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Public Health
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Geno, pls. research on TC and public health issues
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“Surely there must be something more to life than treating patients, writing prescriptions,
ordering diagnostic tests and doing surgery?”
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Why Public Health?
• Opiates – 0.05% (2005)• Cocaine – <0.01% (2005)• Cannabis – 0.08% (2008)• Amphetamine – 2.1%
(2008)
UN World Drug Report, 2010
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• Opiates – 30,000• Cocaine – 6,000• Cannabis – 47,000• Amphetamine – 1,234,743• Treatment – 3,000
NSO Population Data, 2010
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Ounce of Prevention
• Many treatment programs are expensive, labor-intensive and plagued by high rates of recidivism (Botvin & Griffin, 2005)
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Therapeutic Community
• Dropout 50% within the first 30 days. • Some studies show that of those who stay
beyond the first month, approximately 60% of residents complete TC programs, 1/3 of those graduates will relapse to drug use.
Gibbons, Anderson and Garm, THE THERAPEUTIC COMMUNITYTREATMENT MODEL: OVERVIEW AND ANALYSIS OF KEYTHEMES AND ISSUES 2002
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Demand
• “Does drug education work?”• Yes1.Timing and Programming Considerations –
(timing, needs, goals, booster sessions)2.Content and Delivery – (Social Influence,
interactive, focus on behavior change, single drug focus, peer interaction)
Vinluan, 2009. History of Preventive Drug Education
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Demand
3. Skills of teacher4. Dissermination – (Marketing and Cost)
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What’s the other item in the curve?
• Supply. • In Singapore, long term imprisonment, caning
and capital punishment.• Heroin – 2 grammes vs 10 grams• Cocaine – 3 grammes vs 10 grams• Meth – 25 grammes vs 50 grams• Cannabis – 30 grammes vs 500 grams
Misuse of Drugs Act 1998 revisedRA 9165 2001
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