Drug and alcohol abuse can lead to health concerns, trouble with interpersonal relationships, and a loss of production in the workplace.
Addiction is a chronic brain disease that creates chemical changes in the brain and the natural reward and motivation centers. Someone suffering from a substance abuse dependency may spend most of their time seeking drugs or alcohol, as well as using and recovering from the effects of the substance abused.
Substance abuse is perpetuated regardless of any negative health, emotional or social consequences. Often, a substance addict may be in denial that a problem exists, and there may be no internal motivation to seek help voluntarily. Many times, an outside source or pressure is needed to facilitate the initiation of a treatment program, and this outside pressure may come in the form of a legal mandate.
Regardless of the reason for entering a treatment program, research shows that rehab has positive potential for success. The National Institute on Drug Abuse (NIDA) and the U.S. Department of Veterans Affairs (VA) Health Services Research Department formulated a study of a group of men that showed that after five years, both those who entered into treatment voluntarily and those who were mandated to attend treatment had similar success rates. Success was measured based on abstinence levels, re-arrest and employment rates. At the end of the five-year follow-up, both groups of men were less likely to relapse, had high sustained abstinence rates, low instances of re-arrest and improved employment rates. While the group who were required to attend treatment may not have initially possessed the internal motivation to change and remain drug- or alcohol-free, treatment likely provided them with this desire.
When Mandatory Treatment Is Required
Drugs and alcohol alter mental states and heighten the probability of engaging in risky or dangerous behaviors. Substance abuse may also increase the risks for engaging in criminal behavior. Many crimes are drug-related offenses, such as possession, trafficking, or using, while others crimes are committed in an attempt to obtain more drugs. For example, someone may steal property or money in order to buy drugs. Still other crimes are committed while under the influence of drugs.
The Bureau of Justice Statistics (BJS) published a 2004 survey done by the U.S Department of Justice (DOJ) showing that as many as 32 percent of state inmates and 26 percent of federal prisoners reported being under the influence of drugs while committing the offence they were currently incarcerated for. The DOJ survey also found that one in four violent offenders in state prisons were under the influence of drugs when they committed their crimes.
When criminal offenses are drug- or alcohol-related, substance abuse treatment is often court-mandated. For example, if you are charged with driving under the influence (DUI), public drunkenness, or underage drinking, you may be required to participate in an alcohol treatment program. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that one of the primary reasons people enter into alcohol treatment programs is due to a court-mandate, with as many as 36 percent of those entering treatment in 2002 doing so under direction from the criminal justice system. Drug or alcohol treatment may be a condition of parole or probation after serving time for a crime. A special court even exists for those charged with drug- or alcohol-related offenses.
Whether mandated or voluntary, treatment for a substance use disorder seeks to first stabilize the individual and then works to provide the necessary tools for reintegrating a healthier and more whole individual successfully into society. Evidence-based treatment models combine scientific knowledge, clinical expertise and each individual’s personal preferences in order to successfully treat substance abuse disorders. Behavioral therapies teach life skills and mechanisms to avoid or cope with stressors and potential triggers when returning to everyday life. Self-esteem is bolstered while negative self-images are explored and positively modified.
Substance abuse and depression, anxiety, mood disorders, and other mental health disorders commonly co-occur. This means that someone suffering from a substance use disorder may also be diagnosed as suffering from a mental health disorder at the same time or vice versa. For example, the U.S. Department of Justice and the Bureau of Justice Statistics found that 74 percent of state prisoners with a mental health concern also suffered from substance abuse or dependency. When two disorders co-occur in the same person simultaneously, comprehensive dual diagnosis treatment can be most helpful. Dual diagnosis treatment models employ teams of medical professionals who work together to monitor and successfully treat multiple disorders at the same time. This type of integrated treatment provides the highest rates of long-term recovery and the reduction of potential relapse.
Many times the use of medications is necessary during recovery. These may be mood stabilizers, antidepressants or medications to aid the detox process. Some addictive substances have withdrawal symptoms that may need to be medically managed to ensure safety and comfort. Medical detox should be provided in a safe and secure environment supervised by medical professionals. After achieving physical stabilization, the emotional aspects of substance abuse, dependency, and/or addiction can be identified and managed. Group, individual and family counseling and therapy sessions aid in building up a network of support that is necessary to facilitate long-term recovery. Healthy lifestyle changes are also implemented during treatment. Self-help, 12-Step, and other support groups provide a secure and supportive environment, helping to prevent relapse and encourage long-term recovery.