摘要:

A procedure for systematically evaluating and treating adolescents with known or suspected substance abuse is described. Integrating assessment with intervention affords the opportunity to comprehensively characterize the adolescent's problems and to quantitatively monitor treatment progress and outcome.

ISSN:0095-2990    

DOI:10.3109/00952999009001570

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Epidemiological research on psychoactive substance use disorders can and sometimes does lead to conclusions that are mutually conflicting. A current example is the apparent drop in substance use among adolescents in schools, with continuing high levels of substance-associated adolescent suicide, hospitalization, and crime. In an effort to clarify such differences, the author underscores the importance of understanding the three most common epidemiological methods. Each has different histories, advantages, liabilities, inherent value sets, and disparate-but-overlapping purposes.

ISSN:0095-2990    

DOI:10.3109/00952999009001571

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

The authors report on the incidence of tardive dyskinesia (TD) in a sample of 284 psychiatric patients who chronically abused street drugs; 82.4% had received neuroleptic treatment for the length of their illness (10.5±5.8 years). The incidence of TD was 15.9%. The incidence of TD was significantly higher in groups of patients in which alcohol alone (25.4%) or in combination with cannabis (26.7 %) was the drug of abuse than in those groups in which alcohol was either absent or used in combination with sedatives, opioids, or stimulants. Tardive dyskinesia was absent in patients not treated with neuroleptics and in a control group of drug abusers free of mental disorders. The anatomical distribution was similar to that reported in other psychiatric samples. Mean severity was mild and incapacitation and distress were minimal. Polydrug abuse was dominant in both patients and controls, and alcohol abuse was more

ISSN:0095-2990    

DOI:10.3109/00952999009001572

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

The problem of early attrition from treatment is pervasive throughout community mental health and is particularly high for substance-abusing clients. In spite of the severity of this problem and the potential for successful interventions, there have not been many studies that attempt to reduce the dropout rate of drug abusers. The purpose of this research was to test the effectiveness of attrition prevention procedures at the time of the client's first phone contact with the clinic. Callers were either given an appointment or told to come to the clinic the same day. A second variable was the presence or absence of an experimenter-initiated dialogue designed to help subjects predict possible obstacles to attendance and to generate potential solutions to those barriers. Subjects in the same day conditions showed at a higher rate than those given appointments, but the addition of the dialogue had no effect on client behavior. The results are discussed in terms of how mental health professionals can find cost effective interventions that prevent drug abuse treatment dropout.

ISSN:0095-2990    

DOI:10.3109/00952999009001573

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Social bonding theory explains less serious drug use better than use of hard drugs. The difference in prediction may be due to the omission of intervening variables between the bond and serious drug use, such as experience with minor drugs. In this study the impact of the social bond on amphetamine use is examined among a national sample of high school senior women. Included in the model is the notion of drug progression, in which individuals first use minor drugs and progress to illicit drugs. To ascertain whether the bond is mediated through use of less serious drugs, cigarettes, alcohol, and marijuana are utilized in the analysis. Among the bonding variables, religious commitment has the only significant direct effect on amphetamines. Overall, elements of the bond explain less variance in amphetamines than in cigarettes, alcohol, and marijuana. Combining drug progression with social bonding theory substantially increases the explained variance of amphetamines.

ISSN:0095-2990    

DOI:10.3109/00952999009001574

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

This paper presents data on mortality by drug dependence among Puerto Rican residents aged 15-44 of New York City. While men show death rates for drug dependence several times those of women, when deaths by drug dependence are calculated as a proportion of all deaths, the ratios are nearly the same for both sexes. Factors relevant to analyzing mortality statistics on drug dependence in this population are an undercount of Puerto Rican males and competing causes of death, particularly homicide among men. Factors influencing deaths by drugs are gender roles as they influence patterns of drug use and types of chronic use: regular and intermittent.

ISSN:0095-2990    

DOI:10.3109/00952999009001575

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

A random telephone survey was conducted in a suburban community in the Washington, D.C. metropolitan area to assess the perceptions of parents about teenage drinking and driving. A total of 807 completed interviews were conducted. The results indicated that while most parents viewed teen drinking (69%) and drinking and driving (65%) to be a prevalent, relatively few seem to be engaging in behaviors likely to influence this. Thirty-two percent said they never discuss drinking and driving with their children, and over 65% said they never talk to other parents about how to talk to their children about drinking and driving, nor have any interest in doing so. Although slightly more than half said they had family policies concerning drinking, less than 20% said there were penalties for violating these policies. Over 70% expressed their willingness to watch a special show on TV about how parents can talk to their children about alcohol. Parents of teenagers appear to be far more likely to think that their teen's friends drink and drive (36%) than they are to think that their teen drinks and drives (10%). The results of this survey indicate a significant lack of parental awareness of teen drinking and a denial of their own teen's involvement in it.

ISSN:0095-2990    

DOI:10.3109/00952999009001576

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

This study examined the impact of 1) a DUI offender's blood alcohol level at the time of arrest and 2) the number of prior drunken driving convictions on judges' sentencing patterns. These variables were manipulated using vignettes that were presented to all judges who sentence drunken drivers in Colorado. Judges were asked to determine appropriate amounts of jail time, fines, public service hours, and alcohol education course work. Results indicated that they gave more severe sentences to offenders with prior records and to those with higher blood alcohol levels. The effects were generally stronger for the first variable, prior record. These findings suggest that judges may perceive of and sentence repeat offenders differently than first-time offenders, regardless of the level of intoxication at arrest.

ISSN:0095-2990    

DOI:10.3109/00952999009001577

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

This study presents an investigation of the effects of peer attitude, gender, and blood alcohol level on driving performance using a driving simulator. The subjects were 18 male and 18 female social drinkers from the general population, aged 18-25, and holding a current drivers' licence. Subjects were randomly assigned to pro or against drinking driving conditions and tested at different blood alcohol levels. The results revealed that subjects in the for drinking driving condition perceived themselves to be more capable than they actually were and drove increasingly faster and made more mistakes than subjects in the against drinking driving condition when under the influence of alcohol. Significant sex differences were observed only for performance on the driving simulator. Males, in the main, engaged in more dangerous driving and risk taking in simulated driving conditions than females.

ISSN:0095-2990    

DOI:10.3109/00952999009001578

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

We studied 345 alcoholic inpatients utilizing a 43-item questionnaire designed to assess these patients' attitudes toward and experiences with disulfiram. A surprisingly high number of patients who had received disulfiram drank ethanol while taking or within 1 week of stopping disulfiram and experienced a disulfiram ethanol reaction. This finding and others derived from the questionnaire are reported, and the potential implications of the findings are discussed.

ISSN:0095-2990    

DOI:10.3109/00952999009001579

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor