Addictions Counseling Against the Odds in Rural Alaska: Understanding and Compassion Motivate Counselors

Abstract

A qualitative, hermeneutic, phenomenological, holistic case study was completed to gain insight into the experiences of drug and alcohol (D&A) counselors in rural Alaska. The goal was to describe why counselors in rural Alaska work in their positions and continue to perform, despite existing research indicating challenges in the occupation and the location. Interviewing homogeneous, purposively selected D&A counselors working in rural Alaska provided rich experiential information answering the research question. The approach to information gathering and analyses of interview transcripts for common themes captured the lived experiences of the counselors. It illuminated their perceptions of incentives supporting and encouraging their service. Counselors’ stories highlighted common themes known to the field (challenges, stigma) and themes previously unnamed but taken-for-granted (community/giving-back, prevention, personal/professional growth). The nation’s addiction problems are not decreasing; intervention by skilled professionals is needed. The authors’ searches of existing literature revealed no qualitative research describing why counselors persist. Results indicated that despite challenging deadlines, politics, stigma, and more, counselors certainly enjoy their work, allowing them to give back to their communities and save lives. Counselors also appreciate the personal and professional growth opportunities provided to them. Conclusions suggested future research regarding recruitment and retention, such as personal experience with addiction, being an established community member, and the desire for opportunities to provide unique and professional growth. In addition, governmental and professional organizations should better support counselors in their essential work.