Leadership in Substance Abuse Programs

The following review of the literature is related to the topic of leadership in substance abuse programs. An introduction to mental health and substance abuse treatment programs is followed by a discussion of substance abuse programs, the structure of substance abuse programs, the effectiveness of substance abuse programs, leadership, leadership and substance abuse programs, and conclusions.

Mental health has become a global concern. The World Health Organization is involved in a campaign to raise awareness about barriers to mental health and solutions to deal with mental and substance abuse disorders (Satcher, 2001). The prevalence of mental health and substance abuse disorders is around 20% for each age group to include children/adolescents, adults, and elders (Harwood, Mark, McKusick, & Coffey, 2003). Substance abuse and dependence is linked to age with prevalence highest in young adults and a decline in the numbers of elder substance abusers. A 2000 National Household Survey on Drug Abuse discovered that some individuals begin drinking as preteens; 2.4% of 12-year-olds were found to consume some alcohol in a month and 3% used illicit drug in the past month and these figures were 30% for 16-17-year-olds regarding alcohol use and 20% for 18-20-year-olds regarding illicit drug use. In the year 2000 it was estimated that 4.1 million individuals required treatment for illicit drug abuse and 10

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develop a single system that is unified to prevent and treat substance abuse and mental problems. Community participation is organized by a citizens task force and a community consortium. The National Program Office, established in 1989, administered the program to 14 communities that were selected from hundreds of applicants. For this program both community leaders and ordinary citizens were to work together in the decision-making process. Each community has a task force that ensues the FB elements are conformed to. Lindholm, et al. (2004) reported findings from an examination of ten of the communities as follows: coordination was difficult due to policies being set by state legislatures rather than local communities; short-term collaboration centered around concrete and shared goals; long-term collaboration was infrequent and centered around grant writing, legislative advocacy, professional educational events; and competition, segmentation, and mandates to be broadly inclusive sere barriers to collaboration. It was concluded that FB was unique in its attempt to integrate problems, but it faced difficulties due to conflict between community leaders and agency professionals. These two groups defined alcohol and drug probl

Category: Medical - L