Some studies indicate that approximately 30% of the lesbian and gay population
are chemically dependent (Lesbian & Gay Substance Abuse Planning Group,
1991). Abusing substances increases the risk of HIV infection in at least three
ways. First, persons who are intoxicated have a greater propensity to engage in
unsafe sex practices. Secondly, IV drug users may unknowingly share drug
paraphernalia with HIV+ individuals. And finally, some chemical substances have
direct immunosuppressive properties (Shernoff, 1995).
Research continues to support biological and biochemical aspects of substance
abuse, meaning that some people may be genetically predisposed to greater risk
of chemical dependency. Additionally, gays and lesbians face certain familial,
cultural, and psychological stressors that increase their risk; homophobia,
legal prohibitions, and society’s failure to accept or even recognize
homosexuals can lead to limited social outlets, like bars and clubs where
alcohol and other drugs are pervasive. Some lesbians and gays seek refuge in
mind-altering chemicals in order to relieve distress or find comfort and
acceptance. Others had their first gay sexual experience while drinking or
being drunk.
HIV-infected, gay substance abusers often find it quite difficult to get the
help they so desperately need. When they do reach out for help, they often find
treatment professionals and other clients in the programs that harbor a great
deal of internalized homophobia. In such an environment, they experience
feelings of isolation, alienation, inferiority, and misunderstanding. Not
surprisingly, they often relapse soon after completing these treatment programs
because they weren’t able to talk openly and honestly about their lives.
Waterloo Counseling Center, Austin’s primary provider of mental health
services to the lesbian, gay, bisexual, and HIV+ community, is proud to
announce the opening of the Crossroads Chemical Dependency Programs. These
programs offer recovery and relapse prevention services in a safe,
gay-affirmative environment. For a free, confidential assessment, call Waterloo
at 329-9922.
Jeff Lutes, M.S., L.P.C.
Clinical Director
Waterloo Counseling Center
This article appears in December 1 • 1995 and December 1 • 1995 (Cover).