Helping People Addicted to Methamphetamine This page intentionally left blank Helping People Addicted to Methamphetamine A Creative New Approach for Families and Communities NICOLAS T. TAYLOR AND HERBERT C. COVEY LibraryofCongressCataloging-in-PublicationData Taylor,NicolasT.,1965– Helpingpeopleaddictedtomethamphetamine:acreativenewapproachforfamilies andcommunities/NicolasT.TaylorandHerbertC.Covey. p.cm. Includesbibliographicalreferencesandindex. ISBN978–0–275–99908–7(alk.paper) 1. Methamphetamineabuse. I.Covey,HerbertC.II.Title. RC568.A45.T392008 616.86’4—dc22 2008023811 BritishLibraryCataloguinginPublicationDataisavailable. Copyright2008byNicolasT.TaylorandHerbertC.Covey Allrightsreserved.Noportionofthisbookmaybe reproduced,byanyprocessortechnique,withoutthe expresswrittenconsentofthepublisher. LibraryofCongressCatalogCardNumber:2008023811 ISBN:978–0–275–99908–7 Firstpublishedin2008 PraegerPublishers,88PostRoadWest,Westport,CT06881 AnimprintofGreenwoodPublishingGroup,Inc. www.praeger.com PrintedintheUnitedStatesofAmerica Thepaperusedinthisbookcomplieswiththe PermanentPaperStandardissuedbytheNational InformationStandardsOrganization(Z39.48–1984). 10987654321 Thisbookisdedicatedtothe families,friends,parents,children,treatment providers,judges,teachers,counselors,lawenforcementofficers,employers, membersoffaith-basedorganizations,electedofficials,andcommunitiesthat care enough about those addicted to methamphetamine to take positive action.Wealsowanttoacknowledgeourfamiliesandespeciallyourspouses Teresha Taylor and Marty Covey who supported us throughout this endeavor.SpecialthankstoMartyCovey,whoprovidededitorialsuggestions and helped greatly in writing this book. Her contribution was immense. ThanksalsotoSenior Editor Debbie Carvalko of Praeger Publishers, who provided excellentguidance and displayed greatpatiencewith the authors. Shehasbeenavaluablepartnerinseeingthisbookcometofruition. This page intentionally left blank Contents Preface ix 1.Introduction 1 2.TwoMethStoriesandtheImportantRoleofCommunity 9 3.WhatIsMeth? 25 4.EffectiveCommunity-BasedTreatmentforMethamphetamine 75 Addiction 5.CreatingStructure 107 6.Treatment 125 7.GettingStarted 149 Appendix:ExamplesofStudiesofEvidence-BasedTreatmentsfor 161 Stimulants,Cocaine,orMethamphetamineUse Bibliography 173 Index 181 This page intentionally left blank Preface Methamphetaminehasimpactedfamiliesandcommunitiesinsuchawaythat forthepast10yearstreatmentprogramsandjudicialsystemshavestruggled with how to intervene and to provide the right kind of rehabilitative help. Whilenotentirelydifferentfromothersubstancesofabuse,methisunique enoughtochallengethesesystemstocomeupwiththemosteffectiveways ofhelpingpeoplenotonlystopusingthedrugbutalsostophangingaround otherpeoplewhocontinuetouseit.Atonepointthemostdevastatingcases ofcommunitiesbeingimpactedbymethwerelimitedtothewesternregions ofthenation.Thathaschanged,andwiththeexceptionofonlytheeastern seaboard states, really, meth has penetrated every community, both urban andrural,andhascrossedalmostallethno-anddemographicboundaries. Treatmentformethaddictionmustinvolvethebroadsobercommunityin which the addict lives; otherwise it becomes almost impossible for people whoaretryingtostopusingmethtoseparatethemselvesfromgroupsofpeo- plewhouseit.Whatthisbookprovidesisthedescriptionofacreativenew approach to treating meth addiction that can be used to guide a true community-based intervention.Thekeytothisinterventionisthepractice ofcarvingoutanichewithinthesobercommunitysothatpeoplerecovering from meth have a place to go as well as thenecessary support to break ties withothermethusers. Familiesandcommunityleadersareinvitedtoconsidertheprinciplesand practicesdescribedinthepagesofthisbookastheydeveloptreatmentplans andstrategiesforindividualpeopleaddictedtomethaswellasbroadgroups of people accessedthrough social service and judicial referral systems. We knowforcertainthatthereisneitheramagicpotion norasilverbulletthat
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