Drug Addiction As A Social Challenge In British Columbia

Defining Social Challenges

A social challenge can be defined as a problem that people interact with in the community while engaging with their normal social behavior. According to Dong, Kerr, and Debeck (2017), dealing with the social challenges in the society often calls for constant growing strategies from grassroots initiatives recognized by the government, organizations, and policy makers at different community levels. Such strategies are adopted as vital ways of tackling the increasingly-complex environmental and social challenges faced by the society. However, the effectiveness of these strategies depends on the knowledge and awareness of the social challenge facing a community, its causes, and the most effective solutions that can be adopted to curb its challenges.

Like in other developed countries, Columbia has a stable economy that most people consider a good life level making the country one of the best regions of residence in Europe. However, the stability of the societies therein is facing challenges from different social disruptions. According to Niederdeppe, Avery, and Miller (2018), the global social stability is facing great challenges from the past decade from financial crisis, political volatility, increasing pace of technological change, and changes in the life styles. These factors are a great threat to the social order of the society in different parts of the world including Columbia. The development of digital technology is a good example of such a disruption as it deepens the existing inequalities. This essay evaluates drug addiction as a social challenge affecting the British Columbia with a major focus on alcoholism.

The use of drugs and its alarming addiction in British Columbia is a chronic complication associated with violence, persistent criminal behavior, health problems, and family discords. A study conducted by the Canadian Center on Substance Abuse (CCSA) documents alarming facts on alcohol and drug addiction in Columbia. From the study, approximately 5 % of the British Columbians are ingle drinkers who have adopted a regular consumption of alcohol and are drug dependent. The report also indicates that 1% of the population also use illicit drugs. According to Kelly (2019), many researchers point out different causes of alcohol addiction not only in Columbia but globally. The same study denotes that approximately 50% of an individual risk for the addiction tends to be tied with their genetic makeup. However, other factors come into play such as physical health, upbringing, emotions, and social cycle of an individual. Substantial evidence also indicates that excessive use of alcohol is linked to risky behaviors and related mental challenges that different from one gender to another. These include international and non-intentional trauma, family violence, road accidents, suicidal cases, sexually-health risk behaviors, and other forms of social violence (Kalema, Vindevogel, & Vanderplasschen, 2019). The study denotes that all these factors occur frequently among the addicts and are considered by the Colombian government as public health challenges related to heavy use of alcohol.  

Facing Social Disruptions in Columbia

Kelly (2019) denotes that alcohol is the most commonly abused drug in the region. The use is stimulated by the privatization of the liquor distribution hence giving space for more corner stores. Such stores can acquire license for its distribution, an aspect that makes alcohol much close to 100% availability at all times. It is estimated that one out of every eight Colombian adults is struggling with alcohol addiction and nearly one out of five Columbians under the age of thirty is an alcohol addict. Despite the prevalence of its consumption, there is no specific explanation some of the alcohol drinkers develop addiction while others do not (Mulyk & Striltsiv, 2019). Therefore, health practitioners and drug addiction specialists describes it as sort of an insidious process as there are variety of social and psychological factors that come by it hence creating a situation where the entire social cycle of the addict tend to be supportive of fellow drinkers. In the process, they lose friends who are non-drinkers and feel offending by the alcoholic behavior but maintain friends who are tolerant. It hence comes with a psychological response and neurological changes that make them rely on alcohol for coping.

Even though Columbia tends to have a stable economy than other developing countries, it has a very high alcohol per capita consumption and high prevalence of heavy episodic drinking among the addicts (Hirschman & McGriff, 2011). It is used by people of all socioeconomic groups and ages and the drinking behavior starts from as early as the adolescence age. Those in the lower economic status mainly among the aboriginal groups with lower socio-economic status tend to be more vulnerable to very tangible challenges and related consequences of alcohol addiction.

Schilling and Sachs (2017) denote that majority of the alcohol addicts drink because they love how it makes them feel; less inhibited, happier, and more relaxed. The biological explanation behind this is that when one drinks, the liquor triggers a feel-good chemical similar to endorphins of the body cells that bind to opiate the body receptors in the brain making them to create a sense of euphoria.  Consuming alcohol also slows down the activities in the brain as it is a depressant to the central nervous system.  The resulting impacts are slurred speech, loss of coordination, site impairments, and slowed reaction times among other impairments commonly seen when one is intoxicated.  With continuous drinking and exposure to alcohol, the chemistry of the brain changes as it struggles to compensate for these effects hence causing addiction (Yaogo, Fombonne, Lert, & Melchior, 2015).  The optimal functionality of the brain relies on a delicate balance of the body neurotransmitters considered as the chemical messengers of the organ. However, when it is repeatedly exposed to alcohol, its deliberate balance and functionality is disrupted.

Drug Addiction in British Columbia

Information about comorbidity and co-occurrence of alcohol addiction and disorders in British Columbia is often limited to few health reports showing prevalence. According to Epstein, McCrady, Jensen, & Hildebrandt (2017), the Columbian government adopted a National Public Health Plan that states mental health among its priorities as well as the controlling the use of alcohol and substance abuse as its primary objective. A survey by the Columbian Mental Health Survey in 2013 also revealed a high lifetime prevalence of mood disorders (15.0%), anxiety disorders (19.3%), and substance disorders (10.6%). Of a particular concern from the result was that 94.7% of the substance disorders were as a result of high rate of alcohol consumption. A similar survey by the same organization four years later (2017) still recorded an increase in the number of alcohol addicts in regard to the previous survey. On the basis of these results, there is a need for accurate understanding of the observable facts vital in the development, control, and prevention of the substance abuse among the Columbians. Therefore, there is a need for adoption of strategic steps that will help in promoting improved treatment for people struggling with alcohol and substance addition.

Drugs and alcohol abuse are the main snags in the world nowadays. Many individuals, particularly the youth, are distressed by addiction and its concerns (Columbian Mental Health Survey). However, most people fail to comprehend that drug and alcohol abuse is a common health concern that must be treated as any other illness (Epstein, McCrady, Jensen, & Hildebrandt, 2017). Instead, addicts are habitually regarded as social castaways. As the most common addiction in British Columbia, alcoholism has numerous accessible treatments and approaches to salvage. Overpowering an alcohol addiction begins with a competent treatment center that can assist address core and reoccurring syndromes. Because of alcohol’s popularity all over our culture, convalescing alcoholics are continuously bombarded with prompts. Treatment facilities should be armed to assist the recuperating user find actual methods to cope up with prompts and desires to be operative.

A drug addict or an alcoholic can resolve to see a counselor or therapist. With alcohol use condition, regulating one’s drinking is only a fragment of the answer, not the entire solution (Schilling & Sachs, 2012). One also needs to acquire new abilities and approaches to use in daily life. Psychologists or alcohol psychotherapists can teach one how to; change the activities that make one desire to drink, manage pressure and other prompts, build a robust support scheme, and set objectives and achieve them. Some individuals just requisite a brief, intensive counseling period. Others might need personalized therapy for a lengthier time to handle problems like angst or melancholy. Alcohol usage can have a significant influence on the individuals close to someone, so couples or family psychotherapy can assist, as well. A counselor may use behavioral treatments as part of therapy.

Causes of Alcohol Addiction

Cognitive–Behavioral Therapy may happen one-to-one with a counselor or in small clusters. This form of therapy is engrossed on ascertaining the feelings and conditions (termed “prompts”) that result in dense drinking and handling stress that may result in relapse (Wolff, von Hippel, Brener, & von Hippel, 2015). The aim is to transform the thought courses that result in too much alcohol and to cultivate the abilities needed to manage daily circumstances that may prompt delinquent drinking. Motivational Enhancement Therapy is steered over a short period to shape and reinforce motivation to transform drinking manners. The therapy centers on pinpointing the reasons for and reasons against pursuing treatment, creating a scheme for making alterations in one’s drinking, building self-confidence, and evolving the abilities required to stick to the strategy.

Marital and Family Counseling integrates partners and other family affiliates in the treatment course and can play a significant role in fixing and refining family affiliations (Witkiewitz, Hallgren, Bravo, & Maisto, 2018). Research shows that sturdy family backing through family psychotherapy upsurges the likelihoods of keeping up with asceticism (discontinuing drinking), likened with patients experiencing individual therapy. Brief Interventions are brief, one-to-one or small-group therapy periods that are time restricted. The therapist offers info on the person’s drinking pattern and impending jeopardies. After getting a personalized response, the therapist will work with the user to set objectives and provide thoughts for assisting to transform.

There is a wide-ranging array of alcohol rehab programs, comprising outpatient, day-patient, inpatient, and evening programs. Inpatient rehab amenities are the most organized (Schilling & Sachs, 2018). There is an advantage to moving out of one’s surroundings so that one may entirely center on salvage minus any interferences, as in an inpatient program. Inpatient rehab permits for unceasing attention and individualized support from the health workforce. Inpatient treatment is the best option for any person who desires to concentrate fully on recovery minus the pressure or interferences of school, work, or societal duties. It permits for complete absorption in the salvage course and might be a better option for individuals who have attempted other treatments ineffectively. Inpatient treatment for alcohol rehabilitation could last between 30 days to six months or longer; the prerequisites of the individual determine recovery time.  

Treatments at inpatient facilities may comprise behavioral analyses, the most common of which is Cognitive Behavioral Therapy (CBT). These analyses inspire members to adjust the manner they respond to traumatic exterior spurs (like failing an exam or losing employment) by endorsing healthy means of handling. Many facilities similarly provide group and personal therapy, empirical analyses, and training on appropriate diet and well-being. Overpowering stuff abuse involves acquiring new understanding and abilities. Most addiction rehabilitation schemes have a minimum one-year post-operative care element that offers support as one practice relating their new skills in their daily life.

Consequences of Alcohol Addiction

Inpatient Rehabilitation for Alcoholism may be the most superior solution compared to counseling and therapy because an inpatient rehab means the person will stay at the center at all times, except if there are permitted days out, in which they will be continuously supervised (Epstein, McCrady, Jensen, & Hildebrandt, 2017). On the contrary, counseling and counseling do not provide full-time supervision to the individuals. Individuals involved in counseling and therapy programs are at risk of relapsing since they return home after the sessions and can obtain their choice drug. On the other hand, an individual at an inpatient rehabilitation facility will have limited or no access to drugs or alcohol totally; this makes this solution the best for most individuals in initial recovery.

Inpatient drug rehabilitation facilities provide a structure that cannot be found somewhere else. Inpatient programs provide minimal free time (VanMeerten, Harris, & Sponheim, 2013). This not only inhibits the addict from thinking out how to get their preferred drug but similarly since little time is permitted for the patient to reflect on drugs, the less probable they will relapse. However, for counseling and therapy, the individual has a lot of free time when they are not in session, to think about drugs and ways to access them.

Many addicts will experience withdrawal symptoms which can be precarious (Epstein, McCrady, Jensen, & Hildebrandt, 2018). Psychological withdrawal may linger for months. Individuals going through psychological withdrawal at an inpatient rehabilitation facility will have continuous health supervision and analysis; this help is not only dire in certain circumstances but offers much required emotive support. An addict in counseling or therapy schemes may not receive the necessary support when withdrawal sets in yet this period could be life-threatening to them. Addicts in an inpatient rehab will have expert help accessible 24 hours a day, seven days a week, compared to addicts in counseling schemes where sessions may be limited to a few days a week (Drug addiction and Drug Abuse, 2019).

An inpatient substance rehabilitation facility lets the individual concentrate on their self fully. Therefore, they can focus on their salvage while being entirely away from any disturbances or pressure. Inpatient drug rehabilitation centers often restrict telephone calls and do not permit, or strictly monitor, any callers or guests. This inhibits the trafficking of stuff and any undesirable effect that an individual outside the rehab might have on the addict. On the other hand, counseling and therapy leave room for distractions and negative influence when the addicts are not in session.  

Alcohol Addiction in Columbia

Conclusion

Inpatient rehabs recognize the significance of diet. Guaranteeing that the person will eat balanced food which will not only assist the body get through the early withdrawal but will assist in acquiring bodily and psychological strength all through the whole recovery course. On the contrary, counseling and therapy programs are generally not concerned with the diet plan or nutrition of the individual. Inpatient rehabs will keep on supporting the individual long after they have left the center. They will have trained the recuperating addict on several tools to implement any moment they are having yearnings or are at danger for relapsing. Inpatient rehabilitation centers will educate on devices that can be applied at any moment, at a wherever place, and may save an individual’s life.

References

Columbian Mental Health Survey, (2016). Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers. Health & Social Work, 37(3), 173–179. https://doi.org/10.1093/hsw/hls023

Dong, H., Kerr, T., & Debeck, K. (2017). The relationship between hazardous alcohol use and violence among street-involved youth. American Journal on Addictions, 26(8), 852–858.

Drug addiction and drug abuse. (2019). Columbia Electronic Encyclopedia, 6th Edition, 1–5. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=134512403&site=ehost-live

Dwivedi, A. K., Chatterjee, K., & Singh, R. (2017). Lifetime alcohol consumption and severity in alcohol dependence syndrome. Industrial Psychiatry Journal, 26(1), 34–38. https://doi.org/10.4103/ipj.ipj_26_17

Epstein, E. E., McCrady, B. S., Jensen, N. K., & Hildebrandt, T. (2018). A randomized trial of female-specific cognitive behavior therapy for alcohol dependent women. Psychology of Addictive Behaviors, 32(1), 1–15. https://doi.org/10.1037/adb0000330.supp (Supplemental)

Hirschman, E. C., & McGriff, J. A. (2011). Recovering addicts’ responses to the cinematic portrayal of drug and alcohol addiction. Journal of Public Policy & Marketing, 14(1), 95–107. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=ufh&AN=9506190159&site=ehost-live

Kalema, D., Vindevogel, S., & Vanderplasschen, W. (2019). Perspectives of alcohol treatment providers and users on alcohol addiction and its facilitating factors in Uganda and Belgium. Drugs: Education, Prevention & Policy, 26(2), 184–194.

Kelly, J. F. (2019). E. M. Jellinek’s Disease Concept of Alcoholism. Addiction, 114(3), 555–559.

Koenig, B., & McCormick, J. (2017). “I don’t have to know why it snows, I just have to shovel it!”: Addiction recovery, genetic frameworks, and biological citizenship. BioSocieties, 12(4), 568–587. https://doi.org/10.1057/s41292-017-0045-4

Mulyk, M. I., & Striltsiv, N. E. (2019). Antioxidant system and structure of erythrocytes in people with psychological and behavioural disorders due to alcohol abuse. Journal of Physical Education & Sport, 19, 314–322.

Munro, A., P., Allan, J., & Henderson, N. (2018). Understanding remote Aboriginal drug and alcohol residential rehabilitation clients: Who attends, who leaves and who stays? Drug & Alcohol Review, 37, S404–S414. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=129511839&site=ehost-live

Niederdeppe, J., Avery, R. J., & Miller, E. E. N. (2018). Theoretical Foundations of Appeals Used in Alcohol-Abuse and Drunk-Driving Public Service Announcements in the United States, 1995-2010. American Journal of Health Promotion, 32(4), 887–896.

Rae, J. (2019). Informal Control by Family and Risk Markers for Alcohol Abuse/Dependence in Seoul. Journal of Interpersonal Violence, 34(5), 1000–1020. https://doi.org/10.1177/0886260516647003

Schilling, R. F., & Sachs, C. (2017). Attrition from an Evening Alcohol Rehabilitation Program. American Journal of Drug & Alcohol Abuse, 19(2), 239–248. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=9409141042&site=ehost-live

Sprong, M. E., Upton, T. D., & Pappas, M. (2012). Utilization of Community Rehabilitation Programs: Screening for Alcohol and Drugs. Journal of Rehabilitation, 78(2), 13–19. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=76170565&site=ehost-live

VanMeerten, N. J., Harris, & Sponheim, S. R. (2013). Inpatient utilization before and after implementation of psychosocial rehabilitation programs: Analysis of cost reductions. Psychological Services, 10(4), 420–427. https://doi.org/10.1037/a0031159

Witkiewitz, K., Hallgren, K. A., Bravo, A. J., & Maisto, S. A. (2018). Abstinence and low risk drinking during treatment: Association with psychosocial functioning, alcohol use, and alcohol problems three years following treatment. Psychology of Addictive Behaviors, 32(6), 639–646. https://doi.org/10.1037/adb0000381

Wolff, N., von Hippel, C., Brener, L., & von Hippel, W. (2015). Implicit identification with drug and alcohol use predicts retention in residential rehabilitation programs. Psychology of Addictive Behaviors, 29(1), 136–141.

Yaogo, A., Fombonne, E., Lert, F., & Melchior, M. (2015). Adolescent Repeated Alcohol Intoxication as a Predictor of Young Adulthood Alcohol Abuse: The Role of Socioeconomic Context. Substance Use & Misuse, 50(14), 1795–1804.