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Archive for April 2011

New nation-wide study indicates alcohol and marijuana were the most commonly abused substances by those referred to treatment from probation or parole

The criminal justice system is single largest source of referral to substance abuse treatment

A new study shows that the most commonly abused substances among those 18 and older referred to substance abuse treatment from parole or probation was alcohol, followed by marijuana and methamphetamines. The study, sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), also shows that more than half (59.2 percent) of those who entered substance abuse treatment based on referrals from probation or parole reported using more than one substance at admission.   In 2008, 42.8 percent of the admissions 18 or older that were referred to treatment by the criminal justice system were probation or parole referrals, making the probation and parole system the largest source of criminal justice referrals to substance abuse treatment. Among the study’s more notable findings concerning treatment admissions in 2008 involving adults on probation or parole: ·        The most common substances being abused were alcohol (30.6 percent), marijuana (26.4 percent), and methamphetamines (15.6 percent).·        The majority of admissions were male (76.6 percent), had never married (63.1 percent), were between the ages of 18 and 44 (81.3 percent), and were non-Hispanic White (52.3 percent).·        Over one-third had less than a high school education (39.6 percent).·        The majority were unemployed (36.8 percent) or not in the labor force (26.2 percent). (Unemployed describes persons who do not have a job, are layed off and who have looked for work in the past 30 days. Not in the labor force describes persons who do not have a job and who are notlooking for work due to retirement, disability, going to school, taking care of the home/children, being in an institution, etc.)·        The majority had been in treatment at least once before (57.5 percent), and 18.4 percent reported three or more prior treatment episodes.“While our nation’s drug courts are doing a great job of referring people to treatment, these staggering numbers further reinforce why prevention is SAMHSA’s number one priority,” said SAMHSA Administrator Pamela S. Hyde, J.D. “We can’t continue to tax an already overburdened judicial system as being responsible for addressing the substance abuse problems in America’s communities.  It is tragic that people need to be arrested before they get help for a preventable and treatable health condition.”To reduce the impact of substance abuse on our nation’s communities, SAMHSA is supporting training for health care providers on identifying substance abuse problems early and intervening before problems compound. SAMHSA sponsored the study as part of the agency’s strategic initiative on data, outcomes and quality – an effort to create integrated data systems that help inform policy makers and providers on behavioral health issues. Characteristics of Probation and Parole Admissions Aged 18 or Older is based on data from SAMHSA’s Treatment Episode Data Set (TEDS) – a reporting system involving treatment facilities from across the country.  The full report is available on line at: http://www.oas.samhsa.gov/2k11/231/231ProbParol.cfm. For related publications and information, visit http://www.samhsa.gov/.

U.N. says Designer Drugs a Global Threat

When it comes to controlling the harmful effects of drugs, governments worldwide have a long “to-do” list, according to a watchdog group at the United Nations.The International Narcotics Control Board (INCB) has issued its annual report with a number of key recommendations for governments and manufacturers related to licit and illicit drugs.One of the items on the list is ”designer drugs,” which the INCB said are “escalating out of control,” as Reuters reported March 2. Manufacturers of these drugs make small modifications to the molecular structure of contraband drugs. The new formula creates a legal drug with similar effects on users as the illegal drug. The drug-makers then post the new recipes on the internet.To combat the problem, the INCB recommended that governments act to control the use of entire classes (PDF) of “structurally related synthetic compounds.”“Given the health risks posed by the abuse of designer drugs, we urge governments to adopt national control measures to prevent the manufacture, trafficking in and abuse of these substances,” said the INCB’s president, Hamid Ghodse.For example, mephedrone (otherwise known as 4-methyl-methcathinone) is the active ingredient in drugs that are then sold as “bath salt, plant food or research chemical[s] to avoid detection and legal proceedings,” the INCB said.Mephedrone is now a “problem drug of abuse in Europe, North America, Southeast Asia and in Australia and New Zealand.” When consumed, its effects are similar to cocaine, amphetamines, and ecstasy, and it has been linked to deaths in Europe.The INCB said mephedrone was only one of many designer drugs, however. The European Monitoring Centre for Drugs and Drug Addiction is monitoring 15 other drugs in the same class as mephedrone, and 51 drugs were “recently placed under control” in Japan.The INCB made other recommendations in its Report of the International Control Board for 2010 as well (links in list are PDFs):

New Study Shows More Women Smoke when Their Lot Improves

A study of 74 countries by Canadian researchers found that as women acquire improved status, they’re more likely to take up smoking and risk smoking-related health problems, Reuters reported Mar. 1. Sarah Hitchman and Geoffrey Fong of the University of Waterloo found that in countries where women are less empowered, such as China, Indonesia, Pakistan, Saudi Arabia, and Uganda, men were five times as likely to smoke as women were. In China, an estimated 61 percent of men smoke, versus 4.2 percent of women.  By contrast, in countries where women were more empowered, such as Australia, Canada, Norway, Sweden and the United States, Hitchman and Fong found little difference in male and female smoking rates. (They measured empowerment with data such as “representation in parliament, voting rights, and comparisons of male and female income.”)Douglas Bettcher, the director of the World Health Organization’s (WHO) tobacco initiative, said that public health campaigns were needed to reverse the rising trend of female smoking in developing countries.  “The tobacco epidemic is still in its early stages in many countries but is expected to worsen,” he wrote in a statement. “Strong tobacco control measures such as bans on tobacco advertising are needed to prevent the tobacco industry from targeting women.”According to Reuters, “[t]obacco kills up to half its users and is described by the WHO [as] ‘one of the biggest public health threats the world has ever faced.’” It kills over five million people every year – a total that is expected to exceed eight million by 2030 if smoking rates go unchecked. Fong said that gender-specific anti-tobacco activities were needed. Hitchman added that a close look should be taken at “the ways in which the tobacco industry is capitalizing on societal changes to target women, such as marketing cigarettes to women as a symbol of emancipation.” She said that more research into why women started smoking was needed.Vikram Pathanaia of the London School of Economics agreed, in an editorial commenting on the study. “Ironically,” he wrote, “it may be cigarette marketers who currently have the best understanding of what induces women to experiment with and eventually adopt smoking!”The study, “Gender empowerment and female-to-male smoking prevalence ratios,” was published in the March 2011 issue of the Bulletin of the World Health Organization

Pressure Mounting on Florida to shut down “Pill-Mills”

Pressure is mounting on Florida to do something about the state’s pill mill problem. The US Drug Czar along with law enforcement officers from other states are growing frustrated because people are flocking to Florida, loading up on painkillers and overdosing. A new prescription drug database would stop the doctor shopping, but Florida’s rogue governor isn’t having it. Florida is ridden with pill mills. During a six months period, nine million painkillers were prescribed in just two south Florida counties. Seven deaths a day are attributed to people in Florida illegally using legal drugs. Lawmakers created a prescription drug database to curb the problem. The database set to go online this spring would track people who go from doctor to doctor collecting meds. Governor Rick Scott is taking a defiant stance against the database even though it’s heavily supported by members of his own party. “I don’t support the database. I believe it’s an invasion of privacy.”The database would help Republican Attorney General Pam Bondi in her fight to stop the South Florida pill mills, but she’s reluctant to chastise the governor’s decision. “It’s my goal to use every tool possible to shut them down. That includes implementing the rules that have been previously frozen.”The tension is building at the capitol as officials line up against the governor or keep quiet. Scott’s not only catching heat from lawmakers here in Tallahassee but the Feds and law enforcement officers in other state’s are fed up with him because they say the pill mill problem in Florida is also killing resident’s in their states.Senator Mike Fasano, whose legislation created the database says Scott can’t stop it. “It’s in law and he can’t just, all of a sudden, wipe a law out. As much of what Governor Scott would like to do with some of our laws–he can’t just wipe it out.”Legislative efforts are underway in the House to find a replacement for the database that satisfies the governor.

For at least the first year the database would be paid for with 1.3 million dollars of federal grants and private donations.

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