Substance Abuse Flashcards

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1
Q

What is the definition of substance abuse?

A

Guppy, 2004

  • recurrent substance use that results in failure to fulfil major role obligations
  • recurrent use in risky situation
  • recurrent substance-related legal problems
  • continued use despite persistent or recurrent social or interpersonal problems
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2
Q

How are drugs present in culture?

A

Drugs are present in some form in nearly all cultures in the world.

Complex social and political arguments exist regarding legality and illegality.

Pharmacy versus Street.

Legalised (taxed) versus Illegal.

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3
Q

On average, how much is spent on tobacco in the UK every year?

A

In 2011, the total amount spent on tobacco ranges from £15 billion to £18 billion.

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4
Q

What five types of drugs are there?

A
  • Stimulants
    e. g. cocaine
  • Depressants
    e. g. cannabis
  • Hallucinogens
    e. g. LSD
  • Analgesics (relieve pain)
    e. g. opium/heroin
  • Alcohol
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5
Q

When did the government classify drugs, and into what categories?

A

The government classified drugs in 1971, with the Misuse of Drugs Act.

This was into;
Class A
Class B
Class C

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6
Q

How do we measure the extent of drug use?

A

BCS and DoH research.

High level of drug use in offenders compared to the general population (self-report) 80%.

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7
Q

What are the four problems of drug misuse?

A

Addiction and dependence.

Health problems relating to injections.

Drug related deaths.

Economic and social issues.

(3% of people depend on cannabis)
(1565 deaths in 2002 due to drug misuse)

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8
Q

What is the difference between Drug Related Offences and Drug Related Crime?

A

Drug Related Offences

  • importation, exportation, supply, offer to supply, intent, possession
  • alcohol offences = inappropriate supply/consumption

Drug Related Crime

  • not precisely defined
  • crime caused by drug use (crimes to finance drug use, offences as part of drug market or supply)
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9
Q

What is the consequence of Drug Related Offences?

A

Possession:

  • Class A = up to 7 years
  • Class B = up to 5 years
  • Class C = up to 2 years

Intent to supply and dealing

  • Class A = up to life
  • Class B & C = up to 14 years

ALL OF THE ABOVE INCLUDE AND/OR AN UNLIMITED FINE

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10
Q

What is the link between drugs and crime?

A

1) drugs might cause crime
2) crime might cause drug use
3) drug use and criminal behaviour may be caused by a third variable
4) drugs and crime not causally linked but co-exist

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11
Q

What is the Economic Necessity theory?

A

The theory states crime is committed in order to finance drug use.

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12
Q

What is the Hedonistic Pursuits theory?

A

The theory states that crime provides surplus funds that can be spent on leisure activities.

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13
Q

Is drug use therefore a statistical association to crime or a causal connection?

A

Statistical association.

This is because there is an association between crime and drug use, however we cannot determine whether drugs are correlated, determinants of crime or contributing factors.

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14
Q

What are White’s (1990) common connection models?

A

‘drug-use-causes-crime- model

‘crime-causes-drug-use- model

‘reciprocal’ model
- bi-directional

‘common-cause’ model
- common third variable

‘coincidence’ model
- no clear connection

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15
Q

How does the ‘drug use causes crime’ model, explain crime?

A

Psychopharacological explanations;

  • cause direct effect (linked with violent drime due to neuro-chemical change)
  • paired with external variable to cause an indirect effect (social/environmental)

Economical Explanations;

  • income generating crime
  • enslavement/economic necessity model (Goldstein 1985)
  • addiction then crime
  • links with property crime

Drug Lifestyle;
- systematic explanations, causal/non-causal
- drug lifestyles linked with violence (territory, assaults, robberies, informer eliminating, punishment)
(Reiss 1993 - systematic crime - arises out of drug markets and drug distribution networks)
- organisational crime
- transaction related crime
- 3rd party related crime
- secondary forms

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16
Q

How does the ‘crime causes drug misuse’ model explain crime?

A

Subcultural Theory
- desire for status leads to crime

Situational Control Theory
- rational choice theory e.g.

Self-Medication
- dual diagnosis with mental misorders

Psychopharmacological;

  • chemical recreation (celebration of crime) (or e.g. footballers and alcohol)
  • crime can provide motivation and means
  • use of drugs in committing a crime

Economic;

  • surplus funds spent on drugs
  • conductive to drug use (working periodically, partying between jobs, being unmarried, geographic)
17
Q

How does the reciprocal model explain criminality?

A

Bi-directional model
Direction moderated by opportunity and need
May change throughout career.

18
Q

How does the common cause model explain criminality?

A

Psychological;

  • Distal causes = factors that predispose people to act on certain ways
  • Proximal causes = type of person to commit crime also type of person to take drugs, satisfy hedonistic desire for danger, risk etc

Personality Traits

  • Big 5
  • Offenders & substance users similar traits

Personality Disorders

  • antisocial
  • narcissistic
  • borderline

Environmental;

  • physical and situational factors at time
  • social disorganisation theory
  • social exclusion/disadvantage

Social;

  • peer pressure
  • cultural factors (e.g. street culture)
19
Q

How does the coincidence model explain criminality?

A

Not causally related, co-exist with conjunctive factors in same situation.

Common cause have a third variable e.g. setting of drug use.

Conjunctive factors don’t determine probability.

20
Q

What does research suggest about substance abuse in young offenders?

A

293 YOT clients.

  • 85% used cannabis, alcohol, tobacco
  • 20% used heroin or crack cocaine
  • socially acceptable drugs predicted offending
  • addictive type drugs associated with shop lifting
  • there were also factors predicting both substance abuse and offending e.g. life difficulties, disliking/exclusion from school
  • lacking positive coping mechanisms
21
Q

What interventions are there for substance abuse?

A

Treatment - traditional medicine, social/psychological programmes

Self-referral or medical/professional referral

Primary aid of treating their drug use

22
Q

What four treatment programmes exist?

A

Methadone treatment

  • replaces opium with similar effects
  • for withdrawal/maintenance
  • effective at reducing criminal behaviour

Heroin treatment

  • not common - prescribed opiate
  • stabilise drug dependence
  • effective at reducing offending

Therapeutic communities

  • drug-free residential programmes - peer influence and group processes
  • assimilate the norms and learn effective social skills
  • influence of attitudes/ perceptions and behaviour

Psychosocial approaches

  • counselling, CBT, family therapy
  • effective than comparisons at reducing criminal behaviour
23
Q

What criminal justice programmes are in place?

A

Drug Testing

  • common as part of community penalty
  • deterrent to future drug use and criminal activity
  • mixed effectiveness

Probation and Parole Supervision

  • court orders - drug free
  • effective in reducing criminal behaviour
24
Q

What is the Drug Interventions Programme?

A

Introduced in 2003

  • to develop and integrate measures for directing adult drug-misuse offenders out of crime, into drug treatment
  • multi agency
  • tough choices intro in 2006 (testing on arrest, initial assessment, restriction on bail)