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Presenting analysis of treatment experiences and outcomes of African American women undergoing substance abuse treatment for crack cocaine, this study attempts to identify factors that contribute to their successful recovery as defined by completion of treatment and substance abstinence one-year post treatment.
The purpose of this study was to explore the experiences of women recovering from crack cocaine addiction with a secondary purpose to explore how the addiction affected their ability for self-care. The psychophenomenological study examined the recovering African-American woman's ability to meet her requisites utilizing Orem's (1995) Self-care deficit theory of nursing as a framework. Five African-American women, 18 to 45 years of age, addicted to crack cocaine and in recovery six months to two years, were selected as a convenience sample from women enrolled in the aftercare phase of a recovery program. Participation was strictly voluntary and confidentiality was maintained at all times. After obtaining the informed consent from each participant, a self-administered biographical questionnaire was completed, followed by an audio taped interview consisting of three questions. Van Kaam's (1966, 1987) Psychophenomenological Method was used for data analysis.
Abstract: This qualitative study explored substance abuse providers' attitudes, perceptions and beliefs about the impact of crack cocaine in the African American community. Fifteen participants were surveyed utilizing a semi-structured interview guide about (a) their experiences working with African American clients; (b) biases, stereotypes and stigmas that have impacted African Americans in relation to the use of crack cocaine; and (c) attitudes, perceptions and beliefs about the media's role in the racialization of imagery and its impact on the African American community. Participants reported multiple significant indicators regarding a client's success in treatment as well as the competence of providers who work with African American clients. Furthermore, participants indicated that a thorough knowledge base of the historical experience of African Americans and its implication for the use of crack cocaine is necessary. Mental health professionals need to have a better understanding of the historical impact of crack cocaine on African American individuals, families and the community as a whole.
Inner-city black women open their hearts to share the pain of crack addiction and its consequences Behind the Eight Ball: Sex for Crack Cocaine Exchange and Poor Black Women documents an American tragedy that highlights the widening gap between social and economic classes. In their own words, poor black women—nameless, faceless, and marginalized by poverty—share the details of their lives before and after crack cocaine invaded their communities, each recalling the circumstances of her introduction to the drug and her first experience using sex to support her addiction. These candid interviews expose the socioeconomic changes in inner-city neighborhoods that created the perfect conditions for a crack stronghold; the crack cocaine economy's impact on the lives of inner-city residents; and the social and familial consequences of crack addiction among poor, black women. Behind the Eight Ball: Sex for Crack Cocaine Exchange and Poor Black Women places crack addiction, crack-related prostitution and its consequences, STDs, HIV, and pregnancy into the context of the larger social issues of inner-city poverty, race, gender, and class. This unique book reveals the sex-for-crack barter system as evidence of a long-term social exclusion and systemic racism that has worked to destroy the self-image of poor black American women. The women interviewed reflect this negative image, exchanging sex for crack on a regular basis to support their addictions at the risk-and reality-of unplanned pregnancies. “The baby I am carrying now, I don’t know who the father is. There are a few (men) that I had sex with around the time I got pregnant—that day. But which one it is, I don’t know who.” Behind the Eight Ball: Sex for Crack Cocaine Exchange and Poor Black Women examines: why poor black women addicted to crack are disproportionately at risk for sexually transmitted diseases, including HIV, and unplanned pregnancies how the social and economic characteristics of poor black communities support crack distribution and consumption how crack use and the exchange of sex for crack damages struggling black families why the care of many children is entrusted to child welfare agencies how and why women are marginalized in the crack culture Behind the Eight Ball: Sex for Crack Cocaine Exchange and Poor Black Women is an insightful and enlightening look at the motivations behind the decision to risk illness, injury, disease, death, and pregnancy to support addiction.
The black is turning to crack cocaine as an escape from worry and depression of live in general. The young men work the street corners from dusk to dawn. Now as they make money from the sweat and blood of our men and the backs and knees of our women ask you, why does history repeats itself? We as a people need to wake up and put the drugs and guns down. Not just crack, all of it. First, they had us picking cotton now they have us selling crack. They say we are savages. We were never savages, we are a culture.
A team of veteran drug researchers in medicine, law, and the social sciences provides the most comprehensive, penetrating, and original analysis of the crack cocaine problem in America to date. Helps readers understand why the United States has the most repressive, expensive, yet least effective drug policy in the Western world.