SOCW 6361 Week 8 - Project: Part 3: Analysis of a Policy
The “GROW” Program
The Getting Recovery Option Working (GROW) program
Statistics
In Practice
Recognition
Downstream Impacts
Treatment Methods/Options
Medication assisted treatment
Summary
Content:
Policy Advocacy and Change
Early in the process, policy advocates have to establish policy goals and need to address the following questions: - Do they want basic change or incremental change? - What points of a proposal are most important to them? - What style of approach will be most effective? —Bruce S. Jansson, Becoming an Effective Policy Advocate: From Policy Practice to Social Justice (8th ed.)
Statistics from the Centers of Disease Control (CDC)
Since 1999 more than 700,00 people have died from overdose
In 2017 - 70K deaths
More than 47K from Opioids
Six times greater than in 1999
Daily, approx 130 opioid related deaths
(Centers of Disease Control and Prevention, 2018)
Dual Diagnosis/Co-occurrence
Is Drug addiction a mental illness?
Definition - The National Alliance on Mental Illness (NAMI)
More than nine million Americans experience mental illness and substance abuse disorder
(National Association on Mental Illness, 2018)
Opiate Abuse and Child Protective Services
In a study completed by Banda et al (2008), it was found that CPS made contact with 61% of opiate addicted women in the United States.
As the rate of opiate abuse increases, so does CPS involvement (Kory, 2006).
Substance abuse issues can span several generations. Children born to drug addicted have an increased risk of developing illness such as depression and anxiety (Caraveo-Anduaga, 2005). These children are also have an increased risk of having substance abuse issues later on in life (Leventhal, Pettit & Lewinsohn,2005).
What does treatment provide from the levels of socialization?
Micro Level Implications
SAMHSA Tip #43- Groups to include-
-Skill development- Intrapersonal and Interpersonal skill development
-Cognitive Behavioral Support Groups- group focus initiated toward the change of the thought process
Mezzo Level Implications
-Through skill development, interpersonal relationships and adjustments can be progressively cased through interaction with the client, family and close familiar relationships as well as in the group process.
(Maccombs,2018)
What does treatment provide from the levels of socialization? (Cont.)
Macro Level Implications
-Overdose Reduction and Tolerance reduction for the client diagnosed with substance use disorder specific to opioids or heroin
-Reduction of shared needles
-Reducing spread of bloodborne pathogens and sexually transmitted diseases.
(Saxon, A., Hser, Y., Woody, G. Ling, W. 2013)
(Hauswirth, K., 2019)
Summary
Demonstrated the significance of the epidemic with data and statistics.
Have discussed, How we (USA) have arrived at this state of affairs
Identified “Real life” situations and examples of GROW benefits
Demonstrated how the “GROW” program can be effective in treatment
References:
Centers for Disease Control and Prevention, (n.d.), Understand the epidemic, retrieved from https://www.cdc.gov/drugoverdose/epidemic/index.html
E. Korry. Is U.S. opioid crisis straining state child welfare systems?
September 30 Retrieved from:Youth Today (2016)
http://youthtoday.org/2016/09/is-u-s-opioid-crisis-straining-state-child-welfare-systems
H. Bada, J. Langer, J. Twomey, C. Bursi, L. Lagasse, C. Bauer, et al. Importance of stability of early living arrangements on behaviour outcomes of children with and without prenatal drug exposure Journal of Developmental and Behavioural Paediatrics, 29 (3) (2008), pp. 173-182
J.J. Caraveo-Anduaga, H. Nicolini-Sanchez, A. Villa-Romero, F.A. Wagner
Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Leventhal, A. M., Pettit, J. W., & Lewinsohn, P. M. (2011). Familial influence of substance use disorder on emotional disorder across three generations. Psychiatry Research, 185(3), 402–407. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2010.08.013
References:
McLellan A. T. (2017). Substance Misuse and Substance Use Disorder (SUD)s: Why do they Matter in Healthcare? Transactions of the American Clinical and Climatological Association, 128, 112–130.
National Alliance on Mental Illness, (2019), Dual Diagnosis, retrieved from https://www.nami.org/learn-more/mental-health-conditions/related-conditions/dual-diagnosis
National Association of Social Workers. (2017). Code of ethics National Association of Social Workers. Retrieved from: https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English
The Getting Recovery Option Working (GROW) program https://www.getsmartaboutdrugs.gov/dayton/news/daytons-grow-program-helps-fight-local-opioid-epidemic#:~:text=The%20Get%20Recovery%20Options%20Working,prevention%20education%2C%20and%20community%20outreach.
Winstanley, E. L., Clark, A., Feinberg, J., & Wilder, C. M. (2016). Barriers to implementation of opioid overdose prevention programs in Ohio. Substance abuse, 37(1), 42–46. https://doi.org/10.1080/08897077.2015.1132294