...employees, it would be in Castulon Corporation’s best interest to establish a drug and alcohol testing program. Due to the nature of work and the type of product produced at Castulon Corporation, any mistake made by drug impaired employees in the design or production of a system could be catastrophic for users. For this reason, Castulon Corporation should us a random drug testing program for its employees. There is no absolute "model" substance abuse program that is right for all companies. The program should be tailored to the needs and circumstances of the individual company. There are, however, five standard components of a comprehensive workplace substance abuse program. The five components include a written policy statement, supervisor training, employee education and awareness, employee assistance for providing help, and the actual drug testing. In Castulon’s program, employees are subjected to a standard five panel test for “street drugs”, which include marijuana, cocaine, PCP, opiates and amphetamines from a urine sample. A breath test for alcohol can also be administered. Employees who do not comply with a drug test request for testing, provide false information or tamper with the test results in any way will face disciplinary action. There are types of testing other than random testing. They include reasonable suspicion testing, post-accident testing and return-to-duty testing. In the case of a confirmed positive test result, the employee will be removed from their...
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...* CHRONOLOGY * * Second Trimester * * Mother attended her community drug and alcohol team (CDAT) were she was on a methadone programme. Referral was made by her key worker stated concerns that she may be pregnant and concealing it * * Pre - birth conference was held to establish the issues surrounding the mother, her pregnancy and her parenting skills. Mother did not attend. The pre – birth conference attended by the CDAT key worker, safeguarding midwife, health visitor, GP, social worker. The pre – birth conference took place as mum was concealing her pregnancy and that she was heavily * * DAY 1 Jack was born by caesarean section because they were concerns with the Zoe. Zoe was unwell – she had a heart valve problem. Jack was admitted to the intensive care unit, needing ventilation support for six hours 12pm * Safeguarding midwife aware that Jack been born, states that all people who needed to be aware of baby being born are. Informed us that her current partner and father of baby are not allowed to visit. Security, front desk at the main entrance of unit and nurses made aware * Urine virology/toxicology sent * Morphine started as Jack was Ventilated due to the respiratory distress 15pm * Out of hours social worker called inquiring about baby and mum 1630pm * Maternity support worker visited unit, updated on baby’s condition. Mum had her surgery – she will go and update mum 1830pm * Nurse looking after mum on...
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...Running Head: DRUGS AND ALCOHOL ABUSE Drugs and Alcohol Substance Abuse What is substance abuse and addiction? Substance abuse is a pattern of use of drugs and/or alcohol for non-medical purposes for altering the mood, mind, and behavior. This is a serious problem and people that abuse drugs and/or alcohol can get sick, destroy their lives and the lives of family and friends. Death has resulted from substance abuse. Commonly abused is alcohol, prescription or over the counter drugs such as amphetamines, cocaine, depressants, inhalants, marijuana, narcotics, and even tobacco. Substance abuse can occur in all ages, social statuses and races. Addiction is dependence and a compulsive need to use the substance no matter what the outcome may be. Addiction is the compulsion to use the substance to feel satisfied and a person that is addicted to drugs or alcohol will have withdrawal symptoms if they stop using the substance. With addiction there is a psychological and physical aspect in that the person is unable to control the addiction without help. Addiction is not a habit. A habit can be controlled and a person can choose to stop a habit without issues. Addiction puts a person out of control of choices and not in control of their life. The drugs or alcohol are controlling the person. The cause of addiction can be a combination of physical, emotional, mental and a change of circumstances in a person’s life. According to Hammer (2012), addiction has been understood...
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...Clients, and critic population of the study vs. population of interest, Operationalization aspects, Evaluation of DV measurement, and Evaluation of DV measurement. Lin, Wei-Fen. Mack, D, Enright, R, Krahn Dean, &Thomas Baskin (2004), states that the level of anger and violence observed among alcohol and substance abusers are far higher than the levels found in the general population, and coping skills have been implemented in many substance abuse programs to teach patients how to become aware of their anger and also manage their emotions effectively. Many researchers have directed their focus on Forgiveness Therapy (FT) as an alternative option to any other treatment for patients to overcome their emotional bondage, which leads them to misuse alcohol and dependency to controlled substances. The hypothesis in this study is that Forgiveness Therapy decreases the frequency and severity of anger, anxiety, and depression, and patients in residential treatment for alcohol and drug dependency have demonstrated less anger and urge towards drug use after receiving this treatment. Critic of Population of the Study This study, which took place in a residential drug rehabilitation facility, targeted the effects of Forgiveness Therapy in decreasing the frequency and severity of anger, anxiety, and depression in the recovery of substance-dependent patient. The hypotheses was that the individuals in residential treatment facilities for alcohol and drug dependence would demonstrate less anger...
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...High-Risk Family Assessment and Health Promotion Paper Shova Rajbhandari NUR/542 April 23rd, 2012 Tracy Kramer MSN, RNC, FNP High-Risk Family Assessment and Health Promotion Paper For High risk family assessment: Intravenous Drug users (IDUs) family is chosen Common health issues /profile among members or families from this high-risk group: Drug abuse involves the regular taking of a deleterious or noxious quantity of any drug, prescribed or illicit over a period of time (Freidman, 2003). Those people who become severely drug dependent most often need specialized treatment in order to recover. A wide range of treatment is available through private sector and public sector. Recovery treatment centers usually incorporate the family into treatment plan, which makes it more effective in their treatment of the substance abuser. > HIV positive IDU and family members > IDU has a wide range of coinfections, coinfections, comorbidities and injecting related health issues. The common health problems in this IDU family are: • Infection with blood borne viruses, including hepatitis B, C and D (delta) leading to liver diseases • Bacterial infections: tuberculosis, bacterial pneumonia, • Alcohol dependence and alcohol-related liver disease • Poly substance dependence • Psychiatric comorbidity, including depression. • Deep venous thrombosis (DVT) • Local soft tissue and vascular injuries, including skin abscesses and...
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...Follow-up Study of Young Adults With ADHD Clancey Bateman, Timothy E. Wilens, B.A., M.D., MaryKate Martelon, M.P.H., Gagan Joshi, M.D., Ronna Fried, Ed.D., Carter Petty, M.A., Joseph Biederman, M.D. Objective: High rates of substance-use disorders (SUD) have been found in samples of adolescents and adults with attention-deficit/hyperactivity disorder (ADHD). Predictors of SUD in children with ADHD who are at risk for the development of SUDs remain understudied. The main aims of this study were to identify clinically meaningful characteristics of children that predicted the future development of SUDs and to see whether the role of these characteristics varied by sex. Method: Subjects were children and adolescents with (n 268; mean age standard deviation 10.9 3.2 years) and without (n 229; mean age 11.9 3.3 years) DSM-III-R ADHD followed prospectively and blindly over a 10-year follow-up period onto young adult years. Subjects were assessed with structured diagnostic interviews for psychopathology and SUDs. Results: Over the 10-year follow-up period, ADHD was found to be a significant predictor of any SUD (hazards ratio 1.47; 95% confidence interval 1.07–2.02; p .01) and cigarette smoking (2.38; 1.61–3.53; p .01). Within ADHD, comorbid conduct disorder (2.74; 1.66 – 4.52; p .01) and oppositional defiant disorder (2.21; 1.40 –3.51; p .01) at baseline were also found to be significant predictors of SUDs. Similar results were found for cigarette-, alcohol-, and drug-use disorders...
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...misuse of substаnce hаs severe impаct on the well being of children. The term substаnce refers to both the illicit аnd non illicit forms of drugs. The use of substаnce by а pаrent becomes misuse when the pаrent in question uses it to the level where the usаge becomes hаzаrdous for both the behаviour аnd heаlth of the pаrent аs well аs the life of the children involved. The hаrmful behаviour in the pаrent hinders the pаrent’s аbility to tаke good cаre of their children which is the children’s fundаmentаl right (Forrester 2011, p. 4). The pаrentаl substаnce misuse hаs physicаl, behаviourаl, sociаl аnd emotionаl or mentаl consequences for the children. Parental substance Misuse is a major issue that has captured the attention of social worker and professional as well as policy makers with regard to wellbeing and needs of a child (Murphy & Harbin, 2003, p.354). The National Treatment Agency (2012, p.3) notes that over 50% of the total adults undergoing drug treatment in 2012 were parents of which a third (66,193) were living with children under the age of 18. Out of these, those who live with their children are 40,852 while those who live with children who are not theirs are 25,341. While not all parents with substance misuse problems harm their children, past research evidence has indicated that there is a solid relationship amid parental drug abuse and negative outcomes for the child (Murphy & Harbin, 2003, p. 357). This is mainly attributed to the reduced ability of the parents...
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...to improve our understanding of this problem and what might be done to help resolve this growing problem. To help explain this comorbidity, we need to know that drug addiction is a mental illness. It is a brain disease characterized by compulsive, at times uncontrollable drug craving, seeking and using despite the terrible consequences. Despite devastating consequences behaviors that stem from drug-induced changes in brain structure and function. These changes occur in some of the same brain areas that are disrupted in other mental disorders, such as depression, anxiety, or schizophrenia. It is not surprising that population surveys show a high rate of co-occurrence, or comorbidity, between drug addiction and other mental illnesses. As awareness of the problem of duel diagnosis has grown models for integrating mental health and substance abuse treatments have begun to emerge but have not been applied to the homeless population. (Argeriou & McCarty, 1990) Approximately one third of homeless persons suffer from severe and disabling mental illnesses (Morrissey & Dennis; 1986; Tessler & Dennis, (1989), 30% to 40% have alcohol problems and 10% to 20% have problems with other drugs Milburn, (1989). Approximately 10% to 20% of homeless persons are dually diagnosed with mental illness and alcohol or other drug problems Tessler & Dennis (1989). In a review of on homelessness for the...
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...Drug and Alcohol Review, (July 2005), 24, 369 – 385 Family interventions in the treatment of alcohol and drug problems ALEX G. COPELLO1, RICHARD D. B. VELLEMAN2 & LORNA J. TEMPLETON2 1 Birmingham and Solihull Substance Misuse Services and School of Psychology, University of Birmingham, UK and 2Mental Health Research and Development Unit, University of Bath, UK and Avon Witshire Mental Health Partnership NHS Trust Abstract Alcohol and drug problems affect not only those using these substances but also family members of the substance user. In this review evidence of the negative impacts substance misuse may have upon families are examined, following which family-focused interventions are reviewed. Several family-focused interventions have been developed. They can be broadly grouped into three types: (1) working with family members to promote the entry and engagement of substance misusers into treatment; (2) joint involvement of family members and substance misusing relatives in the treatment of the latter; and (3) interventions responding to the needs of the family members in their own right. The evidence base for each of the three types is reviewed. Despite methodological weaknesses in this area, a number of conclusions can be advanced that support wider use of family focused interventions in routine practice. Future research needs to focus on (1) pragmatic trials that are more representative of routine clinical settings; (2) cost-effectiveness analyses, in terms of...
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...716 Index major depressive disorder, brain imaging studies, 70–71 malignant catatonia, 333 malingering, 530–531 ‘manic depressive insanity’, 45 manic states, 250, 253 abnormal beliefs and perceptions, 254 amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change...
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...Alchoholism Case Study This case study took place at an Alcohol and Addiction Counselling Practice. This service offers people with drug or alcohol related problems an opportunity to increase their quality of life by: providing advice and information, one-to-one counselling, a gender specific alcohol and drug user group, a support group for people who have stopped drinking or using drugs and a family and friends support group. The first interview with Claire took place in October 2000. Her psychiatrist referred Claire to our practice. His first contact with Claire was in August of the same year. She was referred to him by a hospital that had treated her for an attempted suicide. Although the psychiatrist is treating Claire for severe depression it has become apparent to him that she has a problem with alcohol. She is 30 years old and was divorced two years ago. She has no children. There is no partner in her life now or since her divorce and she lives in a rented one bed roomed house. She is unemployed and is currently in receipt of Income Support. Claire has requested a counselling programme that will help her to abstain from alcohol. She has not drunk any alcohol for two weeks prior to her appointment at this service, but she is on prescribed medication: tranquillisers and anti-depressants for depression. The main objective of this interview is to gather information in order to assess which of our services will best benefit Claire to aid her with abstinence from...
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...Since the late 1970s, many studies have reported on the prevalence of fetal alcohol syndrome ( FAS) , alcohol-related birth defects ( ARBD) , and alcohol-related neurodevelopmental disorders (ARND) . The three main types of research methods used in these studies are passive surveillance, clinic-based studies, and active case ascertainment. This article describes each of these methods, including their strengths and weaknesses, and summarizes the estimated prevalence of FAS produced by each of these approaches. The maternal risk factors associated with FAS and other alcohol-related anomalies include advanced maternal age, low socioeconomic status, frequent binge drinking, family and friends with drinking problems, and poor social and psychological indicators. Overall, the available literature points to a prevalence rate of FAS of 0.5 to 2 cases per 1,000 births in the United States during the 1980s and 1990s. KEY WORDS: fetal alcohol syndrome; prevalence; epidemiological indicators; alcohol-related neurodevelopmental disorder; birth defects; statistical estimation; data collection; clinical aspects; population dynamics; risk factors; research in practice; research quality Establishing the prevalence 1 (1 See the sidebar on page 160 for the definition of prevalence as it is used in this article.) and other epidemiological characteristics of fetal alcohol syndrome ( FAS) , alcohol-related birth defects ( ARBD) , and alcohol-related neurodevelopmental disorder ( ARND) 2 (2 FAS is...
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...The Corporate War on Drug Abuse Presented to Wendy Keller Concordia University John Molson School of Business Comm 212 Section E Prepared by Bilal Sirhan Human Resource Specialist 6355099 November 24th, 2014 MEMORANDUM To: Human resources manager From: Bilal Sirhan, Human resource specialist Subject: Analysis of different policies for alcohol and drug abuse in the workplace Date: November 24th 2014 Here is the report, which was to be completed by November 24th 2014, concerning leading companies’ exemplary policies on substance abuse within the workplace. The study involved analyzing the different substances used by workers and evaluating different approaches that companies across North America take to help these individuals. Although the results presented show that a small percentage of people are actually considered as substance abusers in the workforce, there is evidence that the corporations succumbing to employees abusing drugs and alcohol suffer heavy losses. This even directly affects the economy as a whole in significant numbers. Therefore, we must establish a strong policy and different programs to help these workers overcome this issue. It is my hope that this report will allow our company to have the necessary information to establish the right strategies and support groups to anyone suffering from substance abuse. Please let me know if there are any further questions...
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...Domestic Squalor & Hoarding Pilot Project Institute of Child Protection Studies Australian Catholic University October 2011 October 1, 2011 [HEALTHY HOME: HEALTHY ME] Acknowledgements We would like to acknowledge and thank the clients of Healthy Home Healthy Me who made themselves available to talk about their experiences of the program. Thanks also to the range of stakeholders who participated in the review. Report by: Megan Layton Morag McArthur This project was commissioned by Northside Community Service. Thanks to Justin Barker and Tim Moore for their comments on the draft. Institute of Child Protection Studies Canberra Campus Australian Catholic University PO Box 256 DICKSON ACT 2602 icps@signadou.acu.edu.au Phone: 02 6209 1225 Fax: 02 6209 1216 http://www.acu.edu.au/icps/ Institute of Child Protection Studies, p2 October 1, 2011 [HEALTHY HOME: HEALTHY ME] Foreword by Northside Community Service ‘Healthy Home Healthy Me’ was an 18 week pilot program that supported nine clients to reduce severe domestic squalor and chronic hoarding within Canberra’s Inner North. During 2009/10, the Aged and Disability Home and Community Care (HACC) program at Northside Community Service (NCS) had received a high number of referrals for people presenting with issues related to hoarding and/or squalor. Prior to the pilot program, all nine of the program participants initially received HACC case management as well as a range of other HACC services, such as domestic...
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...of social exclusion helps us understand the relationship between drug use and crime. One of the most common explanations of the drug-crime relationship is that drug use causes crime. While there is some support that drug use causes crime, there is some variation about the way in which drug use may cause crime.(Bennett and Holloway,2005) Bennett and Holloway highlight three types of explanation: Psychopharmacological explanations, economic explanations and drug lifestyle explanations. Psychopharmacological explanations suggest drug use can lead to crime because of the impact of drugs on the behaviour of the drug user. Goldstein describes this when he states ‘some individuals as a result of short term or long term ingestion of specific substances may become excitable, irrational and exhibit violent behaviour.’ (Goldstein,1985:494) By this Goldstein is saying that drug taking has a direct effect on the individual’s behaviour which can lead to criminal behaviour (Bennett and Holloway,2005).Psychopharmacological explanations of the links between drug use and crime tend to focus on the links between drug use and violent crime (Bennett and Holloway,2005). There are a number of ways in which Psychopharmacological processes may lead to crime. White and Gorman list ‘disinhibition, cognitive-perceptual distortions, attention deficits, bad judgement and neuro-chemical change’ (White and Gorman,2000:170) as potential drugs organism interactions that may cause violent behaviour (Bennett...
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