While evidence-based policy is an emerging rhetoric of the desire by and for governments to develop policies based on the best available evidence, drug policy is an area where particular challenges abound. This book is a detailed and comprehensive examination of the contours of drug policy development through the consideration of the particular roles of science, media, and interest groups. Using Belgium as the primary case-study, supplemented by insights gathered from other countries, the author contributes to a richer understanding of the science-policy nexus in the messy, real-world complexities of drug policy. Change or Continuity in Drug Policy: The Roles of Science, Media, and Interest Groups is the first book to bring together policy and media theories, knowledge utilisation models, and public scholarship literature. As such, the book provides unique insights relevant to aspects of change or continuity in drug policies in Europe and beyond. This book will be of great value to undergraduate and graduate students, as well as to academics, practitioners and policymakers with interest in the science-policy nexus with a particular focus on the drug policy domain.

"Treating Drinkers and Drug Users in the Community" is the second book in a new collection from Addiction Press. Addiction Press was set up with the express purpose of communicating current ideas and evidence in this expanding field, not only to researchers and practising health professionals, but also to policy makers, students and interested non-specialists. These publications are designed to address the significant challenges that addiction presents to modern society.

The drugs field has undergone a phase of rapid change in recent years and all the non-medical treatment interventions for those with alcohol problems and dependence can be equally helpful for drug users. This has opened the way for unification of alcohol and drug treatment services at a clinical level, with potential for more efficient service provision and for effective interventions which can be readily adopted in a wide range of settings. Modern drug and alcohol services and all professionals working with substance users will benefit from the initiatives and procedures discussed in this book.

Key features

* Describes a wide range of treatments for young people and adults with drug and alcohol dependence

* Integrates alcohol and drug prevention and treatment

* Provides an invaluable and accessible guide for many different professionals

* Sets out assessment criteria, questionnaires, and a joint treatment framework

In this updated edition of Substance Abuse and the Family, Michael D. Reiter examines addiction through a family systems lens which considers a range of interconnected contexts, such as biology and genetics, family relationships, and larger systems. Chapters are organized around two sections: Assessment and Treatment. Examining how the family system organizes around substance use and abuse, the first section includes contributions on the neurobiology and genetics of addiction, as well as chapters on family diversity, issues in substance-using families, and working in a culturally sensitive way. The second half of the book explores various treatment options for individuals and families presenting with substance abuse issues, providing an overview of the major family therapy theories, and chapters on self-help groups and the process of family recovery. The second edition has many useful additions including a revision of the family diversity chapter to consider sexual and gender minorities, brand new chapters on behavioral addictions such as sex and gambling, and a chapter on ethical implications in substance abuse work with families. Additional sections include information on Multisystemic Therapy, Behavioral Couples Therapy, Motivational Interviewing, and Twelve-Step Facilitation. Each chapter now contains a case application to help demonstrate treatment strategies in practice. Intended for undergraduate and graduate students, as well as beginning practitioners, Substance Abuse and the Family, 2nd Ed. remains one of the most penetrating and in-depth examinations on the topic available.

From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.

In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.

Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.

Stigma and discrimination of people with substance use disorders (SUD) contribute massively to the harm done by their condition: stigma has negative effects on service engagement, life opportunities, and personal shame, both for those who struggle with substance abuse and their families. Overcoming the stigma of substance use disorders is essential to aid recovery in those with SUD. This book provides an in-depth understanding of the stigma of SUD, and proposes ways to overcome it in different settings from the criminal justice system to healthcare. Combining a multitude of viewpoints within a consistent theoretical framework, this book both summarizes the latest evidence and gives hands-on advice and future directions on how to combat the stigma of SUD. People with lived experience of SUD, advocates, family members, policy makers, providers and researchers in the field of addiction stigma will greatly benefit from reading this book.

Social media has helped boost the culture of intoxication, a central aspect of young people's social lives in many Western countries. Initial research suggests that these technologies enable highly-nuanced, targeted marketing and innovations - creating new virtual spaces that alter the dynamics and consequences of drinking cultures in significant ways. Youth Drinking Cultures in a Digital World focuses on how pervasive social networking technologies contribute to drinking cultures. It brings together international contributions from leading researchers in this emerging field to explore how new technologies are reconfiguring the key themes, traditional interests, practices and concerns of alcohol-related research with young people. It is particularly concerned with three important areas, namely: identities, social relations and power alcohol marketing and commercialisation public health and regulating alcohol promotion. This innovative book includes original research and commentary and is a must-read for academics and researchers in the areas of public health, psychology, sociology, media studies, youth studies and alcohol studies.

In recent years, the reduction of alcohol-related harm has emerged as a major policy issue across Europe. Public health advocates, supported by the World Health Organisation, have challenged an approach that targets problem-drinking individuals, calling instead for governments to control consumption across whole populations through a combination of pricing strategies, restrictions on retail availability and marketing regulations. Alcohol, Power and Public Health explores the emergence of the public health perspective on alcohol policy in Europe, the strategies alcohol control policy advocates have adopted, and the challenges they have faced in the political context of both individual states and the European Union. The book provides a historical perspective on the development of alcohol policy in Europe using four case studies - Denmark, England, Scotland and Ireland. It explores the relationship between evidence, values and power in a key area of political decision-making and considers what conditions create - or prevent - policy change. The case studies raise questions as to who sets policy agendas, how social problems are framed and defined, and how governments can balance public health promotion against both commercial interests and established cultural practices. This book will be of interest to academics and researchers in policy studies, public health, social science, and European Union studies.

This book addresses the history of harm reduction. It evaluates the consequences and constraints, stakes and costs of the policy of needle exchange for the purposes of harm prevention and health research. Vitellone situates the syringe at the centre of empirical research and theoretical analysis, challenging existing accounts of drug injecting which treat the syringe as a dead device that simply facilitates social action between humans. Instead, this book complicates the relationship between human and object - injecting drug user and syringe - to ask what happens if we see the object as an intra-active part of the sociality that constitutes injecting practices. And what kinds of methods are required to generate a social science of the syringe that is able to measure injecting sociality? Social Science of the Syringe develops material methodologies and epistemologies of injecting drug use to enact the syringe as an object of intellectual inquiry. It draws on the methodologies of social anthropology, Actor-Network-Theory, Deleuze's empiricism and new feminist materialism to move towards materially-engaged knowledge production. This interdisciplinary approach improves understandings of the causes and effects of injecting behaviour and the problem of needle sharing, as well as providing a more robust empirical framework to evaluate the motivations and consequences of drug use and drug policy. This book will appeal to researchers and students interested in the sociology of health and illness, STS, Actor-Network Theory, empirical sociology, medical anthropology, social and cultural anthropology, addiction theory and harm reduction.

A criminal prosecutor discusses the illegal drug trade and the failure of the so-called "War on Drugs" to stop it. In 1971, President Richard Nixon coined the term "War on Drugs." His campaign to eradicate illegal drug use was picked up by the media and championed by succeeding presidents, including Reagan. Canada was a willing ally in this "war," and is currently cracking down on drug offences at a time when even the U.S. is beginning to climb down from its reliance on incarceration. Elsewhere in the world, there has been a sea change. The Global Commission on Drug Policy, including international luminaries like Kofi Annan, declared that the War on Drugs "has not, and cannot, be won." Former heads of state and drug warriors have come out in favour of this perspective. Former presidents Jimmy Carter and Bill Clinton agree with legions of public health officials, scientists, politicians, and police officers that a new approach is essential. Paula Mallea, in The War on Drugs, approaches this issue from a variety of points of view, offering insight into the history of drug use and abuse in the twentieth century; the pharmacology of illegal drugs; the economy of the illegal drug trade; and the complete lack of success that the war on drugs has had on drug cartels and the drug supply. She also looks ahead and discusses what can and is being done in Canada, the U.S., and the rest of the world to move on from the "war" and find better ways to address the issue of illegal drugs and their distribution, use, and abuse.

Drug use is widely understood in terms of its subjects, substances and settings. But what happens when these distinctions start to blur? Injecting Bodies in More-than-Human Worlds moves away from a hierarchical conceptualisation of drug use based on its subjects and their objects, offering unique and fresh insights into the complex world of injecting drugs. Focussing on the Deleuzian notion of bodies-in-process, Dennis proposes a new and timely approach to drugs where agency materialises in relation to others - human and not. Using rich, ethnographic data to demonstrate bodies' in/capacities to act through their relationality, Dennis carefully maps out where bodies are thought, practised, lived and intervened-with: caught in tension between pleasure and addiction, activity and passivity, 'becoming-other' and 'becoming-blocked', and making and breaking habits. Arguing for a deeper engagement both with how bodies are enacted and with our collective responsibility to bring them together in healthier ways, this volume offers a unique intervention into the sociology of drugs and, more widely, health and illness. It will appeal to students and researchers interested in fields such as Science and Technology Studies, Sociology and Social Policy, Drugs and Addiction, and Health and Medical Anthropology.

In this lyrical debut, Ryan Berg immerses readers in the gritty, dangerous, and shockingly underreported world of homeless LGBTQ teens in New York. As a caseworker in a group home for disowned LGBTQ teenagers, Berg witnessed the struggles, fears, and ambitions of these disconnected youth as they resisted the pull of the street, tottering between destruction and survival.Focusing on the lives and loves of eight unforgettable youth, No House to Call My Home traces their efforts to break away from dangerous sex work and cycles of drug and alcohol abuse, and, in the process, to heal from years of trauma. From Bella's fervent desire for stability to Christina's irrepressible dreams of stardom to Benny's continuing efforts to find someone to love him, Berg uncovers the real lives behind the harrowing statistics: over 4,000 youth are homeless in New York City,43 percent of them identify as LGBTQ.Through these stories, Berg compels us to rethink the way we define privilege, identity, love, and family. Beyond the tears, bluster, and bravado, he reveals the force that allows them to carry on,the irrepressible hope of youth.

Accompanied by a podcast called "The Cannabis Criminology Podcast." As a limited series podcast, the authors will review key aspects of the book and interview scholars and activists working in this area. Very timely as the (potential) legalisation of cannabis has received much attention across the globe in recent decades/years, and this interest is set to continue for many years to come. Most research tends to focus on drugs as a whole, whereas this book focus solely on cannabis, and as such offers the depth needed to grasp the topic more effectively. Fits into several topics/modules within criminology, sociology, law, drug policy and public health. Comprehensive in its coverage, exploring history, frameworks of analysis, evidence to date, key initiatives, and providing examples from relevant jurisdictions.

1. This book brings the large fields of policing and drugs together; two distinct areas rarely studied together. 2. This book also has a market among public health scholars, given the overlapping areas of interest.

Though any psychoactive substance can be revered or reviled as a drug, as people's cultural norms shift, ultimately its status is determined in law by the state. This publication explores the regulation of drugs - alcohol and cannabis to heroin and cocaine - and practices such as social drinking and public injecting under political regimes. Drugs are discussed in their geographical contexts: the colonial legacy of cannabis prohibition for bioprospecting in Africa; the veracity of the persistent notion of the narco-state; Turkey's governance of drinking amid civil unrest; and alcohol's place in the neoliberal political economy of Ireland. In addition, drug policies are examined: from problems in managing drug-related litter in the UK to supervised injecting facility provision in Australia; harm reduction in Canada; and the global network of drug policy activists. Place is significant, but porous borders, territorial overlaps and multi-scalar linkages are influential in remaking the world through current challenges to the 'war on drugs'. This book was originally published as a special issue of Space & Polity.

This volume provides a serious examination of substance use prevention research and practice as components of the continuum from health promotion through to prevention and health care in sub-groups and in the general population. Extensive background chapters provide portals into the evolution of the field and the cutting edge research being conducted on the etiology, epidemiology, and genetics of substance use and abuse. The global nature and health burden of substance use and abuse incorporates assessments of the serious problems related to the prevention of legal substance use (i.e., alcohol and tobacco) and how lessons learned in those arenas may apply to the prevention of illicit substance use. Research and practice chapters detail a range of effective evidence-based programs, policies and practices and emerging prevention interventions from the literatures on the family and school contexts in addition to innovations involving mindfulness and the social media. Continued advancements in substance use prevention research, practice, training, and policy are projected. Included among topics addressed are: Progression of substance use to abuse and substance use disorders The tobacco prevention experience: a model for substance use prevention? Policy interventions: intended and unintended influences on substance use Qualitative methods in the study of psychoactive substance use Use of media and social media in the prevention of substance use Supporting prevention science and prevention research internationally The array of research accomplishments and real-world methods presented in Prevention of Substance Use merits the attention of a variety of researchers and practitioners, including public health professionals, health psychologists, and epidemiologists.

THE INTERNATIONAL BESTSELLER 'The most brilliant and fascinating book I have read in my entire life' Dan Snow 'A huge contribution... remarkable' Antony Beevor, BBC RADIO 4 'Extremely interesting ... a serious piece of scholarship, very well researched' Ian Kershaw The Nazis presented themselves as warriors against moral degeneracy. Yet, as Norman Ohler's gripping bestseller reveals, the entire Third Reich was permeated with drugs: cocaine, heroin, morphine and, most of all, methamphetamines, or crystal meth, used by everyone from factory workers to housewives, and crucial to troops' resilience - even partly explaining German victory in 1940. The promiscuous use of drugs at the very highest levels also impaired and confused decision-making, with Hitler and his entourage taking refuge in potentially lethal cocktails of stimulants administered by the physician Dr Morell as the war turned against Germany. While drugs cannot on their own explain the events of the Second World War or its outcome, Ohler shows, they change our understanding of it. Blitzed forms a crucial missing piece of the story.

In thirteen chapters, twenty-four authors share their analyses, concerns, and conclusions in several domains including the: meaning and dynamics of multiculturalism affecting prevention intervention, relative risks and knowledge gaps across ethnic groups, social trends affecting health risks and substance abuse, lessons learned from substance abuse research and prevention, role of the media, promises and limits of the new public health paradigm for assessment, policy development, assurance of preventive services, and social action and empowerment for prevention in partnership with the public.

Contents:
Preface 1. Philip Bean and Teresa Nemitz Introduction 2 Joy Mott What Should Work: guidelines on the clinical management of opioid dependence in the UK 3. Ken Checinski and Hamid Ghodse Types of Treatments for Types of Patients 4. Michael Gossop Developments in the Treatment of Drug Problems 5. Colin Brewer Psychological and Pharmacological Components of Treatment 6. Douglas Longshore, Michael Prendergast and David Farrabee Coerced Treatment for Drug-Using Criminal Offenders 7. Nicholas Seivewright and Muhammad Iqbal Treating Patients with Comorbidities 8. Jay Carver Drug Testing as a Necessary Prerequisite for Treatment and for Crime Control 9. Philip Bean and Andrew Ravenscroft Therapeutic Addicts Revisited 10. Tammy L. Anderson and Lana Harrison Therapeutic Community Drug Treatment in the U.S. Criminal Justice System 11. Paul Hayes Treating Drug Users: the role of the National Treatment Agency for substance misuse 12. Philip Bean Linking Treatment Services to the Criminal Justice System 13. Joris Casselman Motivation Enhancement in Clients Referred from the Criminal Justice System

'Lucy Inglis has done a wonderful job bringing together a wide range of sources to tell the history of the most exciting and dangerous plants in the world. Telling the story of opium tells us much about our faults and foibles as humans - our willingness to experiment; our ability to become addicts; our pursuit of money. This book tells us more than about opium; it tells us about ourselves.' - Peter Frankopan, author of The Silk Roads 'The only thing that is good is poppies. They are gold.' Poppy tears, opium, heroin, fentanyl: humankind has been in thrall to the 'Milk of Paradise' for millennia. The latex of papaver somniferum is a bringer of sleep, of pleasurable lethargy, of relief from pain - and hugely addictive. A commodity without rival, it is renewable, easy to extract, transport and refine, and subject to an insatiable global demand. No other substance in the world is as simple to produce or as profitable. It is the basis of a gargantuan industry built upon a shady underworld, but ultimately it is a farm-gate material that lives many lives before it reaches the branded blister packet, the intravenous drip or the scorched and filthy spoon. Many of us will end our lives dependent on it. In Milk of Paradise, acclaimed cultural historian Lucy Inglis takes readers on an epic journey from ancient Mesopotamia to modern America and Afghanistan, from Sanskrit to pop, from poppy tears to smack, from morphine to today's synthetic opiates. It is a tale of addiction, trade, crime, sex, war, literature, medicine and, above all, money. And, as this ambitious, wide-ranging and compelling account vividly shows, the history of opium is our history and it speaks to us of who we are.

Alcohol and other drugs of abuse cause significant physi ological changes, especially during development. The effects on the infant and child range from severe mental retardation to mild changes in activity and neurological functions. Although the level of intake needed to cause fetal damage is not clear, the magnitude of the problem is significant, with many long-term sequelae. As a result, it becomes critical to better diagnose and manage drug and alcohol use during pregnancy. This must involve special training for health care professionals. In addi tion, recognition of the psychosocial factors affecting alcohol use, especially by youth and young adults, is critical to modi fying behavior, and thus reducing fetal alcohol exposure. Cultural considerations can also come into play in modi fying alcohol and drug use by women so as to reduce fetal damage. The trends in alcohol and drug use by youth forecast rising levels of damage to infants. These children will need extensive medical and educational care for years to decades. Clearly, understanding of the role women must take in modifying their alcohol and drug use during pregnancy will facilitate changes in our cultural and educational practices that will help reduce fetal trauma from alcohol.

In Alcohol, Cocaine, and Accidents leading experts provide concise yet focused scientific reviews of the role of alcohol and cocaine in automotive, aviation, and aquatic accidents. The authoritative contributors present both applied research and epidemiological studies, with emphasis on the prevention of injuries through an increased use of appropriate educational labels, law enforcement, and personal and community-based prevention programs. In addition to detailed topical coverage, the articles suggest prevention strategies and provide supporting data for the role of treatment in reducing accidents.
Alcohol, Cocaine, and Accidents will be of interest to substance abuse researchers, law enforcement officials, treatment providers, policy makers, and legislators responsible for regulating alcohol and drug use, as well as safety issues in all areas of transportation.

Fully updated, this matter-of-fact handbook includes the most recent discoveries about drug use, including new information on electronic smoking devices, abuse of prescription stimulants and the opioid crisis. "Lively, highly informative, unbiased, [and] thorough" (Addiction Research & Theory), Buzzed surveys drugs from caffeine to heroin to reveal how these drugs affect the body, the different "highs" they produce and the circumstances in which they can be deadly. Neither a "Just Say No" treatise nor a "How to" manual, Buzzed is based on the conviction that people make better decisions with accurate information at hand.

From 1935 until 1975, just about every junkie busted for dope went to the Narcotic Farm. Equal parts federal prison, treatment center, farm, and research laboratory, the Farm was designed to rehabilitate addicts and help researchers discover a cure for drug addiction. Although it began as a bold and ambitious public works project, and became famous as a rehabilitation center frequented by great jazz musicians among others, the Farm was shut down forty years after it opened amid scandal over its drug-testing program, which involved experiments where inmates were being used as human guinea pigs and rewarded with heroin and cocaine for their efforts. Published to coincide with a documentary to be aired on PBS, The Narcotic Farm includes rare and unpublished photographs, film stills, newspaper and magazine clippings, government documents, as well as interviews, writings, and anecdotes from the prisoners, doctors, and guards that trace the Farm's noble rise and tumultuous fall, revealing the compelling story of what really happened inside the prison walls.

This book provides a comprehensive overview of mental health in rural America, with the goal of fostering urgently needed research and honest conversations about providing accessible, culturally competent mental health care to rural populations. Grounding the work is an explanation of the history and structure of rural mental health care, the culture of rural living among diverse groups, and the crucial "A's" and "S": accountability, accessibility, acceptability, affordability, and stigma. The book then examines poverty, disaster mental health, ethics in rural mental health, and school counseling. It ends with practical information and treatments for two of the most common problems, suicide and substance abuse, and a brief exploration of collaborative possibilities in rural mental health care.

Cannabis on Campus is a comprehensive resource on the implications of marijuana legalization for college campuses. It is essential reading for college administrators and other professionals responsible for overseeing drug policy and addressing marijuana use in higher education. The authors use their considerable experience in college alcohol and other drug (AOD) counseling to provide a sweeping look at the cannabis culture found in our universities. Chapters alternate between historical context, research and analysis, and student interviews, providing an evidence-based, nuanced understanding of the role of marijuana use in today's college campuses, as well as insights and recommendations for a post-legalization future.