The authors describe the development and pilot use of a procedure for assessing social support. The social network map takes into account both the structure and function of the client's personal social network. The authors discuss the clinical utility of the map as well as guidelines for using social support assessment information in case planning.

Background Quality of life (QOL) is increasingly recognized as central to the broad construct of recovery in substance abuse services. QOL measures can supplement more objective symptom measures, identify specific service needs and document changes in functioning that are associated with substance use patterns. To date however, QOL remains an under investigated area in the addictions field, especially in the United States. Methods This study examines patterns and predictors of QOL at 1 and 6 months post treatment intake among 240 women enrolled in substance abuse treatment in Cleveland, Ohio. The World Health Organization Quality of Life (WHOQOL-BREF) measure was used to assess physical, psychological, social and environmental domains. Hierarchical multiple regressions were conducted to identify correlates of QOL at 6 months post treatment intake. Results All QOL domains across the follow up time points improved significantly. However, QOL scores across domains remained below those of healthy population norms. Trauma symptoms significantly predicted Physical and Psychological QOL. Among treatment process variables, alcohol use was the sole significant factor associated with QOL and only for Environmental QOL. Recovery support and friends support for abstinence were consistently associated with QOL across all four domains. Implications This study suggests the usefulness of the WHOQOL measure as an indicator of functioning in substance abusing populations. Findings underline the importance of helping women deal with trauma symptoms and develop support for recovery. Further research is needed on the longitudinal relationship between QOL and substance use patterns

The purpose of this study was to explore the nature of the non-kin natural mentoring relationships among 19-year-old youths (N=189) in the process of "aging out" of the foster care system. Data for the present study are from the final interview of a longitudinal study of older youth exiting the foster care system in Missouri. Participants that reported a natural mentoring relationship at age 19 were asked a series of qualitative questions about their reported relationship. The sample in this study was 65% female and 58% youth of color. Thematic analysis, informed by relational-cultural theory (Miller & Stiver, 1997), was utilized to explore the nature of the relationships from the youth's perspective. These youth reported having natural mentors who served in a range of roles in their lives, including youth service professionals and friends of their families. These older youth also described the (a) qualities of their natural mentors that were important to them, (b) specific features of their natural mentoring relationships that they perceived to be especially helpful, and (c) the various kinds of support these relationships had offered to them. Implications for social work policy, practice, and research are discussed.

Using a personal social network framework, this qualitative study sought to understand how women in substance abuse treatment describe their network members' supportive and unsupportive behaviors related to recovery. Eighty-six women were interviewed from residential and outpatient substance abuse treatment programs. Positive and negative aspects of women's social networks were assessed via open-ended questions. Analysis was guided by grounded theory techniques using three coders. The findings extend classic social support concepts such as emotional, tangible, and informational support. Practice implications are presented in light of the potential roles network members may play in substance use and recovery.