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Relapse prevention plan essay
Essay on relapse prevention
Effectiveness of relapse prevention programs
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Harm reduction strategies such as needle exchange programs (NEPs) are purposeful and play an important role in the current opioid epidemic. NEPs provides injection drug users (IDUs) with sterile needles and injection equipment in exchange for their used needles. Also they successfully discard used equipment, decreasing the risk of needlestick injuries in public places. NEPs addresses their health concern for IDUs. Injection drug users put their health at risk when they partake in sharing needles and injection equipment. When a user shares contaminated needles or indirectly share their injection equipment, they expose themselves to a high risk of contracting HIV, hepatitis, and other serious blood-borne viral infections. The Vancouver IDU Study indicates …show more content…
NEPs offer their services despite stigmatization and stereotyping of IDUs and redirect the focus on the health concern of these individuals. NEPs use a realistic and integrated approach when offering their services, they understand relapses are common as well as some IUDs are reluctant to stop injecting, incapable of quitting or do not have access to treatment centers. NEPs are cost-effective, providing sterile needles and injection equipment is an inexpensive way to reduce the risk for blood-borne infectious disease transmission and lifetime medical care costs. In the US, treating HIV infections was estimated to range from $244 million to $538 million between 1987 and 1995. In 2001, a study was conducted amongst 81 cities. The study compared HIV infection rates among injection drug users in cities that have needle exchange programs and cities that do not. The study found that the 52 cities without NEPs, HIV infection rates increased an average of 5.9 percent per year. In the 29 cities with NEPs, HIV infection rates decreased on average by 5.8 percent per year. The study concluded that needle exchange programs generate lower levels of HIV infection among injection drug
By providing clean needles to drug addicts, are we causing another issue such as increased drug
The documentary states that over 27,000 deaths a year are due to overdose from heroin and other opioids. According to the Center for Disease Control and Prevention in 2015 prescription pain relievers account for 20,101 overdose deaths, and 12,990 overdose deaths are related to heroin (Rudd et al., 2010-2015). The documentary’s investigation gives the history of how the heroin epidemic started, with a great focus on the hospice movement. We are presented with the idea that once someone is addicted to painkillers, the difficulty in obtaining the drug over a long period of time becomes too expensive and too difficult. This often leads people to use heroin. This idea is true as a 2014 survey found that 94% of respondents who were being treated for opioid addiction said they chose to use heroin because prescription opioids were “more expensive and harder to obtain (Cicero et al., 2014).” Four in five heroin users actually started out using prescription painkillers (Johns, 2013). This correlation between heroin and prescription painkiller use supports the idea presented in the documentary that “prescription opiates are heroin prep school.”
Accidental drug overdose is one of the many extremely detrimental risks associated with injection drug use. According to a study by Marshall (2003) that analyzed death rates of injection drug users before and after the opening of a safe injection facility in Vancouver demonstrated the facility`s effectiveness through a comparison of the rates of fatal overdose before and after in the area of the clinic to rates before and after in another part of the city that the facility was not accessible. This study revealed that the fatal overdose rate in the area of the facility decreased by 35% after the...
middle of paper ... ... After considering both parts of the issues I am all for methadone treatment and am about 50% on board for the needle exchange. For example, the needle exchange benefits people who get pierced because the piercers must also use sterile needles even if this is not for drug use. But, at the same time, needle exchange doesn’t necessarily reduce the spread of HIV.
Many people believe that the only way to receive HIV and AIDS is through sexual intercourse. Although it can be spread through sexual intercourse without proper protection, there is a bigger issue at hand. Not only can HIV and AIDS be transferred through sex, it can be transferred through the sharing of needles. A large number of people forget that drugs are becoming a popular trend in today’s society. The spread of HIV and AIDS has increased because of the sharing of needles between drug users.Not only is it an STD (Sexually Transmitted Disease) it is a bloodborne pathogen. This is why needle exchange programs are a must have in communities like Licking County, today. Needle exchange programs are extremely helpful because it decreases the spread of HIV and AIDS.
One of the major problems of our society nowadays is the rapid growth of drug addicts. This is because people misused and abused drugs, which can lead to addiction and dependent on drugs. In addition, the most abused drugs are psychotropic drugs such as cocaine and heroin, which can change the way people thinks, acts and feels. Today, there are many programs that are established to help drug users and prevent the spread of diseases. Needle exchange program (NEPs) is one of the programs, which has goal to reduce harm to drug users and innocent people. Moreover, implementing of needle exchange programs has become an argument because it cannot help drug users but instead it encourages them to use more drugs. In fact, needle exchange programs are ineffective at reducing the spread of human immunodeficiency virus (HIV) and other infectious diseases; therefore, needle exchange programs should be abolished.
Although needle exchange programs have been successful, they have had some criticism. One of the main goals in the needle exchange program is to prevent or to reduce the rate of transmission of any infectious diseases, such as the human immunodeficiency virus (HIV) or hepatitis C by distributing sterile syringes. The intended group that this program is trying to focus on is injecting drug users, since they have a high rate of either repeatedly using a contaminated syringe or sharing the same syringe with others. These programs do not only focus on distributing syringes to those who choose to accept them, some of the programs provide different services such as, counseling groups, education classes about the risk of using contaminated syringes, free medical visits, and HIV testing. On the other hand, some people may be against these types of programs because they are allowing injection drug users to continue to use drugs. Another reason why people may not be as accepting of the needle exchange programs is due to the fact that these programs are government funded.
In previous years, the government has not made great efforts toward stopping opioid addiction (Global). With the vast amount of deaths, over 183,000 since 1999, and dependencies, it would be foolish for the government to not address this (Jones).
“Safe injection sites” are not a valid response to the Opioid Crisis it will defeat the purpose of treatment for people looking to end their addiction. If someone is an opioid drug addict, treatment to end the addiction would not be more appealing than going to an injection site to get high without prosecution. If addiction to opioid drugs is such a hard thing to stop, then it should not be promoted in any way.
Every day thousands of addicts are taking a major health risk by sharing dirty needles. These dirty needles are potentially harboring blood borne pathogens along with thousands of microorganisms and bacteria. This can be detrimental to the person who is putting this needle directly into their veins. Drugs might always be a problem, but there is one way to assist and help better the lives of the drug addicts. This aid is clean needle exchanges. By giving the addicts clean needles to use, this would help to prevent the spread of disease.Both of the images shown above are geared toward clean needle exchanges. In this case, the Addiction Treatment Alternatives picture is a better representation of clean needle exchanges.
LaToya has been charged with solicitation in the past. Another activity is the use of intravenous needles. HIV can be passed on when injecting equipment that has been used by an infected person is then used by someone else. In longitudinal studies by Vyavaharkar et al. (2011)
Clinical social workers in the community strive to enhance and maintain psychosocial functioning of individuals, families, and small groups. They also focus on prevention of psychosocial dysfunction or impairment, including emotional and mental disorders. The perspective of person-in-situation (psychosocial context) is fundamental to clinical social work practice (Austin, Barr, & Coombs, 2006).
In the past two decades, a large body of studies has investigated unsafe injection behaviors and their risk factors in IDUs population. Unsafe injection practice, especially needle/syringe sharing is associated with low education7,11, economic pressure12, length of drug use history7,13, sex work history (female only)13, and having casual sexual partners7,11. All this previous research has contributed to our understanding of unsafe injection behaviors quantitatively. However, most of the prior quantitative studies presented findings in a structured manner (i.e., several variables on injection), which prevents the exploration of unique unsafe injection practices especially some unrecognized practices ignored by previous studies. In addition,
Living during a period of great technological advancements, our society has been able to learn so much about other countries and their cultures with a simple tap of a finger. Cultures little quirks can be can be classified as common knowledge these days. Some of them even appear in movies and in turn watched nationally, and globally. Also, since so many people are moving to the Americas, we think all people of that culture live the same way when we see them on the street, or in the store. Cultural knowledge has been prodded so much that we think we know how people live all around the world. It has gone to the extent that when we meet someone from other countries it is no longer a shock to us. Except for an accent, we think they are the same
The Journal of Neuroscience Dobler-Mikola, A. Gschwed, P. Gutzwiller, F. Steffen, T. Rehm, J. Uch engagen, A. Feasibility, Safety, and Efficacy of Injectable Heroin Prescription for Refractory Opioid Addicts: a follow-up study. The Lancet, volume 358, pg. 1417-1420. Everitt, B. Robbins, T. (1999) Drug addiction: bad habits add up. Macmillian Magazines, volume 389, pg.