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Out-of-Home Care As an Institutional Risk Environment for Volatile Substance Use

Published online by Cambridge University Press:  15 May 2012

Abstract

The exploratory study of meanings of volatile substance use (VSU) on which this article draws (involving 28 young people living in Melbourne, Victoria, Australa, aged from 13 to 24 years, each with experience of VSU, and 14 expert workers) was not designed to investigate any relationship between VSU and living in out-of-home care while subject to protective orders. However, when asked about their lives at the time they commenced or intensified VSU, 8 participants were adamant that living in out-of-home care was a significant factor. Two narratives reiterated by these young people are identified in the article: first that VSU is part of life in out-of-home care, and second that VSU ceases to be appropriate after leaving care. Young people who are living in out-of-home care report substantially higher levels of VSU than occur across the general population. This article shows how narrative accounts (even when expressed by small numbers of participants) provide insight into how VSU and other drug use may become embedded in particular institutional settings through assuming meanings and utility for users that are specific to these environments. While previous literature on the aetiology of VSU generally emphasises individual or familial risk factors, this article argues that out-of-home care may function, at least in some instances, as an institutional ‘risk environment’ for VSU and that this should be further explored through future research. Adjusting models of care may offer new strategies for responding to this form of drug use.

Type
Research Article
Copyright
Copyright © The Authors 2012

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References

American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Arlington, VA: American Psychiatric Publishing, Inc.Google Scholar
Australian Institute of Health and Welfare. (2005). 2004 National drug strategy household survey: Detailed findings. Drug Statistic Series No. 16. Canberra, Australia: Author.Google Scholar
Baidawi, S., & Mendes, P. (2010). Young people transitioning from out-of-home care and problematic substance use. Children Australia, 35 (4), 2330.Google Scholar
Bazeley, P., & Richards, L. (2000). The NVivo qualitative project book. London, England: Sage.CrossRefGoogle Scholar
Beauvais, F., Wayman, J. C., Jumper-Thurman, P., Plested, B., & Helm, H. (2002). Inhalant abuse among American Indian, Mexican American, and non-Latino white adolescents. American Journal of Drug and Alcohol Abuse, 28 (1), 171187.CrossRefGoogle ScholarPubMed
Bourdieu, P. (1977). Outline of a theory of practice. Cambridge, England: Cambridge University Press.CrossRefGoogle Scholar
Brady, M. (1992). Heavy metal: The social meaning of petrol sniffing in Australia. Canberra, Australia: Canberra Aboriginal Studies Press.Google Scholar
Bromfield, L., Higgins, D., Osborn, A., Panozzo, S., & Richardson, N. (2005). Out-of-home care in Australia: Messages from research. Melbourne, Australia: Australian Institute of Family Studies.Google Scholar
Bruce, R., & Mendes, P. (2008). Young people, prostitution and state out-of-home care. Children Australia, 33 (4), 3137.Google Scholar
Cashmore, C.J., Higgins, D.J., Bromfield, L.M., & Scott, D.A. (2006). Recent Australian child protection and out of home care research: What's been done and what needs to be done? Children Australia, 31 (2), 411.CrossRefGoogle Scholar
Clemens, S., Jotangia, D., Nicholson, S., & Pigott, S. (2008). Drug use. In Fuller, E. (Ed.), Drug use, smoking and drinking among young people in England in 2007 (pp. 17106). London, England: The Health and Social Care Information Centre.Google Scholar
d'Abbs, P., & MacLean, S. (2008). Volatile substance misuse: A review of interventions [Monograph Series 65]. Canberra, Australia: Department of Health and Ageing.Google Scholar
Davis, M., & Rhodes, T. (2004). Beyond prevention? Injecting drug user narratives about hepatitis C. International Journal of Drug Policy, 15, 123131.Google Scholar
De Fina, A., & Georgakopoulou, . (2008). Analysing narratives as practices. Qualitative Research, 8 (3), 379387.CrossRefGoogle Scholar
Department of Education and Early Childhood Development, and Department of Planning and Community Development. (2007). The State of Victorias young people: A report on how Victorian young people aged 12–24 are faring. Melbourne, Australia: Author.Google Scholar
Department of Human Services (DHS). (2003). Management response to inhalant use: Guidelines for the community care and drug and alcohol sector. Melbourne, Australia: Author.Google Scholar
Evans, E.B., & Raistrick, D. (1987). Phenomenology of intoxication with toluene-based adhesives and with butane gas. British Journal of Psychiatry, 150, 769773.Google Scholar
Ezzy, D. (1998). Theorizing narrative identity: symbolic interactionism and hermeneutics. The Sociological Quarterly, 39 (2), 239252.Google Scholar
Fitzgerald, J.L., Louie, R., Rosenthal, D., & Crofts, N. (2000). The meaning of the rush for initiates to injecting drug use. Contemporary Drug Problems, 26 (Fall), 481504.Google Scholar
Fletcher, A., Bonell, C., Sorhaindo, A., & Rhodes, T. (2008). Cannabis use and ‘safe identities’ in an inner-city school risk environment. International Journal of Drug Policy, 20 (3), 244250.Google Scholar
Hawkins, J.D., Catalano, R.F., & Miller, J.Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood. Psychological Bulletin, 122, 64105.CrossRefGoogle Scholar
Israel, B.A., Schultz, A.J., & Parker, E.A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173202.CrossRefGoogle ScholarPubMed
Johnston, L.D., O'Malley, P.M., Bachman, J.G., & Schulenberg, J.E. (2006). Monitoring the future: National results on adolescent drug use. Overview of key findings, 2005. NIH Publication No. 06-5882. Bethesda, MD: National Institute on Drug Abuse.Google Scholar
Kurtzman, T.L., Otsuka, K.N., & Wahl, R.A. (2001). Inhalant abuse by adolescents. Journal of Adolescent Health, 28, 170180.Google Scholar
Loxley, W. (2001). Drowning in words? Using NUDIST to assist in the analysis of long interview transcripts from young injecting drug users. Addiction Research and Theory, 9 (6), 557573.CrossRefGoogle Scholar
MacLean, S. (2006). Chrome world, chrome magic: inhalant use and public policy in an Australian context (Unpublished doctoral disseration). University of Melbourne, Australia.Google Scholar
MacLean, S. (2007). Global selves: Aesthetic reflexivity in marginalised young people's inhalant drug use. Journal of Youth Studies, 10 (4), 399418.CrossRefGoogle Scholar
MacLean, S. (2008). Volatile bodies: stories of pleasure and bodily damage in marginalised young people's drug use. International Journal of Drug Policy, 19, 375383.Google Scholar
Market & Opinion Research International. (2005). Volatile substance use today: a qualitative study. [Research study conducted for the Department of Health]. Retrieved from http://www.dh.gov.uk/assetRoot/04/13/67/09/04136709.pdfGoogle Scholar
McGarvey, E., Canterbury, R., & Waite, D. (1996). Delinquency and family problems in incarcerated adolescents with and without a history of inhalant use. Addictive Behaviors, 21 (4), 537542.CrossRefGoogle ScholarPubMed
Mendes, P. (2009). Young people transitioning from out-of-home care: A critical analysis of Australian and international policy and practice. Australian Social Work, 62 (3), 388402.Google Scholar
Mendes, P., & Moslehuddin, B. (2003). An overview of the UK leaving care debate: Graduating from the child welfare system. Youth Studies Australia, 22 (4), 3743.Google Scholar
Moore, D., & Dietze, P. (2005). Enabling environments and the reduction of drug-related harm: Re-framing Australian policy and practice. Drug and Alcohol Review, 24 (3), 275284.Google Scholar
National Institute on Drug Abuse. (2005). Research report series — Inhalant abuse. Bethesda, MD: Author.Google Scholar
O'Brien, M. (2001). Governing risk and drug use in juvenile justice settings. Contemporary Drug Problems, 28 (Winter), 625648.CrossRefGoogle Scholar
Oetting, E.R., Edwards, R.W., & Beauvais, F. (1988). Social and psychological factors underlying inhalant abuse. In Crider, R.A. & Rouse, B.A. (Eds.), Epidemiology of inhalant abuse: An update. NIDA Monograph No. 85 (pp. 172208). Rockville, MD: National Institute on Drug Abuse.Google Scholar
Ogwang, T., Cox, L., & Saldanha, J. (2006). Paint on their lips: Paint-sniffers, good citizens and public space in Brisbane. Journal of Sociology, 42 (4), 412428.Google Scholar
Parliament of Victoria Drugs and Crime Prevention Committee. (2002). Inquiry into the inhalation of volatile substances. Melbourne, Australia: Author.Google Scholar
Pilkington, H. (2007). In good company: Risk, security and choice in young people's drug decisions. The Sociological Review, 55 (2), 373–292.Google Scholar
Premier's Drug Prevention Council. (2004). Victorian youth alcohol and drug survey 2003: Illicit drug findings. Melbourne, Australia: Department of Human Services, Victoria.Google Scholar
Raman, S., Inder, B., & Forbes, C. (2005). Investing for success: The economics of supporting young people leaving care. Melbourne, Australia: Centre for Excellence in Child and Family Welfare.Google Scholar
Rehm, J., Fischer, B., Graham, K., Haydon, E., Mann, R. E., & Room, R. (2004). The importance of environmental modifiers in the relationship between substance use and harm. Addiction, 99, 663666.Google Scholar
Rhodes, T. (2002). The ‘risk environment’: A framework for understanding and reducing drug-related harm. International Journal of Drug Policy, 13, 8594.CrossRefGoogle Scholar
Rhodes, T., Kimber, J., Small, W., Fitzgerald, J., Kerr, T., Hickman, M., & Holloway, G. (2006). Public injecting and the need for ‘safer’ environment interventions in the reduction of drug-related harm. Addiction, 101, 13841393.Google Scholar
Rhodes, T., Lilly, R., Fernandez, C., Giorgino, E., Kemmesis, U.E., & Spannow, K. E. (2003). Risk factors associated with drug use: the importance of ‘risk environment’. Drugs: Education, Prevention and Policy, 10 (4), 303329.Google Scholar
Rhodes, T., Singer, M., Bourgois, P., Friedman, S.R., & Strathdee, S. A. (2005). The social structural production of HIV risk among injecting drug users. Social Science & Medicine, 61, 10261044.Google Scholar
Sakai, J.T., Hall, S.K., Mikulich-Gilberts, S.K., & Crowley, T.J. (2004). Inhalant use, abuse, and dependence among adolescent patients: commonly comorbid problems. Journal of American Academic Child and Adolescent Psychiatry, 43 (9), 10801088.Google Scholar
Sarang, A., Rhodes, T., Platt, L., Kirzhanova, V., Shelkovnikova, O., Volnov, V., . . . Rylkov, A. (2006). Drug injecting and syringe use in the HIV risk environment of Russian penitentiary institutions: Qualitative study. Addiction, 101 (12), 17871796.Google Scholar
Sarantakos, S. (1998). Social research (2nd ed.). Melbourne, Australia: Macmillian.CrossRefGoogle Scholar
Ward, J. (1998). Substance abuse among young people ‘looked after’ by social services. Drugs: Education Prevention and Policy, 5 (3), 257267.Google Scholar
White, V., & Hayman, J. (2004). Australian secondary students use of over-the-counter and illicit substances in 2002. Canberra, Australia: Department of Health and Ageing.Google Scholar
Worley, C. (2001). Buzzing, sniffing, tooting: Volatile substance abuse and looked after young people: Towards a review of existing literature. England: Staffordshire University Institute of Social Work and Applied Social Studies.Google Scholar
Wu, L., Pilowsky, D., & Schlenger, W. (2004). Inhalant abuse and dependence among adolescents in the United States. Journal of American Academic Child and Adolescent Psychiatry, 43 (10), 12061214.Google Scholar