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[Image:20drugs.gif|thumb|right|300px|Comparison of the perceived harm for various psychoactive drugs from a poll among medical psychiatrists specialized in addiction treatment
This article is an overview of the nontherapeutic use of alcohol and drugs of abuse. For the mental health classification, see substance abuse.
Drug abuse has a wide range of definitions related to taking a psychoactive drug or
performance enhancing drug for a non-therapeutic or non-medical effect. Some of the most commonly abused drugs include Ethanol, amphetamines,
barbiturates,
benzodiazepines,
cocaine, methaqualone, and
opioid. Use of these drugs may lead to criminal penalty in addition to possible physical, social, and psychological harm, both strongly depending on local jurisdiction.(2002).
Mosby's Medical, Nursing, & Allied Health Dictionary. Sixth Edition. Drug abuse definition, p. 552. Nursing diagnoses, p. 2109. ISBN 0-323-01430-5. Other definitions of drug abuse fall into four main categories: public health definitions, mass communication and vernacular usage, medical definitions, and political and criminal justice definitions.
An estimated 4.7% of the global population aged 15 to 64, or 185 million people, consume illicit drugs annually. The Global War on Drugs Combating Drug Abuse
Definitions
Public health definitions
]
Public health practitioners have attempted to look at drug abuse from a broader perspective than the individual, emphasising the role of society, culture and availability. Rather than accepting the loaded terms alcohol or drug "abuse," many public health professionals have adopted phrases such as "alcohol and drug problems" or "harmful/problematic use" of drugs.
The Health Officers Council of
British Columbia — in their 2005 policy discussion paper,
A Public Health Approach to Drug Control in Canada — has adopted a public health model of psychoactive substance use that challenges the simplistic black-and-white construction of the binary (or complementary) antonyms "use" vs. "abuse". This model explicitly recognizes a spectrum of use, ranging from beneficial use to
addiction (see diagram to the right).
Mass communication and vernacular usage
The term "drug abuse" may be used in newspapers, television, etc. in an ambiguous, catch-all sense Schaffer Library on Drug Policy - Perspectives on Defining Substance Abuse rather than as a
medical or legal term, sometimes disapprovingly to refer to any drug use at all, particularly of illicit drugs World Health Organization Lexicon. A common misconception perpetuated by mainstream media and anti-drug campaigns is that "if you do drugs once, you're automatically an addict".
Medical definitions
In the modern medical profession, the two most used diagnostic tools in the world, the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) and the World Health Organization's
ICD (ICD), no longer recognise 'drug abuse' as a current medical diagnosis. Instead, they have adopted
substance abuse as a blanket term to include drug abuse and other things. However, other definitions differ; they may entail psychological or physical
substance dependence, and may focus on treatment and prevention in terms of the social consequences of substance uses.
Historical positions of the American Psychiatric Association
In the early 1950s, the first edition of the American Psychiatric Association's
Diagnostic and Statistical Manual of Mental Disorders referred to both alcohol and drug abuse as part of
Sociopathic Personality Disturbances, which were thought to be symptoms of deeper psychological disorders or moral weakness . By the third edition, in the 1980s, drug abuse was grouped into 'substance abuse'.
In 1972, the American Psychiatric Association created a definition that used legality, social acceptability, and even cultural familiarity as qualifying factors:
…as a general rule, we reserve the term drug abuse to apply to the illegal, nonmedical use of a limited number of substances, most of them drugs, which have properties of altering the mental state in ways that are considered by social norms and defined by statute to be inappropriate, undesirable, harmful, threatening, or, at minimum, culture-alien. Glasscote, R.M., Sussex, J.N., Jaffe, J.H., Ball, J., Brill, L. (1972).
The Treatment of Drug Abuse: Programs, Problems, Prospects. Washington, D.C.: Joint Information Service of the American Psychiatric Association and the National Association for Mental Health.
Historical positions of the American Medical Association
In 1966, the
American Medical Association's Committee on Alcoholism and Addiction defined abuse of stimulants (amphetamines, primarily) in terms of "medical supervision":
…"use" refers to the proper place of stimulants in medical practice; "misuse" applies to the physician's role in initiating a potentially dangerous course of therapy; and "abuse" refers to self-administration of these drugs without medical supervision and particularly in large doses that may lead to psychological dependency, tolerance and abnormal behavior.
Handbook on Drug and Alcohol Abuse
The
Handbook on Drug and Alcohol Abuse defines drug abuse as "
nonmedical use of drugs, both drugs that have and those that do not have generally accepted medical value".Winger, Gail. (1992).
A Handbook on Drug and Alcohol Abuse: The Biomedical Aspects. Oxford University Press. ISBN 0-19-506397-X
Political and criminal justice definitions
Most countries have legislation designed to criminalise some drug use. Usually however the legislative process is self-referential, defining abuse in terms of what is made illegal. The legislation concerns lists of drugs specified by the legislation. These drugs are often called
illegal drugs but, generally, what was illegal is their license production, supply and possession. The drugs are also called
controlled drugs or
controlled substances.
Abuse potential
Depending on the actual compound, drug abuse may lead to health problems, social problems, physical dependence, or psychological addiction.
Some drugs that are subject to abuse have
central nervous system (CNS) effects, which produce changes in mood, levels of awareness or perceptions and sensations. Most of these drugs also alter systems other than the CNS. But, not all centrally acting drugs are subject to abuse, which suggests that altering consciousness is not sufficient for a drug to have abuse potential. Among drugs that are abused, some appear to be more likely to lead to uncontrolled use than others, suggesting a possible hierarchy of drug-induced effects relative to abuse potential.Jaffe, J.H. (1975). Drug addiction and drug abuse. In L.S. Goodman & A. Gilman (Eds.)
The pharmacological basis of therapeutics (5th ed.). New York: MacMillan. pp. 284–324.
Approaches to managing drug abuse
In addition to being a major public health problem, some consider drug abuse to be a social problem with far-reaching implications. Stress, poverty, domestic and societal violence, and various diseases (i.e., injecting drug users as a source for HIV/AIDS) are sometimes thought to be spread by drug use. Studies have also shown that individuals dependent on illicit drugs experience higher rates of comorbid psychiatric syndromes.
Harm reduction
One alternative involves replacing failed law enforcement policies with harm-reduction strategies, which focus on reducing the societal costs of drug abuse and other drug use. Techniques include education to avoid
overdose,
needle exchange programs to reduce the spread of blood-borne diseases, and opioid substitution therapy to reduce crime related to the procurement of drugs. This pragmatic approach is known as the
harm reduction paradigm. Harm reduction also addresses special populations, such as drug-using parents, pregnant drug users and users with psychiatric comorbidity. The philosophy of harm reduction accepts that drug use is part of the community, but that it must be addressed as a public health issue rather than a criminal one.Phillips, Prashant. (Oct, 2004). "Care of Drug Users in General Practice: a harm reduction approach." Book review.
Mental Health Practice 8:i2. p. 29.
Harm-reduction measures are at odds with the prevailing framework of international drug control, which rests on law enforcement and the criminalization of behaviors related to illicit drug use. However, harm-reduction has had a notable impact and is slowly gaining popularity. In
Brazil alone, a comprehensive harm-reduction and drug-access program successfully reduced AIDS mortality among injection drug users by 50%.Editorial. (Mar 1, 2005) "HIV, harm reduction and human rights/VIH, reduction des prejudices et droits de la personne."
Canadian Medical Association Journal. 172:(5). p.605.
Abstinence-Based
Abstinence-based approaches set as a goal complete abstinence from all addictive substances, including both licit and illicit, prescribed and unprescribed. While the harm-reduction approach has been demonstrated to work well with opioids, the abstinence-based approach is the medical community standard of care for sedative (including alcohol) dependence.
Medical treatment
Beyond the sociological issues, many drugs of abuse can lead to addiction, chemical dependency, or adverse health effects, such as lung cancer or emphysema from
cigarette smoking.
Medical treatment therefore centers on two aspects: 1) breaking the addiction, 2) treating the health problems.
Most countries have health facilities that specialize in the treatment of drug abuse, although access may be limited to larger population centers and the social taboos regarding drug use may make those who need the medical treatment reluctant to take advantage of it. For example, it is estimated that only fifteen percent of injection drug abusers thought to be in need are receiving treatment.Appel, P.W., Ellison, A.A., Jansky, H.K., Oldak, R. (Feb 2004). "Barriers to enrollment in drug abuse treatment and suggestions for reducing them: opinions of drug injecting street outreach clients and other system stakeholders".
American Journal of Drug and Alcohol Abuse. Patients may require acute and long-term maintenance treatment and relapse prevention, complemented by suitable rehabilitation. Qureshi N.A., al-Ghamdy Y.S., al-Habeeb T.A. (2000). "Drug addiction: a general review of new concepts and future challenges".
East Mediterr Health J. Jul;6(4):723-33. PMID 11794078
Pharmacotherapy
The development of pharmacotherapies for drug dependency treatment are currently in progress. New immunotherapies that prevent drugs like cocaine, methamphetamine,
phencyclidine, nicotine, and
opioids from reaching the brain are in the early stages of testing as is
ibogaine, an alkaloid found in the Tabernanthe iboga plant of West Central Africa. Medications such as
Buprenorphine, which block the drugs active site in the brain are another new option for the treatment of opioid addiction. Depot forms of medications, which require only weekly or monthly dosing, are also under investigation.
Traditionally, new pharmacotherapies are quickly adopted in primary care settings, however, drugs for substance abuse treatment have faced many barriers.
Naltrexone, a drug originally marketed under the name "ReVia," and now marketed in intramuscular formulation as "Vivitrol" or in oral formulation as a generic, is a medication approved for the treatment of alcohol dependence. This drug has reached very few patients. This may be due to a number of factors, including resistance by Addiction Medicine specialists and lack of resources. Board on Behavioral, Cognitive, and Sensory Sciences and Education (BCSSE). (2004)
New Treatments for Addiction: Behavioral, Ethical, Legal, and Social Questions. The National Academies Press. pp. 7–8, 140–141
Legal approaches
Related articles: Prohibition (drugs), Arguments for and against drug prohibition
Most governments have designed
legislation to criminalise certain types of drug use. These drugs are often called "illegal drugs" but generally what is illegal is their
license production, distribution, and possession. These drugs are also called "controlled substances". Even for simple possession, legal punishment can be quite severe (including the
death penalty in some countries). Laws vary across countries, and even within them, and have fluctuated widely throughout history.
Attempts by government-sponsored drug control policy to interdict drug supply and eliminate drug abuse have been largely unsuccessful.In spite of the huge efforts by the U.S., drug supply and purity has reached an all time high, with the vast majority of resources spent on interdiction and
law enforcement instead of public health.In the United States, the number of nonviolent drug offenders in prison exceeds by 100,000 the total incarcerated population in the
EU, despite the fact that the EU has 100 million more citizens.
Despite drug legislation (and some might argue because of it), large, organized criminal
drug cartels operate world-wide. Advocates of decriminalization argue that drug prohibition makes drug dealing a lucrative business, leading to much of the associated criminal activity.
See also
Notes
External links
- Alcohol and Drugs Treatment Centre
- Is drug abuse a criminal justice issue? Advocate Joseph Pookkatt compares Indian and British perspectives
- National Institute on Drug Abuse, Part of US National Institute of Health. Focused on research of drug abuse and addiction.
- American Journal of Drug and Alcohol Abuse, Focusing on the pre-clinical, clinical, pharmacological, administrative, and social aspects of substance misuse, this journal provides an exchange of ideas between the various modalities involved in the study and treatment of drug abuse and alcoholism.
- Drug Abuse and Intervention
- Pompidou Group - Cooperation Group to Combat Drug Abuse and Illicit Trafficking in Drugs
- Drug Information and Action - Wall of Dead Addicts
- The growing trend of Senior Drug Addiction
- The Ibogaine Dossier A resource library of ibogaine and ibogaine related information.
- Asia & Pacific Amphetamine-Type Simulants Information Centre - an extensive information source on Amphetamine-Type Stimulants in Asia managed by the United Nations Office on Drugs and Crime; includes a section on ATS Abuse Prevention
- Center "ESCAPE" - Drug prevention information in Ukraine
- Drug Addiction Treatment and Alcohol Addiction Treatment
[Image:20drugs.gif|thumb|right|300px|Comparison of the perceived harm for various psychoactive drugs from a poll among medical psychiatrists specialized in addiction treatment
This article is an overview of the nontherapeutic use of alcohol and drugs of abuse. For the mental health classification, see substance abuse.
Drug abuse has a wide range of definitions related to taking a
psychoactive drug or performance enhancing drug for a non-therapeutic or non-medical effect. Some of the most commonly abused drugs include Ethanol, amphetamines,
barbiturates,
benzodiazepines, cocaine, methaqualone, and opioid. Use of these drugs may lead to criminal penalty in addition to possible physical, social, and psychological harm, both strongly depending on local jurisdiction.(2002).
Mosby's Medical, Nursing, & Allied Health Dictionary. Sixth Edition. Drug abuse definition, p. 552. Nursing diagnoses, p. 2109. ISBN 0-323-01430-5. Other definitions of drug abuse fall into four main categories: public health definitions, mass communication and vernacular usage, medical definitions, and political and criminal justice definitions.
An estimated 4.7% of the global population aged 15 to 64, or 185 million people, consume illicit drugs annually. The Global War on Drugs Combating Drug Abuse
Definitions
Public health definitions
]Public health practitioners have attempted to look at drug abuse from a broader perspective than the individual, emphasising the role of society, culture and availability. Rather than accepting the loaded terms alcohol or drug "abuse," many public health professionals have adopted phrases such as "alcohol and drug problems" or "harmful/problematic use" of drugs.
The Health Officers Council of British Columbia — in their 2005 policy discussion paper,
A Public Health Approach to Drug Control in Canada — has adopted a public health model of psychoactive substance use that challenges the simplistic black-and-white construction of the binary (or complementary) antonyms "use" vs. "abuse". This model explicitly recognizes a spectrum of use, ranging from beneficial use to
addiction (see diagram to the right).
Mass communication and vernacular usage
The term "drug abuse" may be used in newspapers, television, etc. in an ambiguous, catch-all sense Schaffer Library on Drug Policy - Perspectives on Defining Substance Abuse rather than as a
medical or legal term, sometimes disapprovingly to refer to any drug use at all, particularly of illicit drugs World Health Organization Lexicon. A common misconception perpetuated by mainstream media and anti-drug campaigns is that "if you do drugs once, you're automatically an addict".
Medical definitions
In the modern medical profession, the two most used diagnostic tools in the world, the American Psychiatric Association's
Diagnostic and Statistical Manual of Mental Disorders (DSM) and the World Health Organization's ICD (ICD), no longer recognise 'drug abuse' as a current medical diagnosis. Instead, they have adopted
substance abuse as a blanket term to include drug abuse and other things. However, other definitions differ; they may entail psychological or physical
substance dependence, and may focus on treatment and prevention in terms of the social consequences of substance uses.
Historical positions of the American Psychiatric Association
In the early 1950s, the first edition of the American Psychiatric Association's
Diagnostic and Statistical Manual of Mental Disorders referred to both alcohol and drug abuse as part of Sociopathic Personality Disturbances, which were thought to be symptoms of deeper psychological disorders or moral weakness . By the third edition, in the 1980s, drug abuse was grouped into 'substance abuse'.
In 1972, the American Psychiatric Association created a definition that used legality, social acceptability, and even cultural familiarity as qualifying factors:
…as a general rule, we reserve the term drug abuse to apply to the illegal, nonmedical use of a limited number of substances, most of them drugs, which have properties of altering the mental state in ways that are considered by social norms and defined by statute to be inappropriate, undesirable, harmful, threatening, or, at minimum, culture-alien. Glasscote, R.M., Sussex, J.N., Jaffe, J.H., Ball, J., Brill, L. (1972).
The Treatment of Drug Abuse: Programs, Problems, Prospects. Washington, D.C.: Joint Information Service of the American Psychiatric Association and the National Association for Mental Health.
Historical positions of the American Medical Association
In 1966, the
American Medical Association's Committee on Alcoholism and Addiction defined abuse of stimulants (amphetamines, primarily) in terms of "medical supervision":
…"use" refers to the proper place of stimulants in medical practice; "misuse" applies to the physician's role in initiating a potentially dangerous course of therapy; and "abuse" refers to self-administration of these drugs without medical supervision and particularly in large doses that may lead to psychological dependency, tolerance and abnormal behavior.
Handbook on Drug and Alcohol Abuse
The
Handbook on Drug and Alcohol Abuse defines drug abuse as "
nonmedical use of drugs, both drugs that have and those that do not have generally accepted medical value".Winger, Gail. (1992).
A Handbook on Drug and Alcohol Abuse: The Biomedical Aspects. Oxford University Press. ISBN 0-19-506397-X
Political and criminal justice definitions
Most countries have
legislation designed to criminalise some drug use. Usually however the legislative process is self-referential, defining abuse in terms of what is made illegal. The legislation concerns lists of drugs specified by the legislation. These drugs are often called
illegal drugs but, generally, what was illegal is their
license production, supply and possession. The drugs are also called
controlled drugs or
controlled substances.
Abuse potential
Depending on the actual compound, drug abuse may lead to health problems, social problems, physical dependence, or psychological addiction.
Some drugs that are subject to abuse have
central nervous system (CNS) effects, which produce changes in mood, levels of awareness or perceptions and sensations. Most of these drugs also alter systems other than the CNS. But, not all centrally acting drugs are subject to abuse, which suggests that altering consciousness is not sufficient for a drug to have abuse potential. Among drugs that are abused, some appear to be more likely to lead to uncontrolled use than others, suggesting a possible hierarchy of drug-induced effects relative to abuse potential.Jaffe, J.H. (1975). Drug addiction and drug abuse. In L.S. Goodman & A. Gilman (Eds.)
The pharmacological basis of therapeutics (5th ed.). New York: MacMillan. pp. 284–324.
Approaches to managing drug abuse
In addition to being a major public health problem, some consider drug abuse to be a social problem with far-reaching implications. Stress, poverty, domestic and societal violence, and various diseases (i.e., injecting drug users as a source for HIV/AIDS) are sometimes thought to be spread by drug use. Studies have also shown that individuals dependent on illicit drugs experience higher rates of comorbid psychiatric syndromes.
Harm reduction
One alternative involves replacing failed law enforcement policies with harm-reduction strategies, which focus on reducing the societal costs of drug abuse and other drug use. Techniques include education to avoid
overdose,
needle exchange programs to reduce the spread of blood-borne diseases, and opioid substitution therapy to reduce crime related to the procurement of drugs. This pragmatic approach is known as the
harm reduction paradigm. Harm reduction also addresses special populations, such as drug-using parents, pregnant drug users and users with psychiatric comorbidity. The philosophy of harm reduction accepts that drug use is part of the community, but that it must be addressed as a public health issue rather than a criminal one.Phillips, Prashant. (Oct, 2004). "Care of Drug Users in General Practice: a harm reduction approach." Book review.
Mental Health Practice 8:i2. p. 29.
Harm-reduction measures are at odds with the prevailing framework of international drug control, which rests on law enforcement and the criminalization of behaviors related to illicit drug use. However, harm-reduction has had a notable impact and is slowly gaining popularity. In
Brazil alone, a comprehensive harm-reduction and drug-access program successfully reduced
AIDS mortality among injection drug users by 50%.Editorial. (Mar 1, 2005) "HIV, harm reduction and human rights/VIH, reduction des prejudices et droits de la personne."
Canadian Medical Association Journal. 172:(5). p.605.
Abstinence-Based
Abstinence-based approaches set as a goal complete abstinence from all addictive substances, including both licit and illicit, prescribed and unprescribed. While the harm-reduction approach has been demonstrated to work well with opioids, the abstinence-based approach is the medical community standard of care for sedative (including alcohol) dependence.
Medical treatment
Beyond the sociological issues, many drugs of abuse can lead to
addiction,
chemical dependency, or adverse health effects, such as lung cancer or
emphysema from
cigarette smoking.
Medical treatment therefore centers on two aspects: 1) breaking the addiction, 2) treating the health problems.
Most countries have health facilities that specialize in the treatment of drug abuse, although access may be limited to larger population centers and the social taboos regarding drug use may make those who need the medical treatment reluctant to take advantage of it. For example, it is estimated that only fifteen percent of injection drug abusers thought to be in need are receiving treatment.Appel, P.W., Ellison, A.A., Jansky, H.K., Oldak, R. (Feb 2004). "Barriers to enrollment in drug abuse treatment and suggestions for reducing them: opinions of drug injecting street outreach clients and other system stakeholders".
American Journal of Drug and Alcohol Abuse. Patients may require acute and long-term maintenance treatment and relapse prevention, complemented by suitable rehabilitation. Qureshi N.A., al-Ghamdy Y.S., al-Habeeb T.A. (2000). "Drug addiction: a general review of new concepts and future challenges".
East Mediterr Health J. Jul;6(4):723-33. PMID 11794078
Pharmacotherapy
The development of pharmacotherapies for drug dependency treatment are currently in progress. New immunotherapies that prevent drugs like cocaine, methamphetamine,
phencyclidine,
nicotine, and opioids from reaching the brain are in the early stages of testing as is
ibogaine, an alkaloid found in the Tabernanthe
iboga plant of West Central Africa. Medications such as
Buprenorphine, which block the drugs active site in the brain are another new option for the treatment of opioid addiction. Depot forms of medications, which require only weekly or monthly dosing, are also under investigation.
Traditionally, new pharmacotherapies are quickly adopted in primary care settings, however, drugs for substance abuse treatment have faced many barriers. Naltrexone, a drug originally marketed under the name "ReVia," and now marketed in intramuscular formulation as "Vivitrol" or in oral formulation as a generic, is a medication approved for the treatment of alcohol dependence. This drug has reached very few patients. This may be due to a number of factors, including resistance by
Addiction Medicine specialists and lack of resources. Board on Behavioral, Cognitive, and Sensory Sciences and Education (BCSSE). (2004)
New Treatments for Addiction: Behavioral, Ethical, Legal, and Social Questions. The National Academies Press. pp. 7–8, 140–141
Legal approaches
Related articles: Prohibition (drugs), Arguments for and against drug prohibition
Most governments have designed legislation to criminalise certain types of drug use. These drugs are often called "illegal drugs" but generally what is illegal is their license production, distribution, and possession. These drugs are also called "controlled substances". Even for simple possession, legal punishment can be quite severe (including the
death penalty in some countries). Laws vary across countries, and even within them, and have fluctuated widely throughout history.
Attempts by government-sponsored drug control policy to interdict drug supply and eliminate drug abuse have been largely unsuccessful.In spite of the huge efforts by the U.S., drug supply and purity has reached an all time high, with the vast majority of resources spent on interdiction and law enforcement instead of public health.In the
United States, the number of nonviolent drug offenders in prison exceeds by 100,000 the total incarcerated population in the EU, despite the fact that the EU has 100 million more citizens.
Despite drug legislation (and some might argue because of it), large, organized criminal drug cartels operate world-wide. Advocates of decriminalization argue that drug prohibition makes drug dealing a lucrative business, leading to much of the associated criminal activity.
See also
Notes
External links
- Alcohol and Drugs Treatment Centre
- Is drug abuse a criminal justice issue? Advocate Joseph Pookkatt compares Indian and British perspectives
- National Institute on Drug Abuse, Part of US National Institute of Health. Focused on research of drug abuse and addiction.
- American Journal of Drug and Alcohol Abuse, Focusing on the pre-clinical, clinical, pharmacological, administrative, and social aspects of substance misuse, this journal provides an exchange of ideas between the various modalities involved in the study and treatment of drug abuse and alcoholism.
- Drug Abuse and Intervention
- Pompidou Group - Cooperation Group to Combat Drug Abuse and Illicit Trafficking in Drugs
- Drug Information and Action - Wall of Dead Addicts
- The growing trend of Senior Drug Addiction
- The Ibogaine Dossier A resource library of ibogaine and ibogaine related information.
- Asia & Pacific Amphetamine-Type Simulants Information Centre - an extensive information source on Amphetamine-Type Stimulants in Asia managed by the United Nations Office on Drugs and Crime; includes a section on ATS Abuse Prevention
- Center "ESCAPE" - Drug prevention information in Ukraine
- Drug Addiction Treatment and Alcohol Addiction Treatment
National Institute on Drug Abuse - The Science of Drug Abuse and ...
The mission of NIDA is to lead the nation in bringing the power of science to bear on drug abuse and addiction.
NIDA Drug Abuse Information
The National Institute on Drug Abuse (NIDA) is part of the National Institutes of Health (NIH), a component of the U.S. Department of Health and Human Services.
Drug Abuse
Drug Abuse
critical reviews of drug abuse ... Drug Abuse. In these pages are collected the stories from Bandolier relating to drug abuse.
I N H A L A N T S . D R U G A B U S E . G O V
Extent of Use: Trends and Statistics Summary Page; Monitoring the Future Survey provides recent trends of drug use, including inhalants. Articles from NIDA Notes Newsletter:
NIDA for Teens: The Science Behind Drug Abuse
National Institute on Drug Abuse offers facts on drug use and the brain. Includes answers to common questions, real stories from teens with addictions, and games and quizzes to ...
Drug abuse - Wikipedia, the free encyclopedia
Drug abuse has a wide range of definitions related to taking a psychoactive drug or performance enhancing drug for a non-therapeutic or non-medical effect.
COUNCIL ON DRUG ABUSE
welcome. The Council On Drug Abuse (CODA) is a charitable non-profit organization that has sponsored and continues to sponsor preventive alcohol and other drug education programs ...
International Program of the National Institute on Drug Abuse - E-news
International Program of the National Institute on Drug Abuse ... NIDA International Program, National Institute on Drug Abuse 6001 Executive Boulevard, Room 5274
Drug Abuse
Counselling Directory is a comprehensive database of UK counsellors, with information on their training and experience, areas of counselling covered, fees and contact details