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.
This book shows parents how to talk to their children in a way that is respectful and reasonable, non-threatening and non-judgmental. It will help them understand the issues their children are facing, and show them how to help their kids negotiate a minefield of misinformation and social pressure in a calm and sensible way - to tell them what they really want and need to know about alcohol and drugs.--Cover.
Best-selling recovery author Claudia Black introduces readers to five different families and reveals how each of the parents talked with their kids about recovery, relapse, and the child's own vulnerability to addiction. Alcohol use, drug use, and addiction are challenging topics for parents to discuss with children. These subjects are even more complex, and more urgent, for recovering parents to discuss with their children. Best-selling recovery author Claudia Black introduces readers to five different families and reveals how each of the parents talked with their kids about recovery, relapse, and the childs own vulnerability to addiction. Discussion tips and clearly presented facts help parents focus on key issues. Age-appropriate strategies help reduce childrens experimentation with alcohol and other drugs.
The American Drug Culture uses sociological and other perspectives to examine drug and alcohol use in U.S. society. The text is arranged topically rather than by drug categories and explores diverse aspects of drug use, including popular culture, sexuality, legal and criminal justice systems, other social institutions, and mental and physical health. It covers alcohol, the most widely used drug in the United States, more extensively than other texts on this subject. The authors include case studies from their own field research that give students empathetic insights into the situations of those suffering from substance and alcohol abuse.
This book goes beyond the traditional approaches to drug use and discusses the issue from a societal perspective, integrating contributions from different disciplines such as psychology, public health, anthropology, law, public policies and sociology to address specifically the social aspects of the phenomenon. Given its complexity, drug use demands a multidisciplinary approach from many different perspectives, but despite the vast literature about the topic, the majority of the books are restricted either to a purely medical perspective (focused mainly on treatment techniques) or to a criminological perspective (focused mainly on drug trafficking and organized crime). The social approach adopted in this volume challenges this dichotomy and analyzes both the social contexts to which drug use is related and the social and political consequences of the attitudes and policies adopted by governments and other social groups towards drug users, addressing topics such as: Drugs and poverty Drugs and gender Drugs and race Drugs and territory Stigmatization of drug use Prohibitionism Given its broad and innovative approach, Drugs and Social Context - Social Perspectives on the Use of Alcohol and Other Drugs will be of interest for researchers, clinicians and other health professionals, since the study of the social aspects of drug use is central to everyone who deals with the issue.
Across the United States, in small towns and major cities, in suburbs and slums, in public and private schools, thousands of kids are experimenting with drugs. Many of them will become addicts; some will die. The first and only book to focus entirely on adolescent alcohol and other drug use, Teens Under the Influence addresses the immediate dangers that threaten these kids—exploring the short- and long-term effects of their addiction and giving parents solid, sensitive, practical advice to combat this growing epidemic. Knowledge is the key to defeating drug addictions, and that is what this comprehensive, timely new book provides. Full of candid true stories from adolescent drug users, with facts based on the most recent scientific research, Teens Under the Influence tells you exactly what you need to know to deal with your child’s problem, covering such important topics as • The common myths and misconceptions about drug addiction • The crucial differences between adult and adolescent dependency • The reasons kids get hooked • The stages of adolescent addiction • The different kinds of drugs kids use and combine • Various treatment options and how to choose the best treatment for your child • Strategies for handling relapses Teens Under the Influence offers practical help that may save your child’s life. It may save the life of a friend. And it may save your own.
Adolescents undergo rapid physical, psychological and social developmental changes that result in management challenges, communication issues, patterns of disease and symptom presentations that are different from children or adults. This can be challenging for health professionals, who rarely have had specific training in dealing with the young people they meet in their clinical work. This ABC covers topics surrounding adolescent development, sexual behaviour and substance misuse, along with education and preventative strategies. It also features other adolescent health problems such as self-harm, eating disorders and psychosomatic presentations. This book is a valuable resource for all those who deal with adolescent patients in primary care, emergency departments, and hospital and outpatient settings.