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2 results

  • Chapter 12 - Tobacco Use Disorders

  • Edited by Ed Day
  • Book:
    Seminars in Addiction Psychiatry
    Published online:
    02 November 2021
    Print publication:
    04 November 2021, pp 207-229

  • Summary

    Tobacco smoking rates are much higher in people who are in treatment or recovery for a substance use disorder (SUD) and/or mental health condition. Dependence on tobacco is a medical condition, though one that has historically been overlooked in both drug and alcohol and mental health settings. Smoking has a negative impact on substance use and mental health outcomes and contributes to the shorter life span these groups experience. In this chapter the importance of understanding the difference between tobacco and nicotine is discussed, and the prevalence of tobacco smoking and its impact on the health of people with a SUD and/or mental health condition is reviewed. A brief overview of population-level interventions is provided and a detailed section on individual-level interventions to help people quit smoking.

  • 17 - Community alternatives to incarceration

    • By Christopher R. Thomas, Professor of Psychiatry and Behavioral Sciences, University of Texas 301 University Boulevard Galveston, TX 77555 USA
  • Edited by Carol L. Kessler, Columbia University, New York, Louis James Kraus, Rush University, Chicago
  • Book:
    The Mental Health Needs of Young Offenders
    Published online:
    11 August 2009
    Print publication:
    06 September 2007, pp 368-384

  • Summary

    Effective community based interventions offer several advantages over residential programs. The most obvious is the cost savings, with funds devoted to treatment services rather than the additional burden of facilities. More important is the ability to treat the youth within the context of home and community. The treatment team can directly assess the family and neighborhood factors that contribute to continued delinquency and determine what resources are available for change. If the safety and containment of adjudicated youth permit, community based interventions are preferable. Meta-analytic studies have provided more detailed overview of community based delinquency programs. It is also instructive to consider delinquency programs that have failed to produce the desired results. Two examples that have received a great deal of popular attention are "wilderness challenge" and "boot camp". In order to better address the multifaceted nature of delinquent behavior, more programs are emphasizing a systems approach in treatment.