Substance Abuse Prevention Quotes

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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?
Anna Hamilton
Stressing about a relapse happening only leads to a release happening.
D.C. Hyden (The Sober Addict)
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.
Slavoj Žižek (Living in the End Times)
Faith in Sobriety department of health in Houston offering pretrial Services related to Intensive Outpatient Program, Relapse Prevention, Substance Abuse Evaluation
Houston Pretrial Services
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The punishment and/or rehabilitation of those who have already been so damaged that they have become violent is also far more expensive and less effective than preventing violence in the first place, and it causes far more suffering, not only to the perpetrators but also to the victims. We spend incomparably more money on police, prisons, punishments and criminal courts than we do on providing the kinds of community services that have been demonstrated to achieve equal reductions in criminal violence for one-fifth of the price. As our prisons have become more and more crowded (and costly), the waiting lists in our substance-abuse treatment centers have become longer and longer — despite the fact that treatment is at least five times more effective than imprisonment, dollar for dollar, in preventing both substance abuse and the property crimes and violence associated with substance abuse.
James Gilligan (Preventing Violence (Prospects for Tomorrow))
Prisons themselves could actually start preventing violence, rather than stimulating it, if we took everyone out of them, demolished the buildings, and replaced them with a new and different kind of institution — namely, a locked, secure residential college, whose purpose and functions would be educational and therapeutic, not punitive. It would make sense to organize such a facility as a therapeutic community, with a full range of treatments for substance abuse and any other medical and mental health services needed to help the individual heal the damage that deformed his character and stunted his humanity. If it seems utopian to replace prison with schools, let me remind you that prisons already are schools and always have been — except that they are schools in crime and violence, in humiliation, degradation, brutalization and exploitation, not in peace and love and dignity. I am merely suggesting that we replace one already existing type of school with another. Such a program would enable those who have been violent to adopt non-violent means for developing the feelings of self-esteem and self-respect, for being respected by others, and of being able to take legitimate and realistic pride in their skills and knowledge and achievements, which all human beings need if they are to be able to find alternatives to violent behavior when their self-esteem is threatened. It would also enable them to become employable and self-sufficient, and to make a productive contribution to society when they return to the community. But before that can happen, we will have to renounce our own urge to engage in violence — that is, punishment — and decide that we want to engage in educational and therapeutic endeavors instead, so as to facilitate maturation, development, and healing.
James Gilligan (Preventing Violence (Prospects for Tomorrow))
What programs would a prison need to utilize in order to maximize the likelihood that the people sent to it would renounce violence as a behavioral strategy? To begin with, it would need to be an anti-prison. Beginning with its architecture, it would need to convey an entirely different message. Current prisons are modeled architecturally after zoos — or rather, after the kinds of zoos that used to exist, but that have been replaced with zoological parks because the animals' keepers began to realize that the old zoos, with concrete floors and walls and steel bars were too inhumane for animals to survive in. Yet we still keep our human animals in zoos that no humane society would permit for animals. And the architecture itself conveys that message to the prisoners: "You are an animal, for this is a zoo, and zoos are what animals are put in." And then we act surprised when the men and women we treat that way actually behave like animals, both when they are in this human zoo and after they return to the community. So we would need to build an anti-prison that would actually look as if it had been built for human beings rather than animals, i.e. that was as home-like and pleasant and civilized and human as possible. Once we had done that, we could offer those who had been sent there the opportunity to acquire as much education and/or vocational training as they had the ability and energy and interest to obtain. We would of course need to provide treatment for whatever medical, dental, psychiatric, or substance-abuse problems they had, and would want to incorporate many of the principles of a therapeutic community into the everyday routines of this residential school, with frequent group discussions with the other residents and staff members with training in psychotherapy. The goal would be to replace the "monster factories" that most prisons now are with therapeutic communities designed to enable people who are deeply damaged, and damaging, to recover their humanity or to gain a degree of humanity they had never been able to acquire; in short, to help them heal themselves and learn, in the process, how to heal others and even repair some of the damage they have done.
James Gilligan (Preventing Violence (Prospects for Tomorrow))
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.
Jeff Lieberman (Malady of the Mind: Schizophrenia and the Path to Prevention)
My reasons for arguing that resources should be disproportionately devoted to those at greater risk are rooted in criminal justice literature. Though counterintuitive, the evidence is clear: when low-risk inmates receive treatment in prisons, or in the community, their recidivism actually goes up. Lower-risk inmates are not “broken” to begin with, but putting them in treatment they do not need tells them they are broken, makes them angry, and mixes them with higher-risk inmates who are broken and who negatively influence other people. In one study, high-risk offenders averaged a 92 percent recidivism rate under minimal treatment conditions, but their rate dropped to 25 percent under intensive treatment conditions. The lower-risk offenders, on the other hand, averaged 12 percent recidivism under minimal treatment conditions, but their rate increased to 29 percent under intensive treatment conditions (Andrews & Friesen, 1987). Many meta-analyses have confirmed this counterintuitive pattern of higher-level offenders getting better with the right kind of treatment and lower-level offenders actually getting worse (Andrews, et al., 1990). By putting lower-risk people in prison we also take them away from all the things that make them low risk—supportive wives and children, meaningful jobs, pro-social friends, etc. Higher-risk inmates are broken and when they receive the right treatment their recidivism goes down. This is called the “risk principle.” It tells prison administrators who they should focus their scarce treatment resources on—the higher-risk inmates. The “need principle” tells administrators what they need to focus on once they know who requires the most help. Many need areas such as mental health, poverty, and self-esteem are not predictive of crime. Most people who are poor and have low self-esteem, and most people who are suffering from clinical depression, do not commit crimes. Other need areas, known as “criminogenic need,” are highly predictive of crime. For example, individuals who have antisocial attitudes, values, and beliefs, antisocial friends, antisocial personalities (traits of impulsivity, low self-control, and narcissism), or substance abuse problems, are highly likely to commit crime and need help with these areas of their life. The risk and the need principles are just two of several, counterintuitive principles of effective correctional programming (Andrews, et al., 1990; Bogue, Diebel, & O’Connor, 2008; Bonta & Andrews, 2010; McNeil, Raynor, & Trotter, 2010).
Peter Boghossian (A Manual for Creating Atheists)
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.
Gabor Maté (In the Realm of Hungry Ghosts: Close Encounters with Addiction)
Ideation Substance abuse Purposelessness Anxiety Trapped Hopelessness Withdrawal Anger Recklessness Mood change Intentional
Mark Rose (Suicide Assessment and Prevention)