"...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.
"Treating the Trauma Survivor is a practical guide to assist mental health, health care, and social service providers in providing trauma-informed care. This resource provides essential information in order to understand the impacts of trauma by summarizing key literature in an easily accessible and user-friendly format. Providers will be able to identify common pitfalls and avoid re- traumatizing survivors during interactions. Based on the authors extensive experience and interactions with trauma survivors, the book provides a trauma-informed framework and offers practical tools to enhance collaboration with survivors and promote a safer helping environment. Mental health providers in health care, community, and addictions settings as well as health care providers and community workers will find the framework and the practical suggestions in this book informative and useful"
Introduction. 1. Understanding Trauma and Trauma-Informed Care: The Basics 2. Trauma and the DSM 3. Understanding the Complex Picture of Complex Trauma 4. Building an Empowering and Collaborative Relationship 5. Asking About and Responding to Disclosures of Trauma 6. Conducting a Trauma-Informed Assessment 7. Responding to Safety Concerns 8. Psychoeducation and Trauma-Informed Interventions 9. Dealing with Substance Use 10. A Trauma-Informed Approach to Medications 11. Transference and Countertransference 12. Understanding Vicarious Traumatization
Appendixes: A. Posttraumatic stress disorder diagnostic criteria -- B. Acute stress disorder diagnostic criteria -- C. Dissociative identity disorder diagnostic criteria -- D. Trauma and the hijacked brain: the high road and the low road -- E. Window of tolerance -- F. Trigger scale -- G. Modified Karpman's triangle to illustrate common traumatic reenactments -- H. Strategies for getting out of a traumatic reenactment -- I. Self-soothing strategies -- J. Relaxation strategies.