Becoming an ex-user: insights into the process and implications for treatment and policy.

Abstract:

:Studies of the processes by which people give up dependent heroin use are useful in helping services evaluate their treatment practices and in informing drug policy debates. In this exploratory investigation, a diverse group of 18 Canberra-based ex-users was interviewed about stopping, the role of treatment and their views on a proposal to make heroin available in a controlled manner as a new treatment option. Factors involved in stopping dependent heroin use included 'hitting rock bottom' or a less intense crisis such as the death by overdose of someone close, falling in love, wanting to be a good parent, geographical relocation, wanting to avoid becoming caught up with the police or going to jail, maturing out or becoming sick of the lifestyle, finding a new purpose in life or developing a new lifestyle, dealing with past hurts and the support of family, friends, other ex-users and professionals. Many respondents had been in methadone treatments and in therapeutic communities and their advantages and disadvantages in stopping use are discussed. The respondents were evenly divided in their support for the controlled availability of heroin and the potential benefits and problems of such treatment are also discussed.

journal_name

Drug Alcohol Rev

journal_title

Drug and alcohol review

authors

Bammer G,Weekes S

doi

10.1080/09595239400185381

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

285-92

issue

3

eissn

0959-5236

issn

1465-3362

pii

V3N362X2225U2420

journal_volume

13

pub_type

杂志文章
  • Comprehensive analysis of alcohol policies in the Latin America and the Caribbean.

    abstract:INTRODUCTION:The aim of this paper is to describe the context of alcohol use and problems in Latin America and the Caribbean (LAC), the environmental context for alcohol-related policy, drinking trends, harm and policy and to systematically review policies implemented to reduce alcohol-related burden. METHODS:LAC-base...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1111/dar.13227

    authors: Medina-Mora ME,Monteiro M,Rafful C,Samano I

    更新日期:2021-01-24 00:00:00

  • The monitoring of drug trends in Australia.

    abstract::Recently, there has been increased recognition of the importance of drug information systems (DIS), highlighting the need for an internationally coordinated approach to data collection and advocating the regular assessment of a range of areas. Accurate information provides policy makers with the evidence to evaluate c...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1080/0959523021000059848

    authors: Shand F,Topp L,Darke S,Makkai T,Griffiths P

    更新日期:2003-03-01 00:00:00

  • Injecting drug users and the Human Immunodeficiency Virus: what do we know?

    abstract::This article examines the results of 10 years of research on the relationship between injecting drug use and the Human Immunodeficiency Virus (HIV). The two main transmission modes of HIV among injecting drug users (IDU)-parenteral drug use and sexual behaviour-are examined in detail, as well as the efficacy of attemp...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239200185631

    authors: Darke S

    更新日期:1992-01-01 00:00:00

  • Anxiolytic and hypnotic drug misuse in Thailand: findings from a national household survey.

    abstract:INTRODUCTION AND AIMS:The non-medical use of prescription drugs, such as anxiolytics and hypnotics, has become a growing public health problem in Thailand. The objective of this study was to examine the patterns of non-medical use of these drugs, using data from a nationally representative sample of Thais interviewed i...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2009.00092.x

    authors: Assanangkornchai S,Sam-Angsri N,Rerngpongpan S,Edwards JG

    更新日期:2010-01-01 00:00:00

  • Breaking new ground in the study and practice of alcohol brief interventions.

    abstract::This article amplifies the decision to subtitle the INEBRIA2009 Conference 'Breaking New Ground'. The effectiveness of screening and brief intervention (SBI) for hazardous and harmful drinking is now well-established for primary health care and is promising for other medical settings. In addition, significant advances...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2010.00204.x

    authors: Heather N

    更新日期:2010-11-01 00:00:00

  • 'The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings.

    abstract:INTRODUCTION AND AIMS:The aim of this study was to explore beliefs about tobacco dependence treatment from the perspective of staff and clients in addiction treatment settings. DESIGN AND METHODS:A qualitative study was conducted between August and November 2013 using grounded theory methodology. Participants were rec...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12322

    authors: Wilson AJ,Bonevski B,Dunlop A,Shakeshaft A,Tzelepis F,Walsberger S,Farrell M,Kelly PJ,Guillaumier A

    更新日期:2016-01-01 00:00:00

  • Linked electronic medication systems in community pharmacies for preventing pseudoephedrine diversion: a review of international practice and analysis of results in Australia.

    abstract:INTRODUCTION AND AIMS:Pseudoephedrine is a precursor often diverted into the illegal manufacture of amphetamine type substances (ATS). The aim of this study was to evaluate the effectiveness of a linked electronic medication recording system (LEMS) established in Australian pharmacies in 2005 for preventing the diversi...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1111/j.1465-3362.2009.00051.x

    authors: Berbatis CG,Sunderland VB,Dhaliwal SS

    更新日期:2009-11-01 00:00:00

  • Changes in the use of medical services and prescription drugs among heroin users over two years.

    abstract::The study aimed to determine patterns of use of medical services and prescriptions for pharmaceuticals among 438 heroin users interviewed for the Australian Treatment Outcome Study (ATOS) at baseline, 12 and 24 months. Drug use declined markedly, and there were significant improvements in health. There were declines i...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230601146660

    authors: Darke S,Havard A,Ross J,Williamson A,Mills KL,Teesson M

    更新日期:2007-03-01 00:00:00

  • Assessing the validity of the Australian Treatment Outcomes Profile for telephone administration in drug health treatment populations.

    abstract:INTRODUCTION AND AIMS:The Australian Treatment Outcomes Profile (ATOP) is a brief clinical tool measuring recent substance use, health and wellbeing among clients attending alcohol and other drug (AOD) treatment services. It has previously been assessed for concurrent validity and inter-rater reliability. In this study...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.13088

    authors: Deacon RM,Mammen K,Holmes J,Dunlop A,Bruno R,Mills L,Graham R,Lintzeris N

    更新日期:2020-07-01 00:00:00

  • Encouraging practitioners to use resources: evaluation of the national implementation of a resource to improve the clinical management of alcohol-related problems in Indigenous primary care settings.

    abstract::This paper reports on the evaluation of the implementation of the National Recommendations for the Clinical Management of Alcohol-Related Problems in Indigenous Primary Care Settings undertaken in 2001 through 74 standardized workshops, which sought to determine: (1) whether this approach to implementation influenced ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230410001645583

    authors: Hunter E,Brown J,McCulloch B

    更新日期:2004-03-01 00:00:00

  • From opioid maintenance to abstinence: a literature review.

    abstract::It appears that the literature on agonist maintenance therapies for opioid dependence pays more attention to outcomes during, rather than after, treatment. This review aims to (a) estimate to what extent opioid abstinence can be expected from former maintenance patients, (b) examine possible relationships between pati...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1080/09595230500170241

    authors: Kornør H,Waal H

    更新日期:2005-05-01 00:00:00

  • The Chinese Youth Attitudes toward Young Drug Users scale: an initial scale development and refinement.

    abstract:INTRODUCTION AND AIMS:Little is known about adolescents' perspectives of young drug users, especially in the Chinese context. This study aimed to develop a scale to measure Chinese youth attitudes toward young drug users. DESIGN AND METHODS:Initially, a total of 26 non-at-risk and at-risk adolescents (15 male and 11 f...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2011.00372.x

    authors: Chui WH,Chan HC

    更新日期:2012-06-01 00:00:00

  • Family risk factors for cannabis use: a population-based survey of Australian secondary school students.

    abstract::The objective of this study was to investigate relationships between adolescent cannabis use and indices of parent - child attachment, family functioning and parent attitudes to drugs and delinquency. A total of 2848 year 9 and 2363 year 11 students participated in the Victorian Adolescent Health and Well-Being Survey...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230100100570

    authors: Olsson CA,Coffey C,Toumbourou JW,Bond L,Thomas L,Patton G

    更新日期:2003-06-01 00:00:00

  • Associations between personality and uptake of tobacco smoking: Do they differ across adolescence?

    abstract:INTRODUCTION AND AIMS:Tobacco use is one of the leading causes of death globally, yet it is entirely preventable. Tobacco smoking typically begins in adolescence, and thus efforts to intervene early are vital. Personality has been identified as a risk factor for smoking in adolescence. The current study aimed to examin...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12975

    authors: Kelly EV,Grummitt L,Teesson M,Newton NC

    更新日期:2019-11-01 00:00:00

  • Ready to drinks are associated with heavier drinking patterns among young females.

    abstract:AIM:To report patterns of use of ready to drinks (RTDs) and to assess if RTD consumers have heavier drinking patterns. RTDs were introduced in 1995. METHOD:Data from a general population sample of 7201 respondents aged 14-65 years, in New Zealand in 2004, were modelled. RESULTS:Nineteen per cent of respondents consum...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230802093802

    authors: Huckle T,Sweetsur P,Moyes S,Casswell S

    更新日期:2008-07-01 00:00:00

  • Detection of problem-drinkers in an emergency department using a breathalyser and questionnaire.

    abstract::Over a 2-week period in January 1990 consecutive adult emergency attenders were breathalysed and screened for problem drinking using the WHO screening instrument. Results were compared with a similar study conducted 8 years previously. Of the patients tested, 12.5% had a positive alcohol in 1990 compared with 16% in 1...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239200185791

    authors: Robinson GM,Leslie H,Robinson BJ

    更新日期:1992-01-01 00:00:00

  • Non-advertising alcohol promotions in licensed premises: does the Code of Practice ensure responsible promotion of alcohol?

    abstract:INTRODUCTION AND AIMS:Binge drinking is a major public health issue in Australia, particularly among young people. There has been a considerable focus on alcohol advertising, among both researchers and policy makers, resulting in efforts to bring about some level of regulation of unacceptable advertising practices. How...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230701494390

    authors: Jones SC,Lynch M

    更新日期:2007-09-01 00:00:00

  • Goals for medical education on drugs and alcohol for the year 2000.

    abstract::The issues involved in teaching about drug and alcohol issues in medical schools incorporate a wide range of concerns. Any attempt to raise the proficiency of doctors in dealing with drug and alcohol problems must begin during their basic training, and impart the skills to continue learning after graduation. The princ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239100185071

    authors: Webster IW

    更新日期:1991-01-01 00:00:00

  • Aggression-related alcohol expectancies and barroom aggression among construction tradespeople.

    abstract:INTRODUCTION AND AIMS:Few studies have investigated the relationship of barroom aggression with both general and barroom-specific alcohol expectancies. The present study investigated these associations in a rarely studied and high-risk population: construction tradespeople. DESIGN AND METHODS:Male construction tradesp...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12360

    authors: Zinkiewicz L,Smith G,Burn M,Litherland S,Wells S,Graham K,Miller P

    更新日期:2016-09-01 00:00:00

  • How alcohol industry organisations mislead the public about alcohol and cancer.

    abstract:INTRODUCTION AND AIMS:Alcohol consumption increases the risk of several types of cancer, including several common cancers. As part of their corporate social responsibility activities, the alcohol industry (AI) disseminates information about alcohol and cancer. We examined the information on this which the AI disseminat...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12596

    authors: Petticrew M,Maani Hessari N,Knai C,Weiderpass E

    更新日期:2018-03-01 00:00:00

  • Measuring cognitive insight in people with problematic substance use: An exploration of the factor validity of the Beck Cognitive Insight Scale.

    abstract:INTRODUCTION AND AIMS:Insight is a multi-dimensional construct that predicts treatment outcomes of people with mental illness. Research into insight in substance dependent populations is limited and measures of cognitive insight have not been validated for this population. DESIGN AND METHODS:A cross sectional survey w...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12966

    authors: Raftery D,Kelly PJ,Deane FP,Mcketin R,Baker AL,Turner A,Dean OM

    更新日期:2019-09-01 00:00:00

  • Developmental trajectories of illicit drug use, prescription drug misuse and cannabis practices among young adult cannabis users in Los Angeles.

    abstract:INTRODUCTION AND AIMS:Young adults have the highest rates of drug use and contribute significantly to the growing population of medical cannabis patients (MCP). This study examined relationships between longitudinal patterns of illicit/prescription drug use/misuse and cannabis practices among young adult cannabis users...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.13078

    authors: Fedorova EV,Schrager SM,Robinson LF,Roth AM,Wong CF,Iverson E,Lankenau SE

    更新日期:2020-09-01 00:00:00

  • The Australian study of HIV and injecting Drug Use. Part II: predicting exposure to hepatitis C and hepatitis B.

    abstract::Researchers agree that while hepatitis B maybe in control, hepatitis C is present in epidemic proportions among injecting drug users and that current HIV prevention strategies have not been sufficient to halt the spread of this hepatitis virus, although there is some evidence to suggest that incidence rates are stabil...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239800187391

    authors: Carruthers SJ,Loxley WM,Phillips M,Bevan JS

    更新日期:1997-09-01 00:00:00

  • The Finnish drinking culture: change and continuity in the past 40 years.

    abstract:INTRODUCTION AND AIMS:In the past 40 years, per capita consumption has increased dramatically in Finland. We study the core changes in drinking culture over this period by age and sex. DESIGN AND METHODS:We used data from the Finnish Drinking Habit Surveys carried out every 8 years in 1968-2008 (n = 16385, response ra...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2012.00479.x

    authors: Mäkelä P,Tigerstedt C,Mustonen H

    更新日期:2012-11-01 00:00:00

  • Does alcohol advertising have an impact on the public health?

    abstract::This presentation draws on recent New Zealand and international research to examine a number of questions about the possible public health impact of policy which allows alcohol to be advertised on the broadcast media. The relevant public health questions include: the contribution of alcohol advertising to aggregate le...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239500185541

    authors: Casswell S

    更新日期:1995-01-01 00:00:00

  • Baseline assessment of community knowledge and attitudes toward drug use and harm reduction in Kabul, Afghanistan.

    abstract:INTRODUCTION AND AIMS:Problem drug use has been identified as a significant public health problem in Afghanistan. The study aim was to assess community knowledge and attitude toward drug use and harm reduction in Kabul, Afghanistan. DESIGN AND METHODS:A cross-sectional convenience sample of community representatives o...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2011.00352.x

    authors: Stanekzai MR,Todd CS,Orr MG,Bayan S,Rasuli MZ,Wardak SR,Strathdee SA

    更新日期:2012-06-01 00:00:00

  • Does parental monitoring and disapproval explain variations in alcohol use among adolescents from different countries of birth?

    abstract:INTRODUCTION AND AIMS:This study investigated the extent to which parental monitoring and parental disapproval of alcohol use account for the association between country of birth and adolescent alcohol use. DESIGN AND METHODS:The sample consisted of 10 273 adolescents from grades 7 (Mean age = 12.5 years), 9 (14.5 yea...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12413

    authors: Chan GC,Kelly AB,Connor JP,Hall WD,Young RM,Williams JW

    更新日期:2016-11-01 00:00:00

  • Groin tissue necrosis requiring skin graft following parenteral abuse of buprenorphine tablets.

    abstract::In May 2002 Buprenorphine (Subutex) was listed on the Australian Pharmaceutical Benefits Schedule for treatment in opioid dependence. In addition to broadening treatment options, buprenorphine has the advantage of an improved safety profile. The risk of overdose is lessened but other risks remain due to diversion. Fre...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/0959523031000154508

    authors: Feeney GF,Fairweather P

    更新日期:2003-09-01 00:00:00

  • Alcohol outlet density and violence: A geographically weighted regression approach.

    abstract:INTRODUCTION AND AIMS:We investigate the relationship between outlet density (of different types) and violence (as measured by police activity) across the North Island of New Zealand, specifically looking at whether the relationships vary spatially. DESIGN AND METHODS:We use New Zealand data at the census area unit (a...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12295

    authors: Cameron MP,Cochrane W,Gordon C,Livingston M

    更新日期:2016-05-01 00:00:00

  • Stopping petrol sniffing in remote Aboriginal Australia: key elements of the Mt Theo Program.

    abstract::Petrol sniffing is a major form of substance misuse in Aboriginal communities across Australia. This practice has detrimental effects on the health and wellbeing of individual sniffers, their families, communities and wider society. There are few examples of programmes that have successfully stopped petrol sniffing. T...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230600644640

    authors: Preuss K,Brown JN

    更新日期:2006-05-01 00:00:00