Thesis (M.A. (Maatskaplike Werk))--University of Pretoria, 2003. / Includes bibliographical references (leaves 221-232).

This study explored the treatment of women's substance abuse from a critical theory perspective. The literature indicates that, within substance abuse treatment programs and in the research world, few treatment programs are sensitive to women's specific needs.

Subjects were 2,950 patients who had previously received inpatient treatment for substance abuse at 40 treatment centers in 13 states and were followed up by the Chemical Abuse/Addiction Treatment Outcome Registry (CATOR) via telephone during the 2 years immediately following their treatment. All subjects were contacted every 6 months and asked a series of questions regarding their relapse status, medical utilization, illnesses, injuries, and arrests. Patient status was based on 3 categories: (1) abstinence from any abuse of a chemical, (2) brief relapse of less than 3 months abuse of any chemical, or (3) total relapse of longer than 3 months of any chemical. Findings showed that abstainers had fewer days in the hospital for emotional problems and detoxification. Abstainers also had fewer visits to the hospital for emergency reasons. Males in the brief relapse category had a greater number of injuries than abstainers or total relapsers. Regarding arrests and automobile accidents, no difference was discovered. However, regarding Drunk While Driving (DWI) arrests, abstainers had fewer arrests.

No description available.

Residential addiction agencies are confronted by government with the expectation of collecting retention data. Retention as a statistic is being used to measure treatment effectiveness. The use of retention statistics to measure treatment effectiveness creates tension for managers and staff. This research will explore the use of retention statistics within the organization and the tension it creates for manager and frontline staff. The collection of retention data has shaped policies and practices that are "number-centered" versus "client-centered." Previous literature on retention statistics and personal interviews were methods utilized to gather data. / Thesis / Master of Social Work (MSW)

Since 1988 when the first HIV positive drug user was identified in Poland, for close to two decades, the predominant route of HIV transmission has been through injecting drug use. In mid 2000s, Polish officials reported that injecting drug use no longer contributed to incrasing HIV incidence. The consequences of such a statement are that many of the structural and personal risks associated with HIV infection go unaddressed, that drug users are neglected by HIV prevention efforts, that HIV treatment is not made available to drug users and that the policy environment does not adequately support effective public health initiatives. This case study is based on documentation, archival records, interviews, participant observation, and physical artifacts shows that these assertions were made, and continue to be repeated, in a highly political context. Poland is a post-socialist state with strong neoliberal leanings, and it is highly invested in successful integration with the European Union. Powerful Catholic Church serves as an important backdrop. While people considered "at risk" now have more freedom to conduct their lives, they also have a set of neoliberal expectations and religious pressures placed on them. Country's geographic location adds to this complexity - situated between "Old Europe" where HIV problem has been successfully contained and the former Soviet Union, where the HIV incidence among drug users is the highest in the world, Poland attempts to align itself with the success of the West. Furthermore, examination of the available data suggests that the assertions made by Polish officials omit numerous variables. My research shows that even though Polish leadership in the area of HIV and drug policy wishes to resemble Western Europe, Poland does not meet international standards for the prevention of HIV transmission. The interviews I conducted, as well as the review of the literature on drug and HIV policies and programs suggest that these services are scattered, often unavailable, and that their number is stagnating, at best, and in some cases, even decreasing. This maybe a direct result of lack of engagement of drug users in their design. Excluded from the discussion of risk, drug users are thus not the focus of prevention efforts. Based on gathered data, there are seven crucial issues that require immediate action if Poland is to manage HIV prevention and care for people who use drugs in a manner consistent with the international standards. The areas requiring action are: a change in the drug policy from the current very punitive approach, expansion of needle and syringe programs and other harm reduction services, improved data collection and an increase in the availability of HIV testing, scaled-up substitution treatment, improved quality of other forms of drug treatment, greater investment in civil society organizations, improved access to HIV treatment, and educational and training efforts that encourage greater attention to HIV related matters across disciplines.

<p>Studiens syfte är att undersöka eventuella skillnader i användningen av tre centrala begrepp (missbruk, tungt missbruk samt öppenvård) inom missbruksvården. De frågeställningar som behandlas är; (I) Hur används de centrala begreppen; missbruk, tungt missbruk och öppenvård i texter kring missbruksvård? (II) Om det föreligger skillnader i användandet av de tre centrala begreppen, vilka likheter respektive olikheter kan urskiljas? (III) Hur kan begreppshanteringen utav de tre centrala begreppen förstås utifrån socialkonstruktivismen? Studien har genomförts som en litteraturstudie där resultatet har analyserats utifrån ett socialkon­struktivistiskt perspektiv. Resultatet tyder på att skillnader i begrepps­hanteringen utav de tre centrala begreppen förekommer samtidigt som också vissa likheter kan urskiljas. Definitionerna av missbruk skiljer sig åt genom att vissa definitioner behandlar konsumtionsmönster hos de som nyttjar drogen medan andra menar att missbruk ska ses som ett avvikande beteende. De flesta definitionerna kring missbruk berör dock i någon mån konsekvenser utav nyttjandet. Begrepps- användningen av tungt missbruk berör främst avgränsningar mellan narkotika­missbruk och tungt narkotikamissbruk. Gällande begreppet öppenvård tycks begreppsanvändningen vara samstämmig när det gäller dess yttre ramverk men skiljer sig åt när det kommer till diskussioner om hur snävt begreppet ska vara samt vilka insatser som bör inrymmas i det.</p> / <p>The study aims to examine possible differences in the use of three central concepts (substance abuse, heavy substance abuse and open care) within the substance abuse care. The issues addressed are (I) how is the three central concepts used in texts about substance abuse care? (II) if differences exists in the use of the three central concepts, which similarities and differences can be found? (III) how can the use of the three central concepts be understood from the basis of social constructionism? The study is a literature review and the results have been analyzed on the basis of social constructionism. The result indicates that differences in the concept handling occur. Differences in definitions of substance abuse is seen through that certain definitions treat consumption patterns while others definitions mean that it should be seen as<em> </em>deviance. Similarities can be seen as the majority of definitions around substance abuse concern consequences of the use. The use of the concept “heavy substance abuse” concerns mainly demarcations between drug abuse and heavy drug abuse. The concept handling of open care is coherent in the case of its extraneous framework however differences are found when it comes to how extensive the concept should be.</p>

Studiens syfte är att undersöka eventuella skillnader i användningen av tre centrala begrepp (missbruk, tungt missbruk samt öppenvård) inom missbruksvården. De frågeställningar som behandlas är; (I) Hur används de centrala begreppen; missbruk, tungt missbruk och öppenvård i texter kring missbruksvård? (II) Om det föreligger skillnader i användandet av de tre centrala begreppen, vilka likheter respektive olikheter kan urskiljas? (III) Hur kan begreppshanteringen utav de tre centrala begreppen förstås utifrån socialkonstruktivismen? Studien har genomförts som en litteraturstudie där resultatet har analyserats utifrån ett socialkon­struktivistiskt perspektiv. Resultatet tyder på att skillnader i begrepps­hanteringen utav de tre centrala begreppen förekommer samtidigt som också vissa likheter kan urskiljas. Definitionerna av missbruk skiljer sig åt genom att vissa definitioner behandlar konsumtionsmönster hos de som nyttjar drogen medan andra menar att missbruk ska ses som ett avvikande beteende. De flesta definitionerna kring missbruk berör dock i någon mån konsekvenser utav nyttjandet. Begrepps- användningen av tungt missbruk berör främst avgränsningar mellan narkotika­missbruk och tungt narkotikamissbruk. Gällande begreppet öppenvård tycks begreppsanvändningen vara samstämmig när det gäller dess yttre ramverk men skiljer sig åt när det kommer till diskussioner om hur snävt begreppet ska vara samt vilka insatser som bör inrymmas i det. / The study aims to examine possible differences in the use of three central concepts (substance abuse, heavy substance abuse and open care) within the substance abuse care. The issues addressed are (I) how is the three central concepts used in texts about substance abuse care? (II) if differences exists in the use of the three central concepts, which similarities and differences can be found? (III) how can the use of the three central concepts be understood from the basis of social constructionism? The study is a literature review and the results have been analyzed on the basis of social constructionism. The result indicates that differences in the concept handling occur. Differences in definitions of substance abuse is seen through that certain definitions treat consumption patterns while others definitions mean that it should be seen as deviance. Similarities can be seen as the majority of definitions around substance abuse concern consequences of the use. The use of the concept “heavy substance abuse” concerns mainly demarcations between drug abuse and heavy drug abuse. The concept handling of open care is coherent in the case of its extraneous framework however differences are found when it comes to how extensive the concept should be.

Thesis (D. Min.)--New Orleans Baptist Theological Seminary, 2005. / Includes abstract and vita. Includes project proposal. Includes bibliographical references (leaves 225-228).

Thesis (D. Min.)--New Orleans Baptist Theological Seminary, 2005. / Includes abstract and vita. Includes project proposal. Includes bibliographical references (leaves 225-228).