Addiction Rehab: Understanding Success and Nonsuccess in the Drug Court.
Understanding Success and Nonsuccess in the Drug Court.
Filed under: Addiction Rehab
Int J Offender Ther Comp Criminol. 2012 May 28;
Fulkerson A, Keena LD, O’Brien E
The drug court was developed as a response to the ineffectiveness of the traditional criminal justice response to addiction. It has grown from 1 Miami court in 1989 to more than 2,100 drug court programs across the United States in 2011. The drug court has been described as a restorative or community justice intervention that can benefit the offender, direct and indirect victims, and the community as a whole through its combination of treatment, intensive supervision, and regular court appearances. Although the number of qualitative drug court studies has increased in recent years, there are few studies that compare those who successfully complete the drug court program with those who do not complete. This article is a qualitative study of drug court participants in an Arkansas drug court program. The article compares and contrasts the perceptions of those graduated from the program with those who were terminated from the program.
HubMed – addiction
Cocaine potentiates excitatory drive in the perifornical/lateral hypothalamus.
Filed under: Addiction Rehab
J Physiol. 2012 May 28;
Yeoh JW, James MH, Jobling P, Bains JS, Graham BA, Dayas CV
The hypothalamus is a critical controller of homeostatic responses and plays a fundamental role in reward-seeking behaviour. Recently, hypothalamic neurones in the perfornical/lateral hypothalamic area (PF/LHA) have also been implicated in drug-seeking behaviour through projections to extra-hypothalamic sites such as the ventral tegmental area. For example, a population of neurones that expresses the peptide orexin has been strongly implicated in addiction-relevant behaviours. To date, the effect of addictive drugs on synaptic properties in the hypothalamus remains largely unexplored. Previous studies focusing on the PF/LHA neurones, however, have shown that the orexin system exhibits significant plasticity in response to food or sleep restriction. This neuroadaptive ability suggests that PF/LHA neurones could be highly susceptible to modifications by drug exposure. Here, we sought to determine whether cocaine produces synaptic plasticity in PF/LHA neurones. We examined the effects of experimenter-administered (passive) or self-administered (SA) cocaine on glutamatergic synaptic transmission in PF/LHA neurones. These experiments demonstrate that both passive and SA cocaine exposure increases miniature excitatory postsynaptic current (mEPSC) frequency in PF/LHA neurones. In addition, SA cocaine reduced the paired-pulse ratio but the AMPA/NMDA ratio of evoked excitatory inputs was unchanged, indicative of a presynaptic locus for synaptic plasticity. Dual-labeling for orexin and excitatory inputs using the vesicular glutamate transporter (VGLUT2), showed that passive cocaine exposure increased VGLUT2-positive appositions onto orexin neurones. Further, a population of recorded neurones that were filled with neurobiotin and immunolabelled for orexin confirmed that increased excitatory drive occurs to this PF/LHA population. Given the importance of the PF/LHA and the orexin system in modulating drug addiction, we suggest that these cocaine-induced excitatory synapse-remodeling events within the hypothalamus may contribute to persistence in drug-seeking behaviour and relapse.
HubMed – addiction
Neurobiology of addiction: insight from neurochemical imaging.
Filed under: Addiction Rehab
Psychiatr Clin North Am. 2012 Jun; 35(2): 521-41
Urban NB, Martinez D
Advances in the Psychosocial Treatment of Addiction: The Role of Technology in the Delivery of Evidence-based Psychosocial Treatment.
Filed under: Addiction Rehab
Psychiatr Clin North Am. 2012 Jun; 35(2): 481-93
Marsch LA, Dallery J
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Citrus Bowl, Florida prisons: Let's save tax money on both
Filed under: Addiction Rehab
… and who prison officials believe are ready for reform — and move them out of prison and into rehab. The goal: Get these handpicked inmates, whose primary problem is addiction, off drugs. That way we don't arrest and imprison them again and again.
Read more on Orlando Sentinel
A message of hope
Filed under: Addiction Rehab
Then in 2004, he was arrested for DWI and sent back to rehab, only to fail again. “I always wanted to be altered,” Jason said. “Because my life wasn't what I thought it should be.” His spiral down into addiction wasn't over yet. When he was 28, …
Read more on Wayne Post
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