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U of M PUBH 3003 - Substance Use and Models

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Pubh 3003 1st Edition Lecture 1 Outline of Last LectureI. Syllabus reviewOutline of Current Lecture II. Substance Use and statistics a. Costs of drugsb. General trends c. Treatment gap III. History of Drug use IV. Models used in analyzing drug use a. Legal model, moral model, medicinal model b. Public health modelc. A.P.E model Substance Use- 7.9% of Americans struggle with a drug or alcohol problem -95% of people with substance use problems are considered unaware of their problem-Some current effects of substance abuse :- HIV/AIDS and other STI’s - Mental Health Illness- Work-Place Problems- Domestic Violence- Child Abuse- Motor Vehicle Accidents- Teenage Pregnancy- Homicide- Suicide- CrimeYearly Costs in The USA- Alcohol: Health Care= $30 billion, Overall = $235 Billion - Tobacco: Health Care= $96 billion, Overall = $193 Billion These notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- Illicit Drugs: Health Care = $11 million, Overall = $193 BillionGeneral Trends- Use of most drugs other than Marijuana has not changed appreciably over the past decade or has declined - Most people use drugs for the first time when they are teenagers- More than half of new illicit drug users start with Marijuana. Next most common are pain relievers, followed by inhalants (which is most common among teenagers)“Treatment Gap”- Estimate 23.1 Million Americans (8.9 %) need treatment for drug alcohol related issues…. but only 1.7% felt they needed it and recieved it History of Drug and Alcohol Abuse 1. Drugs have been around forever2. Drug control laws have not been passed solely for health and welfare of population3. Government controls can have unintended consequences 4. Naturally Occurring forms tend to be safer than man made forms of the same drug5. Prohibition of any drug usually leads to importation of less bulky and more potent forms of the drug1) Most commonly implicated drug in crimes, hospitalizations and lost work days is alcohol2) LSD has the least potential for physical addiction or dependence Legal Model- Criminal law issues - Illicit and licit drugsMedicinal Model- addiction study regarding biologic, psychologic and social mechanismsMoral Model-Personal choice Using a public Health model1. Deals with conditions that affect large amounts of people2. deals with conditions affecting wide segments of the population3. Deals with problems that are communicable 4. Deals with problems that are preventable 5. A major part of public health interventions is education6. A long tradition of being interdisciplinary, using a number of different disciplines and professionals to solve problems The A.P.E ModelAgent: The drug itselfPerson: The person using the drug- Internal (age, sex, genetic inheritance)- External (Lack of sleep, food and excersise)Environment: Numerous- Religious- cultural- physical-


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