Literature Review on African American Substance Abuse

As mentioned before, the medicalization of many diseases in America has lead to the introduction of novel prescription medications, jobs, and explanations for strange behaviors. Using the example of ADD, many pharmaceutical companies revenues increased due to the number of prescriptions prescribed for Adderall etc., not to mention physician’s income for prescribing each medication. Parents can now easily explain to teachers why their kid cannot pay close enough attention for long periods of time and have a quick fix for the exceptionally hyperactive child. These same concepts apply to the medicalization of addiction. Physicians, pharmaceutical companies, and rehab centers profit from the disease concept and the addict in withdrawal. Family and friends have an easier time accepting and explaining a medical condition instead of a loved one that has changed because of drug use. Also, the user themselves has many more resources in today’s society in comparison to being criminalized. Truthfully, only the user that does not seek or want treatment seems to not

The permanence of one’s social exile is often the hardest to swallow. For many it seems unconceivable that for a minor offense, you can be subjected to discrimination, scorn, and exclusion for the rest of your life. When someone is convicted of crime today, their debt to society is never paid. The cruel hand that Frederick Douglas spoke of more than 150 years ago has appeared once again. In every state across our nation, African Americans, particularly in the poorest neighborhoods, are subjected to tactics and practices that would result in public outrage and scandal if committed in middle-class white neighborhoods. When the War on Drugs gained full steam in the mid-1980’s, prison admissions for African Americans skyrocketed , nearly quadrupling

A common stereotype about African American men is that they are engage in drug abuse a disproportionate way which it’s not true because according to statistics from the US department of Health and Human services that although eight percent of African American males cocaine, eleven percent of whites have use the same drug. This is, however, not the impression that we get from watching the evening local news or even an episode of television program COPS.

In the United States, we have a culture that accepts the use of some substances over others, regardless of the negative affects of the “acceptable” drugs. For instance, it is socially acceptable to drink alcohol, eat sugar, and, while no longer as in vogue, smoke cigarettes. From a public health standpoint, these substances are also dangerous and can have debilitating affects on both children and adults. What is more, while narcotics use during pregnancy can lead to NAS at birth, there has been no conclusive evidence of lasting negative effects across the lifespan (Goldensohn & Levy, 2014; Miller, 2015). However, the use of other substances, such as alcohol, can be devastating and carry much more risk, leading some reporters to believe that the law has more to do with the people using these substances than the substances themselves (Todd, 2014). In any case, the punishment of mothers who suffer from addiction when they should be receiving support and treatment is a large moral failing on the part of policymakers. Arguments around whether the woman should be held responsible for her addiction overlook possible systemic barriers that led to her substance use as well as the fact that drug addiction is a treatable illness (Todd, 2014). In creating and invoking this law, policymakers are essentially turning their backs on some of the most vulnerable people in our society, expectant mothers, and using their resulting arrests as evidence of corrupt principles, deserving of punishment and

2). These “chronic relapsing conditions” lead to increased societal costs and health issues. “As policy makers grapple with the persistent social and economic costs of substance abuse and other risky behaviors, the need for prevention remains starkly evident” (Wells, Lemak, & D'Aunno, 2006, p.

March 23, 2010 is a significant date for the United States. Following a long and controversial political and legislative process President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. This pushed for the most significant changes to the United States health care system since Medicare and Medicaid back in 1965. The main stance of the act is to offer affordable benefits for all people including those who cant afford it. The Affordable Care Act includes a series of reforms that positively expand on the existing system of employer-sponsored insurance (ESI). It creates new requirements for individuals, employers, health care providers, and insurance companies (French, 2016). The ACA includes multiple strategies to target different populations and increase insurance coverage. It has offered many changes to medical benefits, treatments, as well as the quality of life. Specifically under the ACA, benefits for those who are struggling with a substance use disorder are mandated. One of those expansions in the ACA is the Mental Health Parity and Addiction Equity Act (Advanced Recovery, 2016). This act ensures that insurance companies offer coverage for mental health disorders and treatment. A brief yet significant statement in the ACA states those with substance use disorders will be classified as suffering from a mental health disorder. The coverage for those who have struggled with an addiction allows for understanding on how

Persistent substance abuse among youth is often accompanied by an array of problems, including academic difficulties, health-related consequences, poor peer relationships, mental health issues, and involvement with the juvenile justice system. There are also significant consequences for family members, the community, and society in

The opioid epidemic that has taken over the United States is likely the largest public health crisis that our country has faced in the 21st century. It has torn countless families and small rural communities apart in its wake, and does not currently show signs of slowing down anytime in the near future. In the last couple decades, the United States’ government has addressed the epidemic as a criminal problem. Treating those affected by the opioid crisis like criminals has not yielded positive results overall. For some time, the public opinion has predominantly been that this epidemic should not be blamed on anyone other than those who take these opioids, and that it is their own personal downfalls and bad judgement that is responsible for their specific situation. While opioid abusers certainly deserve some accountability for their actions, there is abundant evidence of greater forces at work that have a lot of influence on their decisions.

Schuckit, M. A. (1992). Advances in understanding the vulnerability to alcoholism. In C.P. O’Brien & J. H. Jaffe (Eds.). Addiction states (pp.93-108). New York: Raven Press

African American are some of the most affected by the opiate crisis. When it comes to the opiate crisis in the United States, most people have a mental image of who the most commonly affected type of people affected by this epidemic. Back in the day, in most people’s minds, the ‘‘typical” junkie was a white person shooting up heroin under a bridge in the middle of a city, in the outskirts of town, or they were the homeless man or woman asking you for spare change when you’re walking out of a grocery store. Over time, the ‘typical’ addict has changed. Now, a lot of white kids from suburban communities who got hooked on painkillers and subsequently got onto heroin, such as your high school athlete or your studious 20- somethings in college. That’s

is starting to show up in more and more inner east coast cities 2. Crack or rock

To begin with, in the African American culture it was unheard of to go see a therapist or counselor, when problems or issues arise beyond one's control. Not to mention, the embarrassment and disgrace to the family if someone in the family had a substance abuse problem. Nevertheless, the elders always went to church and confided in the pastor and prayer for answers and healing.

Along with illegal behavior often a substance abuser will find themselves as homeless, spending their paychecks on their habits of using substances (Tracy, 2005). Children of abusers are affected by both possessing negative role models that set the example that drug use is not wrong and sometimes the children are placed into the care of the community because of neglect and abuse by the substance user (National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health [CDC], 2009). Other medical, social, and economic issues also are being experienced from substance abuse and use.

Schmidt, Weisner, and Wiley (1998) note that in 1997 congress eliminated Supplemental Security Income (SSI) for people with a primary diagnosis of drug addiction. The purpose was to encourage substance abusers to take responsibility for their illegal drug use. Another objective of the federal benefit termination was to address a public perception that “providing federal disability benefits to drug addicts only enabled their illegal drug use” (Schmidt et al., 1998).

The alcoholic beverage has remained an established element to society’s social world and has grown into a way of living. As alcohol continues to flourish in its prevalence among citizens of the United States, so does the concept of alcohol addiction. A person becomes addicted to alcohol when they “drink excessively and develops a dependence that results in noticeable mental disturbance, or an interference with bodily and mental health, their interpersonal relations, and their smooth social and economic functioning” (Calahan, 1970, pp. 3). In 2009, the National Institute on Drug Abuse reported that about 52% of Americans used alcohol at least once within 30 days of their survey. As the percentage of Americans who consume alcohol