摘要:

The present study was based on follow-up data on 1409 persons interviewed 4 to 6 years after admission to drug treatment in the Drug Abuse Reporting Program (DARP). The admissions to DARP occurred in 1969-1971, and for most persons the follow-up data included 3 or more years after termination of DARP treatment. The study focused on variations in alcohol consumption associated with post-DARP drug use and treatment status. The results indicated that use of alcohol and non-opioid drugs (particularly marijuana) tended to be correlated, but that this was not true of opioid drugs. For a small segment of the sample, evidence suggested that substitution of use may have occurred between alcohol and opioid drugs. Also, persons with post-DARP drug treatment tended to use less alcohol than persons without treatment. Interpretations and implications of these findings are discussed.

ISSN:0095-2990    

DOI:10.3109/00952997809029257

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

The present study was based on follow-up data on 1,409 persons interviewed 4 to 6 years after admission to drug treatments in the Drug Abuse Reporting Program (DARP). The admissions to DARP occurred in 1969-1971, and for most persons the follow-up data included 3 or more years after termination of DARP treatment. The focus of this study was on illicit drug use of former DARP clients, taking into accountifandwhenthey reentered drug treatment after termination of DARP treatment. The results showed that a significant drop in opioid and nonopioid (but not marijuana) drug use generally occurred upon entry into other, post-DARP treatments, and that these beneficial effects of treatment tended to continue beyond the end of treatment. Overall, 42% of the sample had no further drug treatment during the first 3 years after DARP, and almost half (42%) of this group used no opioid or nonopioid drugs at all during this time. Comparisons between DARP treatment groups also indicated that therapeutic community clients had the lowest rate of return to post-DARP treatments.

ISSN:0095-2990    

DOI:10.3109/00952997809029258

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

Disagreement over the mechanism of death in so-called heroin overdose has been noted in the medical literature for more than a decade. We studied the relationship between the potency of street heroin and the frequency of heroin overdose deaths in San Antonio in order to test the“pharmacologic overdose”hypothesis. We found a small, nonsignificant correlation (r= +.13) between monthly mean heroin dose and monthly number of heroin overdose deaths over a 5-year period. This low correlation contradicts findings of previous studies in Washington, D.C. and Atlanta, conducted over shorter periods of time, in which high positive correlations were found. The low correlation does not support the pharmacologic overdose hypothesis. Since there were confounding variables, the data do not refute the hypothesis. These variables include the use of alcohol and other depressants, hidden suicide, and reduced opioid drug tolerance due to institutional treatment.

ISSN:0095-2990    

DOI:10.3109/00952997809029259

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

In a suburban methadone program, using official police records, a study was made of patients' arrest records before and after methadone treatment. Eighty patients were willing to allow the researchers to secure their arrest records. These 80 patients were similar to the total clinic population of 226 in terms of demographic variables, arrest record, and addiction history. For these 80 patients both the rate of arrest and the number of patients arrested declined in association with entering methadone maintenance treatment. The decline was statistically significant for drug-related offenses but not for nondrug-related offenses. Overall, the decline in both rate of arrest and number of patients arrested was significant, but this was due to the decrease in drug-related arrests.Drug-related arrests play a dominant role in the criminality of the suburban patients in this study. Because of this, the reduction in drug-related arrests is more significant for this group of patients than it would have been for an inner-city patient population.

ISSN:0095-2990    

DOI:10.3109/00952997809029260

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

Physicians can play a significant role in chemical dependency, including early identification and intervention, referral to treatment resources, patient and community education, and responsible prescribing practices. Some medical schools have begun to provide instruction in the psychology, pharmacology, and physical pathology of chemical dependency; yet surveys indicate that few offer supervised clinical experience with chemically dependent patients.At the University of Minnesota Medical School, chemical dependency treatment centers are used to provide supervised clinical tutorials for all second year students as part of a coordinated chemical dependency curriculum. The authors describe the development, goals, organization, instructional approaches, and assessment of these tutorials. It is argued that chemical dependency treatment centers are a valuable resource in the education of medical students, as well as other professionals, if used with a view to their assets and limitations.

ISSN:0095-2990    

DOI:10.3109/00952997809029261

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

South American Indians have used coca leaf as a remedy for thousands of years. Coca might be useful as a treatment for gastrointestinal ailments and motion sickness, as a fast-acting antidepressant medication, as a substitute stimulant for coffee in certain cases, and as an adjunct in programs of weight reduction and physical fitness. In leaf form, coca does not produce toxicity or dependence. Its effects are distinct from those of cocaine, which is but one of a number of active compounds in the leaf. Coca can be administered as a chewing gum containing a whole extract of the leaf, including alkaloids, natural flavors, and several nutrients. Legal mechanisms exist for importing, distributing, and dispensing coca, and experimentation with it by interested physicians would be valuable.

ISSN:0095-2990    

DOI:10.3109/00952997809029262

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

The adolescent smoker (aged 14 to 17 years) shows little difference from the non-smoker in terms of scores on the Cattell 16 personality factor inventory. In particular, there is no evidence of tension, extroversion, or reversal of sexually-biased personality characteristics. The sexual promiscuity of the adolescent smoker is probably related more to liberal attitudes and a propensity for risk-taking behavior than to uncertainty regarding sexuality. In this age group the decision to start smoking regularly may depend more on the influence of parents and friends than on an inherent personality structure.

ISSN:0095-2990    

DOI:10.3109/00952997809029263

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

This paper examines the null hypothesis that there is no difference between male and female drug abuse clients in length of time spent in treatment and successful outcome of that treatment. The hypothesis is tested by means of multiple classification analysis on a random sample of 20,264 clients who were discharged from federally-funded drug abuse programs in 1975. Upon controlling for the effects of demographic client characteristics, treatment history, and drug usage, the authors conclude that the null hypothesis is sustained. Small differences are apparent, especially with respect to the length of time spent by clients in drug-free modality and day-care environment and in detoxification modality and hospital environment, and with respect to treatment success for clients in drug-free environment and hospital environment. However, these differences are not sufficient to warrant a rejection of the null hypothesis.

ISSN:0095-2990    

DOI:10.3109/00952997809029264

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

摘要:

Alcoholism, the most prevalent form of drug dependence, has become a problem for large numbers of women. The research literature on alcoholism in women is reviewed, with suggestions for treatment and future research. The greater stigma placed upon female intoxication has made it difficult to obtain reliable data and has contributed to the tendency to ignore the problem altogether. Furthermore, the greater stigma has resulted in guilt because the woman alcoholic is likely to share society's opinion of herself, and this stigma/guilt/shame factor is viewed by the authors as one of the main difficulties in recovery. Certain recurring characteristics among alcoholic women are listed, and the impact on children is briefly discussed. Treatment suggestions include offering women alternatives during rehabilitation.

ISSN:0095-2990    

DOI:10.3109/00952997809029265

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor

ISSN:0095-2990    

DOI:10.3109/00952997809029266

出版商:Taylor&Francis    

年代:1978

数据来源: Taylor