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Adekeye, Olujide A., Jonathan A. Odukoya, Olufunke Chenube, David O. Igbokwe, Angie Igbinoba, and Elizabeth I. Olowookere. "Subjective Experiences and Meaning Associated with Drug Use and Addiction in Nigeria: A Mixed Method Approach." Global Journal of Health Science 9, no. 8 (May 29, 2017): 57. http://dx.doi.org/10.5539/gjhs.v9n8p57.
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PURPOSE: Nigeria is experiencing increased rate of drug use among young people. Studies have shown a very high rate of drug use and addiction among university undergraduates and this study was aimed at examining the experiences and meanings associated with drug abuse and addiction among university students while also identifying the causative factors of the use of psychoactive substances.METHODS: The study which is a mixed method made use of an adapted and validated version of the drug abuse screening test (DAST-10) scale to measure drug use and emotional intelligence questionnaire was used to measure an aspect of psychosocial functioning and interviews were used to explore the subjective experiences of six participants. Both the purposive and snowballing sampling techniques were employed. The quantitative data generated were coded and entered into the statistical package for social sciences and results were presented using descriptive tables.RESULTS: The results showed no significant relationship and a negative correlation between drug abuse and emotional intelligence (r = -0.229, p> 0.05). The qualitative data was transcribed and coded using thematic coding where themes are extracted from each transcript. The most commonly used substances were codeine (85%), alcohol (75%), cannabis (70%), tramadol (65%), rohypnol (65%), and tobacco (50%). Qualitative data shows that the participants exercised some sort of willpower over the use of psychoactive substances and the major reason for use was to seek a new experience.CONCLUSION: This study brought to the fore the evidence that personal meanings and experiences come into play in taking decisions on drinking or substance use and this should be considered when interventions are planned.
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Dostanic, N., A. Djeric, J. Daragan-Saveljic, and S. Raicevic. "Some Aspects of Social Phobia and its Relationship with Substance use Disorder." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70650-9.
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Social Phobia (SP) is one of the most prevalent anxiety disorder, characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. This excessive anxiety usually leads to avoidance behavior that can severely affect normal daily living. SP usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved.A number of studies have emphasized the high co-morbidity of social phobia with a number of other psychiatric disorders, including substance use disorders. Though clearly elevated there is much debate as to the nature of this relationship. Substance abuse may develop if people try to self-medicate their anxiety and make thamselves more comfortable in social situations. Anxiety may be a result of alcohol or drug abuse due to a substance's anxiogenic effects or through protracted withdrawal syndromes. Substance abusers incur more pathological and unstable life circumstances, making them more susceptible to future stress and anxiety; and there may be a genetic susceptibility in some people which makes them vulnerable to both disorders.The purpose of this article is to summarize research findings on SP and its complex relationship with substance use disorder. Clinical anxiety and substance abuse both warrant treatment and in all likelihood, each helps perpetuate the other.
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Njoku, Joy N., Edna A. Osang, and Blessing A. Ntamu. "Social Variables and Dropout Tendencies among Secondary School Students in Ikom Education Zone, Cross River State, Nigeria." International Education Studies 13, no. 8 (July 23, 2020): 88. http://dx.doi.org/10.5539/ies.v13n8p88.
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This study was on social variables and dropout tendencies among secondary school students in Ikom education zone, Cross River State, Nigeria. The social variables considered were substance abuse, family type and teacher/students relationship. Out of population of 7228 students, sample of 506 students were randomly selected for the study. A survey design was adopted. The instrument used for data collection was questionnaires titled ‘Social Variables and Dropout Tendencies Questionnaire’. Three hypotheses were formulated and tested at .05 level of significant. The statistical tools used are Pearson Product Moment Correlation Coefficient and Independent t-test. The results showed that there was significant relationship between (i) substance abuse and dropout tendencies. (ii) family type and dropout tendencies (iii) teacher/student relationship and dropout tendencies. The results were discussed and the researchers recommended that: (i) students be monitored and counseled against substance abuse both at home and in school. (ii) parents should for the sake of their children stay together and train them. (iii) teachers should create conducive and favourable environment for the students to learn.
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Priddis, Lynn E., and Mary-Anne Wallace. "Exploration of Intergenerational Aspects of Affect Regulation in the Context of Substance Abuse." Family Journal 19, no. 2 (February 7, 2011): 147–53. http://dx.doi.org/10.1177/1066480710397121.
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Kaufman, Edward. "Critical Issues in Family Research in Drug Abuse." Journal of Drug Issues 15, no. 4 (October 1985): 463–75. http://dx.doi.org/10.1177/002204268501500404.
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Family research in substance abuse has expanded rapidly over the past decade. This research has progressed from subjective to objective studies of families of substance abusers as well as to more quantitative assessments of the efficacy of family therapy. This work is reviewed and suggestions are made for future directions in relevant aspects of the family and substance abuse.
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Sarkingobir, Y., and M. Dikko. "Substance Abuse among In-School and Out-Of-School Youth in Sokoto, Northwestern Nigeria." Journal of Applied Sciences and Environmental Management 24, no. 9 (October 16, 2020): 1545–50. http://dx.doi.org/10.4314/jasem.v24i9.10.
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The objective of this study was to investigate substance abuse amongst in-school and out-of-school youth in Sokoto, northwestern Nigeria using cross-sectional descriptive survey. In the course of the survey, the commonly use substances, causes, effects, and protection were assessed. The data obtained show that, most of the respondents were males (93%), only few were females (6.7%). All the respondents were Muslims. Most of the out-of-school youth (OSY) were married (80%) and only 6.7% are married among in-school youth (ISY).The respondent’s age was within 18-22 years in most cases. Most (80%) of ISY were at senior secondary classes, 46.7% of OSY left school after primary education, 26.7% never attended school. Most of the respondents have more than 2 kids (93.3%), only 6.7% have about 10 kids. Commonly cited drugs are: cigarette, cannabis, alcohol, inhalants, tranquilizers, opiates, and hallucinogens. Reasons for substance abuse were: social/ peer pressure, rebellion, overwork/learning, shyness, fear, parental influence, fun and lack of role model. It also revealed that ISY started drug use earlier than the OSY. Friends, drug pushers, curiosity introduced youth to drugs. Effects of substance abuse are: bad temper, disturbed sleep, ill-health, depression, anxiety, tiredness, disrespect, failure at workplace/school on individual. At family level the effects include: disgrace, breakdown of relationship, loss of confidence in child, and ill-health. While at friend’s level, the effects include: breakdown of relationship, fear, anxiety. And at community or society levels, the effects listed were: crime, reduced productivity, violence, ill-health, high cost of treatment, accidents. To protect youth from substance abuse diverse efforts by governmentand NGOs and interventions are required.
Keywords: Substance abuse, drug, out-of-school youth, in-school youth, key informants, public health
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JENKINS, RACHEL, DINESH BHUGRA, HOWARD MELTZER, NICOLA SINGLETON, PAUL BEBBINGTON, TRALOACH BRUGHA, JEREMY COID, MIKE FARRELL, GLYN LEWIS, and JO PATON. "Psychiatric and social aspects of suicidal behaviour in prisons." Psychological Medicine 35, no. 2 (January 21, 2005): 257–69. http://dx.doi.org/10.1017/s0033291704002958.
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Background. Suicidal behaviour and completed suicide are serious problems within British prisons, leading to significant morbidity and mortality, and are the focus of major efforts towards their prevention.Aim. To explore the demographic, social and psychiatric correlates of suicidal behaviour in prisons in England and Wales and their relationship with health service use; and to develop a combined psychosocial model of risk.Method. This report analyses the prevalence of suicidal ideation and suicide attempts in the ONS National Prison Survey, and their association with the presence of psychiatric disorders, personality disorder, substance abuse and social risk factors. These data were compared with data from the second national survey of psychiatric morbidity in adults living at home. In both surveys, a two-phase interviewing procedure was used, covering general health, health service use, assessment of psychiatric disorders, life events, social supports, suicidal behaviour, activities of daily living, sociodemographic data, substance abuse and intelligence.Results. Suicidal thoughts and suicide attempts were commoner in prisons than in the general population and these were significantly associated with higher rates of psychosis, neurosis and personality disorder in prisons. In addition, demographic and factors such as being young, single, white, leaving school early and experiencing poor social support and significant social adversity were important risk factors for suicidal thoughts. Crucially, there was no separate category of people at suicidal risk who did not have psychiatric disorders.Conclusions. The high rates of suicidal behaviour in prisons cannot be addressed without adequate attention to the high rates of psychiatric disorder and vulnerability factors in prisoners.
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Ainsworth, Frank. "The social and economic origins of child abuse and neglect." Children Australia 45, no. 4 (August 28, 2020): 202–6. http://dx.doi.org/10.1017/cha.2020.36.
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AbstractThis commentary aims to start a debate about various dimensions of social disadvantage and the relationship to child abuse and neglect (CAN). These dimensions include poverty, educational attainment, employment status, sub-standard housing, disadvantaged neighbourhoods and social isolation from family. Other aspects such as mental health issues, domestic violence and substance misuse are compounding factors that are critical influences on the relationship between disadvantage and CAN. New South Wales is used as the exemplar Australian state.
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Caton, C. L. M., P. E. Shrout, P. F. Eagle, L. A. Opler, and A. Felix. "Correlates of codisorders in homeless and never homeless indigent schizophrenic men." Psychological Medicine 24, no. 3 (August 1994): 681–88. http://dx.doi.org/10.1017/s0033291700027835.
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SynopsisWe recently completed a case–control study of 100 literally homeless and 100 never homeless indigent schizophrenic men in New York City, in which concurrent substance abuse and antisocial personality disorder were widespread. In this paper we probe the correlates of ‘pure’ schizophrenia (single disorder, N = 60), schizophrenia and substance abuse (double disorder, N = 89), and schizophrenia, substance abuse, and antisocial personality disorder (triple disorder, N = 50), across the homeless/never homeless distinction. Subjects were recruited from a homeless shelter and mental health service programmes in Upper Manhattan. Psychologist and social worker interviewers administered the Structured Clinical Interview for DSM-III-R, I, and II and other structured instruments to explore social, family and illness history, the current illness, and aspects of treatment and family support. Codisorder subjects emerged from more disadvantaged family backgrounds, experienced greater school difficulties, began drug use in early adolescence, were more prone to hyperactivity in childhood, and were more likely to have spent time in jail. While codisorder groups did not differ on key aspects of schizophrenia, the triple disorder group was found to suffer from a more severe form of substance abuse than double disorder subjects, associated with an earlier age of onset and abuse of a wider array of substances.The widespread prevalence of codisorders among indigent schizophrenic men has major significance for clinical psychiatry. Study of the correlates of codisorders has revealed important differences in social, family, and illness history which may guide the development of more effective treatments and improved service delivery.
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Harris, Nicholas, James N. Brazeau, Edward P. Rawana, Keith Brownlee, and Rupert Klein. "Self-Perceived Strengths Among Adolescents With and Without Substance Abuse Problems." Journal of Drug Issues 47, no. 2 (January 7, 2017): 277–88. http://dx.doi.org/10.1177/0022042616687118.
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The importance of examining positive aspects of youth development has been emphasized across disciplines involved in the care of youth with substance abuse problems. However, little is known about the strengths of adolescents with substance abuse problems, especially youth entering residential treatment. Utilizing the Strengths Assessment Inventory, a measure assessing psychological and social strengths, we examined patterns of strengths across groups of age- and gender-matched youth who reported no substance use, frequent substance use, and those entering treatment for severe substance use. Each group consisted of 43 participants ranging in age from 14 to 18 years. Results indicated that, on average, individuals entering treatment scored lower on personal strengths. However, through the use of more sophisticated statistical approaches, it was found that certain strengths were predictive of individuals belonging to the treatment group. Results are discussed in terms of their relevance to the treatment of adolescent substance abuse problems.
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Anderberg, Mats, and Mikael Dahlberg. "Gender differences among adolescents with substance abuse problems at Maria clinics in Sweden." Nordic Studies on Alcohol and Drugs 35, no. 1 (January 19, 2018): 24–38. http://dx.doi.org/10.1177/1455072517751263.
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Aim: The article describes similarities and differences regarding various risk factors between girls and boys with substance abuse problems who begin outpatient treatment at the Maria clinics in Sweden. Potential hypotheses and some implications are also discussed. Methods: This cross-sectional study was based on interview data from 2169 adolescents obtained over three years from outpatient clinics in 11 Swedish cities. Results: Girls appear to consistently have more difficult family and childhood environments than boys, and are more likely to have problems related to school, more serious substance abuse problems, and more severe mental health problems. Criminal activity is significantly higher among boys. Conclusions: The study shows that girls entering treatment generally have significantly more risk factors than boys and thus more extensive problems in several aspects of life, which in turn increases the risk of developing serious drug and alcohol problems in adulthood. The study supports the gender-paradoxical relationship in which a smaller proportion of girls than boys enter treatment for substance abuse, even though girls tend to have more problematic life situations.
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Daubner, Johanna, Muhammad Imran Arshaad, Christina Henseler, Jürgen Hescheler, Dan Ehninger, Karl Broich, Oliver Rawashdeh, Anna Papazoglou, and Marco Weiergräber. "Pharmacological Neuroenhancement: Current Aspects of Categorization, Epidemiology, Pharmacology, Drug Development, Ethics, and Future Perspectives." Neural Plasticity 2021 (January 13, 2021): 1–27. http://dx.doi.org/10.1155/2021/8823383.
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Recent pharmacoepidemiologic studies suggest that pharmacological neuroenhancement (pNE) and mood enhancement are globally expanding phenomena with distinctly different regional characteristics. Sociocultural and regulatory aspects, as well as health policies, play a central role in addition to medical care and prescription practices. The users mainly display self-involved motivations related to cognitive enhancement, emotional stability, and adaptivity. Natural stimulants, as well as drugs, represent substance abuse groups. The latter comprise purines, methylxanthines, phenylethylamines, modafinil, nootropics, antidepressants but also benzodiazepines, β-adrenoceptor antagonists, and cannabis. Predominant pharmacodynamic target structures of these substances are the noradrenergic/dopaminergic and cholinergic receptor/transporter systems. Further targets comprise adenosine, serotonin, and glutamate receptors. Meta-analyses of randomized-controlled studies in healthy individuals show no or very limited verifiability of positive effects of pNE on attention, vigilance, learning, and memory. Only some members of the substance abuse groups, i.e., phenylethylamines and modafinil, display positive effects on attention and vigilance that are comparable to caffeinated drinks. However, the development of new antidementia drugs will increase the availability and the potential abuse of pNE. Social education, restrictive regulatory measures, and consistent medical prescription practices are essential to restrict the phenomenon of neuroenhancement with its social, medical, and ethical implications. This review provides a comprehensive overview of the highly dynamic field of pharmacological neuroenhancement and elaborates the dramatic challenges for the medical, sociocultural, and ethical fundaments of society.
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Kaur, Arshdeep, Sanjeev Mahajan, S. S. Deepti, and Tejbir Singh. "Socio-psychological and cultural aspects of substance abuse: a study done at Swami Vivekananda Drug Deaddiction Centre, Government Medical College, Amritsar." International Journal Of Community Medicine And Public Health 7, no. 6 (May 27, 2020): 2154. http://dx.doi.org/10.18203/2394-6040.ijcmph20202460.
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Background: The problem of substance abuse has spread to almost every part of the globe surmounting almost all barriers of race, caste, religion, sex and educational status. The interaction of various cultural, psychological, social, variables like stress, peer pressure, unemployment, early age of initiation results in the development of substance abuse. It is important to address these factors so that severity of relapses can be reduced and quality of life is improved. Aims and objectives were to study the role of cultural and socio-psychological factors in substance abuse.Methods: It was a cross-sectional study. Study population consisted of substance abusers enrolled at Swami Vivekananda Drug Deaddiction Centre. Study took place at Swami Vivekananda Drug Deaddiction Centre attached to the Government Medical College, Amritsar, from 1st January 2015 to 31st December 2015. Sample size consisted of 400 males. The collected data was entered in Microsoft excel sheets and analysed using Epi Info version 7.Results: Mean age was 28.5 years, 64% were high and intermediate pass, 47% belonged to lower middle class, 23% were unemployed, 61% married, 83% of the respondents belonged to Sikh religion, 76% were introduced to drugs by their friends, significant association was found between problem of thinking and communication and drug addiction , 62% showed escapism to problems of life.Conclusions: Findings confirm that socio-psychological and cultural factors including peer pressure, availability of drugs, unemployment are powerful stimuli for substance abuse and sits relapse, hence it is important to highlight these issues.
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Khayyati, Fariba, Asghar Mohammadpoorasl, Hamid Allahverdipour, Mohammad AsghariJafarabadi, and Kamiar Kouzekanani. "Subgrouping High School Students for Substance Abuse–Related Behaviors: A Latent Class Analysis." American Journal of Men's Health 11, no. 4 (September 29, 2016): 1200–1207. http://dx.doi.org/10.1177/1557988316669046.
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The aim of the current study was to characterize the prevalence of latent groups in terms of smoking, hookah, and alcohol in a sample of Iranian high school students. In this cross-sectional study, 4,422 high school students were assessed in East Azerbaijan Province, Iran. Latent class analysis was applied to determine the subgroups and prevalence of each class using the procLCA in SAS 9.2 software. The prevalence of hookah smoking was the highest among the other substances and had the greatest abuse among males than females. Nearly 86%, 9.5%, and 4.6% of the participants were low risk, tobacco experimenter, and high risk, respectively. The odds ratio indices of membership in each class, compared with the first class, associated with the independent variables. A fair number of students, males in particular, were identified as high risk-takers. Considering the simultaneous incidence of multiple high-risk behaviors, interventions must cover multiple aspects of the issue at the same time.
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Flanagan, R. J., and D. S. Fisher. "Volatile substance abuse and crime: Data from UK press cuttings 1996-2007." Medicine, Science and the Law 48, no. 4 (October 2008): 295–306. http://dx.doi.org/10.1258/rsmmsl.48.4.295.
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Volatile substance abuse (VSA, solvent abuse, ‘glue sniffing’), carries a risk of sudden death (some 700 deaths in the UK, 1996-2006). However, mortality data take no account of the social cost of the habit. From press cuttings we have identified 508 instances (569 individuals: 507 male, median age 25 yr, range 8-51 yr and 62 female, median age 18 yr, range 11-36 yr) where VSA, either alone or together with alcohol/other drugs, was reported in association with criminal or antisocial behaviour that resulted in a criminal conviction or caution. The frequency of reports decreased from 84 per annum (1997 and 1998) to 20 (2007). The agents reported (17 individuals, two agents) were ‘glue’ (225), LPG/‘butane’/aerosol propellants (176), ‘solvents’ (158), and petrol (gasoline) (27). The offences cited (most serious crime) were: homicide (35), rape or other sexual assault (34), arson (25), assault or serious threat of assault (192), child neglect/cruelty (6), attempting to pervert the course of justice (2), criminal damage (41), burglary/robbery/theft/shoplifting (100), nuisance/breach of the peace/breach of antisocial behaviour order (104), driving whilst impaired and other vehicle-related offence (22), and supply (non-retail) (8). Thirty offenders were given life sentences or detained indefinitely under mental health legislation. Reports came from all parts of the UK, although most were from Northern England, Northern Ireland, and Scotland. There were many reports of recidivists; one 34-year-old male had made 113 court appearances, and had spent approximately nine years in custody. Although there are severe limitations to data derived from press cuttings and not-withstanding that in some cases VSA may have been raised in mitigation, these data provide an additional insight into the problem posed by VSA in the UK.
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Ebimgbo, Samuel O., Chiemezie S. Atama, Chinyere E. Onalu, Inyomoma A. Obasi-Igwe, and Gabriel U. Aghaedo. "Predictors of Loneliness among Older Adults in South-Eastern Nigeria : Implications for Social Workers." European Journal of Mental Health 16, no. 1 (2021): 3–19. http://dx.doi.org/10.5708/ejmh.16.2021.1.1.
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Old-age loneliness is a crucial public health issue with mortality consequences as well as other negative health conditions and lifestyles including depression, substance abuse, sedentary lifestyles, and suicide ideation. This study investigated the predictors of loneliness among older adults in Nigeria’s southeast in order to articulate some interventions that will plummet the issue. A structured questionnaire (N = 516), in-depth interviews (N = 8), and focus group discussion (N = 16) were used to collect data from respondents aged 60 years or older. The quantitative data sets were subjected to chi-square and binary regression analysis, while a thematic analysis was adopted for the qualitative data. The study’s findings show that some demographic factors such as the number of children (p < .002), health status (p < .023), and social support (p < .014), among others, were statistically significant in predicting loneliness among older adults. The study, therefore, recommends the consideration of community-based services to enable elderly adults to buffer the experience of loneliness. Social workers should also influence the various organs responsible for social policies to formulate and promote policies that address the well-being of older adults.
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Sullivan, Arthur P., Robert Guglielmo, and Levander Lilly. "Evaluating Prevention and Intervention Procedures." Journal of Drug Education 16, no. 1 (March 1986): 91–98. http://dx.doi.org/10.2190/9w4t-n23g-t4fa-2jnn.
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The process-outcome research and evaluation paradigm applied to alcohol and substance abuse prevention and intervention programs is stated. Its application to efforts to improve students' and patients' self-esteem is shown to be deficient in certain aspects, and additions to the evaluation procedures, most notably analysis of in-session change, is advocated.
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Raketic, Diana, Branka Stamatovic-Gajic, Tomislav Gajic, and Mirjana Jovanovic. "Women and addiction (alcohol and opiates): Comparative analysis of psychosocial aspects." Srpski arhiv za celokupno lekarstvo 141, no. 9-10 (2013): 648–52. http://dx.doi.org/10.2298/sarh1310648r.
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Introduction. Nowadays women constitute one third of all addicts. In the last decade, there has been a remarkable growth in scientific interest in biochemical and psychosocial aspects of women?s addiction. Many researches point out the specific character of women?s addiction. Objective. The aim of the study was to assess and compare psychosocial aspects, including the socio-demographic characteristics as well as the specific aspects of functioning of family and interpersonal relationships of the subjects addicted to opiates and alcohol. Methods. There were two substance addict groups (32 and 30 subjects addicted to drugs and alcohol, respectively) and the control group, consisting of 30 subjects (no substance addiction). A socio-demo- graphic data questionnaire and semi-structured Addiction Severity Index (ASI) interview were used. Results. The results of the research indicated that there were statistically significant differences between the compared groups in respect to the age of the subjects, family history of addiction disorders, education, parenthood, employment work status, and marital status. The subjects addicted to opiates differed significantly in respect to manifestation of aggressive, delinquent behaviour, infectious diseases, presence of addicts-partnerships, but there were no significant differences in relation to physical abuse, sexual abuse and self-assessment of depression. Conclusion. The results of this research suggest that subjects addicted to opiates differed largely from the subjects addicted to alcohol in terms of the age of the subjects, education level, family relationships, partnerships and social relationships, which all have to be taken into consideration when designing a therapy protocol and planning activities for prevention.
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C., Anolue F., Uzoma O. I., and Uzoma O. I. "Intimate partner violence: prevalence, contributing factors and spectrum among married couples in Southeast Nigeria." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 9 (August 28, 2017): 3748. http://dx.doi.org/10.18203/2320-1770.ijrcog20174019.
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AbstractBackground Intimate partner violence is a globally acknowledged public health problem. Violence against women is unsurprisingly common albeit under reported in both developing and developed nations. It impacts the physical and mental health of affected women adversely. Even though it appears in different forms it is a malady that deserves increased attention. It is a social menace that is common in Africa with Nigeria being no exception. This study sets out to determine its prevalence, contributing factors and the spectrum of violence against married women in Southeast Nigeria. Materials and MethodsA cross sectional study of prospectively consenting women within a community based setting was done in Orlu, Nigeria during a period between 1st August to 31st August 2016. A total of 695 respondents were initially recruited and given structured questionnaires, of this number 13 failed to answer questions on intimate partner violence and hence were excluded, thus the final study population was actually 682.Using a 95% confidence interval, 5% margin of error, population proportion of 0.5, the minimum sample size was calculated as 384 using the Cochran’s formula for sample size. The data was then analyzed using Statistical Package for Social Sciences (SPSS) version 20.ResultsA total of 682 (100%) respondents met the criteria for the study, of this number 382 (56%) had experienced some form of IPV while 300 (44%) had not. The factor most frequently associated with abusive behavior was financial requests/constraints accounting for 123 cases (32.2%). Injuries were sustained by 130 women (34%) with 66 of them suffering miscarriages (17.28%). Two hundred and twenty four women (32.8%) had experienced only one form of abuse while 158 (23.17%) reported multiple forms of abuse. Intimate partner violence was most prevalent among women within the 25 – 34 years age range constituting a total of 170 (44.5%) cases of abuse. Those married women with only primary education were the subset of the study population that had the greatest number of abused women; 138 cases (38.1%).ConclusionIntimate partner violence is a pervasive problem in Nigeria with a prevalence of 56% in this study. Various factors particularly financial constraints, incitement, alcoholism and substance abuse were contributing factors in cases of IPV. Intimate partner violence may appear as a single form or as multiple forms of abuse.
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Pantelis, Christos, Charles G. Hindler, and John C. Taylor. "Use and abuse of khat(Catha edulis): a review of the distribution, pharmacology, side effects and a description of psychosis attributed to khat chewing." Psychological Medicine 19, no. 3 (August 1989): 657–68. http://dx.doi.org/10.1017/s0033291700024259.
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SynopsisThere have been relatively few reported cases of psychosis due to khat usage despite its heavy consumption in certain East African and Arabian countries. Four cases have been reported in the UK. We report here on three further cases of psychotic reactions to this substance in Somalian males, and emphasize the need to be aware of khat as a potential substance of abuse, with both medical and psychiatric complications. The features of khat psychoses are described and the relationship to amphetamine and ephedrine psychoses is discussed. The forensic aspects of two of the cases which involved homicide and combined homicide and suicide are highlighted, as is the possible role of social dislocation from the culture of origin.
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Sindelar, Jody L., and Todd A. Olmstead. "Managed Care's Dual Impact on Outpatient Substance Abuse Treatment: Methadone Maintenance vs. Drug Free." Journal of Drug Issues 35, no. 3 (July 2005): 507–28. http://dx.doi.org/10.1177/002204260503500305.
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The number and type of services offered at substance abuse treatment (SAT) facilities are important aspects of the quality of care. Managed care (MC) is a growing presence in SAT and has been shown to affect the provision of treatment. We expand on earlier work and examine the impact of managed care on the number and type of services offered by methadone maintenance (MM) and drug-free (DF) outpatient treatment facilities. We use the econometric technique of instrumental variables to address the issue of endogeneity of MC and service offerings, thereby allowing a causal interpretation of results. Using data from the 2000 National Survey of Substance Abuse Treatment Services, we find that MC significantly increases the total number of services offered in MM outpatient facilities by four, yet decreases the number by two in DF outpatient facilities. We also show how the impact on specific services differs by modality and provide explanations for our findings.
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Helverschou, Sissel Berge, Anette Ræder Brunvold, and Espen Ajo Arnevik. "Treating Patients With Co-occurring Autism Spectrum Disorder and Substance Use Disorder: A Clinical Explorative Study." Substance Abuse: Research and Treatment 13 (January 2019): 117822181984329. http://dx.doi.org/10.1177/1178221819843291.
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Background: Substance use disorders (SUDs) have been assumed to be rare in individuals with autism spectrum disorder (ASD). Recent research suggests that the rates of SUD among individuals with ASD may be higher than assumed although reliable data on the prevalence of SUD in ASD are lacking. Typical interventions for SUD may be particularly unsuitable for people with ASD but research on intervention and therapy are limited. Methods: This study addresses ways of improving services for individuals with ASD and SUD by enhancing the competence of professionals in ordinary SUD outpatient clinics. Three therapists were given monthly ASD education and group supervision. The participants were ordinary referred patients who wanted to master their problems with alcohol or drugs. Four patients, all men diagnosed with ASD and intelligence quotient (IQ) ⩾ 70 completed the treatment. The participants were given cognitive behavioural therapy (CBT) modified for their ASD over a minimum of 10 sessions. The therapies lasted between 8 and 15 months. Standardised assessments were conducted pre- and post-treatment. Results: Post-treatment, 2 participants had ended their drug and alcohol abuse completely, 1 had reduced his abuse, and 1 still had a heavy abuse of alcohol. Physical well-being was the most prevalent reported positive aspect of drug or alcohol use, whereas the experience of being left out from social interaction was the most frequent negative aspects of intoxication. Conclusions: CBT may represent a promising treatment option for individuals with ASD and SUD. The results suggest that patients’ symptoms can be reduced by providing monthly ASD education and group supervision to therapists in ordinary SUD outpatient clinics. This group of patients need more sessions than other client groups, the therapy has to be adapted to ASD, ie, direct, individualised, and more extensive. Moreover, the patients need psychoeducation on ASD generally, social training, and support to organise several aspects of their lives and some patients need more support than can be provided in an outpatient clinic.
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Copeland, Jan. "A qualitative study of self-managed change in substance dependence among women." Contemporary Drug Problems 25, no. 2 (June 1998): 321–45. http://dx.doi.org/10.1177/009145099802500204.
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Alcohol and drug abuse and dependence are common disorders in our society, and the vast majority of those who recover do so without formal treatment. Although this phenomenon appears to be more common among women than men, no study reported in the literature has provided information on the process of natural recovery among women. This qualitative study found that the model of natural recovery described by Biernacki appears to adequately characterize the broad categories of the process among women. There are, however, gender-specific aspects to a number of the processes and strategies described, and in the degree of salience of some of the factors in enhancing motivation to change addictive behaviors. The term “self-managed change” has been adopted to more adequately characterize this process.
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Fridinger, Fred, and Beverly Dehart. "A Model for the Inclusion of a Physical Fitness and Health Promotion Component in a Chemical Abuse Treatment Program." Journal of Drug Education 23, no. 3 (September 1993): 215–22. http://dx.doi.org/10.2190/xtkp-a4y7-ppb5-wm36.
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Alcohol and other substance abuse treatment programs are focusing more on the wellbeing of the total patient rather than just targeting functional sobriety. Various explanations are offered in this article for the inclusion of a fitness and health promotion component in a chemical abuse treatment program. The treatment program at Charter Hospital of Fort Worth, Texas, is discussed in detail, including a comprehensive medical examination, fitness and nutritional screenings, and appropriate exercise activities. Educational sessions are offered on health fitness, risk reduction, stress management, smoking cessation, proper nutrition and the positive psychological aspects of exercise. The implications of a health/fitness component in the recovery process are emphasized.
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HOOPER, ROBERT M., DOROTHY LOCKWOOD, and JAMES A. INCIARDI. "Treatment Techniques in Corrections-Based Therapeutic Communities." Prison Journal 73, no. 3 (September 1993): 290–306. http://dx.doi.org/10.1177/0032855593073003004.
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Because of the drugs, violence, and other aspects of prison life that militate against rehabilitation, the therapeutic community would appear to be the most appropriate form of drug abuse treatment in correctional settings. The therapeutic community is a total treatment environment isolated from the rest of the prison population. The primary clinical staff are typically former substance abusers who themselves were rehabilitated in therapeutic communities. The treatment perspective is that drug abuse is a disorder of the whole person—that the problem is the person and not the drug; that addiction is a symptom and not the essence of the disorder; and that the primary goal is to change the negative patterns of behavior, thinking, and feeling that predispose drug use. In Delaware's system of corrections-based therapeutic communities, a variety of treatment techniques are used, including behavioral, cognitive, and emotional therapies; transactional analysis; psychodrama; and branch groups. The clinical foundations and usages of these approaches are described at length, and preliminary data on their apparent efectiveness are presented.
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Johnson, C., J. Smith, C. Crowe, and M. Donovan. "Suicide among Forensic Psychiatric Patients." Medicine, Science and the Law 33, no. 2 (April 1993): 137–43. http://dx.doi.org/10.1177/002580249303300209.
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This paper examines the problem of suicide among patients discharged from a Regional Secure Unit. The stereotype that emerges is a young man with anti-social personality traits, suffering from an affective psychosis, with a history of substance abuse and impulsive violence directed both towards himself and others, who is alienated from care staff and social supports because of his provocative and uncooperative behaviour. In contrast with the general population, forensic patients are more likely to commit suicide using a violent method and are more likely to have a suicide verdict recorded by the coroner. The implications of these findings for treatment and preventive interventions are discussed.
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Kimmel, James, and Michael Rowe. "A Behavioral Addiction Model of Revenge, Violence, and Gun Abuse." Journal of Law, Medicine & Ethics 48, S4 (2020): 172–78. http://dx.doi.org/10.1177/1073110520979419.
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Data from multiple sources point to the desire for revenge in response to grievances or perceived injustices as a root cause of violence, including firearm violence. Neuroscience and behavioral studies are beginning to reveal that the desire for revenge in response to grievances activates the same neural reward-processing circuitry as that of substance addiction, suggesting that grievances trigger powerful cravings for revenge in anticipation of experiencing pleasure. Based on this evidence, the authors argue that a behavioral addiction framework may be appropriate for understanding and addressing violent behavior. Such an approach could yield significant benefits by leveraging scientific and public health-oriented drug abuse prevention and treatment strategies that target drug cravings to spur development of scientific and public-health-oriented “gun abuse” prevention and treatment strategies targeting the revenge cravings that lead to violence. An example of one such “motive control” strategy is discussed. Approaching revenge-seeking, violence, and gun abuse from the perspective of compulsion and addiction would have the added benefit of avoiding the stigmatization as violent of individuals with mental illness while also acknowledging the systemic, social, and cultural factors contributing to grievances that lead to violent acts.
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Nwakanma, Emmanuel, and Joseph Egidi Igbe. "Poverty and Coping Strategies of Unemployed Youths in Cross River State, Nigeria." Current Research Journal of Social Sciences and Humanities 3, no. 2 (December 30, 2020): 262–79. http://dx.doi.org/10.12944/crjssh.3.2.13.
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The study investigates how unemployed youths in Cross River state respond to and cope with poor economic conditions. The phenomenon of poverty has been identified as one of the increasing social challenges in Nigeria and has been linked to a number of social problems including street crime, substance abuse, internet fraud, armed robbery, ritual killings, kidnapping, and youth restiveness. Scholars have also argued that whereas the youth is the locomotive of national development and contribute immensely to the sustenance of the developmental momentum of a nation; youths in Nigeria are largely unemployed and redundant. The social consequences of this are enormous and can only be explained from the lens of the restricted opportunity theory and the strain theory. The study employed a cross-sectional survey research design involving questionnaires, interviews, descriptive statistics and 1,010 purposively selected respondents from six local government areas in the three senatorial districts of Cross River. The findings of the study revealed that youth poverty is a growing concern in Cross River state, and is caused by limited access to loans, lack of job opportunities, policy paralysis, among many other factors. Respondents of the study further noted that unemployed youths in the state cope with the hardship associated with poverty and unemployment by engaging in various activities including negative ones such as commercial sex work, theft, cyber fraud, and armed robbery. It is thus recommended, among other things, that the Nigerian State must invest in youth development by creating programmes and funding for small scale businesses, vocational training, and skills development.
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Shearer, Jennifer N., Paul Campbell Erwin, Sharon K. Davis, Joel G. Anderson, and Lisa C. Lindley. "Implications of Tennessee's Opioid Legislation for Neonatal Abstinence Syndrome." Policy, Politics, & Nursing Practice 20, no. 3 (August 2019): 153–62. http://dx.doi.org/10.1177/1527154419864540.
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Opioid use during pregnancy is on the rise in the United States. Neonatal abstinence syndrome (NAS), also known as newborn drug withdrawal, is a public health epidemic. Between 2004 and 2014, Tennessee experienced a fivefold increase in NAS hospitalizations, from 1.5 to 8.0 per 1,000 live births. Soaring increases in the number of newborns with NAS nationwide have caught the attention of many federal and state lawmakers, especially given the unknown burdens associated with medical and social services needed by those affected over time. Tennessee opioid-related regulations and laws enacted between 2000 and 2018 were systematically reviewed and analyzed to identify each law's purpose; effects on families and individuals; pros and cons in terms of social, practical, and legal factors; and implications for nursing practice. Our findings were that Tennessee's laws are intended to decrease the number of opioids prescribed, ensure access to continued prenatal care and substance abuse management for mothers with substance use disorders, and reduce the ease of obtaining opioids. We also found that Tennessee lawmakers have enacted laws and regulations aimed at decreasing the abuse of opioids, but not reducing the incidence of NAS. As new laws are considered, it is critical that health care providers and lawmakers work together to ensure that the developed and enacted laws strike a balance between safely managing the care of both pregnant women and their newborns without producing negative outcomes.
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Sanni, Muritala M., Foluke N. Bolu-Steve, Irene A. Durosaro, and Akeem A. Adigun. "Prevalence of Drug Relapse among Clients in Rehabilitation Centres in North Central Nigeria: Implications for School Counsellors." Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse 13, no. 2 (April 12, 2021): 14–25. http://dx.doi.org/10.29173/cjfy29668.
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Despite sufficient research studies in the field of drug abuse, drug relapse remains one of the salient aspects that has received less attention among research experts. This study thus investigated the prevalence of drug relapse among clients in NDLEA (National Drug Law Enforcement Agency) rehabilitation centres in North Central, Nigeria. A descriptive survey design was adopted for this study. Censors sampling method, that is, only the available clients or respondents (during the conduct of the study) at the rehabilitation centres in the North Central region participated in the study. A researcher-designed questionnaire on "Prevalence of Drug Relapse" was used to collect the relevant data. The instrument had a reliability co-efficient of 0.69 using the test re-test method. All hypotheses were tested using t-test and Analysis of Variance (ANOVA) statistics at a 0.05 level of significance. The main findings of the study revealed that drug relapse is moderately prevalent among clients in NDLEA rehabilitation centres in North Central, Nigeria. In view of this, it was recommended that NDLEA and other stakeholders should intensify efforts in identifying more addicted individuals so that they can go through the rehabilitation process and adjust effectively to their environment and avoid returning to drug/substance use after treatment.
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Faller, Sibele, Ana Carolina Peuker, Anne Sordi, Anderson Stolf, Maria Lucia Souza-Formigoni, Marcelo Santos Cruz, Sílvia Brasiliano, Flavio Pechansky, and Felix Kessler. "Who seeks public treatment for substance abuse in Brazil? Results of a multicenter study involving four Brazilian state capitals." Trends in Psychiatry and Psychotherapy 36, no. 4 (December 2014): 193–202. http://dx.doi.org/10.1590/2237-6089-2014-0040.
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OBJECTIVE: To assess the characteristics of alcohol and drug users who seek treatment at the Brazilian Unified Health System in Brazil.METHOD:A multicenter cross-sectional study involving five clinical and research centers located in four Brazilian state capitals was conducted with 740 in- and outpatients. The only exclusion criterion was the presence of neurological or severe psychiatric symptoms at the moment of the interview. The Addiction Severity Index (ASI-6) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used to assess the severity of substance use and the problems related.RESULTS: There were significantly more men than women in the sample; mean age was 36 years. The drug most frequently used at all sites was alcohol (78%), followed by cocaine/crack (51%). Alcohol was the drug that most commonly motivated treatment seeking, at all centers. ASI-6 Summary Scores for Recent Functioning (SS-Rs) were quite similar among centers. SS-Rs were compared between users who had never received treatment for psychoactive substance abuse (n = 265, 36.1%) and those who had already been treated at one or more occasions (n = 470, 63.9%). This analysis revealed significant differences between the groups in the drug, psychiatric symptoms, legal, and family/social problems areas (p < 0.05).CONCLUSION: Our findings confirm previous evidence suggesting that the management of patients seeking drug abuse treatment should take several different aspects into consideration, e.g., education, employment, and family relationships, which often appear as areas of concern for these individuals.
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Ojha, Saroj Prasad, A. Pokharel, R. P. Aacharya, K. R. Pandey, C. L. Bhusal, and M. N. Marhatta. "SOCIO-PSYCHOLOGICAL STUDY AMONG INJECTABLE DRUG USERS IN KATHMANDU VALLEY." Journal of Nepal Medical Association 41, no. 141 (January 1, 2003): 235–40. http://dx.doi.org/10.31729/jnma.730.
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On the background of ever increasing HIV transmission in our community throughvarious routes, the psychosocial factors related with intravenous drug abuse has becomenecessary to be studied. Aim of the study was to assess the Socio-psychological factorsthat influence people to use drugs, especially to use Injectable drugs. We enrolled asample of 393 Intravenous drug users, all male, in the Kathmandu Valley. Participantswere administered a semi structured proforma to assess the psychosocial issues relatedwith the drug intravenous drug abuse. Mean age of the sample was 27.76+ 4.86 years.Majority were single, unemployed, Hindu and by caste Newars, with education morethan high school (SLC or more). The first psychoactive substance use by most of themwas cannabis. The most frequently used psychoactive substance was injectionBuprenorphine (Tidigesic), which was followed by mixture of various substances(opiates, benzodiazepines, antihistamines) and Diacetyl morphine (Brown sugar).Factors associated with the start of the drugs were for enjoyment, friend’s pressureand to alleviate mental tension. Many accepted Injectable drug use contributing toproblems in mental, marital, social, economic and legal aspects of their life. Despiteknowing the harms caused by the drugs majority persist on its use. A needle exchangeprogramme has been viewed positively by many.Key words: buprenorphin, needle sharing, needle replacement, HIV transmission.
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Assadbeigi, Hossein, Abbas Pourshahbaz, Parvaneh Mohamadkhani, and Ali Farhoudian. "Effectiveness of Community Reinforcement and Family Training (CRAFT) on Quality of Life and Depression in Families with Drug Abuse." Global Journal of Health Science 9, no. 3 (July 12, 2016): 167. http://dx.doi.org/10.5539/gjhs.v9n3p167.
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<p>Drug abuse as a biological, psychological, and social problem affect all life aspects including quality of life and cause socio-psychological problems. This study aimed to evaluate the effectiveness of community reinforcement and family training (CRAFT) Method on quality of life and depression in family members of substance abusers. This was a quasi-experimental study with control group in which the pre-test and post-test were used. In the present study, two experimental groups (CRAFT and Nar-Anon) and a control group were used using the purposive sampling selected from the family members of substance abusers who referred to the methadone treatment clinic in Tehran. Each of groups consisted of 25 people. CRAFT groups were trained in 12 sessions of intervention techniques. Nar-Anon groups participated in self-help sessions and control did not receive any training. All three groups completed the BDI-II Test and WHO Quality of Life-BREF questionnaire and the results were analyzed using SPSS-16. The results of two intervention methods compared with the control group showed no significant effect in reducing depression. CRAFT and Nar-Anon interventions were not effective in reducing the depression of family members of drug abuse patients but both were effective in promoted the quality of their life compared with control group.</p>
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Stevens, N. G., and T. R. McCormick. "What are students thinking when we present ethics cases?: an example focusing on confidentiality and substance abuse." Journal of Medical Ethics 20, no. 2 (June 1, 1994): 112–17. http://dx.doi.org/10.1136/jme.20.2.112.
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Doghor, Osarumen N., Faith O. Nomamiukor, Efetobore N. Okotcha, and Edore Onigu-Otite. "Addressing Crises in Teenage Pregnancy." Adolescent Psychiatry 9, no. 2 (January 10, 2020): 69–80. http://dx.doi.org/10.2174/2210676609666190531102808.
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Background: Adolescent pregnancy is a major public health concern with medical, psychiatric, and social implications. Within this population, there is an elevated rate of co-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality, and substance use. However, little is known about the assessment and treatment of adolescent pregnancy within the context of these co-occurring psychiatric conditions, particularly in an emergency situation. Objective: This article utilizes a case report to illustrate the challenges faced in consultative psychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial history. Topics addressed include: 1) The role of childhood trauma and suicidality in adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents with psychotropics during pregnancy. Method: A literature search was performed with the key words of adolescent, pregnancy, child sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist and a psychiatrist who had specialized in addiction and adolescents were enlisted on key aspects of the case formulation and treatment. Results: Several studies were found that focused on depression, substance abuse and trauma in adolescent pregnancy. There were more studies that looked at psychopharmacological treatment in adult pregnant women and a few that focused on adolescents. Conclusion: Addressing the crisis of psychiatric illness in adolescent pregnancy requires a thorough approach in understanding the severity of the illness and the contribution of child abuse and suicidality. Psychotherapeutic interventions are most certainly always necessary and beneficial when dealing with this population. Deciding when to start and maintain medication during pregnancy should be individualized, with considerations of the risks of untreated illness and of medication exposure.
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Stephens, Darryl W. "Bearing Witness as Social Action: Religious Ethics and Trauma-Informed Response." Trauma Care 1, no. 1 (June 18, 2021): 49–63. http://dx.doi.org/10.3390/traumacare1010005.
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Written from a standpoint of religious ethics, this article interprets the work of trauma response and recovery in transcendent and moral terms not always apparent to the practitioner or institution. This article provides a broad understanding of spirituality, transcendence, and faith as these concepts relate to Judith Herman’s stages of trauma healing and the characteristics of trauma-informed response articulated by the Substance Abuse and Mental Health Services Administration. These features are then mapped onto specific modes of transcendence and moral themes identifiable in a wide range of religious traditions. The connective framework for this mapping is provided by utilizing the concept “bearing witness,” as synthesized from a wide range of disciplinary perspectives, to describe the work of trauma-informed response. This article concludes by recognizing bearing witness as a form of social action, a moral response with implied if not explicit religious dimensions and spiritual implications, for which an understanding of religious ethics is a helpful ally. Thus, this article concludes that religious ethics can be a valuable resource and partner in addressing the personal, systemic, and political aspects of trauma response and recovery, enabling attention to spiritual well-being of both the trauma survivor and the one responding to the survivor.
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Meireles, Vânia, Tiago Rosado, Mário Barroso, Sofia Soares, Joana Gonçalves, Ângelo Luís, Débora Caramelo, et al. "Mitragyna speciosa: Clinical, Toxicological Aspects and Analysis in Biological and Non-Biological Samples." Medicines 6, no. 1 (March 4, 2019): 35. http://dx.doi.org/10.3390/medicines6010035.
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The abuse of psychotropic substances is a well-known phenomenon, and many of them are usually associated with ancestral traditions and home remedies. This is the case of Mitragyna speciosa (kratom), a tropical tree used to improve work performance and to withstand great heat. According to several published studies, the main reasons for kratom consumption involve improving sexual performance and endurance, but also social and recreational uses for the feeling of happiness and euphoria; it is also used for medical purposes as a pain reliever, and in the treatment of diarrhea, fever, diabetes, and hypertension. However, this plant has gained more popularity amongst young people over the last years. Since it is available on the internet for purchase, its use is now widely as a drug of abuse, namely as a new psychoactive substance, being a cheaper alternative to opioids that does not require medical prescription in most countries. According to internet surveys by the European Monitoring Centre for Drugs and Drug Addiction in 2008 and 2011, kratom was one of the most widely supplied new psychoactive substances. The composition of kratom is complex; in fact, more than 40 different alkaloids have been identified in Mitragyna speciosa so far, the major constituent being mitragynine, which is exclusive to this plant. Besides mitragynine, alkaloids such as corynantheidine and 7-hydroxamitragynine also present pharmacological effects, a feature that may be attributed to the remaining constituents as well. The main goal of this review is not only to understand the origin, chemistry, consumption, and analytical methodologies for analysis and mechanism of action, but also the use of secondary metabolites of kratom as therapeutic drugs and the assessment of potential risks associated with its consumption, in order to aid health professionals, toxicologists, and police authorities in cases where this plant is present.
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Oluwaleye, Janet Monisola, and Ibironke Damilola Adefisoye. "Interrogating the Causes, Effects and Societal Responses to Rape and Child-Defilement in Nigeria." Interdisciplinary Journal of Rural and Community Studies 3, no. 2 (July 18, 2021): 11–22. http://dx.doi.org/10.51986/ijrcs-2021.vol3.02.02.
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Nigeria’s social landscape has been inundated by an alarming spate of rape and child defilement cases, so much more that there is hardly a week without media reports of rape in the country. Records released by the Nigeria Police Force shows that a total of seven hundred and seventeen cases of rape and child defilement were recorded in the first five months of the year 2020. More alarming is the defilement of minors and underage children by adults. The foregoing raises concerns and the need to interrogate the causes of alarming cases of rape and defilement of minors in Nigeria. The mixed methods research approach was adopted to generate both primary and secondary data. For the primary data, an online questionnaire was designed and administered to a total of two hundred and nine Nigerians across various sectors and regions of the country. Besides, six (6) key informants, each from the Ministry of Women, Legal Department, National Human Rights Commission, NGO, religious leader and media practitioners, were interviewed. On the other hand, government reports, gazettes, journal and newspaper articles were used to generate secondary data. Findings show that defilement of minors in Nigeria is perceived from a socio-cultural perspective as an avenue for money rituals. Other causes include mental disorders of perpetrators, alcoholism and substance abuse. Effects of such acts are physical and psychological. Recommendations on ways of curbing the menace include life sentences, name shame of perpetrators, and strict enforcement of existing laws prohibiting rape and defilement in the country.
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Abbate, Vincenzo, Michael Schwenk, Brandon C. Presley, and Nahoko Uchiyama. "The ongoing challenge of novel psychoactive drugs of abuse. Part I. Synthetic cannabinoids (IUPAC Technical Report)." Pure and Applied Chemistry 90, no. 8 (August 28, 2018): 1255–82. http://dx.doi.org/10.1515/pac-2017-0605.
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Abstract In the past decade, the world has experienced a large increase in the number of novel compounds appearing on the illicit drug market for recreational purposes. Such substances are designed to circumvent governmental regulations; the illegal drug manufacturers take a known psychoactive compound reported in the scientific literature and slightly modify its chemical structure in order to produce analogues that will mimic the pharmacological activity of the original substance. Many of these novel substances are sold via the Internet. Among the various chemical classes, synthetic cannabinoid receptor modulators, commonly referred to as “synthetic cannabinoids” have been at the forefront, as demonstrated by the frequency of drug seizures, numerous severe toxic effects, and fatalities associated with some of these substances. This review presents the chemical structures of relevant synthetic cannabinoids and describes their mechanism of action, pharmacological features, metabolic pathways, and structure-activity relationships. It illustrates the approaches used in forensic testing, both for bulk analysis (drug seizures) and for analytical toxicology (biological matrices) and discusses aspects of regulation surrounding this drug class. This report is intended to provide pertinent information for the purposes of informing scientific, medical, social, and governmental bodies about this ever-evolving recreational drug class and the challenges it poses worldwide.
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Jos, Philip H., Mary Faith Marshall, and Martin Perlmutter. "The Charleston Policy on Cocaine Use During Pregnancy: A Cautionary Tale." Journal of Law, Medicine & Ethics 23, no. 2 (1995): 120–28. http://dx.doi.org/10.1111/j.1748-720x.1995.tb01341.x.
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The conflict between pregnant women freely using cocaine and the well-being of fetuses presents a difficult social problem. Since 1985, at least 200 women, in thirty states, have been criminally prosecuted for using illicit drugs or alcohol during pregnancy. Such policies enjoy considerable public and political support. Nonetheless, treatment programs that include referral to law enforcement officials raise serious ethical and legal issues for hospitals and health care providers. In this paper, we assess the development of one medical university's controversial treatment program for pregnant women addicted to cocaine.In October 1989, the Medical University of South Carolina (MUSC) instituted a new program, called the Interagency Policy on Management of Substance Abuse During Pregnancy (Interagency Policy), designed “to ensure appropriate management of patients abusing illegal drugs during pregnancy.” This program required some pregnant women to seek drug counseling and prenatal care under the threat of criminal sanctions.
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Pietersz, Jemmy Jefry. "Prinsip Good Governance Dalam Penyalahgunaan Wewenang." SASI 23, no. 2 (April 2, 2018): 167. http://dx.doi.org/10.47268/sasi.v23i2.107.
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governance is a way implemented by the government using political, economic and administrative authority in managing economic and social resources for community development. The term governance is more directed to technical matters of governance in a country. By that, the term governance in relation to good governance is directed more towards legal aspects, especially administrative law which in essence more emphasized public service aspect which is addressed to society. Good governance characteristics include Participation, Rule of law, Transparency, Responsiveness, Consensus orientation, Equity, Effectiveness and efficiency, Accountability, and Strategic vision. These characteristics are legally sourced on two main grounds, namely the principle of the rule of law and the principle of democracy. The principle of the rule of law becomes the foundation of good governance where every act of government should have a legal basis, in the form of authority, procedure and substance and protection of human rights. The principle of a legal state provides the basis of legality in the administration of government, while the principle of democracy as the basis of government openness and community participation. Power or power essentially contains the rights and obligations of the apparatus of government to take certain legal actions, derived from attribution, delegation and mandate. Abuse of power is an act of government that is inconsistent with the purpose of authorization. the form of abuse of power consists of illegal state administration (onrechtmatige overheidsdaad), the misuse of the state administration (detournement de pouvoir or ultra vires) and the arbitrary acts of state administration (abus de droit). Abuse of power may occur against bound and free power. Parameters testing abuse of power from power are tied to the legality of government action, while the abuse of power from free power using the Good Governance Principles (GGP). GGP is the principle of proper administration
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Congdon, Peter. "Geographical Aspects of Recent Trends in Drug-Related Deaths, with a Focus on Intra-National Contextual Variation." International Journal of Environmental Research and Public Health 17, no. 21 (November 2, 2020): 8081. http://dx.doi.org/10.3390/ijerph17218081.
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Background. Recent worldwide estimates are of 53 million users of opioids annually, and of 585,000 drug-related deaths, of which two thirds are due to opioids. There are considerable international differences in levels of drug death rates and substance abuse. However, there are also considerable variations within countries in drug misuse, overdose rates, and in drug death rates particularly. Wide intra-national variations characterize countries where drug deaths have risen fastest in recent years, such as the US and UK. Drug deaths are an outcome of drug misuse, which can ideally be studied at a relatively low spatial scale (e.g., US counties). The research literature suggests that small area variations in drug deaths to a considerable degree reflect contextual (place-related) factors as well as individual risk factors. Methods. We consider the role of area social status, social cohesion, segregation, urbanicity, and drug supply in an ecological regression analysis of county differences in drug deaths in the US during 2015–2017. Results. The analysis of US small area data highlights a range of factors which are statistically significant in explaining differences in drug deaths, but with no risk factor having a predominant role. Comparisons with other countries where small area drug mortality data have been analyzed show differences between countries in the impact of different contextual factors, but some common themes. Conclusions. Intra-national differences in drug-related deaths are considerable, but there are significant research gaps in the evidence base for small area analysis of such deaths.
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Safyer, Steven M., Lynn Richmond, Eran Bellin, and David Fletcher. "Tuberculosis in Correctional Facilities: The Tuberculosis Control Program of the Montefiore Medical Center Rikers Island Health Services." Journal of Law, Medicine & Ethics 21, no. 3-4 (1993): 342–51. http://dx.doi.org/10.1111/j.1748-720x.1993.tb01259.x.
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“Recognizing that prisons disproportionately confine sick people, with mental illness, substance abuse, HIV disease among other illnesses; and that prisoners are subject to further morbidity and mortality in these institutions, due to lack of access and/or resources for health care, overcrowding, violence, emotional deprivation, and suicide.…(APHA) condemns the social practice of mass imprisonment.”After decades of steady decline, tuberculosis has emerged as a significant public health threat in the United States. The rising rates of tuberculosis cases, an increasing proportion of which are resistant to standard chemotherapies, are linked to the many scourges threatening our communities: the explosion of poverty, drug use, violence, the HIV epidemic, and the concomitant rise in congregate housing including homeless shelters, residential drug treatment programs and incarceration facilities. Jails and prisons have disproportionately high rates of tuberculosis infection and have been implicated as points of tuberculosis spread and, as such, are a critical point for tuberculosis control interventions.
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Douny, Laurence. "Silk-embroidered garments as transformative processes: layering, inscribing and displaying Hausa material identities." Journal of Material Culture 16, no. 4 (December 2011): 401–15. http://dx.doi.org/10.1177/1359183511424197.
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This article explores some aspects of Hausa wild silk embroidered gowns known as riga, interpreting these famous and prestigious attires in the light of techniques and transformative processes. The author thus highlights implicit forms of knowledge underlying material practices about, first, the wearing and layering of highly decorated gowns and, second, the process of creating silk-embroidered motifs (on the outside gown) and inked patterns (on the inside gown) that stand as the objectification and expression of charismatic power through self-display. The author proposes that Hausa wild silk-embroidered gowns constitute a material identity of power in that they materialize individual as well as group social status, prestige, fame and wealth. The empirical materials derive from ongoing fieldwork in northern Nigeria on the production and use of wild silk, a particular substance/material to which mystic properties are attributed and which plays an important role in the empowerment of riga.
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Cordellieri, Pierluigi, Benedetta Barchielli, Valeria Masci, Francesca Viani, Ivan de Pinto, Andrea Priori, Felice Damiano Torriccelli, et al. "Psychological Health Status of Psychiatric Patients Living in Treatment Communities before and during the COVID-19 Lockdown: A Brief Report." International Journal of Environmental Research and Public Health 18, no. 7 (March 30, 2021): 3567. http://dx.doi.org/10.3390/ijerph18073567.
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Many studies investigated the psychological impact of lockdown measures on the general population, while few studies focused on the psychiatric population. This study aimed to investigate the role of therapeutic communities in the management and containment of symptoms of patients with psychosis living in psychiatric residential facilities. Data were collected at two different points: November 2019 (Coronavirus disease 19 had not yet spread) and April 2020 (during the lockdown in Italy). Twenty-two study participants were recruited from three residential accredited psychiatric facilities. During lockdown, the patients showed a small increase in symptomatology in terms of emotional isolation. In addition, it was been observed significant differences in certain functional areas of the behavior, measured as lower inclination towards violent behaviors during lockdown, and higher scores in substance abuse and medical impairment. The lockdown condition could represent a form of containment; daily routines, along with adequate social support, are important aspects of the stability and the level of behavioral functioning of psychiatric patients. Social support and continuity of care offered by psychiatric communities can be an effective safeguard against the psychological impact of the COVID-19 epidemic.
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Häfner, H. "Psychiatric rehabilitation: general issues." European Psychiatry 11, S2 (1996): 39s—50s. http://dx.doi.org/10.1016/0924-9338(96)84742-0.
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SummaryRehabilitation aims at avoiding unfavourable consequences of a disorder and its care and at training and improving impaired and compensatory skills. The needs of the main diagnostic groups with resulting cognitive or social impairments, namely mental retardation, infantile autism, chronic depression, severe psychoneurosis, substance abuse, schizophrenia, and dementia in old age, have specific aspects. An increased need for rehabilitation was prompted by the worldwide movement of deinstitutionalisation, which hit above all the socially most vulnerable schizophrenics. The instruments and methods of rehabilitation for the socially disabled mentally ill go far beyond the sphere of psychiatry. Individualised rehabilitation must be in mutual interaction with the social and occupational environment. The socially disabled individual is, for example, dependent upon awareness and acceptance in the community, upon financial and social support or upon the availability of a job. In the case of persisting deficits, supportive measures at different levels are needed to compensate or to minimize severe consequences of impairments. Their approach is by the social environment with the objective to grant the optimum quality of life combined with a minimum loss of independence. The great variety of measures often required at the same time must be based on a network of services and their purposeful coordination. Psychiatric rehabilitation requires a functioning social system and, in times of scarce resources, political priorities.
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Motunrade Betty, Adegbite. "Attitudes and Factors Associated With Occurrence of Gender-Based Violence in Rural and Urban Households in Ibadan." Sumerianz Journal of Social Science, no. 39 (September 20, 2020): 115–21. http://dx.doi.org/10.47752/sjss.39.115.121.
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Gender-Based Violence (GBV) is the resultant of gender-related power inequalities at both public and private spheres. GBV occurrence in rural and urban areas of Ibadan is the focus of this study. The study evaluated the attitude and factors associated with GBV occurrence among rural and urban households in Ibadan, Nigeria. Data were collected from 200 respondents in Ibadan using interview schedule and structured questionnaire. Descriptive (frequency counts and percentages) and inferential statistics (PPMC and Regression analysis) were used to analyse the data collected. Many of the respondents (53.3%) had a favourable attitude against GBV. Household size (β = 0.204), attitude against GBV (β = -0.394), family influence (β = 0.287), superiority complex (β = 0.633) and substance abuse (β = 0.347) were factors associated with the rate of GBV occurrence. Despite the favourable attitude of people against GBV, the menace is still prevalent in the society. The general public needs enlightenment on the jeopardy associated with GBV. It is therefore recommended that suitable strategies like social media advocacy and entertainment education be put in place to enlighten the populace on the magnitudes of GBV occurrence so as to abate it among inhabitants.
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Puri, B. K., M. T. Lambert, and C. C. Cordess. "Characteristics of Young Offenders Detained under Section 53(2) at a Young Offenders' Institution." Medicine, Science and the Law 36, no. 1 (January 1996): 69–76. http://dx.doi.org/10.1177/002580249603600113.
Full textAbstract:
The objective of the study was to investigate the medical and psychiatric characteristics and needs of detainees held under s.53(2) of the Children and Young Persons Act 1933. A case-note study of all subjects detained under s.53(2) at a young offenders' institution was carried out and their psychologists and medical officer interviewed. The subjects had a high risk of having experienced family disruption, of psychoactive substance abuse, and poor educational progress, and they were more likely than the general population to be Afro-Caribbean or of mixed race. They were psychologically vulnerable and could become suicidal when exposed to risk factors such as bullying and not being visited often by friends and relatives. However, there was a lack of information available about the subjects in many important areas including assessment of needs for special education, of truancy, expulsions, child guidance clinic attendance, and placement on child protection registers. It was not clear whether these young people had been significantly in contact with services as children or whether they had slipped through the net. In conclusion, the most important finding was a worrying lack of information about this group. From the information available they were clearly atypical. More research is needed; more adequate information, for example with respect to physical and sexual abuse, child rearing, education, peer relationships, and contact with specialist health and social services, would assist in the development of services for the treatment of these serious young offenders and for prevention.
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Aliyeva, Zamina. "The Law Aspects in Health Management: A Bibliometric Analysis of Issues on the Injury, Damage and Harm in Criminal Law." Marketing and Management of Innovations, no. 3 (2020): 293–305. http://dx.doi.org/10.21272/mmi.2020.3-21.
Full textAbstract:
The paper presents the analysis of the approaches to define the areas of research on the injury, damage and harm to human health in criminal law. The obtained results proved that crimes, connected to drugs abuse, their legislation become an essential part of the issues. At the same, developing of government control, medical standards, improving quality of medical education balancing the «medical mistake – injury to human’s health – jurisprudence consequences» triangle in the tendency of the injury, damage and harm in criminal laware becoming very important to the healthcare system due to increasing requirements of regulators, customers and shareholders. The paper aimed to analyse the tendency in the literature on the injury, damage and harm in criminal law, which published in books, journals, conference proceedings etc. to identify future research directions. The methodological tools are VOSviewer, Scopus and Web of Science (WoS) software. This study covers 1072 papers from Scopus and WoS database. The time for analysis were 1970-2020. The Scopus and WoS analyse showed that in 2012-2019 the numbers of papers on the injury, damage and harm in criminal law issues began to increase. However, the topics changed from general issues to the problem of decriminalisation of drug trafficking, and the corresponding paradigm shift in the punishment of some crimes, increasing interest in punishing corporations for violating environmental regulations. In 2017 the number of documents dedicated to injury, damage and harm in criminal law was increased by 667% compared to 2012. The main subject areas of analyses of the injury, damage and harm in criminal law were the next: Law, Public environmental, occupational health, Criminology penology, Substance abuse, Psychiatry, Medicine. The biggest amount of investigations of the injury, damage and harm in criminal law was published by the scientists from the USA, United Kingdom, Australia and Canada. In 2019 such journals with high impact factor as International Journal of Drug Policy, International Journal of Law and Psychiatry, The Lancet etc. published the number of issues, which analysed of the injury, damage and harm to human health in criminal law. Such results proved that theme on the injury, damage and harm to human health in criminal law is actually in the ongoing trends of the modern jurisprudence and regulation. The findings from VOSviewer defined 6 clusters of the papers which analysed the injury, damage and harm to human health in criminal law from the different points of views. The first biggest cluster (with the biggest number of connections) merged the keywords as follows: criminal justice, law enforcement, public health, health care policy, harm reduction, drug legislation, drug and narcotic control, substance abuse, homelessness etc. The second significant cluster integrated the keywords as follows: criminal behaviour, crime victim, adolescent, violence, mental health, mental disease, prisoner, young people, rape, police etc. The third biggest cluster concentrated on criminal aspects of jurisprudence, criminal law, human right, legal liability, social control, government regulation etc. The obtained results allow concluding that balancing the triangles «medical mistakes – criminal – education» and «drugs – criminal – justice» and «abortion – criminal – women/children» form an important part of the injury, damage and harm in criminal law issues. Keywords injury, damage, harm, human health, criminal law, management, governance.
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Pollack, M. H., and P. C. Marzol. "Panic: Course, Complications and Treatment of Panic Disorder." Journal of Psychopharmacology 14, no. 2_suppl1 (March 2000): S25—S30. http://dx.doi.org/10.1177/02698811000142s104.
Full textAbstract:
Panic disorder is a chronic condition typically associated with significant distress and disability. In addition to the acute distress associated with the panic attack itself, the disorder often leads to distressing anticipatory anxiety and phobic avoidance. Affected individuals experience significant impairment in social and vocational functioning, high utilization of medical resources, constriction of function, premature mortality and diminution in overall quality of life. Panic disorder is frequently comorbid with other conditions, particularly depression, as well as alcohol and other substance abuse, and other anxiety disorders including social phobia, generalized anxiety disorder, obsessive-compulsive disorder and posttraumatic stress disorder. A number of pharmacological agents and cognitive-behavioural treatments have been shown to be effective in the treatment of panic disorder, with the selective serotonin reuptake inhibitors (SSRIs) becoming first-line pharmacotherapy for this condition. Among these, the SSRI sertraline appears effective not only in improving symptoms of panic, but also in reducing anticipatory anxiety and improving multiple aspects of quality of life. For patients who remain partly or fully symptomatic despite adequate first-line treatment, a variety of strategies are emerging for the management of refractory conditions. We provide an overview of the prevalence, presentation and associated complications of panic disorder, review the therapeutic options and discuss the management of refractory patients.