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Clinical Issues| Volume 20, ISSUE 6, P288-290, December 2006

Substance Use and Recovery: Charting a Course Toward Optimism

  • Diane Snow
    Affiliations
    Department of Community and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL
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  • Kathleen R. Delaney
    Correspondence
    Address reprint requests to Kathleen R. Delaney, RN, DNSc, PMHNP, Rush University, College of Nursing, Department of Community and Mental Health Nursing, Chicago, IL 60612.
    Affiliations
    Department of Community and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL
    Search for articles by this author
      In 2004, an estimated 22.5 million Americans 12 years or older were classified as having substance dependence or abuse (
      • Substance Abuse and Mental Health Services Administration [SAMHSA]
      Overview of findings from the 2004 National Survey on Drug Use and Health (Office of Applied Studies, NSDUH Series H-27).
      ). However, only 2.3 million of this group received treatment for problems related to substance use (SU), and of the 1.2 million untreated (who felt they needed treatment), approximately 440,000 reported that they made an effort but were unable to obtain services (
      • Substance Abuse and Mental Health Services Administration [SAMHSA]
      Overview of findings from the 2004 National Survey on Drug Use and Health (Office of Applied Studies, NSDUH Series H-27).
      ). The puzzling aspect of these data is that effective SU treatments exist. Indeed, in some respects, the SU field has been revitalized with evidence-based treatments and reshaped with innovative perspectives ground in the neuroscience of addictions (
      ,
      • World Health Organization
      Neuroscience of psychoactive substance use and dependency.
      ). What are the treatment innovations that should be creating optimism for recovery and what are the barriers to their implementation?
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      References

      1. Rowe C.L Liddle H.A. Adolescent substance abuse: Research and clinical advances. Cambridge University Press, New York2006
        • Substance Abuse and Mental Health Services Administration [SAMHSA]
        Overview of findings from the 2004 National Survey on Drug Use and Health (Office of Applied Studies, NSDUH Series H-27).
        (Retrieved on August 1 from)
        • SAMHSA
        Screening, brief intervention, referral and treatment: SBIRT core components.
        (Retrieved on August 1, 2006 from)
        • Westermeyer R.D.
        Reducing harm: A very good idea.
        (Retrieved on August 1, 2006 from)
        • World Health Organization
        Neuroscience of psychoactive substance use and dependency.
        (Retrieved on August 1, 2006 from)