues among Jewish Americans. Additionally, cultural and religious stigma surrounding substance abuse have made it difficult for individuals in these communities to seek help. However, there are also strong support networks within the Jewish community that provide resources and assistance for those struggling with substance abuse.

Considering American Indian and Native Alaskan, African American, Hispanic American, Asian and Pacific Islander American, and Jewish American communities, how are mutual help groups generally used by each community? Name at least one other culturally relevant treatment for each community adult or youth).

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What are some prevention measures being taken in the American Indian and Native Alaskan community? What are some prevention measures being taken in the African American community? What are some prevention measures being taken in the Hispanic American community?

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According to Klatsky and colleagues, the strongest determinants of drinking patterns in a society are .

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Why do you think that in 2009 an African American man would be more likely to be incarcerated for a drug-related offense than a white man when the rates of drug disorders among African Americans and whites were about the same?

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A knowledge of a person's is imperative to therapists developing relevant prevention, assessment, and treatment strategies for that person.

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What are some prevention measures being taken in the Asian/Pacific Islander American community? What are some prevention measures being taken in the Jewish community?

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A third-generation Japanese American woman flushes when she drinks alcohol. What might you conclude?

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Briefly, what is the history and background of substance use/abuse among American Indians and Native Alaskans. Briefly, what is the history and background of substance use/abuse among African Americans. Briefly, what is the history and background of substance use/abuse among Hispanic Americans?

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A friend of yours is a nurse in the emergency room. He tells you about a Navajo woman who has been in three times recently due to what he believes is an abusive, alcoholic husband. The woman admits her husband drinks heavily but says she does not need any help. As a human services professional, what do you do?

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A sweat lodge is .

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A young Hopi man living in Phoenix is under assessment. He recently lost his job and is about to lose his home due to alcoholism. He wants to move back to the reservation and return to Hopi spiritual practices, as he believes they would help him stop drinking, but he believes he would not be welcome. What do you recommend?

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During an interview, an African American woman says she works three part-time jobs to take care of her two children while her drug- dependent husband provides no assistance. She says that as much as she has tried, she can no longer endure the pain it is causing and she needs help. How do you respond to this information?

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A young Puerto Rican woman saw a telenovela about a woman in a situation similar to hers that prompted her to seek help with her addiction to alcohol. She is having trouble with her spouse and is concerned for the welfare of her two children. What type of treatment do you think might be appropriate for her?

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Suppose you were going to start a mutual-help support group for adult Latina women who speak little English. Where would you hold it?

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Which statement is true?

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Across ethnic groups, isare) the strongest indicators) of substance abuse in youths.

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A Jewish American man who was not very religious felt ashamed regarding his heavy drinking. He decided to visit his mother's rabbi for advice. If you were the rabbi, what would you suggest?

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