San Francisco Bay Area Chapter

Monthly Meeting (Hybrid)

Our Mission

To Promote Employee Assistance Programs as an effective means of enhancing the well-being and productivity of employees in the workplace, and to facilitate the professional identification of Chapter members and the development of quality Employee Assistance in the San Francisco Bay Area.

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June 11, 2024

Mellissa McCracken, CADC II, ASAT, RAE


Sexualized Drug Use in the LGBTQ+ Community


Chemsex predominately disrupts the lives those in the LGBT+ community and is effectively the “second epidemic” to hit the

population. Attendees will wider their knowledge about the ongoing crisis of psychosexual substance use issues in the LGBT+

community. This presentation will examine the nature of compulsive sexual behaviors that often lead to chemical dependence. We

will discuss and dissect the neurology of trauma and its relationship to Chemsex addiction, sex-app usage, and methamphetamine

use and review solutions, interventions, and treatment options for those seeking help.

Presentation Schedule:

11:30am-12:00pm - Group Introductions


Presentation of the neuroscience of chemsex addiction and addiction definitions


Overview of client risk factor


Techniques managing relapse prevention with clients and positive interventions


Description of recovery planning and long term care using the OCSB model


Questions and discussion


  1. By the conclusion of this presentation participants will be able to identify interventions strategies that are useful in treating Chemsex.
  2. By the end of this presentation participants will be able to describe the cycle of addiction as it relates to Chemsex use.


  1. Participants will be able to identify the 5 stages in the Chemsex cycles of use
  2. Participants will be able to identify 2 key interventions to consider when treating Chemsex clients.
  3. Participants will be able to identify 4 issues that are important to consider when treating LGBTQ+ clients for problem sexual behavior.


Mellissa is a certified addictions professional (CCAPP/IITAP) and Associate

Sex Addiction therapist. She has extensive experience treating those who

struggle with substance abuse and sex addiction, Currently she is the Program

Manager for Breathe Life Healing Centers Chemsex and Virtual programs. She

excels in her work with diverse, multi-cultural and socio-economic issues;

specifically with persons in marginalized communities. Mellissa is actively

involved in community outreach and educational programming, including

working closely with LGBT+ centers nation wide to address methamphetamine

abuse in the LGBTQIA+ community.


Problem sexual behavior is an increasingly common presenting issue. LGBTQ+ clients with this issue are

navigating the tension between reclaiming their sexual identities and self-regulation of their substance use

related sexual behaviors. The Chemsex treatment model will be presented for treating problem sexual

behavior, using LGBTQ+ cases to illustrate treatment.


Braun-Harvey, D., & Vigorito, M. A. (2016). Treating Out-of-Control Sexual Behavior: Rethinking Sex Addiction. New York: Springer.

Rittenhour, K., & Sauder, M. (2023). Identifying the impact of sexual scripts on consent negotiations. The Journal of Sex Research, doi: 10.1080/00224499.2023.2182266

Knight, R., Karamouzian, M., Carson, A., Edward, J., Carrieri, P., Shoveller, J., et al. (2019). Interventions to address substance use and sexual risk among gay, bisexual and other men who have sex with men who use amphetamines: a systematic review. Drug Alcohol Depend 194, 410–429. doi: 10.1016/j.drugalcdep.2018.09.023

Maxwell, S., Shahmanesh, M., and Gafos, M. (2019). Chemsex behaviours among men who have sex with men: a systematic review of the literature. Int. J. Drug Pol. 63, 74–89. doi:


The San Francisco Chapter of the Employee Assistance Professionals Association is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, and LPCCs and/or LEPs. The San Francisco Chapter of the Employee Assistance Professionals Association maintains responsibility for this program/course and its content. The Course meets the qualifications for 1.5 hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Sciences.  

The San Francisco Chapter of EAPA can be reached via our website: or by writing us at PO Box 5370 Walnut Creek, CA 94596. Contact us for any needed accommodations or to address any grievances. Our CAMFT Continuing Education Provider Number is 57003.

CEU Requirements:

  1. Participants will join the course on time and will remain for the entire presentation. Participants will come prepared to learn and participate openly in discussion
  2. Participants will be required to remain 'camera on' the entire presentation.
  3. Participants will be required to submit the course evaluation form before being sent a CEU certificate. Any participant with disabilities or other special needs, who need special accommodations in this course are invited to share these concerns or requests at as soon as possible.
  4. Registration is required - If you register and cannot attend, please notify EAPA's administration team at
  5. CE Unit will only be given for instructional time

We welcome you all to Join our Virtual Monthly Presentation you must register by clicking the 'Virtual Registration' box below.

Once you register you will be sent the Zoom Link for the virtual option.

Virtual Registration

2024 Upcoming Presentations

July 9th - Muir Wood - Presenter TBA

Aug 13th - No Meeting

Sept 10 - TBA