This document discusses heroin use among street-involved youth and barriers to treatment. It reports that heroin use is rising internationally and nationally among youth. Research in Canada found that 79% of interviewed street youth had engaged in injection drug use and 58% had shared injection equipment. The document outlines significant health, social, and psychological problems associated with heroin use among youth like depression, HIV exposure, unemployment, homelessness, and overdose. It also discusses risk factors, protective factors, and barriers to treatment from both the youth and service provider perspective. Recommendations include improved assessment/treatment, housing/accommodations, policy changes, and vocational/financial support.
Rudolph Basson: Support or punish – reconsidered approaches to drug related h...SACAP
Harm Reduction acknowledges that drug use occurs and is potentially damaging, and attempts
to reduce and prevent these harms in ways, which are pragmatic and humanistic. Although the
harm reduction approach and specific harm reduction interventions (including needle and
syringe programmed and methadone programmed) have been implemented with resounding
success internationally (including in a number of African countries) for more than 20 years, the
South African approach to substance use and substance-related harms is still largely informed
by the doctrine and strategies of the "War on Drugs", and focuses almost exclusively on
prohibition and punishment. Because of the strong link between drug use and poverty, different
policy approaches to poverty and homelessness must also be considered. My talk will critically
examine these two approaches to drug use, poverty, and displacement (support or punish), as
they are being implemented in Cape Town. Opportunity for discussion will be provided.
This presentation brings awareness to transgender health care disparities and examines how practicing cultural competency can improve patient-physician relationships.
This paper gives and overview of factoes associated with depression among gay men. This paper was presented by Limin Mao et. al. at the AFAO HIV Educators Conference 2008.
Acceptance of one’s gender identity and congruence between one’s gender identity and outward appearance are associated with less adverse mental health symptoms, and greater life and job satisfaction. However, trans people are subject to human rights violations, hate crimes, and experience higher unemployment and poverty than the general population. Trans people often feel that they are citizens who are not allowed to be themselves and practice their authentic identity. Many biased treatments of trans people could be attenuated if legal protections and inclusive workplace practices were in place.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
Transforming Adolescent Risk Screening to Save Lives and Reduce Gaps in CareYTH
Jennifer Salerno, Founder of Possibilities for Change, presents the development and results of RAAPS, a cloud-based Rapid Assessment for Adolescent Preventive Services, of 50,000+ youth who have completed the survey, and the risk reduction achieved by providers using the system. Presented at YTH Live 2014 session "Advancing Data Collection Methods."
Writing the winning thesis or dissertation, a step by step guide. Slides have been prepared from the book of the same name authored by Randy L. Joyner, William A. Rouse and Allan A. Glatthorn.
info4africa/MRC KZN Community Forum | 15 April 2014 | Adolescent HIV risk an...info4africa
Speaker: Ms Juliet Houghton – Country Director CHIVA South Africa
Risk activities in adolescents are a pervasive and costly problem for all societies, despite many efforts to reduce or prevent these through diverse intervention programmes. This presentation seeks to unpack what the leading adolescent risk behaviours are, why these occur, and what strategies have been successfully tried and tested to mitigate negative behaviours.
Through the examination of strategies to build resilience in young people (historically an educational intervention), Ms Houghton will argue that by shifting our focus from ‘negative’ aspects of risk and focusing on skills development opportunities with young people, young people will be better able to manage their lives, including risk situations.
Examples will be drawn primarily from an HIV/sexual health perspective for the purpose of discussion and debate. Participants will be encouraged to share experiences of successes and challenges.
Alcohol And Adolescence What Every Educator Should KnowSarah Pahl
Presentation designed to equip educators of adolescents with knowledge of alcohol's effects on adolescent brains and bodies, the ability to identify risk and protective factors, and specific tools for the classroom to communicate positive prevention messages.
Rudolph Basson: Support or punish – reconsidered approaches to drug related h...SACAP
Harm Reduction acknowledges that drug use occurs and is potentially damaging, and attempts
to reduce and prevent these harms in ways, which are pragmatic and humanistic. Although the
harm reduction approach and specific harm reduction interventions (including needle and
syringe programmed and methadone programmed) have been implemented with resounding
success internationally (including in a number of African countries) for more than 20 years, the
South African approach to substance use and substance-related harms is still largely informed
by the doctrine and strategies of the "War on Drugs", and focuses almost exclusively on
prohibition and punishment. Because of the strong link between drug use and poverty, different
policy approaches to poverty and homelessness must also be considered. My talk will critically
examine these two approaches to drug use, poverty, and displacement (support or punish), as
they are being implemented in Cape Town. Opportunity for discussion will be provided.
This presentation brings awareness to transgender health care disparities and examines how practicing cultural competency can improve patient-physician relationships.
This paper gives and overview of factoes associated with depression among gay men. This paper was presented by Limin Mao et. al. at the AFAO HIV Educators Conference 2008.
Acceptance of one’s gender identity and congruence between one’s gender identity and outward appearance are associated with less adverse mental health symptoms, and greater life and job satisfaction. However, trans people are subject to human rights violations, hate crimes, and experience higher unemployment and poverty than the general population. Trans people often feel that they are citizens who are not allowed to be themselves and practice their authentic identity. Many biased treatments of trans people could be attenuated if legal protections and inclusive workplace practices were in place.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
Transforming Adolescent Risk Screening to Save Lives and Reduce Gaps in CareYTH
Jennifer Salerno, Founder of Possibilities for Change, presents the development and results of RAAPS, a cloud-based Rapid Assessment for Adolescent Preventive Services, of 50,000+ youth who have completed the survey, and the risk reduction achieved by providers using the system. Presented at YTH Live 2014 session "Advancing Data Collection Methods."
Writing the winning thesis or dissertation, a step by step guide. Slides have been prepared from the book of the same name authored by Randy L. Joyner, William A. Rouse and Allan A. Glatthorn.
info4africa/MRC KZN Community Forum | 15 April 2014 | Adolescent HIV risk an...info4africa
Speaker: Ms Juliet Houghton – Country Director CHIVA South Africa
Risk activities in adolescents are a pervasive and costly problem for all societies, despite many efforts to reduce or prevent these through diverse intervention programmes. This presentation seeks to unpack what the leading adolescent risk behaviours are, why these occur, and what strategies have been successfully tried and tested to mitigate negative behaviours.
Through the examination of strategies to build resilience in young people (historically an educational intervention), Ms Houghton will argue that by shifting our focus from ‘negative’ aspects of risk and focusing on skills development opportunities with young people, young people will be better able to manage their lives, including risk situations.
Examples will be drawn primarily from an HIV/sexual health perspective for the purpose of discussion and debate. Participants will be encouraged to share experiences of successes and challenges.
Alcohol And Adolescence What Every Educator Should KnowSarah Pahl
Presentation designed to equip educators of adolescents with knowledge of alcohol's effects on adolescent brains and bodies, the ability to identify risk and protective factors, and specific tools for the classroom to communicate positive prevention messages.
Adolescence is a time of growth and maturation in the brain, and it is also a time when many new behaviours begin to emerge (most of which irritate and frustrate parents!). These changes include changes in attention, in motivation and in risk-taking behaviour. Surprisingly, many of these behaviours are a direct result of brain changes, and are completely NORMAL!
Harm Reduction february 2013 Nursing Education Saskatchewangriehl
Here is a basic presentation on Harm Reduction, for Nursing Students, that can easily be adapted for health care providers in various fields of practice.
Jill Blumenthal MD of UC San Diego presents "Free to Be You and Me: Providing Culturally-Sensitive Patient Care to Transgender Individuals" at AIDS Clinical Rounds
Gender Health Access and Data - presented by TechSoup
Approaches and attitudes toward healthcare for Transgender and Nonbinary youth have changed radically in the past few years, and will be continuing to evolve rapidly in the near future. Come learn more about how you can help this community thrive.
PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
1. HEROIN USE AND BARRIERS TO TREATMENT IN STREET –INVOLVED YOUTH.
2. INTRODUCTION
“ADOLESCENT WITH SUBSTANCE DEPENDENCE DISPLAY A CLUSTER OF COGNITIVE ,
BEHAVIOURAL AND PHYSIOLOGICAL SYMPTOMS” (WEIS, 2008)
• INTERNATIONAL AND NATIONAL RESEARCH HAS REPORTED THAT HEROIN USE AMONG
YOUTHS IS ON THE RISE
• IT POSES A SERIOUS SOCIAL , HEALTH PROBLEMS AND PSYCHOLOGICAL PROBLEMS.
• RESEARCH FROM CANADA INTERVIEWING 49 HEROIN USING YOUTHS WERE
INTERVIEWED
• FROM FOUR COMMUNITY AGENCIES IN TORONTO.
• 79% HAS ENGAGED IN INJECTION DRUG USE
• 58% HAD SHARED THEIR INJECTION EQUIPMENT.
• IN U.S THE DATA WAS 13% ON STREET YOUTH
• 4.4% AMONG YOUTHS IN SHELTER
• 0.5% AMONG YOUTHS LIVING AT HOME.
3. SIGNIFICANCE
• MENTAL HEALTH- DEPRESSION AND BEHAVIOURAL PROBLEMS
• EXPOSURE TO H.I.V. VIA INJECTION DRUG USE AND NEEDLE
SHARING
• UNEMPLOYMENT
• HOMELESSNESS
• DEATH(OVER DOSE)
• UNPLANNED PREGNANCY
4. RISK FACTORSRISK FACTORS CAN INCREASE THE YOUTH CHANCES FOR DRUG ABUSE.
• DRUG AVAILABILITY
• LACK OF PARENTAL SUPERVISION
• POVERTY COMMUNITY /FAMILY
• ENGAGING AND RETAINING YOUTH DRUG USER IN TREATMENT .
• ATTRITION , MOVEMENT OF YOUTHS FORM DIFFERENT PLACES.
5. PROTECTIVE FACTORS
FAMILY
• BETTER COMMUNICATION SKILLS
• APPROPRIATE PARENTING SKILLS
• UNDERSTANDING YOUTH CONCERNS AND PROBLEMS
• MONITORING THEIR ACTIVITIES
7. PROTECTIVE FACTORS
COMMUNITY
• STRONG AND BETTER NEIGHBOURHOOD ATTACHMENT
FOR YOUTHS
• LEGISLATIVE POLICES/ ANTI DRUG USE POLICES
• RAISING AWARENESS ON THE DANGERS OF DRUGS.
• SELF CONTROL
8. BARRIERS TO TREATMENT ( YOUTHS PERCEPTIVE)
• DENIAL OF PROBLEM
• FEAR OF TREATMENT
• NEGATIVE EXPERIENCE WITH TREATMENT PROVIDERS, WHICH INCLUDE
• RESTRICTIVE RULES,
• AGE LIMITATION
• CONFIDENTIALITY
• FINANCE
• CONTACT WITH EX-USER ACQUAINTANCE
• LACK OF TRANSPORTATION
• FEW AVAILABLE SERVICE
9. BARRIER TO TREATMENT ( SERVICE PROVIDER PERCEPTIVE)
• NO HOME ADDRESS
• NO TELEPHONE
• SERIOUS MENTAL ILLNESS
• FEW ACCOMMODATIONS FOR MINORS
10. CONCLUSION AND RECOMMENDATION
• ASSESSMENT AND TREATMENT
• PROVISION OF HOUSING AND MINOR ACCOMMODATIONS
• CHANGE OF POLICY
• VOCATIONAL GUIDANCE AND FINANCIAL SUPPORT . E.G.
COMMUNITIES, FAMILIES AND SERVICE PROVIDERS
11. REFERENCES
1.BRANDS, B., LESLIE., CATZ-BIRO, L .AND LI ,S (2005)’ HEROIN USE AND BARRIERS TO
TREATMENT IN STREET-INVOLVED YOUTH’ ADDICTION RESEARCH & THEORY .
INFORMAL UK, 13(5), PP.447-487.DOI:
2.DISHION, T.; KAVANAGH, K.; SCHNEIGER, A.K.J.; NELSON, S.; AND KAUFMAN, N.
PREVENTING EARLY ADOLESCENT SUBSTANCE USE: A FAMILY CENTRED STRATEGY
FOR THE PUBLIC MIDDLE SCHOOL. PREVENTION SCIENCE 3(3):191–202, 2002.
3.WILLS, T.; MCNAMARA, G.; VACCARO, D.; AND HIRKY, A. ESCALATED SUBSTANCE
USE: A LONGITUDINAL GROUPING ANALYSIS FROM EARLY TO MIDDLE
ADOLESCENCE. JOURNAL OF ABNORMAL PSYCHOLOGY 105:166–180, 1996.
4. WEIS,R (2007) INTRODUCTION TO ABNORMAL CHILD AND ADOLESCENT . UNITED
STATES : SAGE PUBLICATION.