Chapter08 - Chapter 8 Drug Use & Prevention: From...

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Chapter 8 Drug Use & Prevention: From Cradle to Grave CHAPTER OVERVIEW Since drug use and abuse affect people throughout their lives, so drug prevention and treatment should follow people throughout their lives. PREVENTION Substance abuse prevention ranges from total prohibition, to temperance, to harm reduction, to legalization. Currently the three main prevention strategies are supply reduction, demand reduction, and harm reduction. Supply reduction aims to limit the amount of drugs available to the user through interdiction, legal penalties, and incarceration. Demand reduction tries to reduce the craving and demand of people for the drugs through primary, secondary, and tertiary prevention strategies. Refinements of these strategies include universal, selective and indicated prevention targeted at the never used or never to use again, non-dependent users and dependent users. Harm reduction does not require abstinence but instead tries to limit the harm addicts do to themselves and to society. Primary, secondary, and tertiary prevention work best when they are employed with all age groups but the availability of increasing numbers of drugs throughout society and lack of adequate prevention funding makes this a difficult task. Primary prevention is aimed at those who are drug naïve or who have merely experimented with drugs. It aims to keep them from using or keep their use to experimentation and perhaps occasional social use. Secondary prevention is directed at those who use casually or even habitually in order to prevent escalation of their use to abuse and addiction. Tertiary prevention is aimed at heavy users, abusers, and addicts to direct them to recovery and limit the harm they do to themselves.Treatment is the primary component of tertiary prevention. FROM CRADLE TO GRAVE
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The impact of drugs on society varies from the pregnant, drug-using mother trying to stay clean, the high school student experimenting with marijuana, the heavy-drinking college student annoying other residents in the dormitory, the worker taking advantage of an employee assistance program to avoid losing his job, the IV drug user battling an HIV infection, or the older person trying to avoid dangerous interactions among a dozen prescribed medications. This chapter examines current drug use patterns among various age groups. This chapter also surveys the relationship of drugs to sexual behavior, sexual violence, hepatitis, and AIDS. It also surveys drugs in the military, drugs in the workplace, and examines major elements of drug testing methods. And finally, with each age and social group, promising methods of drug-abuse prevention are studied. These include delaying the first use of addictive substances, increasing perceptions of the negative effects of abused drugs, normalizing perceptions of current drug use amongst peers, and enhanced parental involvement in prevention efforts.
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Chapter 8 Drug Use & Prevention: From Cradle to Grave
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Chapter08 - Chapter 8 Drug Use & Prevention: From...

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