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| Alcohol, Tobacco and Other Drug Use by Addictions Professionals: Historical Reflections and Suggested Guidelines |
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Alcohol, tobacco, and other drug (ATOD) use by individuals working in the addictions field has existed as a complex, controversial personal and professional practice issue for more than 150 years. The central debate within this history involves the concept of nexus - the boundary that distinguishes rights to personal privacy from professional duties and obligations. Ambiguities related to this point of demarcation have contributed to misjudgments related to ATOD use by addictions professionals that have injured multiple parties. This essay reviews the history of ATOD use as a professional practice issue in the addictions field; discusses clinical, ethical, and legal issues related to ATOD use by addiction service professionals; and offers guidance on ATOD use decision-making.
Introduction
I entered the addictions field in the 1960s as a "streetworker" and aspiring "drug abuse counselor" at a time when few guidelines existed concerning the alcohol, tobacco, and other drug (ATOD) use decisions of service practitioners. Nearly forty years later, ATOD-related decisions remain an ambiguous and conflict-ridden area of personal/professional decision-making for preventionists, counselors, and others who work in the addictions field. Personal misjudgments within this arena have injured and ended careers, injured the reputations of addiction treatment institutions, and created a perceptual barrier that prevented individuals and families from seeking needed services. In spite of its potential importance and its connection to the central mission of the field...
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