“The problem of Drug addiction has gradually been taken an
alarming proportion. Today there are more than 1,00,600 drug addicts in Mumbai
alone. Five of them die each day owing to repeated intake of lethal drugs. The
parents of nearly all young addicts never imagined that their sons or daughters
could fall victims to this dangerous vice. We all know that drug addiction had
been evil of the West for a long time.”
Drug addiction is a very complicated and complex
illness. It is characterized by compulsive, at times uncontrollable drug
craving, seeking, and use that persist even in the face of extremely negative
consequences. For many people, drug addiction becomes chronic, with relapses
possible even after long periods of abstinence.
Drug addiction begins with the act of taking drugs at a very
young age. Over time, a person’s ability to choose not to take drugs can be
compromised. Drug-seeking becomes compulsive, in large part as a result of the
effects of prolonged drug use on brain functioning and behavior.
What Leads to Drug Addiction?
1. Emotional. Insecurity, Lack of Love: Nobody
takes drugs in order to become an addict. They are usually taken n order to
escape from problems that are either real or imaginary. Lack of parental love at
home, impaired and tense relationships between parents, and dictatorial
handling of children have been traced out as significant root causes.
2. Misuse of Money—Lack of Guidance:
Easy availability of and access to money is equally
dangerous. They lead to habits such as cigarette-smoking the first step to drug
addiction. The next stage, hash-smoking sets in easily. The ‘culture mix’ you
belong to, will make you try more and more ‘harmless’ experiments. Lack of
proper guidance to the children is also one of the causes of it.
3. Curiosity of Experimentation is the most common
cause.
Just to know how does it taste also leads to the beginning.
4. Peer Pressure.
The pressures of Bosses or friends just for the sake of the
company also leads to the beginning.
Most drug addicts are male, but there are several girls as
co-partner hooked on the drug too. Most girls are persuaded by their boyfriends
to try it. Few try it under the pressure of the senior students. The ratio is
1:25.
Drug addiction or the compulsion to use drugs can destroy the
individual’s life. Addiction often involves not only compulsive drug taking but
also a wide range of abnormal behaviors that can interfere in the family, the
workplace, and the broader community. Addiction also can take people towards an
increased risk for a wide variety of other illnesses. These illnesses can be
brought on by behavior, such as poor living and health habits, that often
accompany life as an addict, or because of toxic effects of the drugs
themselves.
Because addiction has so many dimensions and disrupts so many
aspects of an individual’s life, treatment as such is a long process. Drug
treatment must help the individual stop using drugs and maintain a drug-free
behavior in lifestyle, while achieving productive functioning in the family, at
work, and in society. Effective drug abuse and its treatment programs typically
incorporate many components, each directed to a particular aspect of the
illness and its consequences.
Three decades of scientific research and clinical practice
have yielded a variety of effective approaches to drug addiction treatment. An
extensive study revealed that drug addiction treatment is as effective as for
most of the other similarly chronic medical conditions. In spite of scientific
evidence that establishes the effectiveness of drug abuse treatment, many
people believe that treatment is ineffective. In part, this is because of
unrealistic expectations. Many people equate addiction with simply using drugs
and therefore expect that addiction should be cured quickly, and if it is a
riot, treatment is a failure. In reality, because addiction is a chronic
disorder, the ultimate goal of long-term abstinence often requires sustained
and repeated treatment.
Of course, not all drug abuse treatment is equally effective.
Research also has revealed a set of overarching principles that characterize
the most effective drug abuse and addiction treatments and their
implementation.
There are many addictive drugs and treatments for specific
drugs that can differ. Treatment also varies depending on the characteristics
of the patient. Problems associated with an individual’s drug addiction can
vary significantly. People who are addicted to drugs come from all walks of
life. Many suffer from mental health, occupational, health, or social problems
that make their addictive disorders much more difficult to treat. Even if there
are few associated problems, the severity of addiction itself ranges widely
among people.
A variety of scientifically based approaches to drug addiction
treatment exists. Drug addiction treatment can include behavioral therapy (such
as counseling, cognitive therapy, or psychotherapy), medications, or their
combination. Behavioral therapies offer people strategies for coping with their
drug cravings, teach them ways to avoid drugs and prevent relapse and help them
deal with relapse if it occurs. When a person’s drug-related behavior places
him or her at higher risk for AIDS or other infectious diseases, behavioral
therapies can help in reducing the risk of disease transmission. Case
management and referral to other medical, psychological, and social services
are crucial components of treatment for many patients. The best programs
provide a combination of therapies and other services to meet the needs of the
individual patient which are shaped by such issues as age, race, culture,
sexual orientation, gender, pregnancy, parenting, housing, and employment as
well as physical and sexual abuse.
Drug addiction treatment can include behavioral therapy,
medications, or their combination.Treatment medications such as methadone,
LAAM, and naltrexone are available for individuals addicted to opiates.
Nicotine preparations (patches, gum, nasal spray) and bupropion are available
for individuals addicted to nicotine.
The best treatment programs provide a combination of
therapies and other services to meet the needs of the individual patient.
Medications such as antidepressants, mood stabilizers, or
neuroleptics may be critical for treatment success when patients have co-occurring
mental disorders, such as depression, anxiety disorder, bipolar disorder, or
psychosis.Treatment can occur in a variety of settings, in many different
forms, and for different lengths of time. Because drug addiction is typically a
chronic disorder characterized by occasional relapses, a short-term, one-time
treatment often is not sufficient. For many, treatment is a long-term process
that involves multiple interventions and attempts at abstinence.
Nearly all addicted individuals believe in the beginning that
they can stop using drugs on their own, and most try to stop without treatment.
However, most of these attempts result in failure to achieve long-term
abstinence. Research has shown that long-term drug use results in significant
changes in brain function that persist long after the individual stops using
drugs. These drug-induced changes in brain function may have many behavioral
consequences, including the compulsion to use drugs despite adverse
consequences, the defining characteristic of addiction.
Long-term drug use results in significant changes in brain
function that persist long after the individual stops using drugs.
Understanding that addiction has such an important biological component may
help explain an individual’s difficulty in achieving and maintaining abstinence
without treatment. Psychological stress from work or family problems, social
cues (such as meeting individuals from one’s drug-using past), or the
environment (such as encountering streets, objects, or even smells associated
with drug use) can interact with biological factors to hinder attainment of
sustained abstinence and make relapse more likely. Research studies indicate
that even the most severely addicted individuals can participate actively in
treatment and that active participation is essential to good outcomes.
Increasingly, research is demonstrating that treatment for
drug-addicted offenders during and after incarceration can have a significant
beneficial effect on future drug use, criminal behavior, and social functioning.
The case for integrating drug addiction treatment approaches with the criminal
justice system is compelling. Combining prison and community-based treatment
for drug-addicted offenders reduces the risk of both recidivism to drug-related
criminal behavior and relapse to drug use. For example, a recent study found
that prisoners who participated in a therapeutic treatment program in the
Delaware State Prison and continued to receive treatment in a work-release
program after prison were 70 percent less likely than nonparticipants to return
to drug use and incur rearrest.
The majority of offenders involved with the criminal justice
system are not in prison but are under community supervision. For those with
known drug problems, drug addiction treatment may be recommended or mandated as
a condition of probation. Research has demonstrated that individuals who enter
treatment under legal pressure have outcomes as favorable as those who enter
treatment voluntarily.
The criminal justice system refers drug offenders into
treatment through a variety of mechanisms, such as diverting nonviolent
offenders to treatment, stipulating treatment as a condition of probation or
pretrial release, and convening specialized courts that handle cases for
offenses involving drugs. Drug courts, another model, are dedicated to drug
offender cases. The mandate and arrange for treatment as an alternative to
incarceration, actively monitor progress in treatment and arrange for other
services to drug-involved offenders.
The most effective models integrate criminal justice and drug
treatment systems and services. Treatment and criminal justice personnel work
together on plans and implementation of screening, placement, testing,
monitoring, and supervision as well as on the systematic use of sanctions and
rewards for drug abusers in the criminal justice system. Treatment for
incarcerated drug abusers must include continuing care, monitoring, and
supervision after release and during parole.
Many drug addicts such as heroin or cocaine addicts and
particularly injection drug users are at increased risk for HIV/AIDS as well as
other infectious diseases like hepatitis, tuberculosis, and sexually
transmitted infections. For these individuals and the community at large, drug
addiction treatment is disease prevention.
Drug injectors who do not enter treatment are up to six times
more likely to become infected with HIV than injectors who enter and remain in
treatment. Drug users who enter and continue in treatment reduce activities
that can spread disease, such as sharing injection equipment and engaging in
unprotected sexual activity. Participation in treatment also presents
opportunities for screening, counseling, and referral for additional services.
The best drug abuse treatment programs provide HIV counseling and offer HIV
testing to their patients.
Family and friends can play critical roles in motivating
individuals with drug problems to enter and stay in treatment. Family therapy
is important, especially, for adolescents. The involvement of a family member
in an individual’s treatment program can strengthen and extend the benefits of
the program.
More than ever before, India’s future depends on the strength
and dynamism of its youth. In a fast-changing world accelerated by new advances
in electronic technology, only a dynamic exuberant generation can put India on
a strong footing. A strong religious base combined with strong family ties and
high morals can help wrench out this evil from our society. Both, preventive
and Rehabilitation procedures depend strongly on these factors. Save youth from
drugs, save India.
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