Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

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.

Perspectives on Substance Use, Disorders, and Addiction

Perspectives on Substance Use, Disorders, and Addiction
Author: Margaret Fetting
Publisher: SAGE Publications
Total Pages: 319
Release: 2015-09-23
Genre: Social Science
ISBN: 1483377776

Perspectives on Substance Use, Disorders and Addiction, Second Edition, is a philosophical and clinical text that suggests new ways to think about the relationships, enjoyment, and troubles with substances of pleasure. The book is designed for students and clinicians who come in contact with and treat individuals and families struggling with the causes and consequences of substance use disorders and addiction. The second edition of Perspectives presents a refreshing blend of ancient and contemporary ideas on the natural pleasures and potential powers of alcohol and drugs in our everyday individual and collective lives.

Facing Addiction in America

Facing Addiction in America
Author: Office of the Surgeon General
Publisher: Createspace Independent Publishing Platform
Total Pages: 420
Release: 2017-08-15
Genre:
ISBN: 9781974580620

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.

Pathways of Addiction

Pathways of Addiction
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 329
Release: 1996-10-01
Genre: Medical
ISBN: 0309175380

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.

Substance Use and Abuse

Substance Use and Abuse
Author: Russil Durrant
Publisher: SAGE Publications
Total Pages: 325
Release: 2003-04-07
Genre: Psychology
ISBN: 1452262969

"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.

Perspectives on Drug Use in the United States

Perspectives on Drug Use in the United States
Author: Bernard Segal
Publisher: Routledge
Total Pages: 187
Release: 2014-02-04
Genre: Psychology
ISBN: 1317735676

Here you’ll find perceptive critical analyses of areas of concern within the field that have important implications for both research endeavors and clinical intervention.

Substance Use and Abuse

Substance Use and Abuse
Author: Victor N. Shaw
Publisher: Bloomsbury Publishing USA
Total Pages: 286
Release: 2002-10-30
Genre: Psychology
ISBN: 0313012075

While the issues of substance use and abuse have been addressed from a variety of perspectives and approaches, the fundamental social issues have not been covered in any systematic way. This book represents the first academic effort to apply major sociological theories to the field of substance use and abuse in order to provide readers with a solid knowledge base from which they may develop more informed ideas about prevention, intervention, treatment, law enforcement, and social reactions to this ubiquitous social problem. Using a systematic framework, Shaw reviews the existing literature, explains key concepts, addresses fundamental issues, and discusses the policy implications for public health, social control, community, and work. This comprehensive sociological treatment of substance use and abuse is essential reading for educators in public policy, sociology, criminology, and deviance. Applying the major sociological theories of anomie, career, conflict, functionalist, rational choice, social control, social disorganization, social learning, social reaction, and subculture perspectives, Shaw provides an important overview of the issues involved with substance use and abuse. By utilizing such an approach, he demonstrates that public views, governmental policies, intervention strategies, and prevention programming can be informed by the different sociological theories. This unique consideration and analysis illustrates that no single view on substance use and abuse is absolute or sacred. Therefore, considering the issues from a variety of sociological perspectives will bring greater understanding to a pervasive social problem that continues to plague American society.

Drugs and Social Context

Drugs and Social Context
Author: Telmo Mota Ronzani
Publisher: Springer
Total Pages: 121
Release: 2018-01-31
Genre: Medical
ISBN: 3319724460

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.

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)
Author: U.S. Department of Health and Human Services
Publisher: Lulu.com
Total Pages: 208
Release: 2019-11-19
Genre: Reference
ISBN: 1794755136

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.