Discussion Board 2
The vulnerable group I chose is people who abuse drugs and specific teenagers. I chose this group because I have seen how teenagers in our community have turned out to become addicts of drugs. As a concerned resident in this community, we have started doing some research to find out this is happening in this community. The reasons we gathered from some of these teenagers as we conducted our research through organizing church retreats for the youth are very disturbing to all of us. When some were asked why they do drugs they came up with different reasons.
One of the teenagers said after she had a bad accident, and was given prescription pain medications, she experienced feeling good experience, of sleeping all night and relaxing the following day. So even after getting better she said she had to look for ways to get drugs which will make her have the same feelings and so engaged with peers who do street drugs. This broke my heart and we had to look for a place for her to go for rehab after educating her the consequences and the long-term effects. The evidence-based research by researchers says that some people are more vulnerable to this process than others, due to a range of possible risk factors. Many people with stressful early life experiences like abuse, sexual or physical can also precipitate drug abuse. Genetic vulnerability, prenatal exposure to alcohol or other drugs, lack of parental supervision or monitoring, and association with drug-using peers also play an important role. According to National Institute of Drug Abuse (NIDA, 2013) statistics, the most Commonly Abused Drugs by High School Seniors (Other than Tobacco and Alcohol) are Adderall (7.4%), Vicodin (5.3%) and OxyContin (3.6%).
Primary prevention should be before prescribing medications that can potentially be abused, the clinicians need to assess patients for risk factors such as mental illness or a family history of substance abuse. They should also consider an alternative medication with less abuse potential. Close monitoring of patients who are high risk, reduce the length of time between visits for refills so fewer pills are on hand, and educate both patients and their parents about appropriate use and potential risks of prescription medications, including the dangers of sharing them with others.
Secondary prevention is to focus on preventing further drug use by intervention strategies of educating and skill building which can be offered in outpatient programs. These settings offer opportunity for treatment 4-6hours a day 5 days a week living at home. Also, detox can be done by titrating drugs and working on individual plan, assessing mental status and other behaviors which could be the cause.
Tertiary prevention seeks to stop further damage from use and addiction, restore drug abusers to health. This seek to end compulsive use of drugs with relapse. Group intervention, extinction therapy, family therapy, relapse and prevention, support and aftercare services. To reduce spread of AIDS, and HEP C provide clean needles to addicts. Also substituting a legal drug addiction with a legal one such as methadone from methadone clinics. And because no single treatment is appropriate for every adolescent, treatments must be tailored for the individual. One well-known long-term residential treatment model is the therapeutic community (TC). These types of programs always offer a range of family services requires family participation when close to where the family lives.
Johnston, L.D.; O’Malley, P.M.; Bachman, J.G.; and Schulenberg, J.E. (2013.) Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2013. Bethesda, MD: National Institute on Drug Abuse, 2013. Available at www.monitoringthefuture.org