CRM 375 Test 1 Study Guide.docx - Chapter 1 Nature of the...

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Chapter 1 Nature of the Drug Problem Sources of data regarding drug/alcohol use o National Institute on Drug Abuse (NIDA) o Monitoring the Future (MTF) Survey given to high schoolers about their drug use o SAMHSA’s National Survey on Drug Use and Health (NSDUH) o Uniform Crime Report (UCR) o Drug Enforcement Agency (DEA) Monitoring the Future 2017- first year for tracking vaping behavior among adolescents use of vaping to consume multiple substances Trends: o THC- increased o Any illicit drug use- increased Driven by THC & inhalant use o Cigarette- decreased o Alcohol- no change o Inhalants- increased o Heroin- no change o Prescription opioids- decrease Local Data 58.4% of males & 56.3% of females incarcerated in NHCDC from Oct 2015 through June 2017 o The avg # of admissions for 2014-2016 was 11,696 o Avg for 2017 was 13,176 o 13% increase New Hanover County had a 141% increase in the # of children entering the NC child welfare system due to caregiver opioid use b/w 2013-2017 48% of individuals released from prison or entering probation in 2013 had history of substance abuse o These offenders had a 2 year re-arrest rate of 45% Only 22% of incarcerated people with SUD received treatment in 2016 America’s History With Drugs & Alcohol 18 th & 19 th centuries o New drugs were being developed in Europe due to scientific advances o Drug availability in US was vast State v federal control over drugs- what was going on? Left up to individual states- decided to let medical community handle it 1800s Temperance Movement o Use of alcohol was generally accepted within society o Key players sought total abstinence from alcohol 1860s- US Civil War Triggered drug epidemic o Drug use was widespread within society & troops/ general public were self-medicating o Opium became synonymous with the Chinese Laws enacted to address use among Chinese 1875 o 1 st antidrug law passed Banned opium use in opium dens in San Francisco 1878 o Cocaine was used to treat morphine addiction (this failed) & other problems Cocaine was advertised as non-addictive 1880s o Opium use was criminalized o 1 st cocaine epidemic- mid 1880s through 1920s o 1886- Coca-Cola was introduced
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1906- Pure Food & Drug Act o OTC drugs had to be correctly labeled didn’t restrict their use 1912- International Opium Convention o US & other countries agreed to enact laws suppressing the abuse of cocaine, opium, & morphine Goal was to restrict narcotics to medicinal use 1914- Harrison Act o Pivotal in shaping drug policies o Listed cocaine as narcotic o Sought to limit addiction & abuse through taxation & regulation Belief that public opinion would change & increase public awareness about harm of drugs Required prescribers/distributors to register with the federal gov & buy tax stamps Possession of drugs was illegal by an unregistered person (unless prescribed) Dept. of Treasury was enforcement arm o MAT was deemed illegal by Supreme Court o Doctors/pharmacists/unregistered users were arrested in mass
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  • Spring '14
  • DarrellIrwin
  • Morphine, Illegal drug trade, cocaine

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