Interviewedinclude Mr. Tenzin and Hanz who are now peer counselors at anarcotics control agency. As recuperating drug users, they offerinsights into tendencies on the use of drug in the community,availability of action for drug users as well as what needs to bedone to improve the delivery of services at health centers.
Interviewer:How did you begin the use of drugs?
Tenzin: Onanalyzing why I opted to substance abuse, I realize that joining aboarding school at 12 for 8 years was the moment when I found itdifficult to adjust to the new environment full of drug users. I hadno choice but to start indulging.
Interviewer:Are drugs readily available in your area?
Tenzin: No.However, I know of a few joints where I could buy the consignments atcheaper rates.
Interviewer:How critical was the challenge of discrimination and stigma in yourscenario?
Tenzin: Itis true that I faced severe stigma and public discrimination becausemy allies and family begun to consider me as a bad company.
Interviewer:According to you, is there any shortcoming in rehabilitating drugusers in the locality?
Hanz: Amajority of the improving drug users end up relapsing afterrehabilitation because of the severe processes of detoxification.
Interviewer:What can be done to better the cure facilities for drug users withinthe community?
Hanz: Thereare a few treatment centers and it is an issue that needs to beaddressed. Similarly, the available facilities should be wellequipped in the aspect of service delivery, integrated health systemand health practitioners for ease in meeting rehabilitation needs.
Interviewer:Are you aware of the university’s work in the area in mitigation ofdrug use?
Hanz: Iam aware of the institution’s work particularly in the area ofreducing drug demand.
Drugaddiction and rehabilitation has been devastating for the individualswho undergo through the processes and heart wrecking for their lovedones as it costs the society in an economic sense. Asempirical studies on resilience have grown rapidly in recent years,there is the need for centered research in the area of rehabilitationfor drug users. The available analyses have generally concentrated onambiguities in central terminology which is heterogeneity in therisks encountered by individuals considered as resilient. Therefore,there is the need for evaluating their Achilles Heel on theresilience phenomenon as well as the concerns about the importance ofresilience (Fergusson & Horwood, 2003). This paper addresses theidentified criticisms in managing drug addiction and proposes thesolutions for those viewed as susceptible to resilience.
Assessmentof Resilience and Achilles Heel
Tobegin with, there is a growing concern for risk issues includingenvironmental, behavioral and genetic factors that reflect theexposure to drug use. Scientific research has focused on individualswho eventually suffer severe health consequences and on the societaldirections that such impacts take. While the relevance ofrehabilitation programs is undisputed, there is continuous need forstudies on persons with associated risk factors. Theassessment is necessary in underscoring the position of understandingthe resistance of drug use and delay of therapy. Given the focus onpredicting addiction incidences, such inquiry can represent anunexplored scientific area. The resilience related to drug use isessential for mapping the underlying issues involved inrehabilitation, specifically in the face of understood risks.Psychosocial and behavioral factors including coping strategies,exercise, social supports, optimism, and nutrition are notessentially involved in all cases (Fergusson& Horwood, 2003).Furthermore, genetic factors account for ease or difficulty ofrehabilitation.
Inthe interview that that involved a recuperatingdrug user who lives under an adverse environmental conditionfull of other victims of alcoholism, and extreme poverty, there was aremarkable evidence of resilience. This is proven by the profile ofhealthy transition and evasion of the situations that can take himback to drug use. Tenzinappears to be defying the expectations that others may have regardingdifficulty in rehabilitation. He is surviving and overcoming theseemingly devastating obstacles, problems, and dangers of addiction.There are various protective factors that can be used to explain hisresilience. For example, it can be stated that having bonds withsupportive and nurturing peers, obtaining support from the othercommunities, and having a withdrawing temperament may havecontributed to his case of resilience (Fergusson& Horwood, 2003). The intervention study conducted onTenzin also demonstratesthat significant progress in academic, cognitive, and societaloutcomes can be endorsed among those lacking the ability to adoptrehabilitation strategies.
Anadditional dimension for explaining resilience in Tenzin’scase relates to the growing concern in social disparities andhealth. More recent institute initiatives seek to improve theawareness of how rehabilitation occurs by clarifying the dominantbehavioral, neurobiological, and psychosocial processes. In essence,there is evidence that low socioeconomic status may be what increasesthe risks for addiction. However, there is a wide variability withinmembers of socioeconomic groups. The implication is that not everyindividual with little resources or opportunities may developaddiction. As a matter of fact, optimal mental and physical healthare some of the contributing factors that may lower ones chances ofreaching the situation of the need for resilience. Additionally,individuals with increasing economic hardship are more likely to havehigh stress which is a predictor of later-life illness and mortality.Those from disadvantaged economic families who counteracted with goodsocial relations are less likely to display the physiologicalpointers associated with addiction (Fergusson& Horwood, 2003).
Thelongitudinal assessment is essential in ascertaining whether thewitnessed resilience in Tenzin‘scase reflects the need for higher preliminary interventions foraddiction or if it influences ensuing intermediations. Even morevital is the need for inquiries to find out the neurobiologicalmechanisms through which addiction takes place. While adverseconsequences, particularly under situations of high prevalence, aremanaged, it is unclear whether it reflects an issue of compensatoryresponses, neurophysiological systems, or both. There is thepotential that the use of Tenzin‘scase to advance comprehension of rehabilitation mechanisms can offerthe highly needed substitutes to the available ways of initiatingresilience. For instance, Tenzin‘sstay in an emotionally impoverished environment makes him have theability to respond to stress more drastically throughout his live asa counselor than anyone who lives in drug free environments.Nonetheless, these effects are flexible as whoever is exposed to druginfested places in their early lives can, if afterward lives inconducive setting, portray usual functioning and good lives(Fergusson & Horwood, 2003).Tenzin‘s case addsthe critically needed comprehension of how behavioral interventionscontrol the development of resilience.
RecommendationsforIncreasing Resilience for Substance Users
Effectiverehabilitation of drug addicts is a key priority across allsocieties. Most of the existing works emphasize that differentialrates of survival is a function of pharmacological and behavioralcontrol. However, the positive health focus demands an increasedreview on drug use on social, behavioral, and psychological factorsthat influence recovery from addiction and improved resilience whileundergoing rehabilitation. Advances towards this area are alreadyongoing, as availed in the preceding parts of the discussion. As aresult, there should be further strides of the same nature across allinstitutions and agencies that center on drug use and addiction(Fergusson& Horwood, 2003).
Similarly,there needs to be numerous protective resources that promote theprocesses of recovery and enhance the rates of rehabilitation. In apsychological perspective, rising evidence emphasizes on the essenceof hope and optimism in the face of drug use and the desire forrehabilitation. Positive prospects have been shown to envisage betterhealth following rehabilitation. Equally, reports have beendocumented to exemplify ways of quicker recovery from drug use andthese have proven to be approaches that have less severe pains. Inmales who are drug addicts, research has shown the predictablemortality as a result of diseases related respective substances beingabused. On the other hand, people who have become resilient afterbeginning their rehabilitation programs have shown reducedpossibility of turning back during the recovery process. Moreimportantly, drug users with idealistically optimistic opinionsregarding their survival tend to be more resilient. Those who areable to establish meaning in their poor health over the follow-upperiods are less likely to return to drug use. As a result, meaningand optimism are resources that may reserve not only physical butalso emotional health (Fergusson& Horwood, 2003). Incontrast, unrealistic hopefulness in some situations may promptactions that lead to undecided risks of disease and injury and theselikelihoods needs to be components of the future agendas.
Furthermore,significant to the challenges of living with drug addiction, there isthe need for additional stress on quality of life. Existingapproaches highlight basic self-care capacities and mobility, alongwith operative management of rehabilitation side effects. Forexample, there has been more weight on the consequences ofmedications for reducing blood pressure or cholesterol levels butless focus on resilience the possibility of one to revert to druguse. In addition to medical management of drug addiction, a morepositive approach to health can include increased levels ofoperations and well-being. These may encompass education onself-esteem, mastery and efficacy, quality connections to otherpeople as well as the need for having purpose in life. The currentassessment tools have more to provide regarding enhancement ofquality of life and quality of life on rehabilitation. Theinstitution needs to establish rescue support strategic initiativesto encourage partnering with individuals in recovery from substanceuse or associated ailments and their family members to monitor thebehavioral health systems and encourage communities, programs, aswell as system-level methods that nurture health and resilience(Fergusson & Horwood, 2003). Important to note is thathealth-related quality of life is a fairly a new area of socialresearch.
Conclusively,drug rehabilitation and the resilience that comes with it is animperative part of assessments as regards addiction. Therefore,recovery support services should include morally appropriate anddesired services that can assist persons and groups struggling torecover from challenges of substance use. These include a whole rangeof legal, social, and other facilities that enable recovery,wellness, and collaboration among service providers, as well as othersupports (Fergusson & Horwood, 2003). The inclusion of the aboverecommendations in improving quality of life can be of great help topeople pursuing recovery.
Fergusson,D. M., & Horwood, L. J. (2003). Resilience to adversity: Resultsof a 21-year study. Resilienceand vulnerability: Adaptation in the context of childhood adversities,130-155.