First published in 1987, Perspectives on Person-Environment Interaction and Drug-Taking Behavior provides a comprehensive overview of the interactionist approach from both a theoretical and applied perspective. Divided into five chapters, it deals with themes like psychosocial interactionism and substance use; social sanctions, self-referent responses, and the continuation of substance abuse; the interaction of child and environment in the early development of drug involvement; reconceptualization of person- environment interactions; and the disease theory of alcoholism from an interactionist perspective. This book is a must read for scholars and researchers of addiction studies, applied psychology and psychology in general.
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.
Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
This insightful volume describes a sample of prevention demonstration projects of the Center for Substance Abuse Prevention (CSAP). Substance Abuse Prevention in Multicultural Communities illuminates various aspects of prevention theory, practice, and research with a focus on the design, implementation, adaptation, and outcome of specific demonstration programs. Researchers work with prevention professionals to describe, measure, and intensify effects of interventions upon both intermediate problems and the ultimate long-term goal of decreasing substance abuse. Chapters in Substance Abuse Prevention in Multicultural Communities demonstrate how the CSAP demonstration logic model works. The process of prevention program design begins with an analysis of the root causes of the problem as defined by the specific community and illuminated by theory. Comprehensive prevention programs that buttress community strengths and build on local resources are then designed to deal with these problems. The programs you’ll learn from include: a leadership and substance abuse prevention program, based on the social influence model, for girls in grades 6-8 from four geographically and ethnically diverse communities a program intricately designed to build resiliency and protective factors within young at-risk American Indian children in a Head Start program which addresses school transition, school readiness, school attendance, and classroom-based prevention activities. a family skills training program for African American parents in substance abuse treatment, which evolved in response to client and evaluation feedback a program for Native American families, which uses a culturally oriented curriculum emphasizing traditional values, beliefs, and practices a coalition of neighborhood agencies, organized to provide a comprehensive array of school and community-based prevention services, which impacted gang membership in inner-city Latino youth. a prevention program specifically designed to serve the diverse needs of Asian-American youth from five different Asian ethnic communities a model substance abuse prevention program implemented to provide counseling, mentoring, and academic support to Hispanic and African-American students in an urban public middle school the nationally recognized FAST program which strengthens the family and brings parents and schools together in building up protective factors for high risk elementary students a program that combines several complementary strategies to develop personal and communal empowerment in Native American communities. Substance Abuse Prevention in Multicultural Communities illustrates the wealth of information generated by demonstration programs. Unlike a standard research protocol that imposes and tests a rigid, single-focused intervention under carefully controlled circumstances, these programs do science in real-life situations, documenting and measuring effects of multiple interventions.
In Women and Substance Abuse: Gender Transparency you’ll see what can be done to aid women in some of the world’s hardest hit substance abuse hubs, including Rio De Janeiro, Brazil; Philadelphia, Pennsylvania; and New Haven, Connecticut. Filled with timely research and practical solutions, this volume shows you what you can do to aid the tremendous and immediate need for specialized interventions in the lives of women.Women and Substance Abuse considers many of the variables in the lives of women who abuse drugs--race, choice of drug, HIV risk, and drug treatment history--and gives you line-by-line proof of the need for custom-tailored harm reduction strategies for addicted women who are and who aren’t engaged in drug treatment therapy. In addition, you’ll see why frequent cocaine use, current physical and sexual abuse, and concerns relating to children can alter the success of therapies and treatments. Overall, this unique volume will broaden your understanding of the subject by covering: gender differences in risk for gonorrhea infection risk factors for women who trade sex for drugs and money the role of physicians and prenatal care providers of substance abusing women how drug treatment programs can be more multifacted to include planning, prenatal care, and parenting skills prison-based therapeutic communities long-term residential treatment for women with children, pregnant women, and women without childrenFor every unique woman with a drug problem, there is a unique treatment. Women and Substance Abuse turns away from the lost cause of blanket treatments and takes you into the world’s slums and inner-city ghettoes, where the faces of addiction are as diverse as the women who bear its debilitating burdens. You’ll see women’s drug addiction for what it is--a montage of suffering and pain that only individual and specialized care can cure.
There was a day when society shielded its children from the often cruel world. At least in the so-called developed countries, the exposure of children to the worst perversions society can conjure up, has never been greater. Children have reached the exalted level of being treated, seduced and targeted to as a 'market'. This bibliography brings together the literature providing access by subject groupings as well as author and title indexes.
Create effective community-based programs for substance abusers with HIV/AIDS! Substance abusers are the fastest-growing population of people with HIV/AIDS in the US--and one of the hardest to reach and treat. Evaluating HIV/AIDS Treatment Programs offers new strategies for providing care for this vulnerable population. The programs evaluated and discussed in this volume were funded as part of the DHHS Health Resources and Services Administration through its Special Projects of National Significance Program. Collectively known as the SPNS Cooperative Agreement, these 27 projects represent a diverse group of organizations with a common goal: to improve the health, quality of life, and access to health care for traditionally underserved populations living with HIV/AIDS. Evaluating HIV/AIDS Treatment Programs reports in detail the efforts of several community-based HIV/AIDS organizations in the SPNS program. You will learn how these organizations provide high-quality care for persons with HIV who are unlikely to obtain it in the traditional hospital-based service system. This volume offers specific, proven strategies designed to overcome the linguistic, cultural, racial, and economic barriers that make it difficult for some sick people to get the health care they need. It also offers specialized medical care models that work within the context of a continuum of services in a medical clinic. Evaluating HIV/AIDS Treatment Programs also highlights other aspects of the Cooperative Agreement projects, including: a study of end-stage AIDS care an overview of the HRSA HIV/AIDS Bureau SPNS Cooperative Agreement grant initiative a study of conceptual issues in implementing program evaluation in real-world community organizations discussion of the online Knowledge Base that summarizes and disseminates information from the Cooperative Agreement projects studies of ways to reach and care for specific populations with HIV/AIDS, including women, Latinos, Haitians, adolescents, and rural people This valuable volume offers solid data on treating people who are all too often neglected by the medical community even before they contract HIV/AIDS. The programs and ideas presented in Evaluating HIV/AIDS Treatment Programs can be applied to other community-based health initiatives and clinics offering medical care to underserved and vulnerable populations. This essential resource deserves a permanent place on their bookshelf of any physician, administrator, or policymaker working in the fields of HIBV/AIDS, epidemiology, public health, or substance abuse. Visit the book's website at http://www.TheMeasurementGroup.com/drugs_and_society.htm
First published in 1987, Perspectives on Person-Environment Interaction and Drug-Taking Behavior provides a comprehensive overview of the interactionist approach from both a theoretical and applied perspective. Divided into five chapters, it deals with themes like psychosocial interactionism and substance use; social sanctions, self-referent responses, and the continuation of substance abuse; the interaction of child and environment in the early development of drug involvement; reconceptualization of person- environment interactions; and the disease theory of alcoholism from an interactionist perspective. This book is a must read for scholars and researchers of addiction studies, applied psychology and psychology in general.
