Policing Substance Abuse in Indigenous Communities: Report from a workshop held in Mildura, Victoria, 5-6 August 2008

2008 ◽  
Author(s):  
Matthew Willis

This chapter argues that what well-being means must be articulated at the grassroots level, rather than imposed by experts or governments. People in communities already have the answers to what well-being means to them. It is embedded in the wisdom traditions and the lived experiences, aspirations, hopes, and values of people all over the world. Instead of assuming that leaders will bring the well-being agenda to communities, leaders should instead look at what is happening already and build on what communities are already doing. Additionally, a benefit of engaging communities, people, and organizations as true partners in the work of defining well-being is that this engagement is a starting point for fostering grassroots demand for the implementation of a shared well-being agenda. At the same time, it is critical to practice radical inclusion and ensure that people from communities that are often—and have historically been—excluded from meaningful input and decision-making are engaged and contribute to an understanding of what well-being means. In addition to indigenous communities and racial or ethnic groups, this may include those who are living in poverty, experiencing homelessness, incarcerated, and struggling with substance abuse.


2005 ◽  
Vol 39 (6) ◽  
pp. 6-7
Author(s):  
DOUG BRUNK
Keyword(s):  

2005 ◽  
Vol 38 (11) ◽  
pp. 35
Author(s):  
Kevin Foley
Keyword(s):  

Author(s):  
Tilman Wetterling ◽  
Klaus Junghanns

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.


Sign in / Sign up

Export Citation Format

Share Document