Tiburcio Nelson Jose, Twiggs Robert, Dunlap Eloise E
Institute for Special Populations Research. National Development and Research Institutes, Inc., New York, New York.
Anu Investig Adicciones. 2009 Dec 1;10(1):79-95.
Substance use disorders are credited with greater amounts of death and illness than all other preventable health problems. Billions of dollars are spent on efforts to control drug supplies and fund various treatment approaches, but relatively little resources have been directed towards investigating how environmental conditions can contribute to or detract from substance user's individual motivation to change behavior. Hurricane Katrina caused untold property damage and upheaval, in addition to the vast numbers of people whose lives it drastically affected. This article examines how surviving this ordeal, subsequent evacuation, and eventual resettlement in New Orleans or re-location to a different city (in this case, Houston) impacted individuals' motivation to change their substance use patterns and behaviors. This article's approach is grounded in the values of the social work profession and examines: 1) the role of life events in motivating change of substance using behaviors in the absence of formal treatment interventions; and 2) participant resilience in overcoming the adversities inherent to this disaster.
物质使用障碍导致的死亡和疾病数量比所有其他可预防的健康问题都要多。为控制毒品供应和资助各种治疗方法投入了数十亿美元，但相对较少的资源用于调查环境条件如何促进或阻碍物质使用者改变行为的个人动机。卡特里娜飓风除了给无数人的生活带来巨大影响外，还造成了难以估量的财产损失和动荡。本文探讨了经历这场磨难、随后的撤离以及最终在新奥尔良重新安置或搬迁到另一个城市（在本案例中为休斯顿）如何影响个人改变其物质使用模式和行为的动机。本文的方法基于社会工作专业的价值观，并探讨：1）在没有正式治疗干预的情况下，生活事件在促使物质使用行为改变方面的作用；2）参与者在克服这场灾难所固有的逆境方面的复原力。
