Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...
Share Embed Flag
Download ePaper

Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

Narcotics research, rehabilitation, and treatment. Hearings, Ninety ... Narcotics research, rehabilitation, and treatment. Hearings, Ninety ...

library.whnlive.com
from library.whnlive.com More from this publisher
12.07.2015 Views

530tution and his involvement in the program meaningful. The subjects accomplishingthis are tabulated in table 6. Among the first admissions, 135 managed to achievethis period of participation, or longer. However, only a relatively small number ofthe second admissions were able to achieve this—20 out of 155. This would seemto suggest that the subject's best opportunity for making out well in the programoccurs during the first admission, and this failure may be associated with anattenuation of their motivation on subsequent admissions. The exception to thisis those patients who on their first admission, because of insufficient motivation,very quickly relapse into narcotic at^use. When these patients are given an opportunityto return to the program at a later date, they do better in terms oflength of participation, since their first admission apparenth" presented theminsufficient challenge.There was a continuing interest in the subsequent course of those individualswho had left the program. Although the research design had no provision for asystematic foUowup, information did reach the clinic via the "grapevine", contactsand chance meetings, information originating in other programs, and fromformer subjects visiting the clinic or reappearing in institutions. This informationwas recorded and noted as foUowup in tables 5, 7, and 8. Where there was noinformation available, the space was left blank. Table 7, that tabulates the expirationof parole on the first admission, indicates that in the small sample of informationreported, the number remaining abstinent and the number returning todrug use was about equally divided.The information tabulated in table 8 provided an opportunity to compare asecond admission who had achieved expiration of parole during this admissionwith his course on the first admission. Inspection of this table reveals the variabilityand the difficulties in attempting to come to a conclusion as to the factorsresponsible.The course of a third admission is presented in table 9. The subject who achievedthe exi)iratiou of parole on his third admission again reflects the variability whichmay occur and for which there are no specific explanations. It also emphasizesthe problem that emerges when an individual is admitted to the program withonly a brief period of time remaining in his parole status.Of consideralile interest was the relationship of age to the length of time spentin the program. The literature gives the impression that the youthful narcoticuser has a n^ore difficult time in participating in the program. To some extentthis would seem to be true as indicated in table 10. However, there is a great dealof variability for which there are no apparent explanations.CONCLUSIONIt would appear that a program of this nature is feasil)le and meaningful andmay well be a preamble to other forms of treatment concerned with the managementof the narcotic abuser. This impression arose from repeated observationsdespite the polarity of the program; that is, its punitive and therapeutic aspectswith the overwhelming majority of the participants tending to view the program asbeing supportive. Furthermore, the relative lack of complaints from his familyappeared to be significant.Aspects of the program which were difficult to assess, but nevertheless relatedto the support it provided, touch upon such issues as the reassui'ance it providesfirst for an employer knowing tliat his emploj'ee is participating in such a program;second, the relief it provides the parolee's family from a chronic preoccupationwith the exercising of policing the subject; and third, the invaluableservice it provides the parole agent by allowing him to function with an increasedsense of effectiveness by his knowledge of the daily status of his charges. The approachprovides a mechanism by which a productive relationship is establishedbetween the parolee, his parole supervisors, and the clinic staff. It also providesopi^ortunities for detecting periods of stress leading to narcotic abuse. The promptconfrontation and the assistance provided, prevents an accelerated regression intoanother cycle of narcotic dependency in many of the subjects. The fact that nopatient became addicted while ])articipating in the i)rogram, and that the numljerof aiTests were relatively small for a group as liighly recidi\istic in nature as thisone, was a most encouraging finding.References(1) Kurland, A. A. The deceptive communication and the narcotic abuser. RutgersSymposium on Commimication and Drug Abuse, Rutgers University, TheState University of New Jersey, New Brunswick, N.J. (1969), Sept. 3-5.

531PERIOD OF RETENTION OF PAROLEES IN AN ABSTINENCE PROGRAM(2) Kurland, A. A., Wurmser, L. & Kerman, F. Urine detection tests in the managementof the narcotic addict. Am. J. Psychiat. (1966), i^;g:737-742.(3) Kurland, A. A., Kerman, F., Wurmser, L. & Kokoski, R. Intermittent patternsof narcotic usage. In, Drug Abuse, Social_and Psychophannacological'Aspects, J. O. Colt and J. R. Wittenborn, Eds. C. C. Thomas: Springfield^(1969), pp. 129-145.(4) Kurland, A. A., Kerman, F. and Bass, G. A. Laboratory control as a deterrentto narcotic usage—a case study. In, Drugs and Youth— Proceedings of theRutgers Symposium on Drug Abuse, J. R. Wittenborn, H. Bill, G. P. Smithand S. A. Wittenborn, Eds. C. C. Thomas: Springfield (1969), pp. 372-384.(5) Kurland, A. A. Outpatient management of the narcotic addict. In, Drugs andthe Brain, P. Black, Ed. Johns Hopkins Press: Baltimore, Md. (1969), pp.363-370.(6) Kokoski, R. A practical application of thin-layer chromatography in thedetection of narcotic drugs in the urine. Psychopharmacol. Bull. (1966),3:34-36.Attachment No. 4-Attrition-.28 DAYS_^^. 6 MOS-1 YRFHght-Unmotivated- (10%)Usage -^(57o)A£ST1\'E?JTSTATUS[Prison]-Unsteady State-Flight" (25%)(50%)UsageV^Increasingly Motivated(35%) \/aintaining Complete Abstinence (/j%). Indefinite-

531PERIOD OF RETENTION OF PAROLEES IN AN ABSTINENCE PROGRAM(2) Kurl<strong>and</strong>, A. A., Wurmser, L. & Kerman, F. Urine detection tests in the managementof the narcotic addict. Am. J. Psychiat. (1966), i^;g:737-742.(3) Kurl<strong>and</strong>, A. A., Kerman, F., Wurmser, L. & Kokoski, R. Intermittent patternsof narcotic usage. In, Drug Abuse, Social_<strong>and</strong> Psychophannacological'Aspects, J. O. Colt <strong>and</strong> J. R. Wittenborn, Eds. C. C. Thomas: Springfield^(1969), pp. 129-145.(4) Kurl<strong>and</strong>, A. A., Kerman, F. <strong>and</strong> Bass, G. A. Laboratory control as a deterrentto narcotic usage—a case study. In, Drugs <strong>and</strong> Youth— Proceedings of theRutgers Symposium on Drug Abuse, J. R. Wittenborn, H. Bill, G. P. Smith<strong>and</strong> S. A. Wittenborn, Eds. C. C. Thomas: Springfield (1969), pp. 372-384.(5) Kurl<strong>and</strong>, A. A. Outpatient management of the narcotic addict. In, Drugs <strong>and</strong>the Brain, P. Black, Ed. Johns Hopkins Press: Baltimore, Md. (1969), pp.363-370.(6) Kokoski, R. A practical application of thin-layer chromatography in thedetection of narcotic drugs in the urine. Psychopharmacol. Bull. (1966),3:34-36.Attachment No. 4-Attrition-.28 DAYS_^^. 6 MOS-1 YRFHght-Unmotivated- (10%)Usage -^(57o)A£ST1\'E?JTSTATUS[Prison]-Unsteady State-Flight" (25%)(50%)UsageV^Increasingly Motivated(35%) \/aintaining Complete Abstinence (/j%). Indefinite-

logo

products

Resources

Company

Terms of service
Privacy policy
Cookie policy
Cookie settings
Imprint
Change language
Made with love in Switzerland
© 2024 Yumpu.com all rights reserved

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!