The social model in alcohol treatment services

Daisy Bogg and Terry Bogg

in Women and alcohol

Published by Policy Press

Published in print June 2015 | ISBN: 9781447318880
Published online January 2016 | e-ISBN: 9781447318903 | DOI:
The social model in alcohol treatment services

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Alcohol treatment has undergone rapid change over the last decade, from something on the edges of substance misuse treatment, often treated solely in primary care, and suffering from a scarcity of funding, to something that now features highly on the political agenda. Discourses about the impact of providing holistic treatment as a response to social harms have been, and continue to be, prevalent across the field. However, there remains a dominance of medical approaches, which for those affected means that the wider social context of their alcohol use is often inadequately addressed or completely ignored. There are some specific issues that need to be considered, ranging from health considerations through to issues of self-esteem, identity and the impact of role expectations. Those entering treatment services for the first time are likely to present with high levels of anxiety and isolation, and the experience of treatment services can have a direct impact on the eventual outcomes for those affected and their families and communities. Whilst predominantly focusing on the UK situation, the chapter will also draw upon the international evidence, with the aim of creating a dialogue about the importance of social models in relation to women entering, or re-entering alcohol treatment services.

Keywords: alcohol; women; feminism; recovery; treatment; social approaches; male dominated approaches; medical approaches

Chapter.  5664 words.  Illustrated.

Subjects: Mental and Behavioural Health

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