LGBTQ (i.e., lesbian, gay, bisexual, transgender, and queer) individuals experience increased risk for substance use disorders. Many LGBTQ individuals experience barriers to benefiting from substance use programs. A recent study suggests that SMART Recovery, a cognitive-behavioral mutual help group for addictive behaviors, may be a valuable resource for LGBTQ individuals experiencing substance use–related problems. Mental health service providers can play a valuable role in supporting LGBTQ clients in participating in SMART Recovery by introducing them to the program, supporting them in overcoming barriers to successful engagement, and helping clients to apply SMART Recovery tools to salient situations to promote recall and utilization, and teaching additional cognitive-behavioral tools to promote effective emotion regulation and coping with minority stressors.
AgostoS.ReitzK.DuchenyK.MoatonT. (2019). Substance use and recovery in the transgender and gender nonconforming (TGNC) older adult community. In HardackerC.DuchenyK.HoulbergM. (Eds.), Transgender and gender nonconforming health and aging (pp. 97–112). Springer. https://doi.org/10.1007/978-3-319-95031-0_6
2.
AllenJ. L.MowbrayO.(2016). Sexual orientation, treatment utilization, and barriers for alcohol related problems: Findings from a nationally representative sample. Drug and Alcohol Dependence, 161, 323–330. https://doi.org/10.1016/j.drugalcdep.2016.02.025
3.
AndersenJ. P.BlosnichJ. (2013). Disparities in adverse childhood experiences among sexual minority and heterosexual adults: Results from a multi-state probability-based sample. PLOS ONE, 8(1), Article e54691. https://doi.org/10.1371/journal.pone.0054691
4.
BarrettA. K.MurphyM. M. (2021). Feeling supported in addiction recovery: Comparing face-to-face and videoconferencing 12-step meetings. Western Journal of Communication, 85(1), 123–146. https://doi.org/10.1080/10570314.2020.1786598
5.
BeckA. K.ForbesE.BakerA. L.KellyP. J.DeaneF. P.ShakeshaftA.HuntD.KellyJ. F. (2017). Systematic review of SMART recovery: Outcomes, process variables, and implications for research. Psychology of Addictive Behaviors, 31(1), 1–20. http://dx.doi.org.www2.lib.ku.edu/10.1037/adb0000237
6.
BraunV.ClarkeV. (2012). Thematic analysis. In CooperH.CamicP. M.LongD. L.PanterA. T.RindskopfD.SherK. J. (Eds.), APA handbook of research methods in psychology: Vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57–71). American Psychological Association. https://doi.org/10.1037/13620-004
7.
ChaneyM. P. (2019). LGBTQ+ addiction research: An analysis of the journal of addictions & offender counseling. Journal of Addictions & Offender Counseling, 40(1), 2–16. https://doi.org/10.1002/jaoc.12053
8.
CzeislerM. É.LaneR. I.PetroskyE.WileyJ. F.ChristensenA.NjaiR.WeaverM. D.RobbinsR.Facer-ChildsE. R.BargerL. K.CzeislerC. A.HowardM. E.RajaratnamS. M. W. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049–1057. https://doi.org/10.15585/mmwr.mm6932a1
9.
DentatoM. P. (Ed.). (2017). Social work practice with the LGBTQ community: The intersection of history, health, mental health, and policy factors. Oxford University Press.
10.
DongL.LeeJ. Y.HarveyA. G. (2017a). Do improved patient recall and the provision of memory support enhance treatment adherence?Journal of Behavior Therapy and Experimental Psychiatry, 54, 219–228. https://doi.org/10.1016/j.jbtep.2016.08.017
11.
DongL.LeeJ. Y.HarveyA. G. (2017b). Memory support strategies and bundles: A pathway to improving cognitive therapy for depression?Journal of Consulting and Clinical Psychology, 85(3), 187–199. https://doi.org/10.1037/ccp0000167
12.
FlentjeA. (2020). AWARENESS: Development of a cognitive-behavioral intervention to address intersectional minority stress for sexual minority men living with HIV who use substances. Psychotherapy, 57(1), 35–49. https://doi.org/10.1037/pst0000243
13.
González-PrendesA. A.BriseboisK. (2012). Cognitive-behavioral therapy and social work values: A critical analysis. Journal of Social Work Values and Ethics, 9(2), 21–33.
HallJ. M. (1996). Lesbians’ participation in alcoholics anonymous: Experiences of social, personal, and political tensions addiction mutual-help movements in a comparative perspective. Contemporary Drug Problems, 23(1), 113–138. https://heinonline.org/HOL/P?h=hein.journals/condp23&i=147
17.
HaugN. A.MorimotoE. E.LembkeA. (2020). Online mutual-help intervention for reducing heavy alcohol use. Journal of Addictive Diseases, 38(3), 241–249. https://doi.org/10.1080/10550887.2020.1747331
18.
HesterR. K.LenbergK. L.CampbellW.DelaneyH. D. (2013). Overcoming addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for problem drinkers, part 1: Three-month outcomes of a randomized controlled trial. Journal of Medical Internet Research, 15(7), Article e2565. https://doi.org/10.2196/jmir.2565
19.
HorvathA. T.YeterianJ. (2012). SMART recovery: Self-empowering, science-based addiction recovery support. Journal of Groups in Addiction & Recovery, 7(2–4), 102–117. https://doi.org/10.1080/1556035X.2012.705651
JeromeR. C.HalkitisP. N. (2014). An exploratory investigation of treatment strategies for Black, Gay, Bisexual, and heterosexual men-who-have-sex- with-men who use methamphetamine. Journal of LGBT Issues in Counseling, 8(1), 2–24. https://doi.org/10.1080/15538605.2014.853636
22.
KellyB.DentatoM. (2016). Substance abuse treatment and recovery. In GoldbergA. (Ed.), The SAGE encyclopedia of LGBTQ studies (pp. 1144–1147). SAGE.
23.
KellyJ. F.MagillM.StoutR. L. (2009). How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous. Addiction Research & Theory, 17(3), 236–259. https://doi.org/10.1080/16066350902770458
LaSalaM. C. (2006). Cognitive and environmental interventions for gay males: Addressing stigma and its consequences. Families in Society, 87(2), 181–189. https://doi.org/10.1606/1044-3894.3
26.
LieseB. S.MonleyC. M. (2021). Providing addiction services during a pandemic: Lessons learned from COVID-19. Journal of Substance Abuse Treatment, 120, 108156. https://doi.org/10.1016/j.jsat.2020.108156
27.
MadaraE. J. (1999). From church basements to world wide web sites: The growth of self-help support groups online. International Journal of Self Help and Self Care, 1(1), 37–48. https://doi.org/10.2190/8BL4-VD3X-KV8N-T78F
28.
McCabeS. E.HughesT. L.BostwickW. B.WestB. T.BoydC. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction (Abingdon, England), 104(8), 1333–1345. https://doi.org/10.1111/j.1360-0443.2009.02596.x
MeyerI. H. (2013). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychology of Sexual Orientation and Gender Diversity, 1(S), 3–26. https://doi.org/10.1037/2329-0382.1.S.3
31.
MilesJ. R.AndersC.KivlighanI. I. I.Belcher PlattA. A. (2021). Cultural ruptures: Addressing microaggressions in group therapy. Group Dynamics: Theory, Research, and Practice, 25(1), 74–88. https://doi-org.www2.lib.ku.edu/10.1037/gdn0000149
32.
NadalK. L.WhitmanC. N.DavisL. S.ErazoT.DavidoffK. C. (2016). Microaggressions toward lesbian, gay, bisexual, transgender, queer, and genderqueer people: A review of the literature. The Journal of Sex Research, 53(4–5), 488–508. https://doi.org/10.1080/00224499.2016.1142495
33.
PachankisJ. E.HatzenbuehlerM. L.RendinaH. J.SafrenS. A.ParsonsJ. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889. https://doi.org/10.1037/ccp0000037
34.
RowanN. L.FaulA. C. (2011). Gay, lesbian, bisexual, and transgendered people and chemical dependency: Exploring successful treatment. Journal of Gay & Lesbian Social Services, 23(1), 107–130. https://doi.org/10.1080/10538720.2010.538011
35.
SMART Recovery (2015). Facilitator’s Manual.
36.
TolinD. F. (2016). Doing CBT: A comprehensive guide to working with behaviors, thoughts, and emotions. The Guilford Press.
37.
WitkiewitzK.MarlattG. A.WalkerD. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19(3), 211–228. https://doi.org/10.1891/jcop.2005.19.3.211
38.
ZemoreS. E.KaskutasL. A.MericleA.HembergJ. (2016). Comparison of 12-step groups to mutual help alternatives for AUD in a large, national study: Differences in membership characteristics and group participation, cohesion, and satisfaction. Journal of Substance Abuse Treatment, 73, 16–26. https://doi.org/10.1016/j.jsat.2016.10.004
39.
ZemoreS. E.LuiC.MericleA.HembergJ.KaskutasL. A. (2018). A longitudinal study of the comparative efficacy of women for sobriety, LifeRing, SMART recovery, and 12-step groups for those with AUD. Journal of Substance Abuse Treatment, 88, 18–26. https://doi.org/10.1016/j.jsat.2018.02.004
