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This study explores the extent to which parental and peer behaviors and norms may affect substance use, personal antidrug norms, and intentions to use drugs in a group of Mexican heritage preadolescents in the Southwest United States, and whether these parental and peer influences differ according to gender. Secondary data from a randomized trial of a drug prevention program were used. The sample consisted of 2,733 adolescents. The outcomes were recent alcohol, cigarette, and marijuana use, personal antidrug norms, and intentions to use drugs. In this study, peer variables were more consistently related to the outcomes than parent variables, with the exception of parental injunctive norms, which were the most predictive parent factor. Recommendations are provided to further study the protective processes that are maintained through the transition into adolescence and acculturation as a foundation for the design of resiliency-focused prevention interventions. (Contains 2 tables.)

The purpose of this study was to investigate the psychometric properties of a child self efficacy scale for learning, peer interactions, and resisting pressure to use drugs, to use in an elementary school drug prevention education program based on social cognitive theory. A diverse cohort of 392 4th and 5th grade students completed the 20-item self efficacy scale and social support and social skills instruments. The results provide evidence for a valid and reliable 3-factor self efficacy scale. Subscale internal consistency reliability was good to excellent (Cronbach's alpha = 0.75, 0.83, 0.91). Construct validity was supported by correlations between each subscale and social skills, social support, and demographic data. The scale has potential as a tool to measure self efficacy in children related to learning, peer interactions, and resisting peer pressure to use drugs and to help shape drug education programs. (Contains 5 tables.)

Statewide nursing student alcohol and other drug (AOD) use attitudes and behaviors were assessed. Response was 929/2017 (46%) (practical nursing [n = 173/301] 57.3%; diploma and associate degree in nursing [n = 282/417] 67.6%; bachelor of science in nursing [n = 474/1299] 36.5%). Nearly 44% reported inadequate substance abuse education. Past-year AOD use included tobacco 36.9%, marijuana 6.8%, sedatives 4.6%, and opioids 2.6%. Past-year AOD-related events included blackouts 19.8%, class/work under the influence 6.3%, patient care under the influence 3.9%, lowered grades/job evaluations 6.6%, and legal charges 3.6%. Heavy drinking was reported by 28.9%. Practical nursing (PN) students most often reported tobacco use and sedative use, whereas Bachelor of Science in nursing (BSN) students most often reported marijuana use. Family histories of alcohol-related problems and drug-related problems were reported, respectively, by 48.1% and 19.2% of respondents; 51.1% reported at least one of these. PN students most often reported such family histories. Nursing educational systems should proactively address student AOD prevention, education, and assistance. (Contains 4 tables.)

Little research has focused on the drugs-violence nexus in rural areas. As such, the purpose of this study is to use Goldstein's tripartite conceptual framework to examine the relationship between drugs and violence among felony probationers in rural Appalachian Kentucky (n = 799). Data on demo-graphics, substance use criminal history, and violence were collected between 2001 and 2004 using an interviewer-administered questionnaire. Rural probationers are partitioned into four groups based on lifetime violent victimization/perpetration experiences: (a) neither a perpetrator nor a victim, (b) perpetrator only, (c) victim only, and (d) both a perpetrator and a victim. Chi-square analyses indicate substance use, and criminal history varies across the four groups. Binary logistic regression analyses are used to explore the significant correlates of both perpetration and victimization. Multivariate analyses support both the psychopharmacological model and the economic compulsive models of perpetration and victimization. Further implications of these findings are discussed. (Contains 3 tables.)

Objective: Using a qualitative methodology, the author examined the sociorecreational use of pharmaceuticals in a collegiate setting. Participants: In all, 91 college students from a public, 4-year institution for higher learning in the Southwest participated in this study. Methods: The author conducted semistructured interviews between May 2004 and December 2005; they then audio recorded, transcribed, and examined the interviews for themes related to the sociorecreational use of prescription drugs. Results: A variety of prescription drugs are used for a number of purposes, including to experience pleasure, manage the duration or intensity of another drug's effects, party or socialize with friends and peers in leisure settings, facilitate sociorecreational activities, and help structure free time. Conclusions: Pharmaceuticals appear to be well integrated into the recreational drug use practices of college students, and prescription drug misuse presents a significant prevention challenge. (Contains 2 tables and 1 figure.)

The purpose of this study was to explore recreational prescription drug use among undergraduate students. Although anecdotal accounts on this subject abound, empirical research is extremely limited. Data from a survey of a random sample of 734 students at a large public research university in the Northeast were examined. Results indicate that a substantial proportion of students reported having used prescription drugs for recreational purposes in the year prior to survey administration. Recreational prescription drug use was positively associated with the use of other substances including alcohol. Recreational prescription drug users were also more likely than other drug users to report negative consequences as a result of their drug use. Implications for future research and for student affairs are discussed. (Contains 6 tables.)

This qualitative study examined how Native Hawai'ian youths from rural communities utilized cultural practices to promote drug resistance and/or abstinence. Forty-seven students from five different middle schools participated in gender-specific focus groups that focused on the cultural and environmental contexts of drug use for Native Hawai'ian youths. The findings described culturally specific activities that participants used in drug-related problem situations. The findings also suggested that those youths with higher levels of enculturation were able to resist drugs more effectively than those youths who were disconnected from their culture. The implications of these findings for social work practice are discussed. (Contains 1 figure and 1 footnote.)

Fifty-three adolescent girls residing in community-based group-living child welfare programs were administered a standardized measure (SASS-2) in order to assess probability of a substance use/dependency disorder in this highly vulnerable population. Findings revealed that one third of the sample, and one half of the nonpregnant/parenting girls, met the diagnostic criteria for a substance use/dependency disorder. Probability of such a disorder was associated with aspects of the group living milieu including access to peers who also use drugs and lack of perceived pressure from staff to abstain from using drugs and alcohol. Results support the need for broad-based screening of group home youth, intensive interventions to address existing substance use problems, and staff training in prevention and identification of youth who use substances. Findings also suggest that pregnancy and parenthood represent a window of opportunity for changing the trajectory of substance use in adolescent teens in the child welfare system. (Contains 1 table.)

The purpose of this study is to use the Criminal Justice Drug Abuse Treatment Studies' (CJ-DATS) Inmate Prerelease Assessment (IPASS), which recommends either intensive or nonintensive treatment after release, to predict rural offenders' 12-step attendance and treatment entry within six months of release from prison. IPASS scores indicated that 52% of rural offenders needed intensive treatment upon community re-entry. In bivariate analyses, rural offenders with an intensive aftercare placement recommendation were significantly younger, more likely to have been employed more months in the year prior to incarceration, to have ever injected drugs, and to have ever received outpatient substance abuse treatment. The variables which were significant at the bivariate level were entered into two logistic multivariate models predicting 12-step attendance and treatment entry within six months of being released from prison. Age and having ever injected drugs were positive predictors of having attended a 12-step meeting, while the number of months legally employed was negatively related to 12-step attendance. In the treatment entry model, age increased the odds of entering formal treatment while having ever injected a drug decreased the odds. IPASS aftercare placement recommendation was not significant in either of the multivariate models. Findings from this study suggest that offenders re-entering rural communities may receive limited community-based continued care and future studies should explore geographic-specific treatment barriers. Implications for rural substance abuse treatment are provided. (Contains 3 tables.)

Objective: This study examines personal health behaviors and wellness, health-related lifestyles, and prevention screening practices among licensed physicians. Methods: An anonymous questionnaire was mailed to a random sample of 1,875 physicians practicing in California. Data from 763 returned questionnaires (41%) were analyzed. Results: Our data show that 7% of this sample were clinically depressed, 13% reported using sedatives or tranquilizers, over 53% reported severe to moderate stress, and only 38% described their level of daily stress as slight. About 4% self-reported recent marijuana use. More than 6% screened positive for alcohol abuse and 5% for gambling problems. Thirty-five percent of participants reported "no" or "occasional" exercise. About 27% self-reported "never" or "occasionally" eating breakfast. In addition, 34% reported 6 or fewer hours of sleep daily, while 21% self-reported working more than 60 hours per week. Physicians' excessive number of work hours (more than 65 hours per week) was associated with lack of exercise, not eating breakfast, and sleeping fewer than 6 hours per night. California physicians report breast, cervical, colorectal, and prostate cancer screening behaviors that exceeded population estimates in California and Healthy People 2010 national goals. Conclusion: Additional interventions designed to improve physicians' lifestyles and personal health behaviors should be encouraged. A focus on creating healthy lifestyles will benefit physicians as much as the general population.

With the increasing discourse about a crime-immigration nexus and Latinos, it is critical to ascertain how the criminal justice system responds to noncitizen Latino defendants. Using federal sentencing data to investigate the role of national origin and immigration status on noncitizen Latinos' sentencing outcomes, several findings emerge. First, national origin conditions the sentences received for Mexicans and non-Mexican Latinos. Second, immigration status perpetuates disparities among defendants within each Latino subgroup. Third, examining the aggravating factors within each immigration status category shows that national origin poses greater sentencing penalties for Mexican defendants. (Contains 4 tables and 2 notes.)

Aims: This study used group psycho-education methods to assist injecting heroin users in preventing, and responding to overdose. Methods: An "OD Prevention" group was advertised in a London prescribing service and associated primary care unit. The intervention took place in a small group over one afternoon (3.5 hours), and trained participants in recognizing, and responding to heroin overdoses (defining overdose, discussing known risk factors and on-site instruction in cardio-pulmonary resuscitation (CPR). Participants were all injecting heroin users in service contact with the primary care unit, drug dependence unit, or hostels for the homeless in central London. Participants self-referred, or were referred by key workers. Participants completed pre- and post-group questionnaires concerning their personal experience of overdose, the witnessing of others' overdoses and fatalities, their current response in overdose situations, and their overall confidence in helping others who have overdosed. Findings: In total 107 people attended the group. Of these, 42% had witnessed others' overdose, and 29% had witnessed one or more deaths as a result of overdose. Following the group intervention more participants reported feeling "quite or very confident" in managing an OD situation, confident in undertaking CPR with someone who had overdosed, and were less likely to pursue "folklore" remedies to overdose. Conclusions: Using psycho-educational group approaches can be an effective tool in attempts to prevent and respond to heroin overdoses, and is seen as useful by users. (Contains 4 tables and 1 figure.)

The increasing use of eye movement paradigms to assess the functional integrity of brain systems involved in sensorimotor and cognitive processing in clinical disorders requires greater attention to effects of pharmacological treatments on these systems. This is needed to better differentiate disease and medication effects in clinical samples, to learn about neurochemical systems relevant for identified disturbances, and to facilitate identification of oculomotor biomarkers of pharmacological effects. In this review, studies of pharmacologic treatment effects on eye movements in healthy individuals are summarized and the sensitivity of eye movements to a variety of pharmacological manipulations is established. Primary findings from these studies of healthy individuals involving mainly acute effects indicate that: (i) the most consistent finding across several classes of drugs, including benzodiazepines, first- and second-generation antipsychotics, anticholinergic agents, and anticonvulsant/mood stabilizing medications is a decrease in saccade and smooth pursuit velocity (or increase in saccades during pursuit); (ii) these oculomotor effects largely reflect the general sedating effects of these medications on central nervous system functioning and are often dose-dependent; (iii) in many cases changes in oculomotor functioning are more sensitive indicators of pharmacological effects than other measures; and (iv) other agents, including the antidepressant class of serotonergic reuptake inhibitors, direct serotonergic agonists, and stimulants including amphetamine and nicotine, do not appear to adversely impact oculomotor functions in healthy individuals and may well enhance aspects of saccade and pursuit performance. Pharmacological treatment effects on eye movements across several clinical disorders including schizophrenia, affective disorders, attention deficit hyperactivity disorder, Parkinson's disease, and Huntington's disease are also reviewed. While greater recognition and investigation into pharmacological treatment effects in these disorders is needed, both beneficial and adverse drug effects are identified. This raises the important caveat for oculomotor studies of neuropsychiatric disorders that performance differences from healthy individuals cannot be attributed to illness effects alone. In final sections of this review, studies are presented that illustrate the utility of eye movements for use as potential biomarkers in pharmacodynamic and pharmacogenetic studies. While more systematic studies are needed, we conclude that eye movement measurements hold significant promise as tools to investigate treatment effects on cognitive and sensorimotor processes in clinical populations and that their use may be helpful in speeding the drug development pathway for drugs targeting specific neural systems and in individualizing pharmacological treatments. (Contains 2 tables.)

Purpose: Researchers' knowledge regarding older users of illicit drugs is limited despite the increasing numbers of users. In this article, we apply a life course perspective to gain a further understanding of older adult drug use, specifically contrasting early- and late-onset heroin users. Design and Methods: We collected qualitative data from 29 older heroin users. Life course analysis focused on the users' experiences across the life span. Results: The findings suggest that those aging into heroin use (late onset) are disadvantaged compared to those who are maturing in (early onset) except in areas of health. Implications: We propose that conceptualizing the use of heroin and other illicit drugs among older adults based on the user's life course trajectory will provide insights for social and health services, including drug treatment.

There has been an observable rise in the prevalence of use of psychoactive substances in Russia. Of particular concern is use by children, adolescents, and young people, because it poses a serious threat to their health and life and to public safety. Deviant behavior consists of deviations from the norms that are accepted in a given society, deviations that are not approved of in society, condemned by public opinion from the standpoint of morality or the law. Even though this type of behavior is quite prevalent, it is not always criminal. This article presents a monitoring survey of the deviant behavior of school and college students and the narcotics situation in the educational institutions of Arkhangelsk. This survey is based on the methodological principles that have been laid down by Emile Durkheim, Howard Becker, Talcott Parsons, J. Young, and others who have researched types of deviant behavior and various groups of deviants (narcotics abusers, alcoholics, suicides, robbers, [outlaw] bikers, hippies, and so on). All these researchers have emphasized the social nature of deviation. The sample set consisted of 2,319 respondents: students in the seventh through eleventh grades of general education schools, students in the first through third years of study of professional schools and technicums, and students in the first through fifth years of study of higher educational institutions; their ages ranged from fourteen to twenty-four. The survey used specially designed questionnaires for the different age groups: school students, vocational and professional school students, and college students. The survey demonstrated that there is a high level of involvement in psychoactive substances among adolescents and young people, and that the level of involvement was substantially higher among females than among males. (Contains 2 figures, 4 tables and 1 note.)

Aim: To assess college students' attributions for abstinence from alcohol and illicit drugs. Method: We recruited 125 undergraduates to rate the degree to which each of 41 listed reasons influenced their abstention from six specific substances (alcohol, MDMA/ecstasy, inhalants, cocaine, marijuana, and hallucinogens). Findings: Internal consistency analyses revealed reliable subscales of reasons reflecting themes such as perceived harmful effects, absence of enjoyment, likely loss of control, effects on one's body, inconsistency with one's values and self-image, and difficulty acquiring the substance. Men and women rarely differed significantly in the reported importance of different types of reasons for abstaining. Perceived lack of enjoyment was rated as the most influential type of reason for abstaining regardless of drug type. Difficulty acquiring drugs and concerns about failing a drug test were rated as having a small influence on abstinence regardless of drug type. Conclusions: Our results are consistent with previous research that found anticipated interpersonal and performance problems reportedly inhibit drug taking, but that difficulty acquiring drugs and drug testing concerns reportedly have little influence on motivation for abstinence. Education and prevention messages may have more impact to the degree that they emphasize those consequences young persons find meaningful. (Contains 6 tables.)

This forensic chemistry activity utilizes presumptive forensic testing procedures and laboratory chemicals that produce screening results similar to controlled substances. For obvious reasons, obtaining heavily regulated controlled substances to create an undergraduate student activity is not practical for most educational institutions. We were able to identify over-the-counter and laboratory chemicals that mimic actual street drugs in terms of physical properties and color response. Using these selected chemicals, the screening aspect of drug testing provides students with the opportunity to understand what obstacles a forensic chemist faces when analyzing a sample of unknown identity. Chemical spot tests (CSTs) and thin-layer chromatography (TLC) were chosen owing to their simplicity, versatility, common use by forensic chemists, availability, and cost of the reagents and equipment needed. Students are expected to explain how simple color reactions can screen for illicit drugs, to describe how TLC can be used to separate and tentatively identify drugs, to predict how polarity changes affect TLC results, and to explain why CSTs and TLC serve for screening purposes only. (Contains 1 table, 1 figure and 1 note.)

This study examines how substance use is associated with the health and safety of homeless youth using cross-sectional, self-report data from 285 homeless adolescents. Path models were used to examine concurrent relationships between youth's substance use and multiple aspects of their health and safety, including measures of psychological distress, housing risk and instability, and medical problems. Substance use was examined with both global (i.e., a composite of days of use across various drugs and alcohol) and specific (i.e., rates of use of specific drugs, injection drug use) measures. After controlling for demographic and historical variables, number of days of use was significantly related to psychological distress, whereas injection drug use was significantly related to housing risk. Examination of specific drugs revealed relationships between psychological distress and the use of alcohol, cocaine, and amphetamines, and a specific relationship between housing risk and the use of heroin. None of the measures of substance use was significantly related to youth's medical problems. Implications for interventions with homeless adolescents are discussed.

Aim: To assess (a) carers' experiences of witnessing overdose; (b) their training needs; and (c) their interest in receiving training in overdose management. Design: Postal questionnaire distributed through consenting participating local carer group coordinators in England. Sample: 147 carers attending local support groups for friends and families of drug users. Findings: Carers were usually parents (80%); 89% were currently caring for a heroin user of whom 49% had already had an overdose (93% involving opiates). One third had witnessed heroin being used, and 31 had witnessed an overdose. For eight carers, there had already been a death from drug overdose. There was poor knowledge of how to manage an overdose. Only a quarter had received advice on overdose management (26%) and only one third knew of the opiate antagonist naloxone (33%). The majority (88%) wanted training in overdose management, especially in emergency naloxone administration (88%). Interest in training did not differ according to carer type nor previous overdose experience. Conclusion: We found evidence of an extensively overlooked carer population, many of whom have already been faced with an overdose situation and yet have received minimal training. We also found high levels of interest in receiving overdose training, in particular, in emergency naloxone administration. (Contains 1 table and 1 note.)

The generalized matching law provides precise descriptions of choice, but has not been used to characterize choice between different doses of drugs or different classes of drugs. The current study examined rhesus monkeys' drug self-administration choices between identical drug doses, different doses, different drugs (cocaine, remifentanil, and methohexital), and between drug and drug-paired stimuli. The bias parameter of the generalized matching law was used to quantify preference for one reinforcer over another. Choice between identical drug doses yielded undermatching. Choices between 0.3 [mu]g/kg/injection remifentanil and either 0.1 [mu]g/kg/injection remifentanil or saline plus drug-paired stimuli revealed bias for the 0.3 [mu]g/kg/injection dose. Choice was relatively insensitive to differences in random interval schedule value when one reinforcer was replaced with drug-paired stimulus presentations. Bias for 0.3 [mu]g/kg/injection remifentanil over 10 [mu]g/kg/injection cocaine was seen in one subject, and indifference was generally observed between 0.1 [mu]g/kg/injection remifentanil and 56 [mu]g/kg/injection cocaine and between 30 [mu]g/kg/injection cocaine and 320 [mu]g/kg/injection methohexital. These findings suggest the bias parameter may be useful in quantitatively measuring level of preference, which would be an advantage over concurrent FR procedures that often result in exclusive choice. (Contains 5 tables and 9 figures.)

Longitudinal studies require high follow-up rates in order to maintain statistical power, reduce bias, and enhance the generalizability of results. This study reports on locating and survey completion for a 10-year follow-up of the Focus on Families project, an investigation of 130 families headed by parents who were enrolled in methadone treatment for opiate addiction. Despite having no contact with participants in the study for at least 10 years, the project successfully located nearly 99% of parent participants and 98% of their children. Twenty-four percent of the parents and one child had died before the follow-up. Of the surviving sample, 91% of parents and 86% of the children completed the follow-up interview. Multiple techniques were used to locate study participants, including internet searches, researching court and public records, collaborating with government and service agencies, and contacting family and social networks. For more than half of the sample, costly efforts were required to locate individual participants. (Contains 3 tables.)

Purpose: The purpose of this paper is to review the research evidence on recent British trends in the use of heroin and/or crack-cocaine by young people in order to appraise the scale and nature of the contemporary health problem they pose. Design/methodology/approach: The approach consists of a narrative review of the main current data sources on young people's drug use. Findings: Use of heroin or crack-cocaine is rare in Britain in the general population of young people and is concentrated more amongst young adults than adolescents. There is some evidence for associations between use of these drugs and socio-economic disadvantages, although the links are complex. There may be fruitful connections to be made between drug policy and public health strategies for tackling health inequalities. Practical implications: Embedding responses to young people's heroin/crack use within mainstream strategies to tackle health inequalities may be mutually beneficial to both policy agendas. Originality/value: Situating in its proper evidential context the emotive issue of young people's use of what are believed to be the most dangerous illicit drugs, and appraising these data from a public health perspective, may lead to a more realistic and appropriate research and policy response. (Contains 2 tables.)

Purpose: The purpose of this paper is to describe trends since 2000 in young people's use of illegal/illicit drugs in Britain, and to place these into a longer-term context alongside recent theorising on youthful drug taking. The implications for health educators are to be examined. Design/methodology/approach: A selective narrative review of published data and theory forms the approach. Findings: A steady rise in the prevalence of youthful drug taking in Britain from the 1960s was followed by a sharper rise from 1990 to an all-time peak in the middle of that decade. Rates have not quite returned to this peak since, and from 2000 onwards have declined steadily, though from a historically high level. By 2006/2007, roughly one in five younger adolescents, and one in four older adolescents and young adults, has taken an illegal/illicit drug in the past year. In spite of changes over the past two decades, youthful drug taking in Britain over this period is characterised by considerable continuity. Gender and socio-economic differences in drug taking over this period have remained roughly stable, but changes may be under way in relation to differences by ethnic background. Practical implications: In Britain, levels of youthful drug taking remain at historically relatively high levels, with recent decreases at least in part probably due to a cohort effect of the drug-involved generation who were teenagers in the 1990s moving into their 30s. Drugs education is not the likely cause of the post-2000 downward trend. Drug "journeys" and the pursuit of pleasure are important considerations for health educators who aim their messages at the majority of young people whose drug use is not seriously problematic, and who are proactive when they do experience problems. Originality/value: This paper calls for health educators also to focus on the majority of youthful drug use that is relatively unproblematic for young people. These young people require information as they make adjustments in their behaviour, and their needs may sometimes be ignored in favour of those with problematic drug use. (Contains 1 figure, 2 tables and 13 notes.)

Objective: The authors studied the relationship between a diagnosis of Attention-Deficit Hyperactivity Disorder (ADHD), grade point average (GPA), and licit and illicit drug use. Participants and Methods: They obtained survey data from a convenience sample of undergraduates in a large southern public university. Results: Among 1,550 respondents, 163 (10.5%) reported an ADHD diagnosis (ADHD Group). Of those without an ADHD diagnosis, 591 (43%) reported using prescription stimulants illicitly (No ADHD, Illicit Use group), and 794 (57%) reported not using prescription drugs illicitly (No ADHD, No Illicit Use group). The GPA of the ADHD group was significantly lower than the GPA of the other 2 groups. The ADHD group and the No ADHD, Illicit Use group reported significantly greater use of all other drugs than did the No ADHD, No Illicit Use group. Conclusions: Drug use was associated with a lower GPA in ADHD-diagnosed students than in students without ADHD.

Native-born Estonian men (N = 1495), 18-23 years old, participated in a study on relationships between the level of education and noncognitive characteristics of mind (so-called Characteristic Adaptations: attitudes, values, self-concept, etc.). In addition to Characteristic Adaptations, the model included parents' level of education, personality dimensions, cognitive ability, and word meaning structure variables that may mediate the relationships between the level of education and Characteristic Adaptations. It was found that, after the effect of background variables on the dependent variables was taken into account, the level of education was still related to noncognitive constructs in the model (collectivism, coping style, aggression, attitudes towards alcohol and narcotics, and self-esteem). A higher level of education was related to adaptive noncognitive characteristics of mind.

Based on suggestions made by routine activities theory and data from two surveys, the present study discusses the use of adult guardians as a means to counter drug use among adolescents who seek out unsupervised routine activities with peers. Two surveys with 13- to 15-year-olds were conducted 4 years apart in a Norwegian town (Ns = 1,455 and 1,552). Prior to the second survey, adult guardians (social workers and voluntary guardians) were introduced at places where teenagers tended to gather. The town experienced a remarkable reduction in adolescents' use of alcohol and illegal drugs, in contrast to the general development in Norway. Routine activities theory would suggest that the introduction of guardians contributed to this development. Data did not support this suggestion. However, data indicated that guardians might result in a marginalization of users of illegal drugs. This article uses the example of drug use to point at limitations in a situational approach to counter youth delinquency. (Contains 1 figure, 2 tables, and 2 notes.)

This study investigates the effect of voluntary and involuntary drug use on attributions about sexual assault. The sample was composed of 280 randomly selected male and female undergraduate students. The type of drug used (GHB, alcohol, or none) and the voluntariness of the administration were varied in an unambiguous date rape scenario. Participants viewed sexual assault facilitated by alcohol or drugs similarly to sexual assault without drug or alcohol involvement, assigning the highest levels of responsibility and blame to the perpetrator and the lowest levels of both to the victim in these situations. In contrast, women's voluntary consumption of drugs prior to a sexual assault reduced perpetrator responsibility and blame and increased blame to the victim compared to other situations (except in some cases, voluntary drunkenness). These findings extend the limited research on date rape drugs and previous work on the influence of alcohol on date rape attributions. (Contains 1 table and 2 notes.)

The use of illicit and licit drugs continues to be a major public health concern. Many prevention and drug education programs address this issue by attempting to enhance self-esteem. The idea is that increased levels of self-esteem will serve as a protective factor in decreasing the motivation and increasing the resistance to use drugs. This study explored the relationship between area specific self-esteem and adolescent substance use. Participants (n = 700) completed a self-report questionnaire which included items measuring the use and expected use of selected substances. Results indicated significant differences in home and school self-esteem scores between users/expected users and non-users of a given substance for all 14 behavioral measures. Additionally, the peer, home, and school sub-scales as a set were found to distinguish between users and non-users for all 14 behavioral measures. Results should be of value to those designing prevention programming. (Contains 2 tables.)

This article synthesizes neuroscience findings with long-standing criminological models and data into a comprehensive explanation of the relationship between drug use and crime. The innate factors that make some people vulnerable to drug use are conceptually similar to those that predict criminality, supporting a spurious reciprocal model of the drugs-crime relationship. Simultaneously, police pressure and penalty severity, the principal tools of the drug war, inflate the cost of drugs, which drives most drug-related crime. Concluding that much drug war rhetoric is the misleading product of a moral panic, this perspective supports a harm reduction approach to ameliorating the drug war.

Objectives: Referral to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) is a common continuing care recommendation. Evidence suggests some youth benefit, yet, despite referrals, youth participation is low. Little is known about adolescents' experiences of AA/NA. Greater knowledge would inform and help tailor aftercare recommendations. Method: Two clinical samples of youth (N = 74 and N = 377) were asked about their perceptions of, and experiences with, AA/NA with responses categorized by content into domains assessed for face validity and reliability. Results: The aspects of AA/NA youth liked best were general group dynamic processes related to universality, support, and instillation of hope. The most common reason for discontinuing was boredom/lack of fit. Conclusions: General group-therapeutic, and not 12-step-specific, factors are most valued by youth during early stages of recovery and/or degree of AA/NA exposure. Many youth discontinue due to a perceived lack of fit, suggesting a mismatch between some youth and aspects of AA/NA. (Contains 4 tables.)

Fifty-two mother-adolescent dyads (mean adolescent age = 16.3) participated in an observational study of communication about health topics. The aim of the study was to examine mother-adolescent conversations about health issues--drugs/alcohol, sexuality, nutrition/exercise--to determine the extent to which the mothers treat these issues similarly. Across conversations, mothers spent more time asking questions than lecturing or discussing negative consequences. Mothers discussed negative consequences less in the nutrition/exercise and sexuality conversations than in the drug/alcohol conversation. Mothers asked fewer questions when discussing nutrition/exercise than drugs/alcohol, and lectured more in the nutrition/exercise conversation than in the sexuality conversation. The results of this study have implications for intervention programmers advocating in the media that parents "talk to your kids" about these health issues.

To examine the effect of reinforcer density in prize-based abstinence reinforcement, heroin/cocaine users (N = 116) in methadone maintenance (100 mg/day) were randomly assigned to a noncontingent control group (NonC) or to 1 of 3 groups that earned prize draws for abstinence: manual drawing with standard prize density (MS) or computerized drawing with standard (CS) or high (CH) density. Probabilities (prizes/draw) were standard (50%) and high (78%); prize density was double blind. Mean prize values were CH, $286; CS, $167; MS, $139; and NonC, $171. Outcomes were % opioid/cocaine-negative urines during the 12-week intervention and then 8 weeks postintervention as well as diagnosis of dependence up to 6 months poststudy. CH had significantly more negative specimens than did NonC during intervention and had more than all groups during postintervention treatment: Mean % negative (95% confidence interval) during postintervention treatment adjusted for baseline drug use and dropout were CH, 55% (14%-90%); CS, 7% (1%-27%); MS, 4% (1%-12%); and NonC, 3% (1%-10%). Current cocaine dependence diagnoses after treatment were significantly lower in contingent compared with noncontingent groups. Computerized drawing with higher-density prizes enhanced reduction of cocaine use; abstinence reinforcement had long-term therapeutic benefits.

In recent years psychiatric medications have been prescribed for college students and the general public in burgeoning numbers. The vast majority of these prescriptions are written by non-psychiatrists. In the opinion of the author, psychiatric prescriptions are too often written under duress by physicians seeking a quick fix for distressed patients. As a result, college students who receive prescribed psychiatric drugs are not only poorly monitored but are given little advice or direction as to how to wean themselves from the medication. This chapter examines and evaluates the general quality of psychiatric prescription drug delivery services on the contemporary college campus.

Many counselors, psychologists, and social workers assist clients to take psychotropic drugs but recoil from helping clients to rethink drug use or stop taking drugs. They might fear resisting the prevailing ideology, violating "standards of care," or contradicting physicians' advice. This article discusses withdrawal emergent reactions from prescribed psychotropic drugs and proposes a rational, person-centered approach to help adults stop taking medication. It considers assessment, collaboration with physicians and pharmacists, the client's fear of withdrawal, the importance of gradual taper, and the monitoring of withdrawal emergent reactions. For practitioners who do not personally endorse drug use, it suggests guidelines for adhering to the best standards of care and consent. It also discusses legal and ethical issues related to therapists' concerns and clients' rights. Professionals' and consumers' roles vis-a-vis medication are changing, and a large evidence base documents the risks of medications. In this context, helping clients to withdraw from medications is a corollary to ethical and legal duties to inform clients of the availability and benefits of drugs, and its limits should be framed only by the constraints of practitioner competence and informed consent.

A functional magnetic resonance imaging (fMRI) study was performed on a 4-year-old girl with autism. While sedated, she listened to three utterances (numbers, hello, her own first name) played through headphones. Based on analyses of the fMRI data, the amount of total brain activation varied with the content of the utterance. The greatest volume of overall activation was in response to numbers, followed by the word "hello", with the least activation to her name. Frontal cortex activation was greatest in response to her name, with less activation for numbers, and the least for the word "hello." These findings indicate that fMRI can identify and quantify the brain regions that are activated in response to words in children with autism under sedation.

Nonfatal heroin overdoses and suicide attempts are both common among heroin addicts, but there is limited knowledge about the association between them. The sample in the present study consisted of 149 regular heroin users in Malmo, Sweden. Out of these 98 had taken an unintentional heroin overdose at some time and 51 had made at least one attempt to commit suicide (but not using heroin). Suicide attempts were significantly more common among those who had taken unintentional overdoses as compared with those who had never taken any overdose (p less than 0.01). The more overdoses, the greater the risk of suicide attempt.

The effect of parental deviance on adolescent deviance has been a source of considerable debate in the criminological literature. Classic theoretical explanations of the relationships between parental and adolescent deviance posit additive effects of parental deviance on youth behavior. Proponents of the Social Development Model have hypothesized that parental deviance interacts with parent-child attachment to increase adolescent antisocial behavior. Using data from a household survey of drug use in Washington State, we find that youth who are strongly attached to fathers in households where parents frequently use drugs are more likely to use both licit and illicit drugs than adolescents strongly bonded to nondrug-using parents. Adolescents' perceptions of drug availability and associations with drug-using peers are also significantly higher among youth strongly attached to fathers in households where parent drug use is present.

Parent drug education is considered a key aspect of drug prevention. Effective communication acts as protective factor for drug misuse in young people. This study is a Participatory Action Research study of "Drugsbridge", a drug education programme that has an emphasis on facilitating intergenerational communication about drugs between parents and unrelated young people. The programme was designed on principles of best practice in parent drug education: the provision of balanced information; the development of communication skills and the merging of parents' and young people's drug education. Qualitative multi-methods were used to ascertain parents' (n = 6) and young people's (n = 11) perspectives and experiences of the programme. The research found that it was valuable to have parents and unrelated young people attend the programme together. Being unrelated removed some of the obstacles within family communication and enabled more open and honest, two-way communication between the generations. Parents developed a more balanced perspective of drugs and young people; and young people were empowered to discuss their own experiences and perspectives. The research, and its limitations, as well as suggestions for further research are discussed. (Contains 2 tables.)

We examined data from a community sample of rural stimulant users (n = 691) in three diverse states to identify gender and racial/ethnic differences in HIV risk behaviors. Bivariate and logistic regression analyses were conducted with six risk behaviors as dependent variables: injecting drugs, trading sex to obtain money or drugs, trading money or drugs to obtain sex, inconsistent condom use, multiple sex partners, and using drugs with sex. Controlling for state, income, age, heavy drinking, and type of stimulant used, men had lower odds than women for trading sex to obtain money or drugs (adjusted odds ratio [AOR] =0.4, confidence interval [CI] = 0.28-0.59; p <.0001), greater odds than women for trading money or drugs to obtain sex (AOR = 44.4, CI =20.30-97.09; p < .0001), greater odds than women of injecting drugs (adjusted odds ratio (AOR =1.6, CI = 1.11-2.42; p = .01), and lower odds than women of using condoms inconsistently (AOR = 0.6, CI = 0.35-0.92; p = .02); African Americans had lower odds than Whites of injecting drugs (AOR = .08, CI = 0.04-0.16; p < .0001), greater odds than Whites for trading sex to obtain money or drugs (AOR = 1.7, CI = 1.01-2.85; p = .04) and for trading money or drugs to obtain sex (AOR = 2.9, CI = 1.53-5.59; p = .001), and greater odds than Whites of using drugs with sex (AOR = 3.9, CI = 1.47-10.09; p = .006). These findings indicate HIV prevention efforts should be tailored to address gender and racial/ethnic differences in risk behaviors among rural stimulant users.

Qualitative data from 923 adolescents treated in outpatient and residential settings were used to create taxonomies of their reasons for starting, continuing, and quitting use of drugs and alcohol. Three raters independently categorized reasons by dominant theme. The final sets of taxonomies were defined within several iterations and the raters' use of the categories showed strong inter-rater agreement. Frequencies of reasons were examined overall and by level of care. Adolescents reported initiating use due largely to experimentation and peer influence, continuing use due to liking the effects and assistance with coping, and quitting due to negative appraisals and effects. Reasons differed by level of care.

A small proportion of deaths result from the use of drugs with the intention to hasten death without an explicit request of the patient. Additional insight into its characteristics is needed for evaluating this practice. In the Netherlands in 2001, questionnaires were mailed to physicians that addressed the decision making that preceded their patient's death. Cases of ending life without an explicit request of the patient were compared with similar cases from 1995 and with cases from Belgium, Denmark, and Switzerland. In the Netherlands in 2001, patients receiving life-ending drugs without their explicit request were most often 80+ years old and had cancer. Most of them were incompetent patients nearing death. Characteristics of this practice in 1995 were quite comparable, as were characteristics of this practice in Belgium, Denmark, and Switzerland. The use of drugs with the intention to hasten death without an explicit request of the patient is part of medical end-of-life practice in the studied countries, regardless of their legal framework, and it occurs in similar fashion. (Contains 3 tables.)

Anxiety sensitivity (AS) recently has been identified as a potential cognitive vulnerability underlying substance use problems, with some evidence specifically indicating its relevance to heroin. Focusing on the potential utility of interventions centered on increasing willingness to have anxiety-related sensations reduce vulnerability for relapse following substance use treatment, the current article describes the development of a brief (6 session) behavioral treatment for heightened AS among heroin users. The treatment consists of the following components: (a) psychoeducation about anxiety; (b) interoceptive exposure exercises; and (c) skills-training focused on heightening emotional acceptance, tolerance, and nonevaluative awareness (to facilitate willingness). Preliminary data on this treatment are provided in the form of a case study with a 46-year-old African American man in an inner-city residential substance use treatment facility. Results indicate reductions in AS (especially physical concerns), as well as corresponding decreases in heroin cravings and improvements in emotion regulation. (Contains 1 table.)

Preoperative anxiety (anxiety regarding impending surgical experience) in children is a common phenomenon that has been associated with a number of negative behaviors during the surgery experience (e.g., agitation, crying, spontaneous urination, and the need for physical restraint during anesthetic induction). Preoperative anxiety has also been associated with the display of a number of maladaptive behaviors postsurgery, including postoperative pain, sleeping disturbances, parent-child conflict, and separation anxiety. For these reasons, researchers have sought out interventions to treat or prevent childhood preoperative anxiety and possibly decrease the development of negative behaviors postsurgery. Such interventions include sedative premedication, parental presence during anesthetic induction, behavioral preparation programs, music therapy, and acupuncture. The present article reviews the existing research on the various modes of intervention for preoperative anxiety in children. Clinical implications and future directions are discussed.

Youth use of harmful legal products, including inhaling or ingesting everyday household products, prescription drugs, and over-the-counter drugs, constitutes a growing health problem for American society. As such, a single targeted approach to preventing such a drug problem in a community is unlikely to be sufficient to reduce use and abuse at the youth population level. Therefore, the primary focus of this article is on an innovative, comprehensive, community-based prevention intervention. The intervention described here is based upon prior research that has a potential of preventing youth use of alcohol and other legal products. It builds upon three evidence-based prevention interventions from the substance abuse field: community mobilization, environmental strategies, and school-based prevention education intervention. The results of a feasibility project are presented and the description of a planned efficacy trial is discussed. (Contains 1 figure.)

Drug and alcohol use among youth remains pervasively high, but students are receiving less school-based prevention. Infusing health information into core curricula may be a valuable prevention approach. Therefore, behavior change theory was used to develop a science education curriculum on drugs for fourth- and fifth-grade students, which was then evaluated using a pretest/posttest quasi-experimental design. Exposure to the curriculum was associated with a change in knowledge; other characteristics such as grade level played a role. More positive attitudes toward science at pretest predicted greater knowledge change, and students who knew less at the start showed a greater change in knowledge. Results of this evaluation may support the efficacy of the curriculum and the utility of combining behavior change theory with educational approaches. (Contains 1 figure and 4 tables.)

Purpose: The feasibility of a community-level drug prevention intervention based upon the principles of motivational interviewing within a further education college was investigated in a pilot study. Design/methodology/approach: The implementation over the course of a single term of "Let's Talk about Drugs" was studied with both action research methods and a quasi-experimental design. Findings: Modest qualitative evidence of attitudinal and environmental benefit provides some optimism that intervention of greater duration may have the capacity to produce more substantial impact. Research limitations/implications: The sustainability of the achieved institutional changes following the delivery of this intervention, most notably centring upon a revised drug policy, is questionable. No quantitative data on reduced drug use behaviour or associated problems directly attributable to intervention was obtained. Originality/value: Further education colleges offer relatively unexplored opportunities for drug prevention and harm reduction, at both individual and community levels. Three major lessons were learned: for the motivational interviewing approach to be applied with meaningful potential to effectively shaping behaviour at the college level, greater input is required; quasi-experimental methods for evaluation are feasible and appropriate; and intervention must be coherent with, and shaped by, the specific college context. (Contains 3 tables.)

This study investigates trajectories of heroin use and subsequent consequences in a sample of 471 male heroin addicts who were admitted to the California Civil Addict Program in 1964-1965 and followed over 33 years. Applying a two-part growth mixture modeling strategy to heroin use level during the first 16 years of the addiction careers since first heroin use, the authors identified three groups with distinctive profiles: stably high-level heroin users (n = 278), late decelerated users (n = 149), and early quitters (n = 44). Study findings empirically demonstrate the chronic nature of heroin addiction and subsequent adverse consequences including mortality, mental health, and employment. (Contains 4 tables and 1 figure.)

In this article, the authors review learning and behavioral problems of children exposed prenatally to alcohol and other drugs, focusing on executive-function deficits such as difficulty shifting tasks, maintaining attention, and manipulating information in working memory. They discuss various risk factors associated with prenatal drug exposure so that educators can better understand the nature of the disorder and choose more effective classroom interventions that address the deficits of these students. (Contains 1 table.)