Heroin addiction and drug policy: the British system
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Oxford u.a.
Oxford Univ. Press
1994
|
| Schriftenreihe: | Oxford medical publications
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIX, 355 S. |
| ISBN: | 0192620460 |
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| adam_text | C HEROIN ADDICTION AND DRUG POLICY THE BRITISH SYSTEM EDITED BY JOHN
STRANG GETTY SENIOR LECTURER IN THE ADDICTIONS AND DEPUTY DIRECTOR
ADDICTION RESEARCH UNIT, NATIONAL ADDICTION CENTRE, THE
MAUDSIEY/INSTITUTE OF PSYCHIATRY, LONDON AND MICHAEL GOSSOP HEAD OF
RESEARCH, DRUG DEPENDENCE UNIT, NATIONAL ADDICTION CENTRE, THE MAUDSIEY,
LONDON OXFORD NEW YORK TOKYO OXFORD UNIVERSITY PRESS 1994 CONTENTS LIST
OF CONTRIBUTORS XVI PART I THE PROBLEM L 1. THE EARLY YEARS OF THE
BRITISH SYSTEM IN PRACTICE 3 BING SPEAR INTRODUCTION 3 THE BEGINNINGS
OF THE BRITISH SYSTEM 4 NEW HEROIN ADDICT GROUPS BEGIN TO APPEAR 8 THE
NEED FOR A DIFFERENT TYPE OF RESPONSE 12 NON-PARTICIPATION FROM THE
MAJORITY OF DOCTORS 22 CONCLUSION 25 REFERENCES 27 2. DRUG TRENDS SINCE
1968 29 ROBERT POWER NOTHING NEW UNDER THE SUN 29 THE SEARCH FOR
ALTERNATIVES: METHEDRINE AND DICONAL 30 THE QUEST CONTINUES:
BARBITURATES AND BENZODIAZEPINES 32 INTO THE BLACK HOLE: THE HEROIN
EPIDEMIC 34 THE COCAINE ISSUE: WHITE TIDAL WAVE OR GENTLE BREAKERS? 36
CONCLUSIONS: PIECING THE JIGSAW TOGETHER 37 REFERENCES 39 3. FLEXIBLE
HIERARCHIES AND DYNAMIC DISORDER*THE TRADING AND DISTRIBUTION OF ILLICIT
HEROIN IN BRITAIN AND EUROPE, 1970-90 42 ROGER LEWIS INTRODUCTION 42 A
GROWING MARKET AND ITS COMPONENTS 43 DISTRIBUTION AND DELIVERY 45
IMPORTERS AND BULK DISTRIBUTORS 46 BULK WHOLESALERS 47 SMALL-SCALE
WHOLESALERS AND APARTMENT DEALERS 48 VIII CONTENTS RETAIL SALES*STREET
AND APPOINTMENT DEALERS, NETWORK SUPPLIERS, AND USER-SELLERS 49
REFERENCES 53 4. DRUGS AND ADOLESCENCE 55 MARTIN PJANT THE GROWTH OF
THE DRUG SCENE 55 SOME MORE RECENT STUDIES 56 POLYDRUG USE 58 WHY DO
ADOLESCENTS USE DRUGS? 59 DRUG USE AND RISK TAKING 60 PREVENTING
ADOLESCENT DRUG PROBLEMS 61 CONCLUSIONS 62 REFERENCES 62 5. USE OF
PUBLIC HEALTH INDICATORS OF THE EXTENT AND NATURE OF DRUG PROBLEMS
DURING THE 1970S AND 1980S 66 HAMID GHODSE INTRODUCTION 66 WHAT IS A
CASE ? 66 PATTERN OF CONSUMPTION OF DRUGS 67 MORBIDITY 68 DRUG
OVERDOSES 69 DRUG DEPENDENCE 71 HEPATITIS B 72 AIDS 72 OTHER INFECTIOUS
COMPLICATIONS 73 NEONATAL PROBLEMS 73 DRUG PSYCHOSIS 73 ANALGESIC
NEPHROPATHY 74 NOTIFICATION OF ADVERSE DRUG REACTIONS 74 MORTALITY 75
LAW ENFORCEMENT INDICATORS 76 POPULATION SURVEYS 76 REFERENCES 78 6.
WOMEN DRUG MISUSERS: A CASE FOR SPECIAL CONSIDERATION 79 EDNA
OPPENHEIMER THE EMERGENCE OF AWARENESS OF WOMEN AS A SPECIAL GROUP 80
THE SPECIAL FEATURES OF WOMEN S ADDICTION 81 THE NEEDS OF WOMEN DRUG
MISUSERS IN TREATMENT 85 WOMEN DRUG MISUSERS IN BRITAIN*A SPECIAL CASE?
88 REFERENCES 88 CONTENTS IX 7. THE ARRIVAL OF HIV 91 ROY ROBERTSON THE
IMPACT OF HIV ANTIBODY TESTING 92 INCUBATION TIME; THE UNIQUE FEATURE OF
HIV DISEASE 93 EDINBURGH AND DUNDEE 94 ANECDOTAL ACCOUNTS OF THE
INTRODUCTION OF THE VIRUS TO THE EDINBURGH DRUG-USING POPULATION 95 DRUG
SERVICES, CHANGING PRIORITIES 96 MANAGING DRUG USERS POST-AIDS 97
NON-AIDS, HIV ILLNESS 98 DEVELOPING NEW SERVICES TO MANAGE HIV INFECTION
IN DRUG USERS 99 ACKNOWLEDGEMENT 99 REFERENCES 99 8. LOCAL AND REGIONAL
VARIATIONS IN DRUG MISUSE: THE BRITISH HEROIN EPIDEMIC OF THE 1980S 102
GEOFFREY PEARSON AND MARK GILMAN HEROIN USE IN THE NORTH OF ENGLAND: AN
INITIAL OUTLINE 103 DRUGS IN SPACE AND TIME: PATTERNS OF DISPERSAL 104
URBAN CLUSTERING: DRUGS, DEPRIVATION, AND HOUSING AREAS 106 SHARING
WORKS: LOCAL AND REGIONAL VARIATIONS IN INJECTING PRACTICES 111
REFERENCES 116 9. CHASING THE DRAGON: THE DEVELOPMENT OF HEROIN SMOKING
IN THE UNITED KINGDOM 121 PAUL GRIFFITHS, MICHAEL GOSSOP, AND JOHN
STRONG CHASING THE DRAGON 121 THE HISTORY 122 THE MARKET 123 THE
PHARMACOLOGY 126 ANALYSIS OF THE HEROIN EPIDEMIC IN THE 1980S 128
CONCLUSION 131 REFERENCES 131 10. USE OF ILLEGAL DRUGS IN NORTHERN
IRELAND 134 MICHAEL MURRAY EXTENT OF ILLEGAL DRUG USE 135 AVAILABILITY
OF ILLEGAL DRUGS 138 SOCIO-CULTURAL CHARACTERISTICS OF NORTHERN IRELAND
143 ALTERNATIVES TO ILLEGAL DRUG USE 146 CONCLUSION 147 REFERENCES 148 X
CONTENTS PART II CLINICAL RESPONSES 149 11. THE FALL AND RISE OF THE
GENERAL PRACTITIONER 151 ALAN GJANZ EMERGENCE OF THE GP IN ADDICTION
TREATMENT 151 REMOVAL OF THE GP FROM ADDICTION TREATMENT 153 THE DECLINE
OF GENERAL PRACTICE WITHIN MEDICINE 154 THE REINSTATEMENT OF THE GP IN
ADDITION TREATMENT 155 THE CHANGING IDEOLOGICAL CONTEXT OF POLICY 157
THE RISE OF GENERAL PRACTICE WITHIN MEDICINE 158 THE ADVENT OF AIDS AND
THE FUTURE ROLE OF THE GP 159 CONCLUSION 163 REFERENCES 163 12. THE
CREATION OF THE CLINICS: CLINICAL DEMAND AND THE FORMATION OF POLICY 167
PHILIP CONNELL AND JOHN STRONG THE NEW ANALYSIS 168 THE NEW RESPONSE 169
THE RATIONALE OF THE NEW APPROACH 170 THE NEW SERVICES 171 THE DANGERS
OF THE NEW APPROACH 172 THE DEVELOPMENT OF SAFEGUARDS 173 THE CHALLENGE
175 CONCLUSIONS 175 REFERENCES 176 13. DRUG CLINICS IN THE 1970S 178
MARTIN MITCHESON THE EARLY DAYS 178 CLIENT CONTACT AND EXPECTATIONS 180
STAFFING OF THE CLINICS 180 QUESTIONING THE THERAPEUTIC GOAL 181
QUESTIONING THE PRESCRIBING OF INJECTABLE DRUGS 182 NOT JUST OPIATES 183
THE INJECTING BARBITURATE EPIDEMIC 183 MOVING AWAY FROM PRESCRIBING
INJECTABLES 184 DIVERSITY IN THE CHANGES 188 WHY DID THE CHANGES OCCUR?
188 CONCLUSION 189 REFERENCES 190 CONTENTS XI 14. PRESCRIBING HEROIN AND
OTHER INJECTABLE DRUGS 192 JOHN STRONG, SUSAN RUBEN, MICHAEL FARREJL,
AND MICHAEL GOSSOP INTRODUCTION 192 EACH PHYSICIAN IS A LAW UNTO
HIMSELF 193 THE EARLY HISTORY OF INJECTABLES 194 INJECTABLE PRESCRIBING
AND THE GROWTH OF A MODERN DAY PROBLEM 195 PRESCRIBING INJECTABLE DRUGS
FROM THE NEW CLINICS (1968 ONWARDS) 196 CONFUSION AND CONFLICT IN THE
CLINICS: WHAT PURPOSE BEHIND INJECTABLE PRESCRIBING? 197 INJECTABLE
HEROIN AND INJECTABLE METHADONE 199 NOT JUST THE OPIATES 199 AIDS
BREATHES NEW LIFE INTO THE INJECTING DEBATE 200 DOCTORS AS HEALERS, OR
DOCTORS AS GROCERS? 201 CONCLUSION 202 REFERENCES 203 15. THE
INTRODUCTION OF COMMUNITY DRUG TEAMS ACROSS THE UK 207 JOHN STRONG AND
SUE CLEMENT THE END OF AN ERA? 207 CONCERNS AROUND THE CONCEPT OF
COMMUNITY CARE 208 THE COMPOSITION AND SETTING OF THE CDT 208 THE NEED
FOR LOCAL ADAPTATION 209 IDENTIFICATION OF SERVICE GOALS 210 PROBLEMS
ENCOUNTERED BY THE CDT 215 DISCUSSION 217 REFERENCES 219 16. THE
DEVELOPMENT OF THE VOLUNTARY SECTOR: NO FURTHER NEED FOR PIONEERS? 222
DAVID TURNER EARLY NON-STATUTORY DRUG SERVICES 222 THE VOLUNTARY SECTOR
IN THE NEW DRUG SERVICES 223 WHAT SERVICE WAS PROVIDED? 224 CHANGE AND
CONSOLIDATION DURING THE 70S 225 RAPID GROWTH DURING THE 80S 226 SO WHAT
PROMOTES VOLUNTARY SECTOR GROWTH? 227 THE DRIVE TOWARDS
PROFESSIONALIZATION 228 CONCLUSION 229 REFERENCES 230 XII CONTENTS 17.
CHANGES IN THERAPEUTIC COMMUNITIES IN THE UK 231 PAUL TOON AND RICHARD
LYNCH THE HISTORY OF THE THERAPEUTIC COMMUNITY 231 THREE TYPES OF
PROGRAMME 232 CRITICISMS OF THE TC ORTHODOXY 233 THE IMPACT OF AIDS 234
GOVERNMENT 234 THE CHANGING CLIENTELE 235 FACTORS PROMOTING CHANGE 236
HEALTH PROMOTION 236 A TOTAL OR PARTIAL SOLUTION? 236 THE PROBLEMS OF
RE-ENTRY INTO SOCIETY 237 CHANGES IN STAFF ATTITUDES 237 NEW OBJECTIVES
238 REFERENCES 239 18. NARCOTICS ANONYMOUS (NA) IN BRITAIN 240 RRIAN
WELLS HISTORY 240 THE IDEOLOGY 242 ALCOHOL 242 THE FAMILY 242 THE
PROGRAMME 243 THE 12 STEPS OF NA 244 WHO ATTENDS? 245 AFFILIATION WITH
NA 245 TREATMENT 246 SOME PROBLEMS 247 CONCLUSION 247 REFERENCES 247 19.
MINIMIZING HARM FROM DRUG USE 248 GERRY V. STIMSON SCHEMES FOR THE
EXCHANGE OF NEEDLES AND SYRINGES 248 THE RAPID ACCEPTANCE OF HARM
MINIMIZATION 249 CHANGING IDEAS ABOUT HARM MINIMIZATION 251 HARM
MINIMIZATION AND ITS RELATIONSHIP TO THE PROMOTION OF PLEASURE 252 AIDS
BREATHES NEW LIFE INTO HARM MINIMIZATION 253 CONCLUSION 255
ACKNOWLEDGEMENTS 256 REFERENCES 256 CONTENTS XIII PART III OTHER
RESPONSES 257 20. PROMOTING NEW SERVICES: THE CENTRAL FUNDING INITIATIVE
AND OTHER MECHANISMS 259 SUSANNE MACGREGOR INTRODUCTION 259 THE
OBJECTIVES 259 RELATED DEVELOPMENTS 261 THE ROLE OF RESEARCH 263 TAKE-UP
OF FUNDING AT THE LOCAL LEVEL 265 CONCLUSIONS 266 ACKNOWLEDGEMENTS 268
REFERENCES 268 21. NOTIFICATION AND THE HOME OFFICE 270 JOY MOTT REPORTS
OF THE INTERDEPARTMENTAL COMMITTEE ON DRUG ADDICTION 1961 AND 1965 271
THE NOTIFICATION REGULATIONS 1968 AND 1973 273 DOCTORS COMPLIANCE WITH
THE NOTIFICATION REGULATIONS 274 THE ADDICTS INDEX 276 THE
CONFIDENTIALITY OF THE ADDICTS INDEX 279 OTHER USES OF THE ADDICTS INDEX
281 NOTIFICATIONS AND ESTIMATING THE PREVALENCE OF ADDICTION 286
DISCUSSION 287 ACKNOWLEDGEMENTS 289 REFERENCES 289 22. THE POWER BEHIND
PRACTICE: DRUG CONTROL AND HARM MINIMIZATION IN INTER-AGENCY AND
CRIMINAL LAW CONTEXTS 292 NICHOLAS DORN AND NIGEL SOUTH INTRODUCTION 292
POLICING, PUNISHMENT, AND PREVENTION 292 A REVISIONIST HISTORY OF DRUG
CONTROL , 295 ISSUE 1: STRUCTURES OF INTER-AGENCY CO-ORDINATION .
(HEALTH CARE/POLICE/DEMOCRACY) 297 ISSUE 2: SUCTION INTO/DIVERSION FROM
THE CRIMINAL JUSTICE SYSTEM 298 ISSUE 3: THE MEANING OF PREVENTION IN A
CRIMINAL LAW CONTEXT 300 REFERENCES 302 XIV CONTENTS 23. THE GROWTH OF
INFORMATION. THE DEVELOPMENT OF BRITAIN S NATIONAL DRUG MISUSE
INFORMATION RESOURCE 304 JASPER WOODCOCK AMATEUR BEGINNINGS 304 GROWING
PROFESSIONALIZATION 306 CONSOLIDATION 307 CONCLUSIONS 309 REFERENCES 310
24. MEDIA- AND SCHOOL-BASED APPROACHES TO DRUG EDUCATION 311 JOHN B.
DAVIES AND NIALL COGGANS MEDIA ANTI-DRUG CAMPAIGNS 311 THE EFFECTS OF
ANTI-DRUG CAMPAIGNS 313 PROBLEMS OF EVALUATION 314 DRUG EDUCATION IN
SCHOOLS 315 THE NATIONAL EVALUATION OF DRUG EDUCATION IN SCOTLAND 317
FACTORS ASSOCIATED WITH GOOD DRUG EDUCATION PRACTICE 318 REFERENCES 320
25. HIV AND DRUGS SERVICES*THE CHALLENGE OF CHANGE 322 STEVE CRANFIELD,
CHARLOTTE FEINMANN, EWAN FERLIE, AND CATHY WALTER INTRODUCTION: THE
ORGANIZATIONAL CONTEXT 322 HIV/AIDS AND CHANGING DRUG TREATMENT POLICIES
323 CASE HISTORY 324 CASE ANALYSIS*SOME EMERGING THEMES 327 REFERENCES
330 26. THE RELATIONSHIP BETWEEN THE STATE AND LOCAL PRACTICE IN THE
DEVELOPMENT OF NATIONAL POLICY ON DRUGS BETWEEN 1920 AND 1990 331 GERRY
V. STIMSON AND RACHEL LART FROM THE 1920S TO THE 1960S 331 DISTINCTIVE
FEATURES OF THE MEDICAL INVOLVEMENT IN DRUG PROBLEMS 333 DRUG POLICY,
THE STATE, AND THE MEDICAL PROFESSION 334 DRUG POLICY IN THE 1980S 336
DRUG POLICY, THE STATE, AND THE NEW DRUGS STRATEGY 337 IN CONCLUSION 339
REFERENCES 340 CONTENTS XV 27. THE BRITISH SYSTEM : VISIONARY
ANTICIPATION OR MASTERLY INACTIVITY? 342 JOHN STRONG AND MICHAEL GOSSOP
THE DIFFERENT AGES OF THE BRITISH SYSTEM 344 THE NEED TO DEVELOP A NEW
AIDS-CONSCIOUS BRITISH SYSTEM 347 CONCLUSION 349 REFERENCES 350 INDEX
353
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| spelling | Heroin addiction and drug policy the British system ed. by John Strang ... Oxford u.a. Oxford Univ. Press 1994 XIX, 355 S. txt rdacontent n rdamedia nc rdacarrier Oxford medical publications Heroïnegebruik gtt Heroïneverslaving gtt Overheidsbeleid gtt Preventie gtt Politik Drug abuse Government policy Great Britain Heroin Dependence prevention & control Great Britain Heroin abuse Treatment Great Britain Heroin abuse Great Britain Prevention Pharmaceutical policy Great Britain Public Policy Great Britain Drogenpolitik (DE-588)4140775-1 gnd rswk-swf Großbritannien Großbritannien (DE-588)4022153-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Großbritannien (DE-588)4022153-2 g Drogenpolitik (DE-588)4140775-1 s DE-604 Strang, John Sonstige oth GBV Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006505709&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Heroin addiction and drug policy the British system Heroïnegebruik gtt Heroïneverslaving gtt Overheidsbeleid gtt Preventie gtt Politik Drug abuse Government policy Great Britain Heroin Dependence prevention & control Great Britain Heroin abuse Treatment Great Britain Heroin abuse Great Britain Prevention Pharmaceutical policy Great Britain Public Policy Great Britain Drogenpolitik (DE-588)4140775-1 gnd |
| subject_GND | (DE-588)4140775-1 (DE-588)4022153-2 (DE-588)4143413-4 |
| title | Heroin addiction and drug policy the British system |
| title_auth | Heroin addiction and drug policy the British system |
| title_exact_search | Heroin addiction and drug policy the British system |
| title_full | Heroin addiction and drug policy the British system ed. by John Strang ... |
| title_fullStr | Heroin addiction and drug policy the British system ed. by John Strang ... |
| title_full_unstemmed | Heroin addiction and drug policy the British system ed. by John Strang ... |
| title_short | Heroin addiction and drug policy |
| title_sort | heroin addiction and drug policy the british system |
| title_sub | the British system |
| topic | Heroïnegebruik gtt Heroïneverslaving gtt Overheidsbeleid gtt Preventie gtt Politik Drug abuse Government policy Great Britain Heroin Dependence prevention & control Great Britain Heroin abuse Treatment Great Britain Heroin abuse Great Britain Prevention Pharmaceutical policy Great Britain Public Policy Great Britain Drogenpolitik (DE-588)4140775-1 gnd |
| topic_facet | Heroïnegebruik Heroïneverslaving Overheidsbeleid Preventie Politik Drug abuse Government policy Great Britain Heroin Dependence prevention & control Great Britain Heroin abuse Treatment Great Britain Heroin abuse Great Britain Prevention Pharmaceutical policy Great Britain Public Policy Great Britain Drogenpolitik Großbritannien Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006505709&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT strangjohn heroinaddictionanddrugpolicythebritishsystem |