Development of a community based drug program




Geib, Thomas Martin,1943-

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Sam Houston State University


The intent of this study was: (1) to review how the control and treatment of drug abuse became a national health and law enforcement priority; (2) to describe how the county of Arlington, Virginia developed an integrated agency multimodality control and treatment program for the drug dependent and his family; (3) to give an initial indication of the outcome of these efforts. Methods The methods of this study were: (1) the review of current literature pertaining to the treatment of drug dependents and etiological factors of deviant behavior; (2) a historical review of documents regarding the motivation and development of the Arlington program; (3) utilization of information and data derived from personal participation in the development. Implementation and administration of the Prelude program. Findings 1. That any community determined to initiate a rehabilitation program for drug dependents: (a) engage a representative cross-section of the community in the planning phase of the program, e.g., criminal justice, medicine, clergy, service organization, interested adults and students, etc. (b) develop information which will accurately define the incidence of drug dependency within the community in terms of specific demographic characteristics, types of drugs being used, degree of psychological and physical dependency and services available. 2. That the development of the program be multi-modality in nature so as to provide a span of treatment alternatives. 3. That a strong coordination element be developed to assure the service delivery system functions as designed so that individuals receive services according to their needs. 4. That special emphasis be placed on staff development and training. Minimally this should be on a weekly basis and should include presentations regarding various therapeutic skills and mechanisms, developmental aspects of the character and personality structure of the drug dependent, case history studies, group process and dynamics. 5. That appropriate existing community services and skills be utilized for the client whenever possible so as not to develop duplicative services and, more importantly, to assure provision of services to the client which will aid his total rehabilitation. 6. That local, state and federal agencies responsible for rehabilitation of the drug dependent emphasize development of standardized evaluation criteria. 7. That communities give serious consideration to adapting this community-based therapeutic approach as a treatment alternative for deviant behavior other than the drug dependent.



Drug addicts, Rehabilitation, Drug abuse, Treatment