Professional Documents
Culture Documents
drug use
Chapter 7
Models for prevention
0 The National Institute on Drug Abuse
recommends that prevention programs be
designed to enhance protective factors and
reversing or reducing known risk factors:
1 Protective factors (associated with reduced
potential for drug use)
2 Strong and positive bonds within a prosocial
family and institutions
3 Parental monitoring
4 Clear rules of conduct consistently enforced
5 Success in school
6 Adoption of conventional norms about drug
use
INFORMATIONAL MODEL
13The standard educational approach has
been to present factual information about
the dangers of substance abuse.
It was assumed that increased knowledge
14
AFFECTIVE MODEL
21A broad approach to drug abuse prevention
involves affective or humanistic education.
These affective efforts are designed to
22
enhance self-esteem, to encourage responsible
decision making, and to enrich students’
personal and social development.
23The bases of this approach are assumptions
that:
24 Substance abuse programs should aim at
developing prevention-oriented decision
making concerning the use of licit or illicit
drugs.
25 Such decisions should result in fewer
negative consequences for the individuals.
26 The most effective way of achieving these
goals is by increasing self-esteem,
interpersonal skills, and participation in
alternatives to substance use.
RECONNECTING YOUTH
27 Reconnecting Youth is a peer
group approach to building life
skills for high school students
who are at risk for dropping out.
28 Four life skills training units:
29 Self-esteem enhancement
30 Decision making
31 Personal control
32 Interpersonal communication
SOCIAL INFLUENCE/
LEARNING MODELS
33The social influence approach attempts
to “inoculate” students against using
dangerous substances,
34 By making the students aware of the
social pressures they are likely to
encounter and teaching skills that
promote refusal.
35The social learning approach views
chemical abuse from the perspective of
learning theory; that is, like other behavior,
it is learned through modeling and
reinforcement.
36 Through instruction, demonstration,
feedback, reinforcement and behavioral
rehearsal the youngster is taught life-
coping skills that have a rather broad
range of applications, including drug
resistance.
PREVENTION RESEARCH
Research into the effectiveness
37
DRUG TESTING
Drug testing first appeared in the
42
THINKING POINT
54 You have just been hired for a new job
working at a fast food restaurant. Your
employer tells you that you must submit to
a drug test before you can begin work. Your
responsibilities at work will consist of filling
orders for sodas and ice cream.
55 Should fast food workers be tested for
drugs?
56You have just been hired as a new
professor in your college’s Criminal Justice
Department. You will be teaching a class
on Drug Use and Abuse. You ask your
department chair if you will be subjected to
a drug test prior to teaching. She says no.
57 Should professors be tested for drugs?
TREATMENT
There are probably as many
58
approach of contemporary
programs, there are three
standard components:
62 Screening identifies individuals
with hazardous or harmful drug use,
or drug dependence, as well as
associated risk behaviors.
63 Assessment and Diagnosis
frequently uses references common
to the mental health field.
64 The Treatment Plan is developed
with the client and establishes goals
based on identified needs and sets
interventions to meet those goals.
MEDICATION-ASSISTED
TREATMENT
65 A
variety of treatment approaches use
chemicals, often as a supplement to or in
conjunction with some other form of clinical or
behavioral therapy.
66 Opiod antagonists-
67 Substances that block or counteract the effects
of opiates.
68 A dose as small as 0.25 mg of Naloxone will
block the effects of heroin for ten house, but does
not reduce the “drug hunger” of addicts.
69 Chemicals for detoxification-
70 The use of chemicals to facilitate drug
withdrawal can serve to attract drug abusers into
treatment and increases the probability that they will
complete detoxification.
71 Opiod agonists-
72 Certain synthetic substances have a chemical
makeup similar to that of opioids.
73 The most widely used agonist, methadone, a
wholly synthetic narcotic, was developed in Germany.
METHADONE
Possible Effects
74 Euphoria
75 Drowsiness
76 Respiratory depression
77 Constricted pupils
78 Nausea
Effects of Overdose
79 Slow breathing
80 Shallow breathing
81 Clammy skin
82 Convulsions
83 Convulsions
84 Possible death
METHADONE
85 Tolerance and withdrawal
86 Physical and psychological
dependence is high
87 Most common symptoms of
withdrawal- watery eyes, runny
nose, loss of appetite, tremors,
panic, cramps, nausea, chills and
sweating
88 Medical uses
89 Analgesic
90 Treatment of dependence
91 Dangers
92 Addiction
93 Death via overdose
CHEMICAL RESPONSES
TO COCAINE ABUSE
Cocaine agonists and
94
BEHAVIOR MODIFICATION
Behavior modification is a treatment
99
DRUG COURTS
104 Established as a result of court
and prison overcrowding, special drug
courts have proven popular.
105 In 1989, a special drug court was
established by judicial order in Miami,
Florida.
106 This high-volume court expanded
on traditional drug defendant diversion
programs by offering a year or more of
court-run treatment.
107 Defendants who complete this
option have their criminal cases
dismissed.
THERAPEUTIC
COMMUNITIES
108 A generic term for residential,
self-help, drug-free treatment
programs that have some
common characteristics.
109 The primary aims of the
therapeutic community are:
110 a global change in lifestyle
reflecting abstinence from illicit
substances
111 elimination of antisocial
activity
112 increased employability
113 prosocial attitudes and value
CHEMICAL DEPENDENCY
(CD) PROGRAMS
114 Short-term residential programs,
often referred to as chemical
dependency units, are often based on
the Minnesota Model of treatment for
alcoholism.
115 These programs involve
116 a three- to six-week inpatient
treatment phase,
117 followed by extended outpatient
therapy or participation in twelve-step
self-help groups such as Narcotics
Anonymous or Cocaine Anonymous.
118 Many CD programs are located in
a health care facility, which can
increase the cost of treatment.
ALCOHOLICS
ANONYMOUS (AA)
119 The Alcoholics Anonymous (AA)
approach of using public confession and
commitment and mutual aid concepts can
be found in a number of nineteenth century
temperance organizations.
120 Established in the 1930s, became
known as “Alcoholics Anonymous” after the
title of founder William Wilson’s book
about curing alcoholism through religion
and openness.
121 The AA program requires an act of
surrender—an acknowledgment of being an
alcoholic and of the destructiveness that
results—a bearing of witness, and an
acknowledgement of a higher power.
NARCOTICS ANONYMOUS
(NA)
122 Created in 1940s as an outlet
from AA because AA was opposed to
allowing heroin addicts join.
123 There are more than 20,000
registered NA groups holding over
30,000 weekly meetings in more than
100 countries.
124 NA membership is open to all drug
addicts, regardless of the particular
drug or combination of drugs used.
125 As in AA, there are no dues or fees
for membership, although most
members contribute in meetings to
help cover expenses.