M.A. (Psychology) / It is generally accepted that the management and treatment of individuals addicted to chemical substances or drugs entail challenges for the professions involved in drug contexts. In this dissertation a number of therapeutic systems in drug contexts are explored in aim of the treatment of people with drug addiction. In the literature survey it is indicated that the manner in which therapeutic intervensions are operationalized in drug treatment practices, are influenced by the organization's theoretical-philosophical orientation with regard to therapeutic treatment modes. This aspect is examined in the study on the basis of a critical discussion of the perspectives of the medical model and an alternative model, namely the adaptive model, concerning the therapeutic management of people addicted to drugs. It is further established from the literature that people with drug addiction problems are often treated within the boundaries of a therapeutic community and that various therapeutic interventions, namely individual psychotherapy, family therapy and group therapy, are also implemented in this therapeutic context. The present study specifically concentrates on an alternative approach concerning the therapeutic modes of treatment for individuals with drug addiction. One such an approach, as discussed in this study, entails that therapeutic approaches regarding people addicted to drugs, progress from a causal-theoretical manner of defining these people (for instance the view that individuals addicted to drugs have a progressive disease and that they are unable to take responsibility for their behaviour) to an approach based on the principles of interactional therapy and motivational milieu therapy {for instance the idea that such individuals have the ability to conduct their interpersonal relationships

Made available in DSpace on 2017-06-01T18:08:57Z (GMT). No. of bitstreams: 1 fabiola_barbosa_ramos_silva.pdf: 1453902 bytes, checksum: 0bad1ddecb5835e8b491b28700f6d213 (MD5) Previous issue date: 2014-07-05 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / In this research, drug addiction is not synonymous with the dependence on a psychoactive substance, but it is understood as an intense and exclusive relationship in which drug use is also established as a function in mental life. This work aims to analyze landslides in demand for treatment by drug addiction over voluntary admission. Its specific objectives are: to identify the specifics of the drug addict's entry into a treatment institution; investigate the demand of destinations in the accommodation of the route; place the management mode of the institutional place in clinical practice with drug addicts; and articulate the biases of the meeting - between drug addict and institution - with the discourse in vogue in post-modernity. The core of the research is to determine the natural effects of psychoanalytical listening at the institutional level, in favor of subversion of the subject. If to the addicted the drug participate as a dismissal of the subject, to be presented pasted, speaking of himself, only from his use of drugs, the way forward is to offer words. The direction of the treatment, to fetch hear the toxic function of the drug, rather than solely to mind with the use or non-use of a psychoactive substance, can enable the guy who works with his addiction to drugs find room for a significant slide, and that can be placed in work your enjoyment so. Therefore, an engaged institution in the addiction clinic needs to be doubly warned of its function: First, dodge the traffic in line with the institution's postmodern principles, which exalts excess joy and erasing the boundaries ; and second, should know that only to the price of standing in the place of the impossible that it appears as a possible place addressing. The survey was conducted in RAID Institute, an NGO, following the psychoanalytic in its clinical and institutional management and works in prevention and treatment of people of both sexes who voluntarily choose to join it because of problems related to abuse or addiction to alcohol and other drugs. Participated in this research, drug addicts in treatment, fully housed in the institution. Through interviews we tried to go the way that evokes addiction, and reflect the specificities of this Clinic. In conjunction with the cases it is possible to recognize the unique significance and representation of drug use in drug addiction, one of the ways of dealing with the discomfort to invest in toxic as real solution to the subjectivity. Such shifts promoted by the person who is named as abuse drug addict and brings his drug use and volunteer in the hospital, during the course can consent to realize the role that the toxic occupies in his psychic life, and get involved in that. The willingness in treatment is a fundamental ethical component, in that it only from the availability of each subject will be possible to build new itineraries for your own desire. / Nesta pesquisa, a toxicomania não é sinônimo de dependência de uma substância psicoativa, e sim, é compreendida como uma relação intensa e exclusiva, em que o uso de drogas se estabelece também como uma função na vida psìquica. Este trabalho se propõe analisar os deslizamentos na demanda de tratamento por parte do toxicômano, ao longo do internamento voluntário. Tem como objetivos especìficos: identificar as especificidades da entrada do toxicômano em uma instituição de tratamento; investigar os destinos da demanda no percurso do internamento; situar o modo de manejo do lugar institucional na prática clìnica com toxicômanos; e articular os vieses do encontro - entre toxicômano e instituição - com o discurso em voga na pós-modernidade. O cerne da investigação é averiguar os efeitos singulares da escuta psicanalìtica no âmbito institucional, em favor da subversão do sujeito. Se para o toxicômano a droga participa como uma destituição do sujeito, ao apresentar-se colado, falando de si, somente a partir do uso que faz da droga, a via indicada consiste em ofertar palavras. A direção do tratamento, ao buscar ouvir a função tóxica da droga, ao invés de tão somente ocupar-se com o uso ou não uso de uma substância psicoativa, pode possibilitar que o sujeito que atua com sua toxicomania encontre espaço para um deslize significante, e que seja possìvel colocar em trabalho o seu modo de gozo. Portanto, uma instituição engajada na clìnica da toxicomania precisa estar duplamente advertida de sua função: primeiro, esquivar-se do modelo de instituição consonante com os princìpios pós-modernos, que exaltam o excesso de gozo e o apagamento do limite; e segundo, deve saber que é só ao preço de conseguir suportar o lugar do impossìvel que ela configura-se como um lugar possìvel de endereçamento. A pesquisa foi realizada no Instituto RAID, uma Organização Não Governamental, que segue a orientação psicanalìtica em seu manejo clìnico-institucional e trabalha na prevenção e tratamento de pessoas de ambos os sexos que, voluntariamente, optam por acompanhamento devido a problemas relacionados ao uso abusivo ou dependência de álcool e outras drogas. Participaram desta pesquisa, toxicômanos em tratamento, albergados integralmente na instituição. Por meio de entrevistas buscou-se percorrer os sentidos que a toxicomania evoca, e refletir as especificidades dessa Clìnica. Na articulação com os casos é possìvel reconhecer a singular significação e representação do uso de drogas na toxicomania, um dos modos de lidar com o mal-estar ao investir no tóxico como solução real para a subjetivação. Tais deslocamentos promovidos pelo sujeito que se nomeia toxicômano e traz como queixa seu uso de drogas pode no curso do internamento voluntário consentir em perceber a função que o tóxico ocupa em sua vida psìquica, e implicar-se nisso. A voluntariedade no tratamento é um componente ético fundamental, na medida em que, somente a partir da disponibilidade de cada sujeito será possìvel a construção de novos itinerários para o seu próprio desejo.

The purpose of this study is to assess the aftercare needs of women who have completed substance abuse treatment.

Using both qualitative and quantitative research designs, this study focused on the knowledge of Children Protective Services (CPS) social workers for identifying Alcohol and Other Drugs (AOD) risk factors in their clients, and the impact that these AOD issues have on the child welfare system in San Bernardino County, California.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

No description available.

The abuse of substances by South African young people has led to the development of specialised residential treatment programmes. This qualitative and phenomenological study sought to explore child and youth care interventions which contributes towards children’s recovery from substance abuse/dependency. Data was collected through purposive sampling, with face -to -face interviews with a broad interview guide and it’s analysis was influenced by Patton and Creswell’s eight steps for qualitative data analysis and interpretation. The study confirmed the involvement of South African child and youth care workers in substance abuse programmes for young people. Specific interventions such as an existence of a therapeutic relationship between child and youth care workers, the use of the relationship as a model for other relationships, the availability and presence of the child and youth care worker, the adolescent development programme and young people’s involvement in their individual development programme that contributed to recovery from substance dependency were identified. / Social Work / M. Tech. (Child and Youth Care)

The susceptibility of adolescents to chemical addiction has become a major international concern. Approximately 25% of people in Central Asia and Eastern Europe who inject chemical substances are under the age of 20 years (Youth at the United Nations, 2006), while up to 75% of unintentional injuries among adolescents in America are related to substance abuse (Page & Page, 2003:196). On the national level, approximately 25% of adolescents under the age of 20 are involved in substance abuse (Western Cape Department of Social Services and Poverty Alleviation Transformation Plan, 2006:13). Focusing on the Western Cape, a report from the South African Epidemiology Network (2007:3) highlights that the youngest patient in in-patient treatment was nine years of age, and among 2 798 persons who received in-patient treatment, 27% were under the age of 20, more than any other age group in treatment. Treatment of adolescent chemical addiction should include preparation for treatment, treatment, and also aftercare services to ensure that the addicted adolescent develops skills to maintain sobriety (Meyer, 2005:292-293). Section Six of the South African Prevention and Treatment of Drug Dependency Act (1992) prescribes that chemically addicted persons should have access to professional aftercare services to ensure that treatment is not terminated prematurely. The motivation for this study was based on the fact that, despite this statutory requirement, the Western Cape Drug Forum (2005:3) identified the need for the development of aftercare services in 2005, indicating the lack of focus on aftercare as part of treatment. This concern was confirmed by practitioners in the field of adolescent chemical addiction and findings resulted from previous research regarding relapse experiences of chemically addicted adolescents (Van der Westhuizen, 2007:129-130). / Social Work / D. Phil. (Social Work)

This study was designed to determine how knowledgeable child welfare social workers are of substance abuse when working with substance abusing clients. The results indicated that social workers within San Bernardino County have competent levels of knowledge in substance abuse which allow them to provide appropriate services to the community members they serve.

The abuse of substances by South African young people has led to the development of specialised residential treatment programmes. This qualitative and phenomenological study sought to explore child and youth care interventions which contributes towards children’s recovery from substance abuse/dependency. Data was collected through purposive sampling, with face -to -face interviews with a broad interview guide and it’s analysis was influenced by Patton and Creswell’s eight steps for qualitative data analysis and interpretation. The study confirmed the involvement of South African child and youth care workers in substance abuse programmes for young people. Specific interventions such as an existence of a therapeutic relationship between child and youth care workers, the use of the relationship as a model for other relationships, the availability and presence of the child and youth care worker, the adolescent development programme and young people’s involvement in their individual development programme that contributed to recovery from substance dependency were identified. / Social Work / M. Tech. (Child and Youth Care)