Substance Abuse in Hawaii: Perspectives of Key Local Human Service Organizations
Substance Abuse in Hawaii: Perspectives of Key Local Human Service Organizations
复制标题
夏威夷的药物滥用：当地主要人类服务组织的观点
DOI：
10.1080/08897079809511369
复制
发表时间：
1998
期刊：
影响因子：
3.5
通讯作者：
Fred Gilbert
中科院分区：
文献类型：
--
作者：
B. Waitzfelder;C. Engel;Fred Gilbert
现有证据表明，夏威夷的药物滥用是一个严重的问题。本研究的三个主要目标是定性地确定夏威夷的人类服务组织的角度来看（1）全州范围内的药物滥用问题的严重性，（2）未满足的需求，国家的药物滥用治疗系统，（3）的特点，独特的夏威夷的许多种族和其他亚组的问题。这项研究针对的是那些受药物滥用问题影响最大的人类服务组织。来自55个人类服务组织的受访者接受了采访，使用了一系列的21个开放式问题。受访者认为，夏威夷药物滥用问题的严重程度至少与美国大陆相当。虽然大多数受访者使用医学模型来看待这个问题，但人们普遍认为，在接受、原谅或否认药物滥用的社区背景下，这个问题会加剧。最令人担忧的趋势是冰毒和海洛因的使用日益增多。所查明的系统问题是供资不稳定、戒毒服务不足、住院治疗和治疗后的支助服务有限，如住房和善后护理。查明了经常与农村地区有关的服务提供问题，如交通、工作人员发展、外联以及难以提供全面服务，特别是在邻近岛屿上。文化异化，由于该州盛行的多元文化主义而加剧，被认为是导致所有种族群体，特别是夏威夷土著人滥用药物的原因。文化因素被认为对寻求护理和随后接受这种护理有重大影响。需要进一步研究，以更好地了解护理的内容，治疗元素，以及文化特定的治疗和预防方案的有效性。为了开始改变，需要协调一致的努力，告知夏威夷居民全州范围内的药物滥用问题和当地的治疗系统的需要。未来的研究应比较人类服务组织的看法，个人滥用药物和使用这些服务。
Available evidence suggests that substance abuse in Hawaii is a substantial problem. The three major objectives of this study were to determine qualitatively Hawaii's human service organizations' perspective regarding (1) the magnitude of the statewide substance abuse problem, (2) the unmet needs of the state's substance abuse treatment system, and (3) the features of the problem unique to Hawaii's many ethnic and other subgroups. The study targeted those human service organizations most burdened by the substance abuse problem. Respondents from 55 human service organizations were interviewed using a series of 21 open-ended questions. Respondents perceived the magnitude of the Hawaii substance abuse problem to be at least comparable to that of the mainland United States. Although most respondents viewed the problem using a medical model, the problem was generally thought to be exacerbated by a community context in which substance abuse is accepted, excused, or denied. Increasing use of crystal methamphetamine and heroin were cited as the most worrisome trends. Systems issues identified were unstable funding, insufficient detoxification services, and limited availability of residential treatment and supportive services following treatment, such as housing and aftercare. Service delivery problems frequently associated with rural areas were identified, such as transportation, staff development, outreach, and difficulty providing a full range of services, particularly on neighbor islands. Cultural alienation, exacerbated by the state's prevailing multiculturalism, was thought to contribute to the substance abuse problem among all ethnic groups, but especially among Native Hawaiians. Cultural factors were thought to have a major impact on seeking care and subsequent acceptance of such care. Further study is needed to understand better the content of care, therapeutic elements, and efficacy of culturally specific treatment and prevention programs. To initiate change, concerted efforts are needed to inform Hawaii residents about the statewide substance abuse problem and local treatment system needs. Future studies should compare human service organization perceptions to those of individuals abusing substances and using these services.
登录
查看更多内容
通过提高文化能力改善向西班牙裔妇女提供的药物滥用服务：一项定性研究。
影响因子：
3.9
作者：
Trepper,TS;Nelson,TS;McCollum,EE;McAvoy,P
通讯作者：
McAvoy,P
种族和心理治疗。
DOI：
--
发表时间：
1995
期刊：
The Psychiatric clinics of North America.
影响因子：
--
作者：
Foulks,EF;Pena,JM
通讯作者：
Pena,JM
阿拉斯加原住民的治疗性社区保留。
影响因子：
3.9
作者：
Fisher,DG;Lankford,BA;Galea,RP
通讯作者：
Galea,RP
文化因素解释了夏威夷种族群体饮酒差异。
影响因子：
2.8
作者：
Johnson,RC;Nagoshi,CT;Ahern,FM;Wilson,JR;Yuen,SH
通讯作者：
Yuen,SH