ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02584.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02585.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02586.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02587.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02588.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02589.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02590.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

SummaryThe Minnesota Model is an abstinence orientated, comprehensive, multi‐professional approach to the treatment of the addictions, based upon the principles of Alcoholics Anonymous. It espouses a disease concept of drug and alcohol dependency with the promise of recovery, but not cure, for those who adhere to it. The programme is intensive, offering group therapy, lectures, and counselling based upon a pattern developed in Minnesota, in the United States, during the late 1940s and the 1950s. Its origins and content are distinct from the‘Concept Houses’and the wider Therapeutic Community movement, but it incorporates themes held in common with both of these treatment appro

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02591.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

SummaryThis is the third report on a study of 150 drug misusers new to treatment at three London drug treatment agencies: a Drug Treatment Clinic, a Therapeutic Community and a Drug Crisis Centre. The focus here is on the clients’perceptions of the help seeking process, and particularly on their reasons for coming to services and their fears about treatment. Analysis of responses revealed an underlying structure to the‘reasons’and‘fears’. There were significant between‐agency differences, and differences between those who injected drugs and those who did not. The importance of mood disturbance in the help‐seeking process is discussed. The implications of the findings for the development of strategies and the provision of earlier and more appropriate treatment

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02592.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

SummaryThe sharing of unsterile needles and syringes is a primary means by which drug users who inject put themselves at risk of HIV infection. This paper examines a sample of 127 regular illicit drug users (both in and out of treatment) in terms of injecting and needle sharing patterns, and investigates the impact of concern about AIDS upon these behaviours. Amongst those that had ever injected, it was found that 54% had substantially reduced their risk behaviour, in that they either no longer injected, or else no longer shared injecting equipment. A further 32% had to some extent reduced their risk behaviour, and only 14% staled that they had been unaffected by concern about AIDS. Those who were in contact with agencies were more likely to have substantially reduced their risk behaviour than those not in contact with agencies. Regarding the impact of HIV testing, the data suggest that it may be associated with reduced rather than increased risk behaviours, though the differences only approach significance. In two consecutive time periods, similar proportions reported that they were still sharing; but by the second time period almost all reported some attempt at change. In general, the results confirm other studies, from the USA and Britain, that have shown that drug users are not inherently irrational, and are capable of modifying their risk behaviour. Availability of clean injecting equipment was given as the prime reason for sharing, and the free supply of needles and syringes is advocated as a complement to effective health education. Aggressive outreach work is to be encouraged so as to reach those individuals unlikely to use established schemes.

ISSN:0952-0481    

DOI:10.1111/j.1360-0443.1988.tb02593.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY