Drug Misuse: Prevention, Harm Minimization and Treatment
dependence and, second, to inform about prevention, harm minimiza tion, treatment and control, in order that professionals can identify, assess and work with different kinds of drug misusers. It also aims to give information about the wide range of multidisciplinary and special ist professionals who can contribute in this field. BACKGROUND The ancient Greek word for drug has three meanings: a cure or remedy, a poison and a magical charm. This book will consider these meanings in the modern sense: drugs as medication and as a solution to problems; drugs as dangerous to health; and drugs as magical and hedonistic. In the recent past, policy and practice guidelines have often been based on a misunderstanding of the diversity and complexity of drug misuse. Professionals have confused different types of drug misuse and/ or attempted to compress all types into one narrowly defined cate gory, i.e. all drugs are good or bad. This is the first mistake: it is prefer able to go right back to the ancient Greeks and try to understand the range of different effects of drugs on different people. Practitioners first of all need to understand the complexity of drug misuse in order to develop realistic concepts and construct useful cate gories for assessment. After this, they are in a position to identify clearly the main risks and problems in the different categories and so to deter mine which type of intervention is most appropriate.
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The extent of drug misuse
Talking to recreational drug misusers
Talking to highrisk drug misusers
Talking to dependent drug misusers
Institutional drug misuse
Talking to Professionals
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abstinence addiction aftercare aims alcohol amphetamine and/or Anonymous approach assessment attend basic behavioural techniques benzodiazepines cannabis chapter clients clinical cocaine cognitive behavioural community drug team coping counselling depression develop diazepam disease drinking drug agencies drug dependence drug education drug mis drug misuse drug prevention drug problems drug treatment effects factors harm minimization services hepatitis heroin HIV prevention identify important individual injecting drug interventions involved l've less lt's maintenance methadone methods misuse drugs motivational interviewing Narcotics Anonymous necessary needles and syringes nightclubs opiates outreach overdose physical dependence population practical prescribed drugs prison problematic profes professionals programmes psychological range raves recreational drug reduce relapse prevention respondents risk skills social and health social support staff stage Stimson stop strategies stress studies syringe exchange target group temazepam theory therapeutic Twelve Step types of drug users Valium withdrawal