Showing posts with label public policy. Show all posts
Showing posts with label public policy. Show all posts

Myths of Addiction


This is a recent talk I presented at the South African College of Applied Psychology Festival of Learning and at the University of Cape Town Department of Psychiatry and Mental Health addictions forum.

In it I dispel the myths that: 
  • Addiction is caused by drugs, 
  • once an addict always an addict, 
  • addiction is progressive 
  • abstinence is required to initiate treatment or for remission.


I feel strongly that if we allow these myths to continue, we will not develop practical and helpful treatment modalities or public policies. At the end of the talk I made some suggestions regarding treatment. Comments and criticisms are welcome!

Injecting Drug Use and Harm Reduction

I was recently quoted, along with a colleague and some of our out-reach workers in an article on increased levels of injecting drug use in the Western Cape.

The message is important, and unless substitution therapies are introduced it is likely that there will be a significant increase in overdose deaths and a spread in HIV and other infectious diseases.

This article was originally published on Ground Up and then on allAfrica. The article is by Ian Broughton, and the photo is by Andrea Schneider.

Healthcare workers worry injecting heroin on increase

Sunday 31 August was International Overdose Awareness Day. Health workers in Cape Town have warned of a possible increase in drug overdoses and the spread of infectious diseases, including HIV, if the use of needles to inject drugs increases.

Day 3 - Mind and Life XXVII - Craving, Desire and Addiction

Dr Nora Volkow
Dr Vibeke Amussen Frank
You can view the videos here.
The point of this summary is not to replace the complete video and nor is it fully comprehensive, but rather the intention is to give a brief overview of proceedings so as to assist the reader in determining which sessions they would like to watch in full. 

The third day of Mind & Life XXVII - Dr Laura Volkow talks about The Role of Dopamine in the Addicted Human Brain and Dr Vibeke Amussen Frank follows with Beyond the Individual: The Role of Society and Culture in Addiction.


Day 1 - Mind & Life XXVII - Craving, Desire and Addiction

Dr Marc Lewis
Dr Richard Davidson
You can view the videos on HERE.
The point of this summary is not to replace the complete video and nor is it fully comprehensive, but rather the intention is to give a brief overview of proceedings so as to assist the reader in determining which sessions they would like to watch in full.

I would also strongly recommend visiting Marc's blog where he will be offering his first-hand insights into the experience.

The first day of the XXVII Mind & Life gathering includes an introduction and establishment of context by Arthur Zajonic, Diana Chapman Walsh and Richard Davidson. In the afternoon session Dr Marc Lewis, author of Memoirs of an Addicted Brain, spoke about Craving, Dopamine and the Cycle of Addictive behaviour.

Famous for Being Homeless

I went viral. I wrote a seemingly innocuous anonymous letter to the press about being homeless and it received over 60 000 views and 700 shares from one facebook page alone. It was suggested that I did not exist and that the journalist who read out my letter on air had made me up, so I decided to "out" myself. Since then I have been sought for interviews in the press and on radio. I am not necessarily comfortable with all this media exposure, but if it can help give the marginalised a voice, I will use it. Hopefully this will help me bring the issues that are on my heart regarding addictive disorders and mental health into the public consciousness and promote debate. Here is the story:

Addiction Information March 2013 Newsletter

This month we celebrated Human Rights Day in South Africa. I was given the opportunity to share my opinion on why those suffering from addiction are seldom afforded the same rights as others. A copy of my speech can be found here: Human Rights Day: Addicts are also Human. This month saw the first International Conference on Behavioral Addictions taking place in Budapest and so it is fitting to talk a bit about gambling addiction. Also in this issue: 
The DeltaFOSB Feedforward Loop, Drug Court, The Portuguese Drug Policy, Russel Brand on Addiction, Discontinuation of Sublingual Buprenorphine and Possible Approval for Buprenorphine Implants

Human Rights Day Speech

Addicts Are Also Human
By Shaun Shelly
This is a speech I delivered at a public function held to celebrate Human Rights Day in South Africa. Addicts are one of the most marginalised groups in society, not even enjoying the right to freedom or medical care:

The Bill of Rights is a cornerstone of democracy in South Africa. It enshrines the rights of all people in our country and affirms the democratic values of human dignity, equality and freedom.  It places a responsibility on the state to respect, protect, promote and fulfill the rights in the Bill of Rights.

Addiction Information February 2013 Newsletter

This is Newsletter Number 2, which is a little late due to a crashed hard-drive. The only two documents I had not backed up were the talk I was due to present "Sex, Drugs and No Control", and this newsletter, so it was back to the keypad! But we've made it, although in a slightly shorter version. I hope you find this summary of addiction news from around the world useful. Your suggestions are again most welcome, and articles for the website or that you would like to have linked to this newsletter can be directly submitted to me by e-mailing shaun.shelly@yahoo.com.

Please like us on facebook.
In this issue: 
Inside Rehab, Celebrity Rehab, Recovery or Treatment?, Dr Mark Willenbring, OST, Naloxone, NMDA  Modulators, Epigenetics, Frankenstien Drugs, Local Research, Ibudilast for Meth addiction?, Policy in NZ, Columbia and Africa, Banker or Dealer?

Addiction Information January Newsletter

Introduction
Welcome to the first Addiction Information Newsletter. The object of this newsletter is to give you a monthly overview of what is happening in the world of addiction across a number of fields. You can subscribe to this newsletter and receive an e-mail version by joining our mailing list. Your suggestions are most welcome, and articles for the website or that you would like to have linked to this newsletter can be directly submitted to me by e-mailing shaun.shelly@yahoo.com.
In this issue:
The Motivated Addict, Dual-process models, CBT Ineffective?, Drug Policy, Brain Structure, Meth Psychosis, Transcriptional Mechanisms, Nepicastat & 18-MC Trials, Neuroscientist Marc Lewis, Dr Frankenstein's Cure and "beating addiction"

In the Press.....


   

PRISON NO CURE FOR ADDICTION: EXPERT
By simone.williams
2013-01-15 09:00   
HARSH penalties for drug-related crimes do more harm than good.
This is according to Shaun Shelly, Addictions Programme Manager of Hope House Counselling Centre in Military Road, Retreat. In his opinion, the Drug Watch campaign by LeadSA, and editorial comments and letters in the local press seem to all be praising criminal sanctions for drug addicts encouraging harsher penalties. He complains his letters to the press have been ignored by editors.

Treatment not Time:

Addiction is health issue, not a criminal one.

The recent Drug Watch campaign, editorial comments and letters in the local press seem to all be prescribing harsher criminal sanctions for drug addicts. Even the recent special remissions of sentences, granted by the State President, have excluded those convicted of drug related crimes. Even so, I would like to suggest that this approach is both ill-informed and not helpful if we are to make in-roads in dealing with the drug problem that undoubtedly affects our community. We need to base our approach on sound research and not on popular sentiment.