Substance Abuse and Dependency in Gay Men and Lesbians

Research on the incidence, etiology and treatment needs of gay men and lesbians who abuse alcohol and drugs is limited. Recent studies challenge earlier beliefs that the incidence of substance abuse is higher among gay men and lesbians than in the general population. However, a substantial number of this population drink problematically. This article reviews the literature on the etiology of substance abuse among gay men lesbians, and details important assessment and treatment issues unique to this population. The strengths and limited of gay-specific treatment programs are discussed. Recommendations are made about how social workers can respond more appropriately to their gay and lesbian clients.