“
As the ACE study has shown, child abuse and neglect is the single most preventable cause of mental illness, the single most common cause of drug and alcohol abuse, and a significant contributor to leading causes of death such as diabetes, heart disease, cancer, stroke, and suicide.
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Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
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the media, at least in the U.S., tends to focus on pain pill use, abuse, and addiction by people who do not have chronic pain.
Even if these stories offhandedly mention that these pills are used to treat pain in people whose physical pain does not go away, however, the stories of those who use pain medicine responsibly -- or, worse, accused of drug-seeking behavior because they need certain types of pills for chronic pain -- are usually overshadowed by the “How can we prevent pain pill addiction?” concern, instead of asking, “How can we treat chronic pain more effectively?
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Anna Hamilton
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We can have a large impact on the prevention and amelioration of abuse, drug problems, violence, mental health problems, and dysfunction in families.
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Steven C. Hayes (The Nurture Effect: How the Science of Human Behavior Can Improve Our Lives and Our World)
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Practically overnight the budgets of federal law enforcement agencies soared. Between 1980 and 1984, FBI antidrug funding increased from $8 million to $95 million.73 Department of Defense antidrug allocations increased from $33 million in 1981 to $1,042 million in 1991. During that same period, DEA antidrug spending grew from $86 to $1,026 million, and FBI antidrug allocations grew from $38 to $181 million.74 By contrast, funding for agencies responsible for drug treatment, prevention, and education was dramatically reduced. The budget of the National Institute on Drug Abuse, for example, was reduced from $274 million to $57 million from 1981 to 1984, and antidrug funds allocated to the Department of Education were cut from $14 million to $3 million.75
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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As a girl gets older, father-connectedness is the number one factor in delaying and preventing her from engaging in premarital sex and drug and alcohol abuse. Girls with involved fathers are more assertive and have higher self-esteem.[25] And girls with involved fathers also have higher quantitative and verbal skills and higher intellectual functioning.[26]
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Rick Johnson (That's My Girl: How a Father's Love Protects and Empowers His Daughter)
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Portugal, for example, responded to persistent problems of drug addiction and abuse by decriminalizing the possession of all drugs and redirecting the money that would have been spent putting drug users in cages into drug treatment and prevention. Ten years later, Portugal reported that rates of drug abuse and addiction had plummeted, and drug-related crime was on the decline as well.
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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In October 1982, President Reagan officially announced his administration’s War on Drugs. At the time he declared this new war, less than 2 percent of the American public viewed drugs as the most important issue facing the nation.72 This fact was no deterrent to Reagan, for the drug war from the outset had little to do with public concern about drugs and much to do with public concern about race. By waging a war on drug users and dealers, Reagan made good on his promise to crack down on the racially defined “others”—the undeserving. Practically overnight the budgets of federal law enforcement agencies soared. Between 1980 and 1984, FBI antidrug funding increased from $8 million to $95 million.73 Department of Defense antidrug allocations increased from $33 million in 1981 to $1,042 million in 1991. During that same period, DEA antidrug spending grew from $86 to $1,026 million, and FBI antidrug allocations grew from $38 to $181 million.74 By contrast, funding for agencies responsible for drug treatment, prevention, and education was dramatically reduced. The budget of the National Institute on Drug Abuse, for example, was reduced from $274 million to $57 million from 1981 to 1984, and antidrug funds allocated to the Department of Education were cut from $14 million to $3 million.75
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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As every close observer of the deadlocks arising from the political correctness knows, the separation of legal justice from moral Goodness –which should be relativized and historicized- ends up in an oppressive moralism brimming with resentment. Without any “organic” social substance grounding the standards of what Orwell approvingly called “common decency” (all such standards having been dismissed as subordinating individual freedoms to proto-Fascist social forms), the minimalist program of laws intended simply to prevent individuals from encroaching upon one another (annoying or “harassing” each other) turns into an explosion of legal and moral rules, an endless process (a “spurious infinity” in Hegel’s sense) of legalization and moralization, known as “the fight against all forms of discrimination.” If there are no shared mores in place to influence the law, only the basic fact of subjects “harassing other subjects, who-in the absence of mores- is to decide what counts as “harassment”? In France, there are associations of obese people demanding all the public campaigns against obesity and in favor of healthy eating be stopped, since they damage the self-esteem of obese persons. The militants of Veggie Pride condemn the speciesism” of meat-eaters (who discriminate against animals, privileging the human animal-for them, a particularly disgusting form of “fascism”) and demand that “vegeto-phobia” should be treated as a kind of xenophobia and proclaimed a crime. And we could extend the list to include those fighting for the right of incest marriage, consensual murder, cannibalism . . .
The problem here is the obvious arbitrariness of the ever-new rule. Take child sexuality, for example: one could argue that its criminalization is an unwarranted discrimination, but one could also argue that children should be protected from sexual molestation by adults. And we could go on: the same people who advocate the legalization of soft drugs usually support the prohibition of smoking in public places; the same people who protest the patriarchal abuse of small children in our societies worry when someone condemns a member of certain minority cultures for doing exactly this (say, the Roma preventing their children from attending public schools), claiming that this is a case od meddling with other “ways of life”. It is thus for necessary structural reasons that the “fight against discrimination” is an endless process which interminably postpones its final point: namely a society freed from all moral prejudices which, as Michea puts it, “would be on this very account a society condemned to see crimes everywhere.
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Slavoj Žižek (Living in the End Times)
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Domestic violence is not only physical abuse. Domestic violence is emotional abuse, sexual abuse, financial dependence, control, psychological abuse and gaslighting. Some of the signs of an abusive relationship are: Financial control: taking your money and not allowing you access to it. Counting every penny spent in the household. Isolation: jealousy of time spent with friends or family. Jealousy of time spent away from him/her. Destroying self-esteem: embarrassing or putting you down. Destroying your property or harming your pets. Telling you “You are a bad parent”; criticism of your parenting skills. Intimidating you with weapons and/or physical force. Preventing you from working or going to school. Sexual abuse: pressuring you to have sex or perform a sexual act you are uncomfortable with. Pressuring you to do drugs or alcohol. I
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Bree Bonchay (I Am Free: Healing Stories About Surviving Toxic Relationships With Narcissists And Sociopaths)
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To understand my doctor’s error, let’s employ Bayes’s method. The first step is to define the sample space. We could include everyone who has ever taken an HIV test, but we’ll get a more accurate result if we employ a bit of additional relevant information about me and consider only heterosexual non-IV-drug-abusing white male Americans who have taken the test. (We’ll see later what kind of difference this makes.) Now that we know whom to include in the sample space, let’s classify the members of the space. Instead of boy and girl, here the relevant classes are those who tested positive and are HIV-positive (true positives), those who tested positive but are not positive (false positives), those who tested negative and are HIV-negative (true negatives), and those who tested negative but are HIV-positive (false negatives). Finally, we ask, how many people are there in each of these classes? Suppose we consider an initial population of 10,000. We can estimate, employing statistics from the Centers for Disease Control and Prevention, that in 1989 about 1 in those 10,000 heterosexual non-IV-drug-abusing white male Americans who got tested were infected with HIV.6 Assuming that the false-negative rate is near 0, that means that about 1 person out of every 10,000 will test positive due to the presence of the infection. In addition, since the rate of false positives is, as my doctor had quoted, 1 in 1,000, there will be about 10 others who are not infected with HIV but will test positive anyway. The other 9,989 of the 10,000 men in the sample space will test negative. Now let’s prune the sample space to include only those who tested positive. We end up with 10 people who are false positives and 1 true positive. In other words, only 1 in 11 people who test positive are really infected with HIV.
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Leonard Mlodinow (The Drunkard's Walk: How Randomness Rules Our Lives)
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no matter how you look at the issue, prevention is a fundamentally preferable and more cost-effective way to promote health and longevity. Most people agree that we invest insufficiently in prevention, but they would also surmise that it is difficult to get young, healthy people to avoid behaviors that increase their risk of future illness. Consider smoking, which causes more preventable deaths than any major risk factor (the other big ones being physical inactivity, poor diet, and alcohol abuse). After prolonged legal battles, public health efforts to discourage smoking have managed to halve the percentage of Americans who smoke since the 1950s.19 Yet 20 percent of Americans still smoke, causing 443,000 premature deaths in 2011 at a direct cost of $96 billion per year. Likewise, most Americans know they should be physically active and eat a healthy diet, yet only 20 percent of Americans meet the government’s recommendations for physical activity, and fewer than 20 percent meet government dietary guidelines.20 There are many, diverse reasons we are bad at persuading, nudging, or otherwise encouraging people to use their bodies more as they evolved to be used (more on this later), but one contributing factor could be that we are still following in the footsteps of the marquis de Condorcet, waiting for the next promised breakthrough. Scared of death and hopeful about science, we spend billions of dollars trying to figure out how to regrow diseased organs, hunting for new drugs, and designing artifical body parts to replace the ones we wear out. I am in no way suggesting that we cease investing in these and other areas. Quite the contrary: let’s spend more! But let’s not do so in a way that promotes the pernicious feedback loop of just treating mismatch diseases rather than preventing them. In practical
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Daniel E. Lieberman (The Story of the Human Body: Evolution, Health and Disease)
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Weaknesses in claims about self-esteem have been evident for a long time. In California in the late 1980s, the state governor set up a special taskforce to examine politician John Vasconcellos’s claim that boosting young people’s self-esteem would prevent a range of societal problems (see chapter 1). One of its briefs was to review the relevant literature and assess whether there was support for this new approach. An author of the resulting report wrote in the introduction that ‘one of the disappointing aspects of every chapter in this volume … is how low the associations between self-esteem and its [presumed] consequences are in research to date.’1 Unfortunately, this early expression of concern was largely ignored. Carol Craig reviews more recent warnings about the self-esteem movement in an online article ‘A short history of self-esteem’, citing the research of five professors of psychology. Craig’s article and related documents are worth reading if you are interested in exploring this issue in depth.2 The following is my summary of her key conclusions about self-esteem: • There is no evidence that self-image enhancing techniques, aimed at boosting self-esteem directly, foster improvements in objectively measured ‘performance’. • Many people who consider themselves to have high self-esteem tend to grossly overestimate their own abilities, as assessed by objective tests of their performance, and may be insulted and threatened whenever anyone asserts otherwise. • Low self-esteem is not a risk factor for educational problems, or problems such as violence, bullying, delinquency, racism, drug-taking or alcohol abuse. • Obsession with self-esteem has contributed to an ‘epidemic of depression’ and is undermining the life skills and resilience of young people. • Attempts to boost self-esteem are encouraging narcissism and a sense of entitlement. • The pursuit of self-esteem has considerable costs and may undermine the wellbeing of both individuals and societies. Some of these findings were brought to wider public attention in an article entitled ‘The trouble with self-esteem’, written by psychologist Lauren Slater, which appeared in The New York Times in 2002.3 Related articles, far too many to mention individually in this book, have emerged, alongside many books in which authors express their concerns about various aspects of the myth of self-esteem.4 There is particular concern about what we are doing to our children.
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John Smith (Beyond the Myth of Self-Esteem: Finding Fulfilment)
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Because you’re high on heroin, you kick and scream at the ER staff trying to help you. So these nice people strap you down and inject you with a drug called naloxone, and you are instantly not high. Through the magic of chemistry, naloxone immediately reverses the action of heroin or any other opiate drug such as morphine or oxycodone. In lab animals, administration of naloxone blocks the binding of wheat exorphins to the morphine receptor of brain cells. Yes, opiate-blocking naloxone prevents the binding of wheat-derived exorphins to the brain. The very same drug that turns off the heroin in a drug-abusing addict also blocks the effects of wheat exorphins.
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William Davis (Wheat Belly: Lose the Wheat, Lose the Weight, and Find Your Path Back to Health)
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Portugal, for example, responded to persistent problems of drug addiction and abuse by decriminalizing the possession of all drugs and redirecting the money that would have been spent putting drug users in cages into drug treatment and prevention.
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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As the ACE study has shown, child abuse and neglect is the single most preventable cause of mental illness, the single most common cause of drug and alcohol abuse,
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Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
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There can of course be no doubt that any sort of addiction, whether to opiates, barbiturates, or alcohol, is always an evil and always involves slavery. Society, however, when it shoulders responsibility for preventing such abuse, treads on very slippery ground. The real situation tends to become clouded by misconceptions, and legislation is often enacted which tends to aggravate the very evils it was intended to prevent. Robert DeRopp, M.D., Drugs and the Mind
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Robert Anton Wilson (Sex, Drugs & Magick – A Journey Beyond Limits)
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People who feel safe and meaningfully connected with others have little reason to squander their lives doing drugs or staring numbly at television; they don’t feel compelled to stuff themselves with carbohydrates or assault their fellow human beings. However, if nothing they do seems to make a difference, they feel trapped and become susceptible to the lure of pills, gang leaders, extremist religions, or violent political movements—anybody and anything that promises relief. As the ACE study has shown, child abuse and neglect is the single most preventable cause of mental illness, the single most common cause of drug and alcohol abuse, and a significant contributor to leading causes of death such as diabetes, heart disease, cancer, stroke, and suicide.
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Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
“
Practically overnight the budgets of federal law enforcement agencies soared. Between 1980 and 1984, FBI antidrug funding increased from $8 million to $95 million.74 Department of Defense antidrug allocations increased from $33 million in 1981 to $1,042 million in 1991. During that same period, DEA antidrug spending grew from $86 to $1,026 million, and FBI antidrug allocations grew from $38 to $181 million.75 By contrast, funding for agencies responsible for drug treatment, prevention, and education was dramatically reduced. The budget of the National Institute on Drug Abuse, for example, was reduced from $274 million to $57 million from 1981 to 1984, and antidrug funds allocated to the Department of Education were cut from $14 million to $3 million.76
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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The catastrophic outcome of deinstitutionalization, which displaced hundreds of thousands of mentally ill and disabled patients from state hospitals to the streets, nursing homes, and prisons (largely for petty, nonviolent crimes), had provoked stinging critiques of the government agencies responsible—particularly the Alcohol Drug Abuse Mental Health Administration (ADAMHA), the NIMH, and the Substance Abuse and Mental Health Services Administration (SAMHSA)—for failing to provide the community mental health care services needed to support the deinstitutionalized patients.
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Jeff Lieberman (Malady of the Mind: Schizophrenia and the Path to Prevention)
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IN 1971, as the Vietnam War was heading into its sixteenth year, congressmen Robert Steele from Connecticut and Morgan Murphy from Illinois made a discovery that stunned the American public. While visiting the troops, they had learned that over 15 percent of U.S. soldiers stationed there were heroin addicts. Follow-up research revealed that 35 percent of service members in Vietnam had tried heroin and as many as 20 percent were addicted—the problem was even worse than they had initially thought. The discovery led to a flurry of activity in Washington, including the creation of the Special Action Office of Drug Abuse Prevention under President Nixon to promote prevention and rehabilitation and to track addicted service members when they returned home. Lee Robins was one of the researchers in charge. In a finding that completely upended the accepted beliefs about addiction, Robins found that when soldiers who had been heroin users returned home, only 5 percent of them became re-addicted within a year, and just 12 percent relapsed within three years. In other words, approximately nine out of ten soldiers who used heroin in Vietnam eliminated their addiction nearly overnight. This finding contradicted the prevailing view at the time, which considered heroin addiction to be a permanent and irreversible condition. Instead, Robins revealed that addictions could spontaneously dissolve if there was a radical change in the environment. In Vietnam, soldiers spent all day surrounded by cues triggering heroin use: it was easy to access, they were engulfed by the constant stress of war, they built friendships with fellow soldiers who were also heroin users, and they were thousands of miles from home. Once a soldier returned to the United States, though, he found himself in an environment devoid of those triggers. When the context changed, so did the habit. Compare this situation to that of a typical drug user. Someone becomes addicted at home or with friends, goes to a clinic to get clean—which is devoid of all the environmental stimuli that prompt their habit—then returns to their old neighborhood with all of their previous cues that caused them to get addicted in the first place. It’s no wonder that usually you see numbers that are the exact opposite of those in the Vietnam study. Typically, 90 percent of heroin users become re-addicted once they return home from rehab.
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James Clear (Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones)
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In truth, the U.S.-sponsored international “War on Drugs” is a war on poor people, most of them subsistence farmers caught in a dangerous no-win situation. If the goal of the War on Drugs is to discourage or prevent drug use, it has failed. Among young people in North America drug use has reached unprecedented levels and enjoys unprecedented tolerance. According to figures quoted by Norm Stamper, the number of Americans who have used illegal drugs stands at 77 million.
The U.S. Department of Justice reports that the number of prisoners has tripled, from 139 per 100,000 residents in 1980 to 476 per 100,000 in 2002, the vast majority being incarcerated after drug convictions. From 1980 to 1999 the annual number of Americans arrested for drug offences nearly tripled, from 580,900 to 1,532,200. “That’s a lot of enemies,” comments the ex–police chief. If the War’s purpose is to protect people and communities or to improve their quality of life, it fails disastrously.
As the personal histories of Downtown Eastside addicts illustrate and as statistics show, the human costs are devastating. “One [result] which is especially cruel and will have a terrible impact on American life for many generations is the large increase in the number of women incarcerated for drug violations,” U.S. District Court Judge John T. Curtin has pointed out.
From 1980 to 1996, there has been a 400 percent increase in the number of women prisoners. Many of those jailed for drug violations were mules or assistants. I venture that none was a principal organizer. Many are the mothers of small children who will be left without maternal care, and most probably without any parental care at all…The engine of punitive punishment of mothers will haunt this nation for many years to come.
If the War’s aim is to end or even curtail the international drug trade, it has failed there, too. If it is to suppress the cultivation of plants from which the major substances of abuse are derived: once again, abject failure. Truth, once again, is among the inevitable casualties of war.
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Gabor Maté (In the Realm of Hungry Ghosts: Close Encounters with Addiction)
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was sick of people in the program quoting the principles of the Big Book. I wanted to scream when I heard, “But for the grace of God.” What fucking grace had God given me? And don’t get me started on the gratitude list. I had no gratitude. The distress and loneliness made me again consider ending my life. I thought the program was a trick to psychologically prevent me from slicing my wrists. Quotations like “Easy does it,” “This shall too pass,” “Thanks for sharing,” “Keep coming back,” did nothing for me but induce intestinal illness. Holding hands and watching people go out of their way to do anything and everything for me made me extremely uncomfortable. I loathed the closeness and companionship of the people who were working hard for my benefit. The disgrace of not having my own form of transportation, career, dignity, and independence made me resent everything this horrible existence had to offer. I held these feelings inside and operated like a robot going through the motions of living. I contemplated how to extinguish my mental anguish. Death is what first came to mind. I'd fantasize driving at a hundred miles an hour into a tree, taking a full bottle of Valium or Trazadone, or, better yet, taking a full bottle of both drugs and then doing it. But something inside woke me up, convincing me there was a certain merit, some reason worth living for on this miserable planet. From there, my determination and drive to attain dignity and independence kicked in. I wanted to believe there truly was a good person inside. I wanted to find him. Insidious images of relaxation flashed through my mind like bright pictures. It was as though all my tension was being released after inhaling a fat line of cocaine while watching porn. The excitement of reliving the act seemed so real that my heart palpitated erratically. I'd get furious with myself for even thinking about going back to that sinister part of my life. When I returned to the Oxford House after the retreat, I was introduced to a local priest who was in the fellowship for treatment. When I first found out he was a priest, I couldn’t stand the sight of him. It disgusted me that people gave him respect because he was a man of the cloth. The fellow addicts thought it was cool they had one of God’s errant angels among them confessing his sins of addictions. Little
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Marco L. Bernardino Sr. (Sins of the Abused)
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As David Kennedy correctly observes, “[c]rack blew through America’s poor black neighborhoods like the Four Horsemen of the Apocalypse,” leaving behind unspeakable devastation and suffering.82 As a nation, though, we had a choice about how to respond. Some countries faced with rising drug crime or seemingly intractable rates of drug abuse and drug addiction chose the path of drug treatment, prevention, and education or economic investment in crime-ridden communities. Portugal, for example, responded to persistent problems of drug addiction and abuse by decriminalizing the possession of all drugs and redirecting the money that would have been spent putting drug users in cages into drug treatment and prevention. Ten years later, Portugal reported that rates of drug abuse and addiction had plummeted, and drug-related crime was on the decline as well.83
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
“
As David Kennedy correctly observes, “[c]rack blew through America’s poor black neighborhoods like the Four Horsemen of the Apocalypse,” leaving behind unspeakable devastation and suffering.82 As a nation, though, we had a choice about how to respond. Some countries faced with rising drug crime or seemingly intractable rates of drug abuse and drug addiction chose the path of drug treatment, prevention, and education or economic investment in crime-ridden communities. Portugal,
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Michelle Alexander (The New Jim Crow: Mass Incarceration in the Age of Colorblindness)
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when the ACE study data started to appear on his computer screen, he realized that they had stumbled upon the gravest and most costly public health issue in the United States: child abuse. He had calculated that its overall costs exceeded those of cancer or heart disease and that eradicating child abuse in America would reduce the overall rate of depression by more than half, alcoholism by two-thirds, and suicide, IV drug use, and domestic violence by three-quarters.20 It would also have a dramatic effect on workplace performance and vastly decrease the need for incarceration. When the surgeon general’s report on smoking and health was published in 1964, it unleashed a decades-long legal and medical campaign that has changed daily life and long-term health prospects for millions. The number of American smokers fell from 42 percent of adults in 1965 to 19 percent in 2010, and it is estimated that nearly 800,000 deaths from lung cancer were prevented between 1975 and 2000.21 The ACE study, however, has had no such effect. Follow-up studies and papers are still appearing around the world, but the day-to-day reality of children like Marilyn and the children in outpatient clinics and residential treatment centers around the country remains virtually the same. Only now they receive high doses of psychotropic agents, which makes them more tractable but which also impairs their ability to feel pleasure and curiosity, to grow and develop emotionally and intellectually, and to become contributing members of society.
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Bessel van der Kolk (The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma)
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The foundation of all drug abuse prevention is knowledge.
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Robert DuPont
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Employment drug testing is a critical practice that helps businesses maintain a safe and productive environment. It ensures that employees are not using substances that could impair their judgment, performance, or safety at work. In industries where precision and safety are key, such as construction, healthcare, and transportation, regular drug testing reduces the risk of accidents and enhances overall workplace efficiency.
Employers can implement employment drug testing during the hiring process or conduct random tests for current employees. This not only helps in detecting potential substance abuse but also serves as a preventive measure, deterring employees from using drugs. Additionally, it helps companies comply with legal regulations, avoiding costly lawsuits or fines related to workplace safety violations.
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