public health. geno, pls. research on tc and public health issues
TRANSCRIPT
Public Health
Geno, pls. research on TC and public health issues
“Surely there must be something more to life than treating patients, writing prescriptions,
ordering diagnostic tests and doing surgery?”
Why Public Health?
• Opiates – 0.05% (2005)• Cocaine – <0.01% (2005)• Cannabis – 0.08% (2008)• Amphetamine – 2.1%
(2008)
UN World Drug Report, 2010
• Opiates – 30,000• Cocaine – 6,000• Cannabis – 47,000• Amphetamine – 1,234,743• Treatment – 3,000
NSO Population Data, 2010
Ounce of Prevention
• Many treatment programs are expensive, labor-intensive and plagued by high rates of recidivism (Botvin & Griffin, 2005)
Therapeutic Community
• Dropout 50% within the first 30 days. • Some studies show that of those who stay
beyond the first month, approximately 60% of residents complete TC programs, 1/3 of those graduates will relapse to drug use.
Gibbons, Anderson and Garm, THE THERAPEUTIC COMMUNITYTREATMENT MODEL: OVERVIEW AND ANALYSIS OF KEYTHEMES AND ISSUES 2002
Demand
• “Does drug education work?”• Yes1.Timing and Programming Considerations –
(timing, needs, goals, booster sessions)2.Content and Delivery – (Social Influence,
interactive, focus on behavior change, single drug focus, peer interaction)
Vinluan, 2009. History of Preventive Drug Education
Demand
3. Skills of teacher4. Dissermination – (Marketing and Cost)
What’s the other item in the curve?
• Supply. • In Singapore, long term imprisonment, caning
and capital punishment.• Heroin – 2 grammes vs 10 grams• Cocaine – 3 grammes vs 10 grams• Meth – 25 grammes vs 50 grams• Cannabis – 30 grammes vs 500 grams
Misuse of Drugs Act 1998 revisedRA 9165 2001