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Abstract: This book examines the special issues involved in the etiology, treatment, and prevention of alcoholism and other types of substance abuse among specific populations. Contributors have carefully reviewed the existing literature on a specific population in order to include the most current substance abuse information on that population. Chapters include demographic information, substance abuse rates, and kinds of substances abused by a specific population. Populations examined include: women, the dual-diagnoisis patient, the disabled, the elderly, blacks, physicians, adult children of alcoholics, gay and lesbians, hispanics, adolescents, native Americans, indigents, professional athletes, and military personnel. This book is intended to help development programs for specific populations that will be effective in the elimination of substance abuse problems.
In this congressionally mandated study, an expert committee of the Institute of Medicine takes a close look at where treatment for people with alcohol problems seems to be headed, and provides its best advice on how to get there. Careful consideration is given to how the creative growth of treatment can best be encouraged while keeping costs within reasonable limits. Particular attention is devoted to the importance of developing therapeutic approaches that are sensitive to the special needs of the many diverse groups represented among those who have developed problems related to their use of "man's oldest friend and oldest enemy." This book is the most comprehensive examination of alcohol treatment to date.
All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Summarizes knowledge about the characteristics, knowledge, attitudes, and practices of certain audiences of children who are at a higher risk for drug and alcohol abuse. Also discusses channels, sources, materials and messages and offers ideas for reaching these groups. Chapters cover the general category of youth from high-risk environments, looking specifically at Black and Hispanic/Latino children, and influences on them such as parents and primary care physicians. Includes case studies, messages and materials review process, and intermediary organizations.
Disorders of anxiety and substance use are, for some reason, rarely treated in an integrated fashion by professionals. This timely volume addresses this glaring omission with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder, across a range of substances and of anxiety disorders, to give the reader comprehensive knowledge in a practical format.
Politicians and the media tell us that people who take drugs, including alcohol or nicotine, cannot help themselves. They are supposedly victims of the disease of 'addiciton', and they need 'treatment'. The same goes for sex addicts, shopping addicts, food addicts, gambling addicts, or even addicts to abusive relationships. This theory, which grew out of the Temperance movement and was developed and disseminated by the religious cult known as Alcoholics Anonymous, has not been confirmed by any factual research. Numerous scientific studies show that 'addicts' are in control of their behavior. Contrary to the shrill, mindless propaganda of the 'war on drugs', very few of the people who use alcohol, marijuana, heroin, or cocaine will ever become 'addicted', and of those who do become heavy drug users, most will matrue out of it in time, without treatment. Research indicates that 'treatment' is completely ineffective, an absolute waste of time and money. Instead of looking at drub addiction as a disease, Dr. Schaler proposes that we view it as willful commitment or dedication, akin to joining a religion or pursuing a romantic involvement. While heavy consumption of drugs is often foolish and self-destructive, it is a matter of personal choice.
Enrich your knowledge of substance abuse treatment solutions used in diverse cultures within the United States!This informative volume highlights ways in which substance abuse problems are experienced and addressed by families in diverse populations at the societal, familial, and individual levels. Its scope is broad, providing you with information about the experiences and, in some cases, healing of diverse groups of people in the United States. These include African-American and Latino families, Hawaiian elders, Asian/Pacific Islanders of various sexual persuasions, Al-Anon members, and welfare recipients.What's good for the goose is not necessarily good for the gander. What works for one social/cultural group may not be at all helpful for another. Substance Abuse Issues Among Families in Diverse Populations will inform and enlighten you about the ways that people from various backgrounds respond to treatment and about the culture-specific treatments and interventions that work for them. This unique book examines: mandatory drug testing of welfare recipients, or ”conditional welfare” kinship support in the cultural context of Latino and African-American families how Hawaiian elders contribute in the treatment of Asian and Pacific Islander women for substance abuse, and the time-honored Hawaiian family intervention strategy ”Hooponopono” the results of a study focused on the types and extent of social support that Asian and Pacific Islander males received from their parents after revealing that they were both gay and HIV-positive the results of interviews with Al-Anon members about their experiences in watching their spouses slip into alcoholism the relationship between family involvement and the effectiveness of substance abuse treatment programsSocial workers, counselors, psychologists, those involved in ethnic studies, and anyone interested in diversity issues in general or substance abuse in particular will find Substance Abuse Issues Among Families in Diverse Populations of great value.