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Books > Social sciences > Sociology, social studies > Social issues > Illness & addiction: social aspects > Drug addiction & substance abuse
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Addressing Methamphetamine Abuse (Paperback, New)
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Addressing Methamphetamine Abuse (Paperback, New)
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The meth epidemic has touched every State in the country, draining
resources, causing serious environmental damage and destroying
lives. SAMHSA's Drug Abuse Warning Network [DAWN], showed that in
the early to mid-1990's, methamphetamine use was on the rise. The
treatment episode data confirmed this: treatment admissions for
meth use grew through the 1990's, increasing fivefold between 1992
and 2002. The most recent treatment episode data show that 15
States have higher rates of admission for amphetamine use, largely
meth, than for heroin or cocaine. In just those 15 States, there
were over 102,000 admissions for amphetamine treatment, versus
73,000 combined admissions for heroin and cocaine. Nationwide,
there were more than 151,000 admissions for amphetamine treatment.
To say that meth is highly addictive is an understatement, and it
presents unique clinical challenges for treatment. Meth produces a
short, intense rush, followed by a long-lasting sense of euphoria.
Addiction to meth is caused by the way the drug alters the brain
and leaves the users to compulsively seek more meth. Chronic use of
the drug also leads to increased tolerance, prompting the user to
take higher or more frequent doses of the drug to get the same
effect. Moreover, meth users may also develop severe psychotic and
paranoid behaviour. Meth users who do seek treatment often relapse
and continue chronic meth use. There are currently no medications
that demonstrate effectiveness in treating meth addiction. But
intense behavioral interventions have proven effective. The largest
controlled study of meth treatment conducted by the Center for
Substance Abuse Treatment demonstrated positive post-treatment
outcomes for 60 percent of the treatment sample, which reported no
meth use and which had urine samples that tested negative for meth.
Nonetheless, traditional treatment programs for alcohol and
marijuana are inadequate for dealing with the unique clinical
challenges presented by this drug. Such treatment programs,
sometimes the only treatment option available in communities
hardest hit by the meth epidemic, result in very poor
post-treatment outcomes for meth users. This represents our
greatest challenge: how do we ensure that our Federal treatment
efforts are addressing the meth epidemic in measurable ways in the
areas hardest hit by the scourge, in many cases very rural areas?
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