Youth substance abuse in Oregon reached epidemic proportions in the early 1980s. A response to this social issue from the Governor's Office, the state legislature, and the Office of Alcohol and Drug Programs during 1983-1985 is the foundation of this case study. Oregon, a small state of three million, was faced with a growing problem of youth and adult substance abuse. Legislative leaders, agency staff, and Governor Atiyeh recognized an opportunity to create public policy to solve problems of substance abuse including crime. The focus on substance abuse included streamlining several budgets with substance abuse monies in various state agencies. The intent of this study was to recreate the development of public policy specifically in the area of youth substance abuse during the years 1983-1985. The final policy, Oregon House Bill 2124 (1985), represented the work budgets with alcohol and drug monies in various state agencies. The intent of this study is to recreate the development of public policy specifically in the area of youth substance abuse during the years 1983-1985. The final policy, Oregon House Bill 2124 (1985), represented the work of several political entities, and presented recommendations for substance abuse treatment, budget alignments among several agencies with alcohol and drug monies, and finally, prevention of youth substance abuse. This dissertation established that leadership and politics affected policy development more than the variables of economics, special interest groups, or research which were chosen from the literature in policy development. Research was the variable studied in depth to determine if policy developers utilized what was known about youth substance abuse to develop policy goals. Several barriers to the use of research and rational methods for policy development were uncovered. The study found that the use of research was regarded as important among policy developers, but their practice was not at all congruent with that belief. There were many studies on youth prevention and social competency training available to policy planners which may have supported more specific policy recommendations. No collaborations between researchers and policy developers occurred in this case study. The barriers to collaborative efforts with researchers and the use of policy analysis methods were uncovered in this study. The final policy document presented to the legislature lacked specific recommendations for well researched programs which appeared to be the result of political considerations rather than rational policy development. Finally, this case of policy development revealed a process that was inconsistent, politically driven, disregarded available research, and resulted in broad policy goals which have not been exceptionally successful in limiting or even addressing youth substance abuse over the nine years of implementation by the same administrator who significantly helped to develop them.

Bakgrund: Substansbrukssyndrom är en sjukdom som påverkar flera miljoner individer i världen idag, varav sjuksköterskor är en särskilt utsatt grupp. Detta bland annat på grund av tillgängligheten till narkotika på arbetsplatserna. Trots detta råder det stor kunskapsbrist kring ämnet. Det medför att omvårdnadsarbetet kan påverkas negativt, och patienter, kollegor och den missbrukande sjuksköterskan själv kan utsättas för risker. Syfte: Att beskriva sjuksköterskans upplevelse av personligt substansmissbruk och missbruksrehabilitering. Metod: Litteraturstudien baserades på åtta kvalitativa studier inhämtade genom databassökningar i CINAHL och PubMed. Analyserades med Fribergs femstegsmodell.Resultat: Fyra huvudkategorier framkom ur analysen: ”Orsaker till missbruket”, “missbrukets konsekvenser”, “Att konfrontera missbruket” samt “rehabilitering”. Huvudkategorierna delades upp i 8 underkategorier. Konklusion: Missbruk leder till sociala och ekonomiska konsekvenser för sjuksköterskan samt kan negativt påverka kvaliteten på patientens vård. Det finns effektiva interventioner men upplevelsen av dessa varierar och är beroende av flera faktorer. Det finns ett kunskapsgap och det behövs mer forskning kring frågan. / Background: Substance use disorder is a disease that afflicts millions of individuals worldwide today, of which nurses are vulnerable as a group because of the easy access to narcotics amongst other reasons. Despite this, there is a great lack of knowledge about the subject. This affects the nursing care negatively, and patients, colleagues and the substance abusing nurse themselves can be put at risk. Aim: To describe the nurses’ experience of personal substance abuse and rehabilitation. Methods: This literature study is based on eight qualitative studies acquired through database-searches in CINAHL and PubMed, the analysis was conducted using Friberg`s five step model. Results: Four main categories were found through the analysis: “Causes for substance abuse”, “consequences of substance abuse”, “Confronting the substance abuse” and “rehabilitation”. The main categories were divided into 8 subcategories. Conclusion: Substance abuse leads to social and economic consequences for the nurse and can negatively affect the quality of the patient's care. There are effective interventions but the experiences of these vary and are dependent on multiple variables. There is a lack of research on the subject, and more is needed.

The fundamental principle that reliability is a property of scores and not of instruments provides the foundation of a meta-analytic technique called reliability generalization (RG). RG studies characterize the reliability of scores generated by a given instrument and identify methodological and sample characteristics that contribute to the variability in the reliability of those scores. The present study is an RG of the Substance Abuse Subtle Screening Inventory (SASSI). Reliability estimates were obtained from 19.8% of studies using the SASSI. Bivariate correlations revealed strong, positive correlations between SASSI score reliability and score variability of the Subtle Attributes (r = .877, p < .05) and Family History (r = .892, p < .05) subscales and between score reliability and ethnicity for both the Family History (r = .683, p < .05) and Tendency to Involvement in Correctional Setting (r = .76, p < .05) subscales.

Health communication has gained worldwide recognition as one of the most effective methods for tackling global health challenges; a conclusion that is supported by a range of studies showing generally positive results. Literature in the field has tended to focus on one of two perspectives: either individual behaviour change or a cultural/critical approach. This dissertation, which falls into the latter category, extends previous work on health communication and culture into a new context, namely Saudi Arabia. The thesis is motivated by two main research questions. First, how has culture influenced health communication in Saudi Arabia specifically in initiatives against illicit drug use and alcohol abuse? Second, how has this communication developed? At the heart of this study is the role of Saudi culture in health communication in an increasingly interdependent and connected world. The dissertation makes use of mixed qualitative data collection methods. Principally, it utilised semi-structured interviews with key officials and focus groups with young Saudis and health promoters in Saudi Arabia as well as attendance at and observation of health-communication events and permanent exhibitions as a subordinate method. The study reveals promising findings supporting the growing scholarly interest in the cultural dimension of health communication. It concludes that the key influence of the Saudi culture on health communication against substance abuse is Islamic beliefs about health, in particular those about substance abuse. These beliefs created a rejection of illicit drug abuse in Saudi society, thereby shaping a supportive environment for promotion activities against risky health behaviour. In addition, Islamic influence inspired the related regulations and laws in the kingdom. Islamic and local influences exert a powerful influence on the practical side of health communication in Saudi Arabia, including the content of messages, the appeal used to attract the specific audience, and the communication channels used to promote the campaigns. The study engages with four concepts constituting the Islamic model of health and illicit drug abuse: prohibition (haram), promotion (Da’wah), repentance and inclusiveness (Tawbah), and treatment and rehabilitation (Elaj). The study also examines controversial issues about health communication in the country, such as the predominance of top-down communication, the absence of participatory communication and cultural diversity. In short, a lack of innovation and creativity in delivering health communication messages. The study illustrates the major role the Saudi government has played in communicating health and substance abuse since the 1980s, when officials realised the need to modernise the means of communicating health and drug issues from mosque-based only to include modern methods such as televised campaigns, school-based programmes and hospital-based health education. Since then, government-led health communication initiatives have been well established in the kingdom. The dissertation is able to demonstrate a critical understanding of the reality of health communication against substance abuse in Saudi Arabia and make a range of recommendations to improve the efficacy of current policies and suggest new avenues for future research.

No description available.

Thesis (MPH.) -- University of Limpopo, 2021 / The purpose of this study was to determine and describe the lived experiences of youth residing in Elias Motsoaledi Municipality at Sekhukhune District about Nyaope. A qualitative research was applied using the Phenomenolgical research design to explore the lived experiences. The purposive sampling technique was used to select the participants at Rite Substance organization between the age of 18 and 35, and also the convenient sampling applied to select key informants. The study revealed that the youth Nyaope users experienced; the lived physical effects such as ;bodily weakness and strenght, bodily pains, drowsiness, loss of appetite and poor hygiene, the psychological effects such as mental relaxation, regret and worry, drug dependency and addiction, and the social effects such as family rejection, community stigmatization, relationship failure, engagement in crime, and economic and educational failure. As such, more funds, staff and resources are needed to assist in dealing with the Nyaope crisis.

Thesis (MPH.) -- University of Limpopo, 2021 / PURPOSE OR OBJECTIVE: The purpose of this study was to investigate factors that contribute to the relapse of substance abusers post rehabilitation at South African National Council On Alcoholism And Drug Dependence (SANCA) Polokwane. METHOD: A quantitative research method or approach, and a descriptive research design were employed respectively to conduct the study. Data was collected using group-administered questionnaires / surveys amongst substance abusers who relapsed post rehabilitation at the SANCA, and a total number of sixty-one (61) respondents at the centre responded to the questionnaires. FINDINGS: Findings revealed that personal factors that predisposed the relapse of substance abusers post rehabilitation include lack of coping mechanism; less committed and motivated towards staying clean or sober; having a craving for drugs; challenged with too many triggers; lack of believe in themselves; thinking they could deal with their emotions by using drugs; thinking they could be able to control my use; community members still look down on them for using drugs; peer pressure from peer group; easily influenced by others; significant relationship in their lives ending; social group still abusing drugs; finding it difficult to avoid social gathering; lack of financial support; feeling lonely and being bored. Findings also indicated that substance abuser receive sufficient support from their family. On the contrary, however, findings further show that respondents have indicated that they receive poor from their friends, community members, peers and the rehabilitation centre attended. CONCLUSION: The study successfully identified, and discussed diverse causes or factors that contribute or influence relapse amongst substance abusers post rehabilitation at SANCA, as listed above. Furthermore, also assessing the availability of social support systems post rehabilitation.

The influx of youth abusing substances is a major problem. The effect of substance abuse may have far-reaching consequences for defining the vulnerability of the offending group as well as for contributing to the disaster risk faced by the community as a whole. The effects of substance abuse on young people have the potential to contribute to an increased vulnerability of this group. It becomes the responsibility of the family and community to bear the burden of its drug-afflicted members and the implications of their addiction. The study was conducted in Bekkersdal, which is a community that has a significant problem with youth abusing substances. The degree to which their abuse affects families and the broader community in terms of increasing risk has not been examined. The dissertation aims to evaluate the effect of substance abuse among the youth on the risk profile of the Bekkersdal community. According to Disaster Risk Reduction, one of the important activities of the state is to increase capacity of communities and households to minimize the risk that may occur and also most importantly, monitoring the likelihood of and the state of alertness to disasters that may occur. A qualitative, explorative research design was employed and data gathered using structured interviews involving 30 adults namely School Principals, Teachers, Community Social workers, Community Leaders, Religious Leaders, Disaster managers and a Nurse from the area. The interviews were analysed by means of themes. The research indicated that substance-abusing youth create conditions which undermine human, physical and social capital and hence contribute to instability in the livelihood-based system. It was also evident to this research that it encourages the importance of engaging community members in discussions about aspects that concern them which is an empowerment process in itself. As they become more involved, they also have hope that things will work better for them by actively rebuilding their own lives and communities. All the information gathered revealed the link between the negative impacts of substance abuse and its risk profile in the Bekkersdal community. / M Development and Management, North-West University, Potchefstroom Campus, 2015

The influx of youth abusing substances is a major problem. The effect of substance abuse may have far-reaching consequences for defining the vulnerability of the offending group as well as for contributing to the disaster risk faced by the community as a whole. The effects of substance abuse on young people have the potential to contribute to an increased vulnerability of this group. It becomes the responsibility of the family and community to bear the burden of its drug-afflicted members and the implications of their addiction. The study was conducted in Bekkersdal, which is a community that has a significant problem with youth abusing substances. The degree to which their abuse affects families and the broader community in terms of increasing risk has not been examined. The dissertation aims to evaluate the effect of substance abuse among the youth on the risk profile of the Bekkersdal community. According to Disaster Risk Reduction, one of the important activities of the state is to increase capacity of communities and households to minimize the risk that may occur and also most importantly, monitoring the likelihood of and the state of alertness to disasters that may occur. A qualitative, explorative research design was employed and data gathered using structured interviews involving 30 adults namely School Principals, Teachers, Community Social workers, Community Leaders, Religious Leaders, Disaster managers and a Nurse from the area. The interviews were analysed by means of themes. The research indicated that substance-abusing youth create conditions which undermine human, physical and social capital and hence contribute to instability in the livelihood-based system. It was also evident to this research that it encourages the importance of engaging community members in discussions about aspects that concern them which is an empowerment process in itself. As they become more involved, they also have hope that things will work better for them by actively rebuilding their own lives and communities. All the information gathered revealed the link between the negative impacts of substance abuse and its risk profile in the Bekkersdal community. / M Development and Management, North-West University, Potchefstroom Campus, 2015

Women have been the focus of a great deal of research on opiate addiction and treatment because their gender is assumed to matter for their experiences in the drug world. Much of this has focused on women's experiences as mothers and caregivers. While men are often included as subjects in research on opiate addiction and treatment, their experiences as gendered beings are rarely analyzed. This research foregrounds men's gendered experiences as fathers, family members, and partners while in methadone maintenance treatment. Using data from addiction history interviews with 33 opiate-dependent men recruited from a single methadone clinic in Arizona, I find that men assign considerable significance to their family relationships. The men interviewed report that their experiences as fathers, grandfathers, sons, grandsons, brothers, husbands, and boyfriends both motivate them to seek methadone treatment for opiate addiction, and cause stress that sometimes pushes them to use or relapse on opiates. Given the importance of these men's family relationships, I argue that the marginalized masculinity of impoverished, drug-dependent men includes an ethic of care. Additionally, I argue that counselors in methadone clinics should consider men in the context of their family relationships in order to provide better treatment to men struggling to recover from opiate addiction.