3. overview
? Substances are drugs that have addiction potential.
They can be prescription drugs or non-medical drugs
and include:
? Substance use disorder (SUD) is a mental health
condition in which a person has a problematic pattern
of substance use that causes distress and/or impairs
their life.
? SUD exists on a spectrum and may be mild, moderate
or severe. It typically involves an overpowering desire
to use the substance, increased tolerance to the
substance and/or withdrawal symptoms when you
stop taking the substance.
? A person can have more than one substance use
disorder at a time, such as alcohol use disorder and
cocaine use disorder.
? Substance use disorder can significantly impact your
health, relationships and overall quality of life. It can
also be life-threatening. It¡¯s crucial to seek help as soon
as you develop signs of SUD.
3 Dr Sushma Singh 3
7. the bare facts
DEATHS The harmful use of alcohol results in 3.3 million deaths each year.
AVERAGE
CONSUMPTION
On average every person in the world aged 15 years or older drinks 6.2 litres of pure
alcohol per year.
PER YEAR
CONSUMPTION
Less than half the population (38.3%) actually drinks alcohol, this means that those who do
drink consume on average 17 litres of pure alcohol annually.
DISORDERS At least 15.3 million persons have drug use disorders.
CONNECTION
WITH HIV
Injecting drug use reported in 148 countries, of which 120 report HIV infection among
this population.
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8. Access and exposure
Access to substances is a particularly significant environmental risk factor. Factors that
increase the extent of exposure and the opportunity for substance use include:
1 Use of substances by a member of your household
2 Use of substances by your peers.
3
Being prescribed a drug that can be misused, such as opioids or stimulants
8 Dr Sushma Singh 8
10. Management and Treatment
effective treatments are available for
substance use disorder. treatment is
highly individualized ¡ª one person may
need different types of treatment at
different times.
treatment for SUD often requires
continuing care to be effective, as
SUD is a chronic condition with the
potential for both recovery and
relapse.
as people with SUD often have co-
occurring mental health conditions,
treating them together rather than
separately is generally better.
main forms of treatment include:
? detoxification.
? cognitive and behavioural therapies.
? medication-assisted therapies.
types of treatment settings, including:
? outpatient counselling.
? intensive outpatient treatment.
? inpatient treatment.
? long-term therapeutic communities, such as
sober living communities.
11. When should see a healthcare provider?
YOURSELF
o If you¡¯re currently taking a prescription drug and are concerned you
may be developing a dependence, talk to your healthcare provider
immediately.
YOUR CHILD
o If you think your child may be using substances, get them help as
soon as possible.
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12. Living With
SPEAK UP SOONER
o The earlier a person with
SUD receives treatment,
the better. Address your
concerns and help them
find treatment as soon as
possible. Suggest calling a
helpline, talking to a
healthcare provider or
mental health professional,
entering a treatment
program or going to a 12-
step program. Offer your
help and support without
being judgmental.
PRACTICE EMPATHY
o Even when you don¡¯t agree
with your loved one, listen
thoughtfully to them. The
more your loved one feels
heard, the more they¡¯ll see
you as someone they can
trust.
BE PATIENT
o Don¡¯t expect a single
conversation or action to
fix your loved one¡¯s
substance use. SUD is a
complex chronic condition,
and there¡¯s no quick fix to
overcoming it.
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13. summary
Drugs and Substance Abuse:
? overview
? categories
? the bare facts
? access and exposure
? substance use disorder
? management and treatment
? healthcare provider
? living with
13 Dr Sushma Singh 13
14. thank you
Director of Education GNCT Delhi
Ladli Foundation
Principal
All Befeficiaries