Drugs like fentanyl, K2, and Spice—and those with arcane acronyms like 25i-NBOMe— were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs’ effects impossible to predict. Westhoff has infiltrated this shadowy world. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Westhoff visits the shady factories in China from which these drugs emanate, providing startling and original reporting on how China’s vast chemical industry operates, and how the Chinese government subsidizes it. Poignantly, he chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the U.S. and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many.
This is the first compendium of the entire range of options available for treating substance abuse, with a focus on effectiveness. The book synthesizes treatment approaches from medicine, psychology, sociology, and social work, and investigates regimens that range from brief interventions to the most intensive and expensive types of inpatient treatment programs. It examines controversies over best practices in substance treatment and closely analyzes current research findings and their applicability for improving substance abuse treatment in the future. Written for both academics and clinicians, the book translates complex research findings into an easily understandable format.
Substance Abuse Treatment examines the circumstances under which a treatment is considered effective and how effectiveness is measured. It discusses treatment goals and looks at the importance of client motivation in positive treatment outcomes. A great variety of inpatient and outpatient treatment options are examined, as are self-help programs such as Alcoholics Anonymous. This segues to a discussion of the changing role of self-help programs in treatment. The text also analyzes changes in the substance abuse treatment industry that make treatment more costly and less available to those without financial resources. It gives special attention to the treatment of diverse populations, those with co-occurring disorders, and criminal justice populations. National, state, and local prevention efforts are covered as well as substance abuse prevention and future issues in treatment. The book is intended for undergraduate and graduate substance abuse courses in all relevant areas of study. In addition, it will be an important reference for substance abuse clinicians and other health professionals who treat patients with substance abuse issues.
Key Features:Comprises a comprehensive, up-to-date, and practical guide to the field of substance abuse treatment and its efficacy Synthesizes treatment approaches from medicine, psychology, sociology, and social work Investigates all regimens ranging from brief interventions to intensive inpatient treatment programs, from outpatient to 12-step programs Explores the changing role of self-help programs in treatment Includes chapters on substance abuse treatment with special populations including children/adolescents, women, older adults, and criminal offenders
Drawing on a substantial research study comprising interviews with problem drug users and their extended family, Marina Barnard examines the effects of drug use not only on drug users themselves, but also the feelings of anger, sadness, anxiety, shame and loss that are commonly experienced by their extended family. She records the effects of drug use on family dynamics and relationships, including possible social and emotional costs. Its impact on the physical and mental health of family members is also discussed. The author highlights the often overlooked role of grandparents in protecting the children of drug users and considers the perspectives of practitioners such as teachers, social workers and health professionals. The conclusions drawn point to the fact that current service provision, in treating the problem drug user in isolation, fails to address the needs of drug-affected families, and misses the opportunity to develop family-oriented support and treatment.
This accessible and insightful book is invaluable reading for drug workers, social workers, health professionals and all practitioners working with families affected by drug use.
When three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. When Lia Lee Entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication.
Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. The Hmong see illness aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg--the spirit catches you and you fall down--and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.