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Professionals working in addiction care in both Belgium and other European countries have identied a discrepancy between the prevalence of problem substance use among people with a migration background, and the presence of people with a migration background in treatment facilities. However, little research is currently available on this topic. This study attempts to ll the knowledge gap in existing research by exploring the patterns of substance use, expectations and treatment needs of people with a migration background in four Belgian target groups (the Turkish community in Ghent; the Eastern European communities in Ghent; the Congolese community in Brussels; and asylum applicants, refugees and undocumented migrants). Substance users with a migration background can be particularly dicult for researchers to reach, so community researchers were recruited to interview substance users from within their own network. Over 200 people were interviewed. The project was carried out in close collaboration with the respective communities and with stakeholders in addiction care. This book presents the ndings of the study, together with recommendations for health care policy and the practice of addiction care. It also details the explorative and qualitative community-based participatory research design (CBPR) that was used to facilitate the study.
This dissertation provides a comprehensive understanding of substance use recovery and recovery capital among the diverse group of persons with a migration background and ethnic minorities (MEM). The doctoral study offers a nuanced and detailed examination of the lived experiences of MEM with substance use problems from a combined local (Flanders, Belgium) and international perspective. By exploring recovery and recovery capital among MEM in an increasingly participatory manner, the dissertation uncovers which personal, social and community resources may be mobilised to support recovery. It unveils how important barriers to recovery, such as multiple intersecting forms of stigma, may be overcome. Finally, a co-creative case study offers a specific deepening of how the continuum of care for substance use problems may be tailored to persons with an Islamic migration background. This dissertation aims to inspire researchers, policymakers, and (future) practitioners to look beyond existing reference, policy, and practice frameworks and to open up possibilities for more inclusive recovery-supportive environments.
"Immigrant and Refugee Families: Global Perspectives on Displacement and Resettlement Experiences uses a family systems lens to discuss challenges and strengths of immigrant and refugee families in the United States. Chapters address immigration policy, human rights issues, economic stress, mental health and traumatic stress, domestic violence, substance abuse, family resilience, and methods of integration."--Open Textbook Library.
This interdisciplinary collection examines the role that alcohol, tobacco and other drugs have played in framing certain groups and spaces as ‘dangerous’ and in influencing the nature of formal responses to the perceived threat. Taking a historical and cross-national perspective, it explores how such groups and spaces are defined and bounded as well as the processes by which they come to be seen as ‘risky’. It discusses how issues of perceived danger highlight questions of control and the management of behaviours, people and environments, and it pays attention to the way in which sanctions and regulations have been implemented in a variety of often inconsistent ways that frequently impact differently on different sections of the population. Bringing together a range of case studies drawn from different countries and across different periods of time, the chapters collected here illustrate issues of marginalisation, stigmatisation, human rights and social expectations. It is of interest to a diverse audience of historians, philosophers, human geographers, anthropologists, sociologists and criminologists interested in substance use and misuse, deviance, risk and power among other topics.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
This book presents a culturally informed framework for understanding and treating substance abuse problems. From expert contributors, chapters cover specific ethnocultural groups in the United States, including Americans of African, Native American, Latino, European, Middle Eastern, and Asian descent. Authors examine how ethnocultural factors may affect a person's attitudes toward alcohol and other drugs, patterns of substance use, reasons for seeking treatment, and responsiveness to various interventions. Themes addressed include the impact of migration and acculturation issues, spiritual values and traditions, family structures, gender roles, and experiences of prejudice and discrimination. Featuring a wealth of illustrative clinical material, the book makes concrete recommendations for more competent, effective assessment and intervention. It also guides clinicians toward greater awareness of the ways their own ethnocultural backgrounds may affect their interactions with clients.
Based on participant observations and open interviews with 129 Iranian migrants in Belgium, this study provides information on both pre- and post-migration patterns of drug use among this population. Covering a wide range of substances--including opium, tobacco, and alcohol--consumed by Iranians from pre-Islamic times to present day, this resource illustrates how different cultures have defined drugs across the ages. Showing how the issue of drug use among migrants is more complex than once thought, this is one of the first studies to look at drug abuse among migrants from a paradigm other than a medical one.
Since 1965 the foreign-born population of the United States has swelled from 9.6 million or 5 percent of the population to 45 million or 14 percent in 2015. Today, about one-quarter of the U.S. population consists of immigrants or the children of immigrants. Given the sizable representation of immigrants in the U.S. population, their health is a major influence on the health of the population as a whole. On average, immigrants are healthier than native-born Americans. Yet, immigrants also are subject to the systematic marginalization and discrimination that often lead to the creation of health disparities. To explore the link between immigration and health disparities, the Roundtable on the Promotion of Health Equity held a workshop in Oakland, California, on November 28, 2017. This summary of that workshop highlights the presentations and discussions of the workshop.
"This book takes an integrative approach to the understanding of drug use and its relationship to social-cultural factors. It is lucidly and powerfully argued and constitutes a significant achievement. The authors sensibly argue that in order to fully understand and explain drug use and abuse it is necessary to take into account different levels of analysis, reflecting distinct domains of human functioning; the biological, psychosocial, and cultural-historical....Overall, this book represents an exceptional achievement and should be of interest to drug clinicians and researcher as well as social scientists and students." --Professor Tony Ward, University of Melbourne Substance use and abuse are two of the most frequent psychological problems clinicians encounter. Mainstream approaches focus on the biological and psychological factors supporting drug abuse. But to fully comprehend the issue, clinicians need to consider the social, historical, and cultural factors responsible for drug-related problems. Substance Use and Abuse: Cultural and Historical Perspectives provides an inclusive explanation of the human desire to take drugs. Using a multidisciplinary framework, authors Russil Durrant and Jo Thakker explore the cultural and historical variables that contribute to drug use. Integrating biological, psychosocial, and cultural-historical perspectives, this innovative and accessible volume addresses the fundamental question of why drug use is such a ubiquitous feature of human society. provides an inclusive explanation of the human desire to take drugs. Using a multidisciplinary framework, authors Russil Durrant and Jo Thakker explore the cultural and historical variables that contribute to drug use. Integrating biological, psychosocial, and cultural-historical perspectives, this innovative and accessible volume addresses the fundamental question of why drug use is such a ubiquitous feature of human society. Addressing issues important to prevention, treatment, and public policy, the authors include A comprehensive, historical survey of drug use An exploration of the evolutionary basis of drug-taking behavior Historically and culturally based explanations of drug use and abuse Inclusive approaches that complement mainstream biopsychosocial perspectives Designed for upper-division undergraduate and graduate students in psychology, counseling, sociology, social work, and health departments, Substance Use and Abuse: Cultural and Historical Perspectives will also be of significant interest to drug clinicians, researchers, and social scientists.
This edited volume provides the first ever comprehensive, international and multi-disciplinary review of the evidence regarding substance use and harms in people who cycle through prisons and jails. Grounded in solid evidence and a human rights framework, the text provides a roadmap for evidence-based reform