Download Drug Treatment: What Works? by Philip Bean, Teresa Nemitz PDF

By Philip Bean, Teresa Nemitz

Britain, like nearly far and wide else, has a burgeoning drug challenge. discovering methods of facing this challenge is a big platform of presidency coverage and very much has been made from the impression of therapy on drug clients. Drug therapy: What Works? is a leading edge survey of the newest advancements in those remedies, and it units out to invite a few of the the most important questions within the remedy of drug abusers; including:* Which remedies paintings with what forms of abusers?* What are the foremost signs of most probably success?* Does coercion paintings or needs to therapy be freely entered into? * Is drug checking out an important backup for profitable treatment?Featuring contributions from a few the prime figures during this box, Drug remedy: What Works? might be crucial examining for college kids, teachers and execs learning drug therapy within the parts criminology, social coverage and medication.

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What should work 25 Oral methadone maintenance prescribing The major difference between the 1999 guidelines and those published in 1984 and 1991 is the emphasis given to long-term prescribing and maintenance with oral methadone in primary care settings when the doctor has had appropriate training. Oral methadone maintenance is described as ‘increasingly recognized to be an effective management strategy’ (para. 4(a)), although it is not advised for young people aged under 18. International evidence from controlled trials is quoted as showing that, when delivered in a structured programme, it has been found to be ‘vastly superior to control conditions’ (para.

Bennett, T. (1998) Drugs and Crime. The Results of Research, Drug Testing and Interviewing Arrestees, Home Office Research Study 193, London: Home Office. 18 Philip Bean and Teresa Nemitz Department of Health (1996) Task Force to Review Services for Drug Misusers. Report of an Independent Review of Drug Treatment Services in England, London: Department of Health. Department of Health (1999) Drug Misuse and Dependence. Guidelines on Clinical Management, London: HMSO. Department of Health (2001) Statistical Press Release.

G. bedwetting, sleep walking, tantrums) and periods of separation from parents Childhood illnesses Home life and atmosphere 38 Ken Checinski and Hamid Ghodse School Schools attended Educational attainments Relationships with staff and peers Truancy Further education Vocational training Employment Age of starting work Jobs held: Dates Duration Wage Job satisfaction Reason for change Marital and psychosexual history Date of marriage; spouse’s name, age and occupation Children: names and ages General marital adjustment; any periods of permanent or temporary separation The same information should be collected for any further marriages or cohabitations Partner’s drug taking and knowledge of, and attitude to, patient’s drug taking Sexual inclinations and practices: masturbation; sexual fantasies; homosexuality; heterosexual experiences; contraception; sterilisation Menstrual history Age when periods started Length of cycle Dysmenorrhoea Pre-menstrual tension Periods of amenorrhoea Date of last menstrual period Climacteric symptoms Types of treatment for types of patients 39 Previous illnesses Physical: Major illnesses and accidents Dates of admission to hospital Accidental overdoses Psychiatric: All psychiatric admissions and treatments Attendance at psychiatric clinics Suicide attempts; deliberate self-poisoning Home circumstances Address; whom is patient living with Present income; its source Financial or domestic problems Legal history Number of arrests, court appearances, convictions Periods in detention centre, approved school, Borstal, prison Periods of probation Nature of offences Outstanding court cases Disqualification from driving Previous personality – before drug use Interests, hobbies Social relations – family, friends Mood; mood swings Character; obsessionality, ambitions, future plans Religious beliefs and observances Evidence of personality disorders 40 Ken Checinski and Hamid Ghodse Outline of a social work history scheme Current drug use must be considered in the context of current social functioning.

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