Methadone treatment continues to be the most widely used treatment modality for heroin addiction despite continued controversy. The efficacy of methadone treatment has been determined primarily by statistical research of program outcomes. This study explored heroin addicts' perceptions of methadone treatment.

This dissertation advances our understanding of the variability and contingency of addiction treatment, a consequential social institution that simultaneously helps and regulates populations within criminal justice and healthcare systems. To do so, this dissertation draws on administrative and survey data, as well as archival and ethnographic research. I show that addiction treatment is structured by social, institutional, and historical contexts within which Americans are embedded. Together, the three chapters demonstrate the utility of venturing across time and place as a method of interrogating the distinction between care and control. Using macro-sociological theory and research, aspects of the project also help broaden our understanding of addiction treatment as vital to the enactment of contemporary state governance. I refer to this as therapeutic statecraft. Chapter 1 looks at how legal coercion is used to force people into rehab and how this practice is influenced by the interplay between state welfare and punishment systems. I find that coerced treatment is less common in states with broad and benevolent welfare systems that offer alternative pathways for residents to receive care and avoid minor encounters with the criminal justice system. Moreover, the extent to which poverty affects a state’s reliance on the criminal justice system as a referral source is contingent upon the degree of interpersonal surveillance facilitated by the broad administrative reach of state welfare systems. Furthermore, coerced treatment typically has a more disruptive, institutional character under punitive state contexts (i.e., strong-arm rehab). Chapter 2 reveals how racial disparities in state-mandated, community-based drug treatment referrals are exacerbated in places with racially punitive criminal justice systems and surveillance-oriented welfare systems. These systems work together to discreetly extend penal power in the name of recovery for a population segment. Chapter 3 examines changes in the care of sexual minorities at a specialized drug treatment facility over the past 30 years. The study finds that while staff members previously saw sexual stigma and discrimination as the source of addiction, current staff members use sexual stigma to regulate patients' "addictive tendencies," and may risk exacerbating stigma and inequality by losing sight of the broader underlying causes of addiction. Taken as a whole, the project’s findings contribute to our understanding of the significance of addiction treatment in contemporary times, particularly within the context of social policy and population management in the United States.

by Tse Kam Fai. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1995. / Includes bibliographical references (leaves 216-228). / Abstract / Acknowledgements / Chapter Chapter 1: --- Introduction / Chapter 1.1 --- Contexts and Objectives of the Study --- p.1 / Chapter 1.2 --- Related Studies in Hong Kong --- p.9 / Chapter 1.3 --- "Identity, Role, and Social Behavior" --- p.13 / Chapter 1.4 --- Data and Methodology --- p.16 / Chapter 1.5 --- Outline of Chapters --- p.20 / Chapter Chapter 2: --- Literature Review / Chapter 2.1 --- Medical-Disease Model: Exposition and Critique --- p.22 / Chapter 2.2 --- Social Deviance Model --- p.24 / Chapter 2.2.1 --- On Etiology and Process of Drug Use / Chapter 2.2.2 --- On Cessation of Drug Use / Chapter 2.2.3 --- "Social Learning, Resocialization and Therapeutic Community" / Chapter 2.2.4 --- Resocialization as Social Learning: The Oversocialization Critique / Chapter 2.3 --- Identity Model --- p.32 / Chapter 2.3.1 --- Resocialization as Identity Transformation / Chapter 2.3.2 --- Types of Identity Transformation / Chapter 2.3.3 --- Resocialization as Conversion / Chapter Chapter 3: --- A Comparison Between SARD A and Operation Dawn / Chapter 3.1 --- "History, Services, and Social Position" --- p.43 / Chapter 3.2 --- Treatment Philosophy and Practice --- p.47 / Chapter 3.3 --- Treatment and Rehabilitation Programme --- p.48 / Chapter 3.3.1 --- Pre-admission Procedure / Chapter 3.3.2 --- In-patient Service / Chapter 3.3.3 --- Halfway House and Aftercare / Chapter 3.4 --- A Statistical Profile of Admission Cases: SKC vs Dawn Island Centre --- p.60 / Chapter Chapter 4: --- Pre-admission Stage / Chapter 4.1 --- "Addict Role-taking, Role-engulfment and Deviant Identity Formation" --- p.63 / Chapter 4.1.1 --- First Use and the Honeymoon; Taking the addict role / Chapter 4.1.2 --- "Addiction and Life as ""Junkie"": Developing the deviant self-identity" / Chapter 4.2 --- Addict Role-strain and Identity Crisis --- p.83 / Chapter 4.2.1 --- """Hitting the Bottom"" and Motivation to Change" / Chapter 4.2.2 --- Preliminary Attempts: Using Self-administered Methods / Chapter Chapter 5: --- Treatment and Rehabilitation Stage / Chapter 5.1 --- Role-conflict and Identity Negotiation --- p.92 / Chapter 5.1.1 --- "Accepting the ""patient"" or ""sinner"" role" / Chapter 5.1.2 --- The Intensity and Nature of Role Conflict / Chapter 5.1.3 --- Altercasting of Normal Identity / Chapter 5.1.4 --- "Strategies of Identity Negotiation: ""how actors react""" / Chapter 5.2 --- "Identity Transformation: ""how actors are transformed""" --- p.115 / Chapter 5.2.1 --- "Strategies, Materials, and Agents" / Chapter 5.2.2 --- Cognitive Base of Transformation / Chapter 5.2.3 --- Affective Base of Transformation / Chapter 5.2.4 --- Normative Base of Transformation / Chapter Chapter 6: --- Continued Rehabilitation and Social-Reintegration Stage / Chapter 6.1 --- Types of Identity Transformation --- p.140 / Chapter 6.1.1 --- Dawn Island Centre: Religious Conversion / Chapter 6.1.2 --- SKC: Alternation / Chapter 6.2 --- Identity Validation and Types of Role-Support --- p.144 / Chapter 6.2.1 --- Identity Validation and Legitimation / Chapter 6.2.2 --- Types of Role-Support / Chapter Chapter 7: --- Conclusion and Discussion / Chapter 7.1 --- "Identity Transformation, Role-Support and Abstinence" --- p.156 / Chapter 7.2 --- Drug Addicts' Recovery: An Interactive and Joint Accomplishment --- p.159 / Chapter 7.3 --- The Contingent Nature of Recovery Career --- p.161 / Chapter 7.4 --- SARD A and Operation Dawn: Two Different Pathways of Recovery --- p.163 / Chapter 7.4.1 --- Religious Conversion: Pathway to Christianity / Chapter 7.4.2 --- Alternation: Pathway to Normality / Chapter 7.5 --- Significance and Limitations of Study --- p.166 / Appendix I: A Socio-Demographic Profile of Informants --- p.169 / Appendix II: Tables --- p.173 / Appendix III: A Glossary of Hongkong Addicts' Argots --- p.190 / Appendix IV: Document and Questionnaire Samples --- p.192 / Appendix V: Photos of the Dawn Island Gospel Treatment Centre --- p.203 / Appendix VI: Interview Schedules --- p.209 / Bibliography --- p.216

by Cheung Wai-ting. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves 131-142). / Abstracts in English and Chinese. / Chapter Chapter 1 --- The Research Problem --- p.1 / Chapter Chapter 2 --- Literature Review / Chapter 2.1 --- Prohibitionist Approach --- p.7 / Chapter 2.2 --- Medical-Treatment Approach --- p.8 / Chapter 2.3 --- How Should We Understand Post-Treatment Drug Use Behavior ？ --- p.14 / Chapter Chapter 3 --- Analytical Framework / Chapter 3.1 --- Social Capital Theory --- p.24 / Chapter 3.2 --- Differential Association Theory and Social Capital --- p.26 / Chapter 3.3 --- Control Theory and Social Capital --- p.31 / Chapter 3.4 --- Labeling Theory --- p.39 / Chapter 3.5 --- Self-Efficacy Theory --- p.44 / Chapter 3.6 --- The Hypotheses --- p.48 / Chapter Chapter 4 --- Methodology / Chapter 4.1 --- Data and Sample --- p.52 / Chapter 4.2 --- General Profile of Respondents --- p.54 / Chapter 4.3 --- Conceptualization and Operationalization of Variables --- p.57 / Chapter 4.4 --- Method of Data Analysis --- p.66 / Chapter Chapter 5 --- Results / Chapter 5.1 --- Quantitative Analysis --- p.68 / Chapter 5.1.1 --- Bivariate Analysis / Chapter 5.1.2 --- Path Analysis / Chapter 5.1.3 --- Verification of Hypotheses / Chapter 5.2 --- Qualitative Analysis --- p.86 / Chapter Chapter 6 --- Summary and Discussion / Chapter 6.1 --- The Study --- p.112 / Chapter 6.2 --- Summary of Findings --- p.113 / Chapter 6.3 --- Theoretical Implications --- p.117 / Chapter 6.4 --- Practical Implications --- p.120 / Chapter 6.5 --- Limitations and Suggestions for Future Research --- p.122 / Appendix I Interview Schedule --- p.125 / Appendix II Socio-demographic Profile of the Ten Informants --- p.127 / Bibliography --- p.130

Tsen Wai Sing. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (leaves 307-317). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.v / Content --- p.vii / Chapter Chapter 1: --- Introduction --- p.1 / Chapter Section I: --- Theoretical models and Research Issues of Drug Addiction / Chapter Chapter 2: --- Theoretical models of Drug Addiction --- p.10 / Chapter 2.1 --- The concepts of ´بDrug Addiction' --- p.11 / Chapter 2.2 --- Drug Addiction Models --- p.13 / Chapter 2.2.1 --- Moral Model --- p.13 / Chapter 2.2.2 --- Disease Model --- p.14 / Chapter 2.2.3 --- Psychoanalytic Approach --- p.15 / Chapter 2.2.4 --- Social Learning Model --- p.16 / Chapter 2.2.5 --- Socio-cultural Model --- p.17 / Chapter 2.2.6 --- Cognitive Model --- p.18 / Chapter 2.2.7 --- Identity Model --- p.19 / Chapter 2.3 --- "Symbolic Interactionism on ´بDeviant Identity´ة: Self, Identity and Transformation" --- p.20 / Chapter 2.3.1 --- Five Central roles of Symbolic Interactionism --- p.21 / Chapter 2.3.2 --- The Nature of Self --- p.24 / Chapter 2.3.3 --- "Self-Communication, Self-perception, Self-Control and Identity" --- p.25 / Chapter 2.3.4 --- Symbolic Interactionism in the study of 'Drug Addiction' --- p.28 / Chapter Chapter 3: --- The Research Issues on 'Drug Addiction' --- p.32 / Chapter 3.1 --- The ´بMyth´ة of Addiction --- p.32 / Chapter 3.2 --- ´بAddiction´ة as a Social and Contextual ´بLabel，？ --- p.35 / Chapter 3.3 --- The Paradox of ´بScientific，evidence on drug addiction --- p.36 / Chapter 3.3.1 --- ´بAddictive Substance' vs. 'Non-Addictive Substance' --- p.37 / Chapter 3.3.2 --- Craving and Withdrawal: 'Have to' vs. ´بWant to' --- p.38 / Chapter 3.4 --- The Very Nature of Drug Problem --- p.40 / Chapter 3.5 --- A Theoretical basis for the Research Concern on Religious Discourses in formulating Addicts ´ة Identity --- p.41 / Chapter Section II: --- General Figure of Local Youth Drug Abuse and Drug Rehabilitation / Chapter Chapter 4: --- Present Situation of Youth Drug Addiction in Hong Kong --- p.46 / Chapter 4.1 --- General Historical Background of Drug Addiction in Hong Kong --- p.47 / Chapter 4.2 --- Recent Trend of Drug Addiction in Hong Kong --- p.49 / Chapter 4.3 --- Recent Youth Drug Addiction Profile - the Rise of Psychotropic Substances --- p.51 / Chapter 4.4 --- Youth Attitudes on Drug Addiction --- p.53 / Chapter 4.5 --- Rave Culture' and Psychotropic Drugs Addiction --- p.55 / Chapter 4.6 --- Cross Border Drug Addiction in Youth Community --- p.57 / Chapter Chapter 5: --- Drug Treatment and Rehabilitation - Principles and Practices --- p.61 / Chapter 5.1 --- Treatment Goals in Rehabilitation --- p.61 / Chapter 5.2 --- The Ultimate Goal of Treatment: Recovery --- p.62 / Chapter 5.3 --- Major Treatment Modes --- p.64 / Chapter 5.3.1 --- Detoxification --- p.64 / Chapter 5.3.2 --- Outpatient Drug-free Treatment --- p.64 / Chapter 5.3.3 --- Self-help Groups --- p.65 / Chapter 5.3.4 --- Methadone Maintenance --- p.65 / Chapter 5.3.5 --- Residential Treatment --- p.66 / Chapter 5.4 --- Treatments and Rehabilitation in Hong Kong --- p.68 / Chapter 5.4.1 --- Methadone Treatment Program in Hong Kong --- p.68 / Chapter 5.4.2 --- Compulsory Drug Treatment Scheme --- p.69 / Chapter 5.4.3 --- Voluntary Residential Treatment and Rehabilitation Programs --- p.70 / Chapter 5.4.4 --- Substance Abuse Clinics --- p.73 / Chapter 5.5 --- Religion-based Drug Treatment and Rehabilitation --- p.73 / Chapter Section III: --- Lifestyle Changes in the Research Field / Chapter Chapter 6: --- Research Field and Methodology --- p.76 / Chapter 6.1 --- Why study Christianity drug rehabilitation? --- p.76 / Chapter 6.2 --- Why choosing the Christian New Being Fellowship (CNBF)? --- p.78 / Chapter 6.3 --- Getting into the field --- p.79 / Chapter 6.4 --- Basic Information about Christian New Being Fellowship --- p.81 / Chapter 6.4.1 --- Historical Background of the CNBF --- p.82 / Chapter 6.4.2 --- Treatment Stages in the CNBF --- p.83 / Chapter 6.4.3 --- Training Programs in the CNBF --- p.86 / Chapter 6.4.4 --- Recently development of anti-drug campaign in the CNBF --- p.87 / Chapter 6.5 --- Methodology --- p.88 / Chapter 6.5.1 --- Participant Observation --- p.91 / Chapter 6.5.2 --- In-depth Interviews: the CNBF trainees --- p.95 / Chapter 6.5.3 --- "In-depth Interviews: Ex-addicts helper, preacher and social workers" --- p.96 / Chapter Chapter 7 --- Getting Started --- p.99 / Chapter 7.1 --- ´بBartering，-the Start --- p.99 / Chapter 7.2 --- Detoxification period - Involuntary Stay in Rehabilitation Camp --- p.102 / Chapter 7.3 --- ´بScheduled life´ة in the CNBF --- p.104 / Chapter 7.4 --- Life with Limited Resources --- p.108 / Chapter Chapter 8: --- A Dull Life --- p.112 / Chapter 8.1 --- ´بStandardization´ة of living --- p.113 / Chapter 8.2 --- Detachment from Outside World --- p.114 / Chapter 8.3 --- Jail is better than here！´ة --- p.116 / Chapter 8.4 --- ´بNo more pretty girls!' --- p.118 / Chapter 8.5 --- ´بBeware of what you speak！´ة --- p.121 / Chapter 8.6 --- Religious Practices - the core hardness? --- p.122 / Chapter 8.7 --- Responsibilities in Everyday life --- p.125 / Chapter 8.8 --- ´بWe can tackle...´ة --- p.127 / Chapter Section IV: --- Discursive Strategy in the Rehabilitation Camp / Chapter Chapter 9 --- Ways to Tackle --- p.129 / Chapter 9.1 --- ´بYou are not in-group！， --- p.129 / Chapter 9.2 --- To be a member of the ´بin-group， --- p.135 / Chapter 9.3 --- Ways to Tackle --- p.138 / Chapter 9.3.1 --- The main principle: Identify ´بWho can help?， --- p.139 / Chapter 9.3.2 --- A Preliminary Try: How to get the body care products I want? --- p.140 / Chapter 9.3.3 --- "´بYou can get cigarettes, soft drinks and cup noodles here!'" --- p.141 / Chapter 9.3.4 --- The technique of smoking in the CNBF --- p.142 / Chapter 9.3.5 --- Singing pop songs - A ´بsoft´ة way of tackle and opposition --- p.143 / Chapter 9.3.6 --- To get contact with outside world --- p.144 / Chapter 9.3.7 --- Tackle with the boring assembly and biblical studies --- p.144 / Chapter 9.3.8 --- Last way to tackle: Run Away! --- p.145 / Chapter 9.4 --- Ways to Tackle: An 'Underground Community' threatens the Fellowship Health --- p.146 / Chapter Chapter 10 --- In Response to Jesus --- p.149 / Chapter 10.1 --- The 'Underground Community' --- p.150 / Chapter 10.2 --- Study of Discourses in rehabilitation camp --- p.152 / Chapter 10.3 --- Theoretical Perspective in Discourse Analysis in Drug Rehabilitation Camp --- p.154 / Chapter 10.4 --- John Booth Davies (1997): Drugspeak --- p.156 / Chapter 10.5 --- Typology of Discourses in rehabilitation camp --- p.159 / Chapter 10.5.1 --- Let it go' discourse --- p.161 / Chapter 10.5.2 --- Destiny' discourse --- p.162 / Chapter 10.5.3 --- ´بFlexibility´ة discourse --- p.163 / Chapter 10.5.4 --- ´بGet through' discourse --- p.164 / Chapter 10.6 --- A Shrinking Private Space --- p.166 / Chapter 10.7 --- Possible explanation of the 'Ways to Tackle' --- p.167 / Chapter Section V: --- The Multiple Meanings of Drug Addiction / Chapter Chapter 11 --- Heroin，vs. “Non-heroin，Drug Experience --- p.173 / Chapter 11.1 --- Brief Review about the ten trainee informants --- p.176 / Chapter 11.2 --- Descriptions of 'Heroin' and 'Non-heroin' drug experience --- p.178 / Chapter 11.3 --- Descriptions on 'pleasant' effect of drugs --- p.180 / Chapter 11.4 --- The presence / absence of 'Withdrawal' symptoms --- p.181 / Chapter 11.5 --- The descriptions of 'Addiction' --- p.185 / Chapter 11.6 --- Non-volitional vs. Volitional nature of drug use --- p.187 / Chapter 11.7 --- ´بPhysiological Addiction'(身癮）vs. ´بPsychological Addiction' (心癮） --- p.190 / Chapter 11.8 --- Functional use vs. Non-functional use of drugs --- p.193 / Chapter 11.9 --- Positive vs. Negative attitude towards past drug experience --- p.196 / Chapter 11.10 --- Challenges to the Christianity Discourse --- p.199 / Chapter Chapter 12 --- The Meanings of 'Drug Addiction' --- p.202 / Chapter 12.1 --- The meanings of ´بDrug， --- p.203 / Chapter 12.1.1 --- ´بDrug´ة as the means of 'normal habitual use' --- p.204 / Chapter 12.1.2 --- Drug' is not necessarily 'harmful' --- p.206 / Chapter 12.1.3 --- ´بDrug，is only 'Devil' when it refers to ´بHeroin´ة --- p.208 / Chapter 12.2 --- The meanings of ´بAddiction´ة --- p.211 / Chapter 12.2.1 --- The definitions of 'Psychological Addiction' --- p.212 / Chapter 12.2.2 --- ´بAddiction，means 'Physical Dependence' and 'Withdrawal' --- p.216 / Chapter 12.2.3 --- ´بHeroin addiction´ة is the real ´بAddiction´ة --- p.217 / Chapter 12.2.4 --- "´بHeroin Addiction´ة is 'Sinful', but 'Psychological Addiction' is not" --- p.219 / Chapter 12.3 --- The preferred meaning of ´بDrug Addiction' --- p.221 / Chapter Chapter 13 --- The Practices of 'Love' and “Heal， --- p.223 / Chapter 13.1 --- Presenting the 'Love，and ´بHeal´ة --- p.225 / Chapter 13.1.1 --- Christianity as ´بa whole lifestyle change' --- p.226 / Chapter 13.1.2 --- Building up a ´بRole Model' --- p.228 / Chapter 13.1.3 --- Health and Legal Appeal --- p.230 / Chapter 13.1.4 --- ´بPrayer´ة as the most explicit demonstration --- p.232 / Chapter 13.1.5 --- ´بHuman Sin' and ´بHeal´ة as the core concept of Christianity --- p.233 / Chapter 13.2 --- Oppositional attitudes towards the Christianity --- p.237 / Chapter 13.2.1 --- Christianity as the set of ´بRules and Regulations' --- p.237 / Chapter 13.2.2 --- Christianity as ´بtoo mystic' --- p.239 / Chapter 13.2.3 --- Christianity as a ´بFunctional tool' for 'survival' --- p.240 / Chapter 13.2.4 --- Opposition to Health Appeal --- p.241 / Chapter 13.2.5 --- Oppositions to the Discourse of ´بSin' --- p.242 / Chapter 13.3 --- Christianity Discourse and ´بOut-dated Heroin Discourse' --- p.244 / Chapter 13.4 --- Christianity still functions --- p.249 / Chapter Chapter 14 --- Summary and Conclusion -Volitional Nature of Drug Use in New Generation --- p.253 / Chapter 14.1 --- Summary --- p.253 / Chapter 14.2 --- Symbolic Interactionsim and the Social Self --- p.263 / Chapter 14.3 --- Major Findings on 'Drug Addiction' --- p.266 / Chapter 14.4 --- Answers to Research Questions --- p.268 / Chapter 14.5 --- Limitations --- p.271 / Chapter 14.6 --- Implications --- p.273 / Appendix I - Socio-demographic profile of trainee informants and interview report --- p.278 / Appendix II 一 Socio-demographic profiles of the CNBF guides informants and interview report --- p.291 / Appendix III - A Selected Glossary of the CNBF trainees --- p.299 / Appendix VI - Interview schedule for the trainees informants --- p.301 / Appendix V - Interview schedule for the CNBF guides --- p.303 / Bibliography --- p.307

published_or_final_version / Public Administration / Master / Master of Public Administration

Substance abuse is an expensive problem facing the American public and the criminal justice field. Using secondary data analysis this study examined 1,921 participants across five substance abuse programs within California and New York jail systems. Specifically this study explored the impact of location, demographic characteristics, offense committed, and previous drug treatment on successful completion of the treatment program. Descriptive analyses were used to examine the demographic characteristics of the sample and the types of drugs used by participants in the thirty days prior to jail admission. Results from bivariate analyses indicated that location, demographic characteristics, and previous drug treatment were all significantly related to successful completion. Implications for current correctional treatment programs and future research on this topic are discussed

Despite the fact that a lot of information exist in the literature regarding factors leading to drug abuse, consequences of drug abuse for adolescents; little exists that focuses on family support for adolescents after rehabilitation. The purpose of this study was to explore family support for adolescents after rehabilitation for drug abuse. The study was based on semi-structured interview based qualitative research. Findings during interviews was that the families have no clear understanding or are not skilled as to how to continue supporting the adolescents after they are discharged from the rehabilitation centre. What was also interesting according to the participants was that even in the rehabilitation centres families are not made part of or involved during the rehabilitation process. There is a need to make the rehabilitation centres aware that families need to be involved during the rehabilitation process of the adolescent so that it becomes easy for the families to continue supporting the adolescents after they have completed the rehabilitation process. / Health Studies / M.A. (Health Studies)

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published_or_final_version / Criminology / Master / Master of Social Sciences