"...explains the concept of harm reduction as a crucial component of a city's response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Throughout the 1990s and 2000s, this group of residents from Canada's poorest neighbourhood organized themselves in response to a growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. It's prompted many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. The previous epidemic in Vancouver sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience..."-- publisher.
Contents: Toledo, Ohio -- Hundred block rock -- A chance encounter -- Hotel of last resort -- Rat park -- Growing up radical -- Back alley -- Miami, Florida -- The killing field -- A drug-users union -- Out of harm's way -- From housing to harm reduction -- Childhood trauma and the science of addiction -- Raleigh, North Carolina -- A drug dealer finds activism -- Taking the fight to city hall -- Building allies -- Rewriting the brain for addiction -- The Vancouver agreement -- Boston, Massachusetts -- The hair salon -- Establishing Insite -- Opening day -- Consequences -- Seattle, Washington -- Drug user with a lawyer -- Protests across Canada -- Court battle -- Crossing a line -- Sacramento, California -- Prescription heroin -- "The assassination" -- Fentanyl arrives.
An official publication of the International Nurses Society on Addictions (IntNSA), the Core Curriculum of Addictions Nursing provides a foundation for expertise in addications nursing, and helps nurses achieve success on the basic and advanced additions nursing certification examination. It serves as a valuable reference for nurses in all settings and practice areas, aiding with the development or expansion of knowledge of skills in caring for clients potentially or actually affected by addictive processes. The Core Curriculum advances evidence based addictions nursing practice, while supporting the mission of the IntNSA.
This one-of-a-kind resource teaches the core principles and skills needed to care for patients whose barriers to healthcare are due to lack of insurance and/or accessible services, or based on culture; education; age; inadequate transportation; poor English language skills; homelessness; immigrant status; chronic disease; mental illness; substance abuse; or HIV. Time-saving boxed inserts establish main points, provide practical "pearls" and help locate valuable community resources.
The fully updated 12th edition of an essential reference for anyone responsible for prescribing drugs for patients with mental health disorders. A well-respected and widely-used source of information on which drugs to prescribe, which side effects to look out for, how best to augment or switch drugs, and more Provides concise reviews of psychiatric disorders and relevant psychopharmacology, along with general guidance based on the data reviewed and current clinical practice Includes specific guidance for schizophrenia, bipolar disorder, depression, anxiety, substance abuse, and special pop
This comprehensive guide to geriatric pain management provides the most current information available on assessment and treatment of pain in older adults. In a concise, reader-friendly format, the book provides techniques, tips, and tools for assessing pain and examines barriers to appropriate treatment. It addresses the physiological and psychosocial factors underlying the process and occurrence of pain and helps nurses to develop a comprehensive multimodal approach to pain management that includes pharmacological and nonpharmacological interventions. The guide provides detailed coverage of medications commonly used for pain management, including all contraindications and side effects, so that nurses will be able to evaluate the best use of a medication in the context of comorbidities and sensitivities of each individual. Also addressed are chronic illnesses common to the elderly population, palliative and hospice care, treatment of concurrent depression and anxiety, treatment of cognitively impaired elderly, and techniques for assessment and intervention in cases of substance abuse.
Focuses on the assessment and treatment of individuals with psychiatric conditions and those whose life circumstances generate significant challenges to their mental health and well-being. The authors build on a foundation of theoretically informed, evidence-based and person-centered practices to define the therapist's role as an integral member of the health-care team. This is the major occupational therapy text to incorporate a recovery-oriented perspective as both a philosophy and guideline for assessment and intervention. It organizes its content on the Person-Environment-Occupation (PEO) model, which promotes full participation in the everyday lives of individuals with mental illness and those struggling with psychosocial issues related to their disabilities. It uses Evidence-Based Practice boxes to provide a synthesis of major research in the area and implications for practice. It emphasizes The Lived Experience of mental illness and recovery, recognizing the whole person and his or her state of physical, emotional, spiritual, and mental health, while also addressing co-occurring conditions such as depression, stroke, substance abuse, spinal cord injury, attention deficit disorder, and learning disabilities. It features a personal narrative in each chapter to reinforce a first-person, client-centered approach that illustrates the confluence of the person, environment, and occupational construct from various perspectives.
Part 1: Foundations. Part 2: The person. Part 3: Environment. Part 4: Occupation.