The field of drug abuse research is undergoing rapid change. This book reflects this change in addressing both current "cutting edge" issues in the field and suggests directions in which the field should go. Chapters are contributed by some of the leading drug abuse researchers in the nation. The book is divided into six parts. Part 1 discusses initiation and progression to drug use and its health consequences. It contains three papers which review adolescent drug use epidemiology and its implications for prevention research and adult health status as a consequence of adolescent drug use. Part 2 deals with current treatment issues and contains three chapters on client motivation/readiness as a factor in drug treatment, the impact of centralized intake on access to treatment and client satisfaction, and the effects of managed care on drug users. Part 3 also consists of three chapters on drug user belief and identity systems. They examine moral belief and drug problem recognition, the cultural aspects of recovery among drug dependent Puerto Rican mothers and models of adaptation to termination of supplemental security insurance for drug abusers. Part 4 discusses HIV prevention among drug abusers and includes a study of the impact of NIDA Cooperative Agreement programs on HIV risk behaviors, the influence of settings, norms and social networks on AIDS prevention efforts and the role of employment cycles and incentives in recruiting drug users into HIV studies. Part 5 focuses on the mechanisms by which drug and alcohol use come to be defined as social problems. One chapter discusses community organization and drug prevention readiness while the other chapter analyzes the transformation that private alcohol treatment programs have undergone over the past several decades. Part 6 closes the volume by discussing the critical need for the research field to translate its findings from the researcher to the life practitioner.
Introduction: Future Directions in Research, Intervention, and Prevention in the Field of Drug Abuse 1(18) Richard C. Stephens Duane C. McBride Judith A. Levy PART I. INITIATION AND PROGRESSION TO DRUG USE AND ITS HEALTH CONSEQUENCES Epidemiology and Prevention Research Among U.S. Children and Adolescents 19(26) Zili Sloboda Adolescent Substance Use and Adult Health Status: A Critical Analysis of a Problematic Relationship 45(22) Ryan E. Spohn Howard B. Kaplan Depression, Drug use, and Health Services Need, Utilization, and Cost 67(36) Duane C. McBride Holly Van Buren Yvonne M. Terry Burton J. Goldstein PART II. CURRENT TREATMENT ISSUES The Motivation-Readiness Factor in Drug Treatment: Implication for Research and Policy 103(28) George De Leon Gerald Melnick Josephine Hawke The Impact of Centralized intake on Access to Treatment and Satisfaction with intake Procedures 131(20) Christy K. Scott Randolph D. Muck Mark A. Foss Health Services for Chronic Drug Users in an Era of Managed Care 151(26) Clyde B. McCoy Lisa R. Metsch Dale D. Chitwood James E. Rivers H. Virginia McCoy Sarah Messiah PART III. DRUG USER BELIEF AND IDENTITY SYSTEMS Moral Belief and Drug Problem Recognition in Three Ethnic Groups 177(16) Douglas Longshore Kathy Sanders-Philips The Trajectory of Recovery among Drug-Dependent Puerto Rican Mothers 193(22) Timothy Black Monica Hardesty Modes of Adaptation to Termination of the SSI/SSDI Addiction Disability: Hustlers, Good Citizens, and Lost Souls 215(26) Paul J. Goldstein Tammy L. Anderson Igor Schyb James Swartz PART IV. PREVENTING DOUBLE JEOPARDY: CRITIQUE OF HIV PREVENTION AMONG ILLICIT DRUG USERS The Impact of the Nida Cooperative Agreement Programs on Hiv Risk Among Crack and Injection Drug Users 241(20) Richard C. Stephens Carol F. Kwiatkowski Robert E. Booth New Directions in Hiv Prevention Among Drug Users: Settings, Norms and Network Approaches to Aids Prevention (SNNAAP): A Social Influence Approach 261(28) Carl A. Latkin Amy R. Knowlton The Role of Employment Cycles and Incentives in the Recruitment of Drug Users 289(14) Grace L. Reynolds Dennis G. Fisher Henry H. Cagle Mark E. Johnson PART V. DEFINING DRUG USE AS A SOCIAL PROBLEM Community Organization and Drug Prevention Readiness 303(18) Mark Peyrot H. Lovell Smith The Transformation of Private Alcohol Problem Treatment: Results of a National Study 321(24) Paul M. Roman J. Aaron Johnson Terry C. Blum PART VI. IMPLEMENTING SOCIOLOGICAL RESEARCH FINDINGS IN COMMUNITY PRACTICE From Research to Practice---The Bridge is out and the Waters Rising 345(22) Barry S. Brown Biographical Sketches 367
