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The phenomenon of drug addiction
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Recommended: The phenomenon of drug addiction
Analysis Paper 1-What Have You Learned? Ed Potter Behavioral Addictions: An Overview There is a growing trend that outside of substance use, activities that individuals engage in which they exhibit additive tendencies are now being considered to be addictions rather than the result of poor impulse control. For example, rather than using substances to cope or to achieve pleasurable feelings, individuals are also inclined to indulge in nondrug related self-rewarding behaviors for the same purposes (Karim & Chaudhri, 2012). The correlation between the use of substances and addictive behaviors is the way in which the brain interprets these feelings and how the brain’s reward system is triggered. By engaging in nondrug related activities, …show more content…
Despite Mignon’s (2015) acknowledgment that the “abstinence model” (p. 22) of treatment has been the primary focus of treatment in the past, today that is no longer the case. In addition, Mignon (2015) noted that defining abstinence a complicated task, but also when individuals continue to fail at abstinence, recovery may be increasingly difficult to achieve. Likewise, when abstinence is not the goal of a client, they may be looked upon as not fully engaging, or buying into treatment, or the recovery process (Mignon, 2015). Moreover, the “war on drugs” (Mignon, 2015, p. 28) has accomplished neither harm reduction nor has it presented more opportunities for treatment, and at the same time has been primarily attributed to the rise of the prison population. Instead, the goal of harm reduction is to reduce the consequences of substance use while one still actively engages in the use of either drugs or alcohol (Mignon, 2015). However, because of these reasons, and similar to the abstinence model of treatment, harm reduction is not without its detractors. The primary concern surrounding harm reduction is that while the individual’s external relationships and environment may benefit from this method of treatment, the individual themselves may not necessarily have a desire to discontinue engaging in the use of …show more content…
Specifically, treatment planning for offenders is often challenging due to the inaccurate self-reporting by the individual of their substance abuse, along with other factors such as psychiatric and traumatic backgrounds (Substance Abuse Treatment for Adults in the Criminal Justice System, 2005). As such, it is crucial that a comprehensive assessment and screening is conducted and the individual’s history thoroughly vetted. Furthermore, Mignon (2015) discussed other difficulties in measuring treatment effectiveness such as: complications regarding how to accurately measure treatment effectiveness, how to appropriately define treatment and use of substances, and the lack of research regarding different treatment modules. Ultimately, treatment is considered effective when there is a decrease in an individual’s substance use; however, there is no clear measurement regarding which type of treatment is the most effective (Mignon,
The complex issues of dealing with offenders in the criminal justice system has been a point of ongoing controversy, particularly in the arena of sentencing. In one camp there are those who believe offenders should be punished to the full extent of the law, while others advocate a more rehabilitative approach. The balancing act of max punishment for crimes committed, and rehabilitating the offender for reintegration into society has produced varying philosophies. With the emanation of drug-induced crimes over the past few decades, the concept of drug treatment courts has emerged. The premise of these courts is to offer a “treatment based alternative to prison,” which consist of intensive treatment services, random drug testing, incentives
The BCDTC experienced a great achievement as the program is reduced criminal offending in a population of drug-addicted chronic offenders. What is more? The program appears to have been successful at establishing a credible threat of future punishment for the drug court clients, and sanctions for noncompliance. Gottfredson and Exum Claim that “BCDTC received harsher sentences as a result of their initial arrest than did the control study participants, both in terms of incarceration and probation sentences” (2002). Both circuit and district court especially the circuit court are found to be successful at imposing a threat of future incarceration. On the other side of the coin, the Program fails to differentiate between in-program recidivism and post-program recidivism. Post program client’s behavior might be different from client behavior during intensive supervision and this might cause an overlap in behavior. Reducing criminal activity is clearly a
Harm reduction itself is a heavily contested topic, predominantly with regards to its definition, but subsequently with its effectiveness, which is highly dependant on which definition is applied. It is important when discussing definition debates to consider that, as stated by Erickson (1995) "our interpretations of the term tend to change over time and this is a healthy process that is essential in the full articulation of an 'emerging public health perspective'" (Erickson, 1995: 283). There is literature to suggest that the term 'harm reduction' was firstly used only in application to programmes and policies that tried to reduce harm for individuals that continued to use substances, and as such did not include abstinence focused approaches (Single and Rohl, 1997). This deliberate exclusion from definition is beneficial in the sense that it clarifies harm reductions stance in
Predictors of Treatment Outcome in a Drug Court Program. American Journal Of Drug & Alcohol Abuse, 31(4), 641-656.
There are thousands of people in the United States that are addicted to cocaine and are left untreated. Many of them are at risk of severe health problems. I am conducting this research paper to compare and contrast the differences between the effectiveness of drug courts and cognitive behavioral therapy for cocaine addicts. We know that all people respond differently to therapy than others do, but it is good to be able to find the effectiveness and success rate of cognitive-behavioral therapy, and drug courts overall. But before we jump into the effectiveness of CBT, we need to know what the goal of CBT is and what the process is for CBT. Not only do we need to know the effectiveness and success rates of these two, but we also need to know the differences. We need to know the different paths that they take and how those different paths translate into success. Last but not least, we need to know what the best overall option is for clients. Every client is going to be different, but looking at drug courts and cognitive-behavioral therapy as a whole, figuring out the most successful treatment is the most important question to answer. Drug courts or cognitive-behavioral therapy is going to benefit the individual regardless; any sort of help is better than no help at all. We know that people react differently from these two treatments, but finding the overall best treatment is what we are looking to figure out.
A Harm Reduction approach to therapy begins with the intent to lessen any high-risk behavior that can be linked back to substance abuse. A treatment plan that focuses on the clients positive behaviors is developed. Hazardous behaviors are addressed through means of educating, and motivating the client. Once a client is properly educated in the positive ways to prevent or lessen harm through substance abuse, they are often motivated to begin to use their treatment as something that focuses on working towards complete recovery from their addiction. Moderation Management and Controlled Use is an approach that is intended to reduce consumption and therefore reduce harm to an individual. The individual is encouraged and taught productive ways to reduce drug intake and gain more control over situations that involve use such as limiting use, attending support groups, forming positive support system within their group of friend or wi...
In the New York Times article, “Safety and Justice Complement Each Other,” by Glenn E. Martin, the author informs, “The Vera Institute for Justice found a 36 percent recidivism rate for individuals who had completed alternative drug programs in New York City, compared with 54 sentenced to prison, jail, probation or time served.” Alternative programs are more likely to inhibit future criminal acts, while incarceration seems to lack long-lasting effects on individuals. In continuance, the author adds that 3 percent of treatment participants were rearrested for violent crimes, while 6 percent of untreated criminals were rearrested for violent crimes. Diversion programs are able to treat one’s motivation for their criminal acts, rather than assuming that illegal habits will go away with time. Instead of sending nonviolent offenders to jail, legislators should consider introducing practical
The traditional, abstinence-focused addiction treatment believes that recovery is only possible if the addictive substance is completely removed from the life of the individual it affects. This model is rooted in the concept of addiction as a progressive, chronic and fatal disease that emphasizes inevitable
. Harm reduction is referred to as a “pragmatic” approach because it starts with accepting that individuals have and always will, use drugs and engage in high-risk behaviors in ways that pose a threat to both themselves and their community. While the focus is placed on reducing consequences, not decreasing or eliminating unsafe behaviors, harm reduction does not preclude abstinence from being a goal as long as it is one which the affected individual identifies, thus rendering it compatible with a number of preexisting treatment modalities. Due to its multidisciplinary involvement, various definitions of harm reduction exist and “reflect a diverse movement that values contributions of both individuals and communities, of scientific discovery and human rights advocacy, and of grassroots and public health movements” (Marlatt, Larimar, and Witkiewitz, 2012, p. 27).
Inciardi, Dr. James A., A Corrections-Based Continuum of Effective Drug Abuse Treatment. National Criminal Justice Reference Service. Avialable: http://www.ncjrs.org/txtfiles/contdrug.txt
Right now in the United States there are over 2 million people incarcerated in the country’s prisons and jails. Out of this population about one-quarter of these inmates have been convicted of a drug offense. With drug offense arrests increasing nationwide and the prison population increasing there is an alternative to incarceration has been used over the past two decades in many cities across the country. This alternative is in the form of local drug courts that are now found in most major cities in the United States. A drug court is a specialized court in which the judge, prosecutor, public defender or private attorney, probation officers, and treatment counselors work together to help chemically dependent offenders obtain needed treatment and rehabilitation in an attempt to break the cycle of addiction and further criminal offenses. Some argue that treatment rather than incarceration is a waste of time and valuable resources that could be used elsewhere. Research however has shown that court ordered treatment is the best option for drug offenders. Treatments through drug court has proven to be less expensive than incarceration and has also been shown to reduce crime and provide a lower relapse and re-arrest rate for offenders that are placed in drug courts as opposed to those that are not.
Silverman, K., Roll, J., & Higgins, S. (2008). Introduction to the Special Issue on the Behavior Analysis and Treatment of Drug Addiction. Journal of Applied behavior Analysis, 41(4), 471-480. Retrieved June 12, 2011, from the proquest.com.navigator-ship.passhe.edu database.
Abstinence does not have to be the only approach to substance abuse treatment. Harm reduction meets the user where they are in terms of there recovery. Harm reduction focuses on the reduction of negative consequences of substance use and allows the substance user to except moderate and safer use, thereby, reducing the harmful effects of the disorder (Bayles,). This acceptance and agreement to meet the user where they are helps to prevent frustration and feelings of
Relapse prevention has been able to become included into the treatment models of how to effectively teach drug offenders skills that can assist them in the development of positive self talk, self reinforcement, cognitive restructuring, and various forms of strategies that would allow those addicted to drugs to remain sober (Laws, 2003). In the future combining relapse prevention with medications such as vivitrol or Naltrexone to treat substance abuse leads to improved outcomes as compared with either relapse prevention or medication assisted treatment alone provides (Larimer et al., 1999). Relapse prevention has been proven to reduce an offender’s propensity to relapse by teaching offenders pro-social skills that will allow them to avoid and escape high risk situations. Most importantly, according to the evidence from the study, we are now able to suggest that the reduction in the drug offender’s odds of recidivism is enhanced when paired with post treatment after care type programs after the offender has completed initial treatment and been released from community supervision (Belenko et al., 2004). Therefore, is becoming obvious that relapse prevention can be considered and effective method of treatment for both the drug dealer and drug user
Addiction has been a part of my life for as long as I can remember, from my earliest memories of my father, until now as I am a licensed professional in the field of addiction as well as a person in long term recovery myself.