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1 results

  • 20 - Putting epidemiology and public health in needs assessment: drug dependence and beyond

  • from Part III - Unmet need: people with specific disorders
  • Edited by Gavin Andrews, University of New South Wales, Sydney, Scott Henderson, Australian National University, Canberra
  • Book:
    Unmet Need in Psychiatry
    Published online:
    21 August 2009
    Print publication:
    06 January 2000, pp 302-308

  • Summary

    By studying what happens between the initial experience of drugs and the subsequent sharing of drugs with others, it is possible to see that much (though not all) of the person-to-person spread of drugs takes place within a year or so of starting drug use. Drug-dependent people seem to be less likely to introduce others to drugs, perhaps because they are concerned about their own supply. There is considerable appreciation for the evidence on co-occurrence of drug dependence with other psychiatric disturbances, especially antisocial personality disorder but also anxiety and affective syndromes. The diagnostic criteria are just points of departure for a more public-health-oriented model of needs assessment. The increased risk of other psychiatric syndromes among pre-dependent drug users reinforces the argument for earlier rather than later clinical attention being given to these drug users.