Narcotic and psychotropic drugs, transnational intersections and social work with drug users in Germany I R MGA R D VOGT

2021 ◽  
pp. 002087282110489
Author(s):  
Heino Stöver ◽  
Daniela Jamin ◽  
Marie Jauffret-Roustide ◽  
Laurent Michel ◽  
Vânia Mendes ◽  
...  

Social work in prisons is linked to specific tasks regarding the care for the people who are incarcerated. A multi-country qualitative study was set up to explore drug users’ and professionals’ perceptions of continuity of care in prison and beyond. It has been pointed out that continuity of care is associated with different barriers, especially regarding social work. Nevertheless, good practice examples do exist and could be implemented by social workers. Social workers and opioid users face challenges in the context of imprisonment, so different measures need to be implemented to support opioid users and for social workers to support them.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Christine Vinum ◽  
Morten Nissen

This paper aims to reflect on research findings from different empirical studies of social work with young drug users and socially excluded young people in Copenhagen. In the paper we account for historical changes in social policy and interventions into young people's drug taking in Copenhagen, and we discuss some of the most central dilemmas in today's social work with young drug users. Among other things, we identify pervasive marginalizing dynamics in the social system that result partly from the deep-rooted cultural dichotomy between stigma and taboo that organizes the drug issue, and partly from the decentralizing and specializing efforts characteristic of the Danish welfare state and its institutions. We discuss a general turn towards street level interventions to address the problems of social exclusion, as well as different attempts to create what we term street level heterotopias - sites of alternate ordering - where issues of drug use and other social problems can be dealt with and objectified in more flexible ways and handled as part of ongoing social practices of everyday life.


2020 ◽  
Vol 53 (03) ◽  
pp. 133-137
Author(s):  
Julia C. Stingl ◽  
Katja S. Just ◽  
Marlen Schurig ◽  
Miriam Böhme ◽  
Michael Steffens ◽  
...  

Abstract Introduction The prevalence of psychotropic drug use in our society is increasing especially in older adults, thereby provoking severe adverse drug reactions (ADR). To identify specific patient risk profiles associated with psychotropic drug use in the situation of polymedication. Methods Cases of ADRs in general emergency departments (ED) collected within the multi-center prospective observational study (ADRED) were analyzed (n=2215). We compared cases with use of psychotropic drugs and without concerning their clinical presentation at the ED. Results A third of patients (n=731, 33%) presenting to the ED with an ADR took at least 1 psychotropic drug. Patients with psychotropic drug use tended to be older, more often female, and took a higher number of drugs (all p<0.001). The frequency of falls was almost 3 times higher than compared to the non-psychotropic drug group (10.5 vs. 3.9%, p<0.001), and similar syncope was also more often seen in the psychotropic drug users (8.8 vs. 5.5%, p=0.004). The use of psychotropic drugs increased the risk for falls by a factor of 2.82 (OR, 95% CI (1.90–4.18)), when adjusting for gender, age, numbers of pre-existing diseases, and drugs, respectively. Discussion The association of psychotropic drug use with fall and syncope in combination with polymedication and older age leads to the suspicion that psychotropic drugs might be potentially harmful in specific risk populations such as older adults. It may lead us to thoroughly weigh the benefit against risk in a patient-oriented way, leading to an integrative personalized therapy approach.


1987 ◽  
Vol 15 (3) ◽  
pp. 131-137 ◽  
Author(s):  
Gunnar Tellnes ◽  
Arild Bjørndal ◽  
Per Fugelli

The aim of the study was to provide a basis for improving the treatment and prevention of mental problems in a defined local community. The prescribing of psychotropic drugs has been recorded as well as the use of non-drug therapy and the factors which worsened the patients' mental problems. The rate of psychotropic drug-users was 15% for females and 9% for males. The total prescribing during one year amounted to 59 defined daily doses (DDD) per thousand inhabitants per day. Hypnotics/sedatives constituted 30%, anti-histamines 23%, neuroleptics 18%, minor tranquillizers 16%, and antidepressants 13%. About 1/4 of the psychotropic drug-users was prescribed more than 180 DDD per year, representing a risk group for chronic use. The majority of all psychotropic drugs (65%) was prescribed through indirect contacts implying a danger of developing “repeat prescription syndromes”. Less than one half of the patients who might have benefited from referral to a psychiatrist had, in fact, been referred during the previous three years. Somatic disease (among the psychotropic drug-users) and illness among other family members were frequently reported as worsening factors. This indicates the importance of holistic therapy and prophylaxis in general practice. Among our advice for prevention of mental problems to the local authorities was the arrangement of weekly social meetings and clubs for disabled pensioners and elderly people.


2021 ◽  
Vol 319 ◽  
pp. 01056
Author(s):  
Abdelouahab Moussadak ◽  
Hamid Farhane ◽  
Brahim Benaji ◽  
Hind Bouzoubaa ◽  
Imad Houti ◽  
...  

In Morocco, there are very few studies on the use of drugs and even less on psychotropic medicines (MPSYC). In this study we identified the misuse of MPSYC and their sources of supply in order to determine their modes of consumption and also assess the consumers health status. Methods. An anonymous survey of 500 MPSYC consumers was conducted in Casablanca. Data entry and statistical analysis were carried out using SPSS 25.0 software.Results: 500 participants in the survey were poly-drug users of MPSYC with an average of 4.13 ± 0.007 (± SEM) drugs per user. The most misused MPSYC are Clonazepam, Diazepam, Nordazepam and Tramadol with respective prevalences of 96.80%, 82%, 55.60% and 47.80%. A statistical analysis showed that clonazepam (p=0.047) and tramadol (p=0.005) are prevalent in the street market. 54.20% of survey participants use MPSYC once a week while 39.80% of them use it twice a week. The same statistical analysis revealed that taking several MPSYC lead to an increase of ingested doses (p<0.001) and alcohol consumption (p=0.003). 96.40% (n=482) of the participants declared that they had experienced discomfort misusing the medicine.


Author(s):  
Janaina Rubio Gonçalves ◽  
Solange Aparecida Nappo

The objective of this study was to investigate, through the speeches of crack cocaine users, the reasons that lead them to combine crack cocaine with alcohol and the consequences of this combination, in Brazil. The lack of public policies and effective treatments has led crack cocaine users in Brazil to seek alternatives to cope with problems related to drug addiction. One adopted alternative is the consumption of crack cocaine together with other psychotropic drug. This study used the principles and instruments of qualitative research. A purposeful sample was constructed using key informants and gatekeepers whose sample size (N = 30) was defined by the theoretical saturation point. The study participants were subjected to in-depth interviews, and the responses were subjected to content analysis for the identification of thematic units. Alcohol use played many roles, including increasing the courage of drug users to go to the point of sale for psychotropic drugs, reducing thirst, and prolonging the positive effects of crack cocaine. The combination of alcohol and crack cocaine is commonly used to modulate the effects of the latter. A vicious cycle is established in which the consumption of alcohol stimulates the consumption of cocaine and vice versa. The participants also reported cost savings but admitted an increase in aggressiveness. The combined use of crack cocaine and alcohol can become a strong conditioned stimulus for the consumption of the former. The formation of the active metabolite cocaethylene in this drug combination may explain the prolongation of the effects of crack cocaine. Moreover, both drugs act in the mesolimbic dopaminergic system and consequently produce a synergistic effect. Severe outcomes such as cardiotoxicity, which can lead to death, in addition to aggression and the possibility of relapse to crack cocaine use, make this drug combination a public health problem that is greater than the individual consumption of these psychotropic drugs.


2015 ◽  
Vol 18 (1) ◽  
pp. 83-96
Author(s):  
Amy L Huang

This qualitative study illuminates a controversial perspective of sex work arguing that it should be treated as a legitimate occupation. The article draws on a series of interviews with sex workers, social workers and experts working in areas of support for sex workers in Sydney, New South Wales. Sex workers, social workers and experts’ perception is that sex work was perceived as empowering for sex workers. Contrary to the common images of sex workers as drug users, victims of violence or glamorous women, most of the sex workers in this study did not fit any of the common stereotypes. Sex workers also preferred to obtain support from other sex workers rather than more ‘powerful’ professionals. These findings have implications for social work and appear to demand greater support for opportunities for sex workers to have peer-to-peer interactions and support and understanding from professionals to provide them optimal support if they wanted to remain in the sex industry.


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