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Drugs and Violence - Archives - National Institute on Drug Abuse PDF

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National Institute on Drug Abuse RESEARCH MONOGRAPH SERIES Drugs and Violence: Causes, Correlates, and Consequences 1 0 3 U.S. Department of Health and Human Services • Public Health Service • National Institutes of Health Drugs and Violence: Causes, Correlates, and Consequences Editors: Mario De La Rosa, Ph.D. Epidemiology Research Branch National Institute on Drug Abuse Elizabeth Y. Lambert, M.S. Epidemiology Studies and Surveillance Branch National Institute on Drug Abuse Bernard Gropper, Ph.D. Drugs, Alcohol, and Crime Research Program National Institute of Justice NIDA Research Monograph 103 1990 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Alcohol, Drug Abuse, and Mental Health Administration National Institute on Drug Abuse 5600 Fishers Lane Rockville, MD 20857 For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402 Drugs and Violence: Causes, Correlates, and Consequences ACKNOWLEDGMENT This monograph is based on the papers and discussion from a technical review on “Drugs and Violence” held on September 25 and 26, 1989, in Rockville, MD. The review meeting was sponsored by the Office of Science and the Division of Epidemiology and Prevention Research, National Institute on Drug Abuse. COPYRIGHT STATUS The National Institute on Drug Abuse and National Institute of Justice have obtained permission from the copyright holders to reproduce certain previ- ously published material as noted in the text. Further reproduction of this copyrighted material is permitted only as part of a reprinting of the entire publication or chapter. For any other use, the copyright holder’s permission is required. All other material in this volume except quoted passages from copyrighted sources is in the public domain and may be used or reproduced without permission from the Institute or the authors. Citation of the source is appreciated. Opinions expressed in this volume are those of the authors and do not necessarily reflect the opinions or official policy of the National Institute on Drug Abuse, National Institute of Justice, or any other part of the U.S. Department of Health and Human Services or U.S. Department of Justice. The U.S. Government does not endorse or favor any specific commercial product or company. Trade, proprietary, or company names appearing in this publication are used only because they are considered essential in the context of the studies reported herein. DHHS publication number (ADM)90-1721 Printed 1990 NIDA Research Monographs are indexed in the Index Medicus. They are selectively included in the coverage of American Statistics Index, BioSciences Information Service, Chemical Abstracts, Current Contents, Psychological Abstracts, and Psychopharmacology Abstracts. iv Contents Page Foreword vii Charles R. Schuster Introduction: Exploring the Substance Abuse-Violence Connection 1 Mario De La Rosa, Elizabeth Y. Lambert, and Bernard Gropper Violence as Regulation and Social Control in the Distribution of Crack 8 Jeffey Fagan and Ko-lin Chin Violence Associated With Acute Cocaine Use in Patients Admitted to a Medical Emergency Department 44 Steven L. Brody The Operational Styles of Crack Houses in Detroit 60 Tom Mieczkowski The Crack-Violence Connection Within a Population of Hard-Core Adolescent Offenders 92 James A. Inciardi v Page The Relationship Between Cocaine Use, Drug Sales, and Other Delinquency Among a Cohort of High-Risk Youths Over Time 112 Richard Dembo, Linda Williams, Werner Wothke, James Schmeidler, Alan Getreu, Estrellita Berry, Eric D. Wish, and Candice Christensen The Drug Use-Violent Delinquency Link Among Adolescent Mexican-Americans 136 W. David Watts and Loyd S. Wright Gangs, Drugs, and Violence 160 Joan Moore The Interrelationships Between Alcohol and Drugs and Family Violence 177 Brenda A. Miller Drug-Related Violence and Street Prostitution 208 Claire E. Sterk and Kirk W. Elifson Drug Disorder, Mental Illness, and Violence 222 Karen M. Abram and Linda A. Teplin Who’s Right: Different Outcomes When Police and Scientists View the Same Set of Homicide Events, New York City, 1988 239 Patrick J. Ryan, Paul J. Goldstein, Henry H. Brownstein, and Patrica A. Bellucci Summary Thoughts About Drugs and Violence 265 James J. Collins List of NIDA Research Monographs 276 vi Foreword Drug abuse and drug-related violence are among the greatest concerns of our citizens. There is a growing interest on the part of researchers, the public, and all levels of our government in the causes, correlates, and consequences of drugs and violence—both for better understanding of these phenomena and for improving our efforts at converting understanding into more effective prevention and control programs. Many factors, such as the emergence of relatively cheap and widely avail- able crack cocaine and widespread violence in drug trafficking, influence the increase in drug-related violence within and outside the United States. The challenge to public health and law enforcement communities is to develop strategies for intervention and control that work. These are priority issues within the missions and research agendas of both the National Institute on Drug Abuse (NIDA) and the National Institute of Justice (NIJ). On September 26-27, 1989, NIDA, with the collaboration of NIJ, held a Technical Review meeting on “Drugs and Violence.” The focus of this meeting was to review recent research advances made in the study of the relationships between drugs and violence. Data from a number of NIDA- and NIJ-funded research projects addressing different aspects of these relationships were presented and are included in this monograph. This meeting and monograph underscore the continuing collaborative research efforts by NIDA and NIJ to explore the linkages between drug use and violence and other criminal behaviors. The studies presented here represent only a sampling of the types of basic and applied research efforts that contribute to development of a sound infor- mational base from which health providers and law enforcement officials can develop mote effective strategies and programs to combat these prob- lems. It is hoped that this monograph will serve as a framework for further efforts in these areas and help us teach our common goals of making our society—and our world—a safer and healthier place to live. Charles R. Schuster, Ph.D. Director National Institute on Drug Abuse vii The National Drug Control Strategy indicates that our Nation’s success in overcoming the problems of drug abuse and drug-related crime depends upon the efforts of all our citizens and all agencies of Government The strategy provides a comprehensive framework and a balanced approach for our priorities in prevention and control, supply and demand reduction, law enforcement and treatment, research. and evaluation. Research plays a vital role in supporting these efforts by assessing the nature and extent of the problems, developing the scientific and technical bases for effective public policies, identifying and assessing Programmatic options, and evaluating the impacts of our drug control interventions. The studies on drugs and violence within this volume exemplify the collaborative relationships between the research programs of the National institute of Justice in the Department of Justice and the National Institute on Drug Abuse in the Department of Health and Human Services on these priority issues. The chapters encompass both qualitative and quantitative approach to research, including: the development of conceptual frameworks; the observation, description, treatment, prevention, and prediction of drug abuse and related violence: and the translation of definitions into practice for statistic databases and other applications. Though they focus on U.S. populations and conditions, foreign researchers and governments express continuing interest in our research methods, data, and approaches to addressing drug abuse, drug-related crime, and drug-related violence. This evidence reflects significant potential for making greater contributions to solving these drug problems that affect our Nation and the world. Charles B. DeWitt Director Designate National Institute of Justice viii Introduction: Exploring the Substance Abuse-Violence Connection Mario De La Rosa, Elizabeth Y. Lambert, and Bernard Gropper The complex relationships between substance abuse and violence have posed challenges to the research community and public health professions for decades. Research literature on drugs and violence abounds and continues to grow, with broad representation from the disciplines of education, medi- cine, sociology, criminology, epidemiology, and psychology. Understanding the causes, correlates, and consequences of drugs and violence is necessary to develop effective public health and law enforcement strategies for preven- tion and control. Some may despair, believing the links between substance abuse and violence to be inseparable and complex, and, therefore, believing that effective solutions cannot be found. Efforts to understand these rela- tionships can contribute to a process for identifying ways to prevent their occurrence or to reduce their magnitude, severity, and their recent apparent intensification. Links between alcohol abuse and violence have been recognized for years. Recently, new varieties of violence have emerged, largely in relation to the abuse and distribution of crack cocaine. The 1980s have seen a growing number of apparently “random” or “impersonal” homicides—that is, homi- cides of persons unknown or hardly known to their assailants. These so- called “hit men” style slayings have been linked to the crack trade, with drug dealers competing against other dealers to comer the market or pre- serve their territories. Victims are typically young boys or men and are often minorities living in inner cities. Occasionally, distinct patterns of injury can be recognized: drug runners, young teenagers who carry drugs and money between sellers and buyers, are being seen in emergency rooms more frequently with gunshot wounds to the legs and knees; a more vicious style of drug-related injury has emerged in the western part of the United 1

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Drugs and Violence: Causes, Correlates, and Consequences Editors: Mario De La Rosa, Ph.D. Epidemiology Research Branch National Institute on Drug Abuse
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