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SUBSTANCE ABUSE AND REHABILITATION: WHAT YOU NEED TO KNOW. Danielle EK Perkins, PhD, RN. Perspective.
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SUBSTANCE ABUSE AND REHABILITATION: WHAT YOU NEED TO KNOW Danielle EK Perkins, PhD, RN
“Addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences. It is considered a brain disease because drugs change the brain—they change it’s structure and how it works. These changes can be long lasting, and can lead to the harmful behaviors seen in people who abuse drugs.”
Inquiry into the science of addictive behavior began in 1930s • People of all ages and backgrounds suffer from substance abuse and addiction • Addiction research supports development of programs that aim to prevent drug abuse and support recovery Background
In the United States : Treatment Crime-related Cost Collateral Damage > $600 Billion Annually The Nation
Early Aggressive Behavior • Poor Social Skills • Lack of Parental Supervision • Drug Availability • Poverty Individual Risk Factors
To feel good • To feel better • To do better • Curiosity and “because others are doing it” Why do they do it?
Failure in school and poor social interaction • Domestic violence • Child and sexual abuse Family Matters
Failure to attain or loss of employment • Workplace and vehicular accidents • Homelessness • Violence and Crime Community Impacts
Consideration for culture, educational background, resources, and attitudes of significant others are integral to success. • Addiction is a life-long condition for the individual. • Moderate use or long term abstinence is the ultimate goal and must begin with detoxification. • Sustained and repeated treatment is often necessary. Individual Treatment
Treatment of individuals should include family or significant others and attempt to engage important social network members in the process. Family Care
Age-appropriate substance abuse education programs aimed at prevention. • Crisis centers and comprehensive treatment centers for physical/emotional/spiritual components of addiction. • Follow-up and support rehabilitation, including 12-step recovery. Community Interventions
Midtown Community Mental Health • Fairbanks Hospital • Indiana Prevention Resource Center • www.drugabuse.gov Resources
Holzemer, S. P. & Klainberg, M. (2014). Community health nursing: An alliance for health. 2nd ed. Burlington: Jones & Bartlett Learning. • Nies, M. A. & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations. 5th ed. St. Louis: Elsevier Saunders. • United States Department of Health and Human Services. National Institutes of Health. National Institute on Drug Abuse. (2010). Drugs, brains, and behavior: The science of addiction. (NIH Pub No. 10-5605). References