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Books > Social sciences > Sociology, social studies > Social issues > Illness & addiction: social aspects > Drug addiction & substance abuse
In Buprenorphine Therapy of Opiate Addiction, participating physicians and toxicologists summarize and evaluate their experiences with five years of intensive buprenorphine therapy. They cover all aspects of its use, including the pharmacology, conditions of delivery, risks from use with other psychoactive drugs, toxicology and related deaths, as well as its testing in blood, urine, tissue, and hair. Special attention is given to comparing the long-term care of opiate-dependent patients using high-dose buprenorphine vs methadone, and to explaining the differences in treatment, administration, and delivery. The authors also describe how buprenorphine is currently prescribed and monitored in France and Australia, and review all the latest advances in analytical techniques for the determination of buprenorphine and its metabolites in biological fluids and tissues.
This volume is an important contribution to our understanding of culture and alcohol in the United States. Its appearance is also a milestone in the history of alcohol studies in American anthropology. Over the last six years, the volume's editors, initially along with Miriam Rodin, have served as the coorganizers of the Alcohol and Drug Study Group of the American Anthropological Association (AAA). In this capacity, they have organized sessions at the AAA and other meetings, greatly strengthened the research network with a regular and informative newsletter, and painstakingly promoted the publication of anthropological work on al cohol and drugs. Appearing just as the responsibility for the Study Group is passed on to others, this book is a fitting emblem of the care and energy with which its editors have built an institutional nexus for alcohol and drug anthropology in North America. The contents of this volume offer a uniquely wide sampling of the diversity of cultural patterns that make up the American experience with alcohol. The collective portrait the editors have assembled extends in several dimensions: through time and history, across such social differ entiations as gender, age-grade, and social class, and through such major social institutions as the church and the family. Clearly the dominant dimension of variation in the material that follows, however, is ethnicity. The book offers us a sampler of unprecedented richness of the different experiences with alcohol of American ethnoreligious groups."
Drugs, Driving and Traffic Safety gives a comprehensive overview of the effects of different medical conditions like neurological disorders, anxiety and depression and their pharmaceutical treatment on driving ability. In addition, the effects of alcohol and drugs of abuse are discussed. Leading experts present the different methodologies to examine effects of drugs on driving, and summarize the recent scientific evidence including epidemiological studies, roadside surveys, laboratory tests, driving simulators, and the standardized driving test. The volume includes guidelines of the International Council on Alcohol, Drugs and Traffic Safety (ICADTS) and the ICADTS Drugs List 2007. Drugs, Driving and Traffic Safety is written for physicians, psychiatrists and pharmacists who want to inform their patients who use psychoactive drugs.
Throughout the 1980s, the issue of substance abuse testing became increasingly important to employers. And now the growing problem of AIDS and its impact on the workplace provides a related area of concern. In this work, Donald Klingner tells human resource professionals what they need to know about both these topics. The book carefully details the effects these problems have on employers, and provides specific recommendations for human resource management policy and practice which can reduce the employer's costs and legal liability risks while preserving employee rights. Following a general introduction that lays the foundation for the discussion, the book is divided into two main sections. The first addresses the intricacies of substance abuse and testing, presenting six chapters that survey substance abuse in the workplace; substance abuse testing techniques; substance abuse testing and the law; personnel policies and practices; employee assistance programs; and working with employees and unions. The second section covers the issue of AIDS and AIDS testing through four chapters: AIDS in the workplace; AIDS testing techniques; AIDS testing and the law; and personnel policies and practices. A concluding chapter provides a summary of both areas. This work will be a valuable reference tool for public and private-sector managers--supervisors, managers, trainers and personnel specialists--responsible for developing or implementing substance abuse or AIDS policy and practice. Public, college and university libraries will also find it a timely addition to their collections.
This collection of studies by experts on drug abuse treatment represents the state of the art in research examining what works best and why in a nationwide effort to improve and expand treatment to counteract the epidemic use of cocaine and the spread of AIDS. Investigators at the National Institute on Drug Abuse describe 15 projects that test intervention strategies to improve client recruitment, retention, performance, and treatment outcomes in a range of community-based programs relating to different populations, treatment settings, and research designs addressing real world issues. The findings, analysis, and recommendations should counteract misunderstanding and misinformation about the nature of drug abuse among 5.5 million patients and the effectiveness of current treatment programs. This report is meant for students, scholars, and professionals dealing with public health, criminal justice, America's social problems and governmental policies. This professional report describes innovative programs for improving the treatment of drug abuse. The first part of the book relates to methadone programs limiting the spread of HIV among high-risk narcotics addicts, improving retention on methadone maintenance, and enhancing treatment through a mobile health service. The second segment of the book deals with residential programs, assessing their impact, evaluating a specific outreach project, providing a longitudinal evaluation of dually diagnosed men in different community programs. Case management programs described in the third section of the study include an assessment of a model for intravenous drug users, an assertive community treatment project for hard-to-reach populations, and problems with and remedies for treatment drop-outs and noncompliers. The fourth part of the report concerns system-evaluation of strategies for dealing more effectively with drug abuse today. It covers multi-modality and other eclectic programs, such as a therapeutic community day treatment model for methadone clients, a behavioral model for treating cocaine addicts, treatments for AIDS risk reduction, and a drug day treatment using the therapeutic community model.
"Adolescent Relationships and Drug Use" explores the communicative
and relational features of adolescent drug use. It focuses on peer
norms, risk, and protective factors and considers how drugs are
offered to adolescents, examining such factors as who makes the
offers and how they are resisted, where the offers take place, and
what relationship exists between the persons making the offers and
the persons receiving them. Unlike other studies of drug
resistance, this work examines the communication processes that
affect adolescents' ability to effectively resist drug offers.
Michelle Miller and her colleagues study how personal qualities,
communication skills, and relationships with others affect an
individual's ability to resist offers of drugs.
Discussion questions and activities to help the reader work through the material in Breathing Under Water
With nearly 2,200 citations, this bibliography covers every aspect of the history of alcohol in the British Isles from types of beverages and industries to medicine, politics, and critics. Sources cited range from a 1770 study to 1996 titles and include works written by historians, sociologists, political scientists, anthropologists, and archaeologists. In addition to books and articles, the volume lists unpublished manuscripts, essays in edited works, Ph.D. dissertations, and M.A. theses. Annotations provide information about a work's thesis or theme, use of primary materials, relationship to other studies, and also give a critical evaluation and the location of rare materials. Though scholarly studies form the core of the book, works that use some primary sources such as autobiographies, diaries and memoirs are also included. The material is arranged topically. Initial chapters are devoted to specific beverages, including beer, wine, whisky, and cider, and the malt and hops industries. Chapters then cover key subjects such as advertising, consumption trends, science and technology, politics, drinking establishments, regulation, crime, medicine, tokens, inn signs, temperance, and guilds. The final chapter identifies works on or by key figures, starting with biographies.
This work describes the way in which conversations between drug users vary and change according to context and circumstances in ways that suggest that there is no single "truth" about the state we call "addicted". The central thesis of the book is that the explanations that drug users give for their drug use make sense not so much as a source of facts, but as primarily functional statements shaped by a climate of moral and legal censure. Consequently, the signficance of drug conversations lies not in their literal semantics but in the purposes such conversation serve. The argument raises a number of fundamental issues about the performative rather than the informative nature of language, about the nature of the "scientific facts" concerning drug use, and about the very nature of science itself. Starting with a general overview of the problems arising from a mechanistic and deterministic view, the book identifies a need for a new approach to the understanding of verbal behaviour. Secondly, it gives an account of a new form of analysis, based on over 500 conversations carried out with drug users in Scotland and the north of England. In a final data section, evidence is presented link
This insightful volume describes a sample of prevention demonstration projects of the Center for Substance Abuse Prevention (CSAP). Substance Abuse Prevention in Multicultural Communities illuminates various aspects of prevention theory, practice, and research with a focus on the design, implementation, adaptation, and outcome of specific demonstration programs. Researchers work with prevention professionals to describe, measure, and intensify effects of interventions upon both intermediate problems and the ultimate long-term goal of decreasing substance abuse. Chapters in Substance Abuse Prevention in Multicultural Communities demonstrate how the CSAP demonstration logic model works. The process of prevention program design begins with an analysis of the root causes of the problem as defined by the specific community and illuminated by theory. Comprehensive prevention programs that buttress community strengths and build on local resources are then designed to deal with these problems. The programs you'll learn from include: a leadership and substance abuse prevention program, based on the social influence model, for girls in grades 6-8 from four geographically and ethnically diverse communities a program intricately designed to build resiliency and protective factors within young at-risk American Indian children in a Head Start program which addresses school transition, school readiness, school attendance, and classroom-based prevention activities. a family skills training program for African American parents in substance abuse treatment, which evolved in response to client and evaluation feedback a program for Native American families, which uses a culturally oriented curriculum emphasizing traditional values, beliefs, and practices a coalition of neighborhood agencies, organized to provide a comprehensive array of school and community-based prevention services, which impacted gang membership in inner-city Latino youth. a prevention program specifically designed to serve the diverse needs of Asian-American youth from five different Asian ethnic communities a model substance abuse prevention program implemented to provide counseling, mentoring, and academic support to Hispanic and African-American students in an urban public middle school the nationally recognized FAST program which strengthens the family and brings parents and schools together in building up protective factors for high risk elementary students a program that combines several complementary strategies to develop personal and communal empowerment in Native American communities.Substance Abuse Prevention in Multicultural Communities illustrates the wealth of information generated by demonstration programs. Unlike a standard research protocol that imposes and tests a rigid, single-focused intervention under carefully controlled circumstances, these programs do science in real-life situations, documenting and measuring effects of multiple interventions.
Why do some young adults substantially change their patterns of
smoking, drinking, or illicit drug use after graduating from high
school? In this book, the authors show that leaving high school and
leaving home create new freedoms that are linked to increases in
the use of cigarettes, alcohol, marijuana, and cocaine. They also
show that marriage, pregnancy, and parenthood create new
responsibilities that are linked to decreases in drug use.
Illicit drugs, despite the "war" waged by the United States government, remain a tremendous drain on the American economy and continue to take their toll on the lives of countless Americans. A comprehensive text with an instructor's manual, Drug Abuse and Social Policy in America analyzes why current US policy on the use of licit and illicit mood-altering drugs has failed. This groundbreaking book addresses differences between decriminalization, legalization, and "zero tolerance"--areas and philosophies that are poorly understood--and suggests a multipronged approach to diminish inappropriate drug use. Physicians, health care providers, teachers, law enforcement officers, policymakers, social service providers, and students of public policy and health will gain a better understanding of substance abuse as a societal problem, rather than an individual problem, and see that the billions of dollars spent on law enforcement would be better spent on education, prevention, treatment, and providing alternatives to drug use.Currently the leading risk factor associated with the transmission of HIV, illicit drugs continue to destroy the fabric of life in many inner-city communities. Yet, drugs are a problem for Americans from every corner of society, from suburban teenagers to pro athletes to homeless people. Author Barry Stimmel demonstrates in Drug Abuse and Social Policy in America that the drug problem is not being addressed adequately because of a lack of commitment from the majority of Americans and government leaders. The issues Drug Abuse and Social Policy in America asks readers to confront include: Why do we provide insufficient treatment facilities and incarcerate users, yet wonder why more prison space is needed? Why do we readily agree to build more prisons rather than community centers that provide alternatives for youths? Why are we concerned with teenage smoking and drinking, yet allow advertising of these substances? Why do we advocate rehabilitation, but not hire people in recovery? Why do we ask pregnant women with drug problems to seek help, then try to take custody of their children rather than provide social support while they receive treatment?Drug Abuse and Social Policy in America challenges academics, practitioners, and future social service providers and policymakers to rethink their entire conception of the problem of substance abuse in America with a cutting question: "Have we made any substantial progress in diminishing the sue of nicotine, the excessive consumption of alcohol, or the inappropriate use of prescription drugs, all of which are responsible for more illnesses and societal costs than all illicit drugs combined?" Identifying this as the place where all efforts to curb drug use must start, Drug Abuse and Social Policy in America offers readers many ways that individuals, communities, organizations, and society can take action and be more effective in convincing both those who consume drugs and those who profit from their sale that their actions are inappropriate and unacceptable.
Using a broadened conceptualization of agenda setting, this
volume's objective is to examine the drug issue from mid-1984 to
mid-1991 to determine how drug-related issues and events -- both
real and fabricated -- and the primary agendas drove the issue over
time. Based on this objective, four questions are posed:
Find fresh perspectives on the treatment of addictions and effective methods for helping recovering alcohol and drug abusers in this valuable book Addiction in Human Development provides practical strategies based on theories of human development for working with clients recovering from alcoholism and drug addiction. An understanding of these theories will help therapists and addictions counselors recognize stages of recovery and better select appropriate interventions for every phase of treatment of addicted clients.Addiction in Human Development shows how a developmental perspective is particularly appropriate to the treatment of alcohol and substance abusers and the patterns involved in their addiction. Disruptions in clients'childhood or adolescent development, stemming from their own or a parent 's drug abuse, can influence their present recovery process. This informative book also describes the developmental course of addiction and provides tools designed to interrupt addictive patterns. In addition, stages in the developmental process of recovery are identified to help therapists select appropriate interventions.Some of the topics related to human development and addiction covered in this insightful volume include developmental deficits and developmental arrest in recovering clients, delayed reactions to sexual abuse and other childhood trauma, stages in recovery from alcoholism or drug addiction, developmental issues in the professional 's own life, and multi-problem families with a multigenerational history of substance abuse. Applying these developmental strategies to work with addicted individuals will significantly improve communication and rapport between helping professionals and recovering addicts and lead to more success in alcohol and drug addiction therapy.
This work describes a programme, "Creating Lasting Family Connections", which is based on COPE's demonstration programme, "Creating Lasting Connections" (CLC). CLC was designed as an ecumenical, community based programme that focused on increasing community, family and individual (youth) protective factors that would lead to delaying the onset and reducing the frequency of alcohol and other drug use among at-risk 12-14 year olds. CLC received the Center for Substance Abuse Pre vention's Exemplary Prevention Program Award for 1994; it has been included in the International Youth Foundation's YouthNet International, a directory of youth programmes worldwide; finally, it was selected as one of only seven model prevention programs by the Center for Substance Abuse Prevention for national dissemination. While the programme focuses on alcohol and other drug-related issues and outcomes, much of this approach is applicable to youth and families across a larger spectrum of issues and behaviours, including violence and inappropriate sexual behaviour.
Find remarkable prevention and treatment strategies for preschool-age children of substance abusers in this informative volume. It provides an overview of the various problems exposure to substance abuse can cause for preschool children. Because of the strong influences parents have on their children, early childhood is a critical time for intervention to counteract the damaging effects of alcohol and drug abusing parents. Research shows that attitudes about alcohol and other drugs are already formed by junior high school level, and senior high school is too late for significant attitude change. Preschoolers and Substance Abuse promotes preschool age as the ideal time to apply strategies that will aid the family in building the self-esteem, trust, autonomy, and initiative necessary to protect the child from further problems caused by addictive parents. Intervention strategies are presented in a succinct manner, making them easy for practitioners, health officials, government officials, and family members to put into immediate practice.This book offers a unique approach to substance abuse, treating it as a community and societal problem rather than an individual problem. Intervention and treatment strategies are geared toward the substance abuse problem itself as well as how it impacts children and family systems. The harmful impact of alcohol or drug abusive parents is evaluated for all stages of childhood development, from pre-natal influences through infancy and the preschool years. Some of the harmful results of alcohol and drug abuse affecting preschool children addressed in this volume include violence, sexual abuse, Fetal Alcohol Syndrome, and intra-uterine exposure to drugs. The authors outline a comprehensive list of imperatives for a future agenda to protect preschool children from suffering the consequences of their parents'substance abuse. Public health officials, decision makers, practitioners, and legislators will find a series of policy recommendations including increased research, substance abuse training for child care workers, increased outreach and education for expectant mothers, and community-based outreach programs to insure ethnic or socioeconomic sensitivity and appropriateness.
Find remarkable prevention and treatment strategies for preschool-age children of substance abusers in this informative volume. It provides an overview of the various problems exposure to substance abuse can cause for preschool children. Because of the strong influences parents have on their children, early childhood is a critical time for intervention to counteract the damaging effects of alcohol and drug abusing parents. Research shows that attitudes about alcohol and other drugs are already formed by junior high school level, and senior high school is too late for significant attitude change. Preschoolers and Substance Abuse promotes preschool age as the ideal time to apply strategies that will aid the family in building the self-esteem, trust, autonomy, and initiative necessary to protect the child from further problems caused by addictive parents. Intervention strategies are presented in a succinct manner, making them easy for practitioners, health officials, government officials, and family members to put into immediate practice.This book offers a unique approach to substance abuse, treating it as a community and societal problem rather than an individual problem. Intervention and treatment strategies are geared toward the substance abuse problem itself as well as how it impacts children and family systems. The harmful impact of alcohol or drug abusive parents is evaluated for all stages of childhood development, from pre-natal influences through infancy and the preschool years. Some of the harmful results of alcohol and drug abuse affecting preschool children addressed in this volume include violence, sexual abuse, Fetal Alcohol Syndrome, and intra-uterine exposure to drugs. The authors outline a comprehensive list of imperatives for a future agenda to protect preschool children from suffering the consequences of their parents'substance abuse. Public health officials, decision makers, practitioners, and legislators will find a series of policy recommendations including increased research, substance abuse training for child care workers, increased outreach and education for expectant mothers, and community-based outreach programs to insure ethnic or socioeconomic sensitivity and appropriateness.
Feminism is a beneficial force in addictions therapy as they have the same goals--mending imbalances of power. A variety of important topics related to addictions treatment are addressed in this timely volume, accompanied by concrete clinical solutions for therapists and counselors to use in their own practice. Feminism and Addiction demonstrates the positive impact feminism can have on addictions treatment. Addictions treatment methods that have been developed primarily based on research with men are examined and questioned to determine what changes need to be made to meet the needs of women. The applicability of twelve-step treatment programs, for example, is investigated as to whether its required adoption of belief in powerlessness is concurrent with feminism's battle with female subjugation. This thought-provoking volume contains the most current theoretical, social, and clinical issues enmeshed in the debates between men's experiences and women's experiences of addiction. Critical issues addressed include advice for how to deal with issues of codependency; how to treat clients faced with physical or sexual abuse in addition to addiction; how to integrate cultural differences into treatment; and how to face the particular difficulties of gay and lesbian clients in addictions treatment. This valuable book will help you apply constructivist approaches to build therapy methods which are collaborative, internal, and organic, thus more appropriate to treating women's experience with addiction. Feminism and Addiction helps family therapists who work with women and their families strike a unique balance between the principles of feminism and family therapy's goal of repairing and healing relationships between men and women.
This current study has emerged from two decades of the author's investigations in related areas: alcoholism and domestic relations. Its canvas is broadly comparative, drawing on interviews and data gathered in the United States and Finland. The domestic drama of "The Other Half "is played out both in the private scene of the home and the more public scene of the workplace, and against these two differing national backgrounds. Despite the many expected and perceived cultural differences between the countries, the effects of alcoholism on the family are shown to be the same. Dr. Wiseman's study offers theoretical insights gleaned from its perspective on alcoholism as an interactive phenomenon, to which the concepts of G.H. Mead and Blumer can be applied to illuminate the carefully presented data and go beyond them. New terrain in studies of alcoholism is thereby explored, including such themes as the social construction by the subjects of their husbands' drinking, their marriage and their self-images; the strategy of coping mechanisms; and the effects of the crisis of alcoholism on gender, sex roles, and power differentials. "The Other Half "complements Dr. Wiseman's prize-winning work on the treatment of Skid Row alcoholics, "Stations of the Lost, "while involving issues of greater complexity on both the methodological and theoretical plane.
Written by researchers at a federally funded outreach program to combat the spread of AIDS, this book analyzes the efforts of the Miami Community Outreach Project to intervene in AIDS-related risk behavior among intravenous drug users and their sexual partners. The work provides background information on the history of AIDS, the risk behaviors of drug abusers, and federal intervention programs. It discusses the prevalence of the HIV virus in the Miami area and gives a detailed description of the project, discussing the theoretical basis for the project, the intervention strategies used, the rationale behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the material used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book begins with background information on the history of AIDS, the risk behaviors of drug abusers and their sexual partners, and federal attempts to combat the spread of AIDS. It then discusses the prevalence of the HIV virus in the Miami area, drug abusers in the community, and the Miami Community Project. Providing a detailed description, the authors discuss the theoretical basis for the Project, the intervention strategies used, the rational behind those strategies, and the results achieved. Appendixes provide information on the health of the subjects, the research manual and educational materials used, and the Belle Glade Community Outreach Project modeled after the Miami project. The book will be of interest to drug abuse and AIDS researchers as well as to clinicians and counselors. |
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