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SUBSTANCE ABUSE AND
REHABILITATION: WHAT
YOU NEED TO KNOW
Danielle EK Perkins, PhD, RN
The
Community
The Family
The Individual
Perspective
Addiction
“
is defined as a chronic,
relapsing brain disease that is characterized by
compulsive drug seeking and use, despite
harmful consequences. It is considered a brain
disease because drugs change the brain—they
change it’s structure and how it works. These
changes can be long lasting, and can lead to
the harmful behaviors seen in people who
abuse drugs.”

Inquiry into the science of addictive
behavior began in 1930s

People of all ages and backgrounds suffer
from substance abuse and addiction

Addiction research supports development
of programs that aim to prevent drug
abuse and support recovery
Background
In the United States :
Treatment
Crime-related Cost
Collateral Damage
> $600 Billion Annually
The Nation

Early Aggressive Behavior

Poor Social Skills

Lack of Parental Supervision

Drug Availability

Poverty
Individual Risk Factors

To feel good

To feel better

To do better

Curiosity and “because others are doing
it”
Why do they do it?

Failure in school and poor social
interaction

Domestic violence

Child and sexual abuse
Family Matters

Failure to attain or loss of employment

Workplace and vehicular accidents

Homelessness

Violence and Crime
Community Impacts

Consideration for culture, educational
background, resources, and attitudes of
significant others are integral to success.

Addiction is a life-long condition for the
individual.

Moderate use or long term abstinence is the
ultimate goal and must begin with detoxification.

Sustained and repeated treatment is often
necessary.
Individual Treatment
Treatment of individuals should include
family or significant others and attempt to
engage important social network members
in the process.
Family Care

Age-appropriate substance abuse
education programs aimed at prevention.

Crisis centers and comprehensive
treatment centers for
physical/emotional/spiritual components
of addiction.

Follow-up and support rehabilitation,
including 12-step recovery.
Community Interventions


Midtown Community Mental Health
Fairbanks Hospital

Indiana Prevention Resource Center

www.drugabuse.gov
Resources
http://youtu.be/tbCuNF5YJaI

Holzemer, S. P. & Klainberg, M. (2014). Community
health nursing: An alliance for health. 2nd ed.
Burlington: Jones & Bartlett Learning.

Nies, M. A. & McEwen, M. (2011). Community/public
health nursing: Promoting the health of populations.
5th ed. St. Louis: Elsevier Saunders.

United States Department of Health and Human
Services. National Institutes of Health. National
Institute on Drug Abuse. (2010). Drugs, brains, and
behavior: The science of addiction. (NIH Pub No. 105605).
References