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Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102963557 Category : Social Science Languages : en Pages : 36
Book Description
There are an estimated third of a million problem drug users in England. This report examines progress against three objectives of the Government's new 10-year Drug Strategy: targeting and management of problem drug using offenders; improving the quality and effectiveness of treatment; helping problem drug users re-establish their lives. The Government is spending £1.2 billion in 2009-10 with the objective of bringing down the estimated costs to society of problem drug use of £15 billion a year (90 per cent of which is attributable to drug-related offences such as burglary and theft). But there is no framework in place for evaluating the achievements of the previous 1998-2008 Strategy, which limits Departments' understanding of the overall value for money achieved. A framework for evaluation could draw on the existing individual evaluations of measures in the Strategy and would help assess whether funding is being optimally directed at different strategic objectives. There has been progress: over the period 2004-05 to 2008-09, the number of adults in effective treatment increased from 134,000 to 195,000 and the number of problem drug users completing their treatment free from dependency rose from 6,000 to 15,000. But actions to help drug users re-establish their lives have had limited results. Around 80 per cent of problem drug users claim benefits at a cost over £40 million a year. And a £13 million a year initiative to get drug users into work has not been successful.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102963557 Category : Social Science Languages : en Pages : 36
Book Description
There are an estimated third of a million problem drug users in England. This report examines progress against three objectives of the Government's new 10-year Drug Strategy: targeting and management of problem drug using offenders; improving the quality and effectiveness of treatment; helping problem drug users re-establish their lives. The Government is spending £1.2 billion in 2009-10 with the objective of bringing down the estimated costs to society of problem drug use of £15 billion a year (90 per cent of which is attributable to drug-related offences such as burglary and theft). But there is no framework in place for evaluating the achievements of the previous 1998-2008 Strategy, which limits Departments' understanding of the overall value for money achieved. A framework for evaluation could draw on the existing individual evaluations of measures in the Strategy and would help assess whether funding is being optimally directed at different strategic objectives. There has been progress: over the period 2004-05 to 2008-09, the number of adults in effective treatment increased from 134,000 to 195,000 and the number of problem drug users completing their treatment free from dependency rose from 6,000 to 15,000. But actions to help drug users re-establish their lives have had limited results. Around 80 per cent of problem drug users claim benefits at a cost over £40 million a year. And a £13 million a year initiative to get drug users into work has not been successful.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309439124 Category : Social Science Languages : en Pages : 171
Book Description
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher: The Stationery Office ISBN: 9780215553614 Category : Social Science Languages : en Pages : 36
Book Description
There are 330,000 problem drug users in England. They are estimated, based on research covering the 2003-04 period, to cost society over £15 billion a year, £13.9 billion of which is due to drug-related crime. Fully one quarter of all problem drug users are hard-core offenders for whom drug treatment is ineffective and, indeed, whose offending has sharply increased after entering treatment. It is of particular concern that measures to cut problem drug use by young people are having limited effect. Preventing the young from descending into problem drug use is an essential part of bringing down the number of problem drug users in future. In 2008, the Government introduced a 10 year cross-departmental drug strategy to tackle problem drug use, which it defined as use of opiates (mainly heroin) and/or crack cocaine. The Home Office has overall responsibility for the strategy, with a number of other government departments and agencies, at national, regional and local levels, sharing responsibility for its delivery. Central and local government collectively spend £1.2 billion a year to deliver the measures set out in the strategy. Given the public money spent on the strategy and the cost to society it is unacceptable that there has not been sufficient evaluation of the programme of measures in the strategy and that it is not known if the strategy is directly reducing the overall cost of drug-related crimes. Following a recommendation made by the National Audit Office, the Home Office has agreed to produce an overall framework to evaluate and report on the value for money achieved from the strategy, with initial results from late 2011.
Author: Office of the Surgeon General Publisher: Createspace Independent Publishing Platform ISBN: 9781974580620 Category : Languages : en Pages : 420
Book Description
All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
Author: Erin Khar Publisher: Harlequin ISBN: 1488056323 Category : Biography & Autobiography Languages : en Pages : 296
Book Description
“This is a story she needed to tell; and the rest of the country needs to listen.” — New York Times Book Review “This vital memoir will change how we look at the opioid crisis and how the media talks about it. A deeply moving and emotional read, STRUNG OUT challenges our preconceived ideas of what addiction looks like.” —Stephanie Land, New York Times bestselling author of Maid In this deeply personal and illuminating memoir about her fifteen-year struggle with heroin, Khar sheds profound light on the opioid crisis and gives a voice to the over two million people in America currently battling with this addiction. Growing up in LA, Erin Khar hid behind a picture-perfect childhood filled with excellent grades, a popular group of friends and horseback riding. After first experimenting with her grandmother’s expired painkillers, Khar started using heroin when she was thirteen. The drug allowed her to escape from pressures to be perfect and suppress all the heavy feelings she couldn’t understand. This fiercely honest memoir explores how heroin shaped every aspect of her life for the next fifteen years and details the various lies she told herself, and others, about her drug use. With enormous heart and wisdom, she shows how the shame and stigma surrounding addiction, which fuels denial and deceit, is so often what keeps addicts from getting help. There is no one path to recovery, and for Khar, it was in motherhood that she found the inner strength and self-forgiveness to quit heroin and fight for her life. Strung Out is a life-affirming story of resilience while also a gripping investigation into the psychology of addiction and why people turn to opioids in the first place.
Author: Committee for the Substance Abuse Coverage Study Publisher: National Academies Press ISBN: 9780309043960 Category : Medical Languages : en Pages : 332
Book Description
Treating Drug Problems, Volume 2 presents a wealth of incisive and accessible information on the issue of drug abuse and treatment in America. Several papers lay bare the relationship between drug treatment and other aspects of drug policy, including a powerful overview of twentieth century narcotics use in America and a unique account of how the federal government has built and managed the drug treatment system from the 1960s to the present. Two papers focus on the criminal justice system. The remaining papers focus on Employer policies and practices toward illegal drugs. Patterns and cycles of cocaine use in subcultures and the popular culture. Drug treatment from a marketing, supply-and-demand perspective, including an analysis of policy options. Treating Drug Problems, Volume 2 provides important information to policy makers and administrators, drug treatment specialists, and researchers.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309459575 Category : Medical Languages : en Pages : 483
Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: Felicitas Vogt Publisher: ISBN: 9781903458174 Category : Drug abuse Languages : en Pages : 0
Book Description
Drugs are pervasive - pushed at school, at parties, in the street. Young people have to make choices about drugs as a fact of everyday life. Ideals, protest, demanding school work, the need for emotional intimacy, the natural desire to experiment, wanting to appear cool - all these factors can make drug taking seem attractive.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309133661 Category : Medical Languages : en Pages : 528
Book Description
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Author: Great Britain: National Audit Office
Author: Great Britain: National Audit Office
Author: National Academies of Sciences, Engineering, and Medicine
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: Office of the Surgeon General
Author: Erin Khar
Author: Committee for the Substance Abuse Coverage Study
Author: National Academies of Sciences, Engineering, and Medicine
Author: Felicitas Vogt
Author: Institute of Medicine
Author: David S. Anderson