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Essay of harm reduction
Harm reduction example discussion
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Goal: Cm met with client for weekly follow up I: CM greeted client and followed up on last week’s session. CM reintegrated goal of the Harm Reduction program was to provided a referral for housing. Intern discussed plan of action to help manage the Client’s access to VA benefits and referral for VASH. Intern validated the progress the client is making and his interest in doing well.
In 1989, the first Drug Court was created in Miami-Dade County after the courts were fed up with the same offenders and the growing drug cases. A group of individuals employed with the justice system decided to look for a better method of trying drug offenses by forming a drug court division. The group of individual’s solution for the repeated offenses and offenders was to combine drug therapy treatment with the legal authority of the courts. As a team, the drug court concept was effective in c correcting the lifestyle and behaviors of drug offenders. With its success, Miami-Dade Drug court sparked an effective trend and sparked the formation of 492 Drug Courts in the United States and continues to influence justice systems.
The efficacy of appropriate treatment for addiction disorder and substance abuse may be determine by drug and alcohol counselors, primary healthcare providers, social workers, and others. Therefore, it is necessary for competent and those properly trained to utilize the necessary tools needed for proper assessments, diagnosis, treatment planning and future referrals. Careful selection on these instruments may be influenced by cultural, race, and gender (Van Wormer & Davis, 2018). Furthermore, counselors or other clinicians would also need to consider the reliability and validity these instruments prior to selection.
Medication Assisted Treatment, or "MAT" for short, is the use of FDA approved medication for the treatment of opiate/opioid addiction and substance abuse with counseling and behavioral therapies to treat addiction (Cormier, 2014). This treatment can be used concurrently with a 12-step addiction program. Common medications used with this treatment are Methadone, Buprenorphine, Naltrexone, Acamprosate and Disulfiram. Despite research demonstrating MAT’s effectiveness as an evidence-based practice, such treatment remains underutilized (Reardon, 2014). For example, less than one-half of the 2.5 million Americans aged 12 or older who abused or were dependent on opioids in 2013 received MAT with positive effects (Volkow, Frieden, Hyde, & Cha, 2014).
Therefore, the goals of harm reduction include prevention and prevention of the overall level of drug use. It also seeks to reduce the negative consequences of drug abuse rather than eliminating the use of the illicit substances. Further, harm reduction aims to save lives and diminish the likelihood of drug abuse problems for an individual, their family, as well as their community. The process of harm reduction also helps in reducing high-risk situations brought about by drug abuse, such as criminal behavior, and HIV exposure due to sharing of needles and paraphernalia, as well as risk of overdose.
Harm reduction is an intervention paradigm that diverges from the traditional abstinence-only therapeutic goal that over 75% of treatment programs in the United States adhere to (Marlatt, Larimar, and Witkiewitz, 2010). As a result, it is able to serve a large population characteristically excluded from addiction treatment. Demarginalization, therapeutic engagement, and an improved quality of life for consumers are objectives that should be substantive enough to motivate both service providers and policy makers to reconsider changing total abstinence and treatment adherence based definitions of success in substance abuse services, high-risk behavioral interventions, and mental health treatment. The Institute of Medicine, the World Health Organization, American Academy of Pediatrics, American Medical Association, and the American Public Health Association are among leading public health organizations that have endorsed harm reduction policies in recent years (CDC, 2011). As an alternative intervention paradigm, harm reduction provides treatment services to individuals who are unwilling or unable to adhere to traditional abstinence-based
This program will be based on the fundamental principles of harm reduction. Harm reduction is a pragmatic approach to reducing individual and social harms associated with drug use, especially the risk of HIV infection. This approach accepts that certain interventions focused on diminishing the harmfulness of a substance, even if they increase the extent of substance use, may be able to reduce the total adverse consequences on the individual, as well as society (Meulen & Ka Hon Chu, 2015). In regards to high risk behaviour for the transmission of HIV in prison (e.g., needle-sharing), harm reduction approaches acknowledge that there are no known effective solutions for completely eliminating drug-use or drug-related problems in the community
There are as many Relapse Prevention (RP) plans as there are types of addictions. In the treatment of substance use disorders, the most popular evidence-based RP plans are modeled after Marlatt’s cognitive-behavioral approach (Jackson, 2014) and Gorski’s CENAPS system which parallels the stages of recovery. In addition to discussing the some important common components of any RP plan, this paper shall also delineate the importance of the continuum of care in relapse prevention. Stabilization and Assessment: Foundational Components of the Continuum of Care In the beginning, the RP plan is rather straightforward.
Introduction: Attention getter: according to ohio.gov, over 4,000 people died of drug overdose in 2016. Relevance: drug abuse is a growing epidemic especially here in Ohio, which is ranked 2nd worst overdose rates in the united states. Credibility: multiple of my family members have been addicted to drugs and i have first hand experience of how drug abuse can affect someone's life, and how rehab affects people addicted to drugs vs how prison affects people addicted to drugs. Thesis & Preview: as a result of the growing drug epidemic in the United States, thousands die every year. There are many proposed solutions for this problem such as decriminalization, rehab, prison, and even the death penalty.
The continuous use of narcotics results in addiction, and financial struggles due to the costly upkeep. “Financial problems are one of the major side effects of drug and substance abuse” (Buaggett, 2015). Addicts cannot adequately take an active role in the economic activities, as the use of drugs inhibits the abilities of the users to earn a daily living. Due to the instability of finances, this would result in selling personal belongings to continue funding the substance of choice, and depending on the addicts living situation, this could lead to losing their house or being removed from their current housing. While being under the influence, an addicts voice of reason is jeopardized, resulting in criminal activities which raise the chances of being apprehended by the law enforcers, as well as, heavy fines are imposed.
The stages of change model regarding substance abuse by Prochaska, DiClemente & Norcross, (1982,1992) is an approach aimed at changing behaviours, resulting in complete abstinence from substances. However, an individual must accept they have an issue and be ready to change for this approach to have an effective impact, the low numbers of people completing treatment and the high numbers of people re-presenting to treatment services within 6 months, show that complete abstinence is not always a viable approach (National Drug Treatment Monitoring System (NDTMS),
Policies are put in place for people to follow not only in the government setting but also in much smaller settings. According to Zastrow and Kirst-Ashman (2016) defines policy as a clearly stated or implicit procedure, plan, rule, or stance concerning some issue that serves to guide decision making and behavior (p. 87). In the social work field policies are put into place so that there is guarantee that all clients are treated with the same respect and are offered the resources that are available to them in their community. In this paper I will discuss policies that are in place for children that are being abused and what is in place to help them. Not only are we concerned with if these policies are working but also how are they being paid
The preventive theory is founded on the idea of preventing repetition of crime by disabling the offender through measures such as imprisonment, forfeiture and suspension of licence. Preventive theory was supported by utilitarian law reformers. It has a more humanising effect on the society as this theory doesn’t propagate avenging the crimes but aims to make the society safer by keeping offenders in jails. In their view, it is the certainty of law and its severity which has a real effect on offenders. The development of the institution of prison is essentially an outcome of the preventive theory of crime.
2.1.1 Definition of Public Policy Many theorists define “Policy” and “Public Policy” in several ways, depending on their objectives and on the direction of study and analysis. For example, Dye (2004) described Public Policy as what a government has chosen to practice or not to practice. While, Anderson (1979) states that the public policy is a moving direction and is set up to solve problems. In addition, Laswell and Kaplan (Lasswell & Kaplan, 1970, p. 71) define public policy as “a project or programs of goals, values, and practices.” Easton (1960) defines "Policy" as the authoritative allocation of values for the benefit of the public as a whole.
This leads to the question of whether the justice system is doing an adequate job of dealing with drug addiction. Instead of incarcerating people for drug abuse, an alternative is treating victims by rehab and treatment. This paper will exam why treatment is the superior option for