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Understanding Drug Misuse : Models of Care and Control - Jan Keene

Understanding Drug Misuse

Models of Care and Control

By: Jan Keene

Paperback Published: 31st August 2010
ISBN: 9780230202436
Number Of Pages: 246

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Key to understanding drug misuse is an awareness of the full range of models that seek to define, explain and treat the problem. This book covers the full breadth of medical, social and psychological approaches to drug use, while retaining focus on the one question which is seldom asked: What do drug users themselves think?

Based on extensive research, Understanding Drug Misuse offers comprehensive analysis of the diversity of drug-related problems, interwoven with frank - and often challenging - user perspectives. Combining theory and research evidence with extracts from the author's own interviews with drug users, this insightful text explores: a- drug use, drug dependence and discussion of maintenance versus abstinence a- health risks, harm minimization and public health solutions a- social harm, social exclusion, and problems of community safety and crime a- practice implications for harm minimization, treatment, after-care and relapse prevention With practical guidance that will inform all work directly related to drug policy or practice, Understanding Drug Misuse offers is an essential text for all students taking modules in substance abuse and addiction studies.

It also makes fascinating and fundamental reading for specialist and generic workers in the health, social care and criminal justice professions.

About the Author

Jan Keene is an Emeritus Professor of Primary Care at the University of Reading, UK. She is a Chartered Psychologist and Fellow of the Faculty of Public Health. She has written four books and 36 papers in the drug misuse field, including population studies, service evaluations and studies of user views.

'This is a good book that presents an accessible up-to-date summary of a particular current societal concern and will support many social workers [...] It offers an excellent insight into another world, or at least a specific context of the shared world - one that social workers must increasingly occupy.' - British Journal of Social Work

List of Figures and Tablesp. vii
Acknowledgementsp. viii
Prefacep. ix
Care and Control: Drug Dependency, Health Risks and Social Harmp. 1
Different types of solution for different types of problemsp. 1
Understanding the complexity: the example of prescribed drugsp. 2
The wider picture: policy and practice in perspectivep. 4
Historical models of care and control of opiatesp. 6
Contemporary models of care and controlp. 10
Understanding the complexity: returning to the example of prescribed drugsp. 12
Advantages and disadvantages of prescribed opiatesp. 14
Conclusionp. 15
Drug Users' Perspectives on Drug Use and Dependencep. 18
Introductionp. 18
Methodology for exploring user viewsp. 18
User views of drug use and dependencyp. 20
Discussionp. 31
Reducing Dependence: Approaches to Treatmentp. 35
Introductionp. 35
Treatment: what is it and what is it for?p. 35
The three perspectivesp. 39
Different drug treatment models: doing the same things but defining them differently?p. 55
Implications for practicep. 64
Additional notesp. 68
Drug Users' Perspectives on Health Risksp. 74
Introductionp. 74
Reasons for taking risksp. 75
Discussionp. 83
Harm Minimization and Public Healthp. 86
Introductionp. 86
Harm minimization: what is it and what is it for?p. 86
Understanding the problemp. 89
The development of harm minimization servicesp. 91
Health and mental health care needsp. 96
Three harm minimization approachesp. 101
Practical guidelines for harm minimizationp. 108
Conclusion: drug treatment, harm minimization or both?p. 114
Drug Users' Perspectives on Social Harmp. 117
Introductionp. 117
User views of the importance of social factors in drug use and crimep. 118
Discussionp. 128
Reducing Social Harm: Social Inclusion and Crime Reductionp. 131
Introductionp. 131
The relationship between drug use, social groups and wider societyp. 132
The relationship between drug use and crimep. 136
The relationship between drug use, crime and social exclusionp. 139
Is drug treatment a solution to crime problems?p. 140
Are treatment services for offenders effective?p. 142
Crime reductionp. 144
Problems of medicalizing crime and criminalizing illnessp. 145
A conflict of care and control?p. 146
Working with Users: Motivation, Maintenance and Recoveryp. 149
Introductionp. 149
New beginnings and no endp. 151
Old generic skills and new specialist methodsp. 155
Motivation to change: the process model and methodsp. 159
Assessmentp. 163
Care plansp. 171
The relevance of specialist theory and practice for generic professionalsp. 172
Monitoring and evaluationp. 174
After-Care: Relapse Prevention and Social Inclusionp. 176
Introductionp. 176
Developing psychological skills and new social networksp. 176
The psychological approach to after-care and relapse preventionp. 180
The social approach to after-carep. 186
Referencesp. 193
Indexp. 227
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780230202436
ISBN-10: 0230202438
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 246
Published: 31st August 2010
Country of Publication: GB
Dimensions (cm): 23.4 x 15.6  x 1.5
Weight (kg): 0.39
Edition Number: 1