4092.0: Tuesday, October 23, 2001 - Board 1

Abstract #25868

Dreams and despair: Methamphetamine use and drug treatment challenges

Miriam Williams Boeri1, Kirk W. Elifson, PhD1, Claire E. Sterk, PhD2, and Rachel E. Kachur2. (1) Department of Sociology, Georgia State University, One University Plaza, Atlanta, GA 30303, , miriamwilliams@mindspring.com, (2) Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322

Objectives. This study examines experiences with and perceptions of drug treatment programs among active methamphetamine users. Methods. Eighty-eight in-depth interviews were conducted with a theoretically sampled population of methamphetamine users from the Atlanta area. Qualitative data were managed by QSR NUD*IST and data analysis was guided by grounded theory. This study compared accounts of treatment among groups of users by age, gender, and drug career. Results. Findings revealed that although respondents were using illicit substances, many viewed drug treatment as an effective strategy to reduce health risks resulting from drug use. Users suggested drug treatment that takes the unique aspects of methamphetamine use into consideration, including the drug's long-term psychological impact, the involvement of professional experts as well as peers, the many social roles other than the one as drug users, and the availability of holistic, transitional care. Conclusions. Recommendations from users on treatment methods will provide valuable insight into creating effective treatment programs. Reasons for continued use often include inherent contradictions such as self-medicating to reduce hyperactivity, yet the prolonged use of methamphetamine caused increased states of hyperactivity and hypomania. The biological, social, and physiological aspects were not inseparable in continuing use of the drug and should not be separated in the treatment design. In addition, treatment providers must learn to deal with the special needs of injecting-drug users who have HIV/AIDS and HCV. Learning objectives. Participants will be sensitized to the user's perspective and be able to discuss ways in which treatment for methamphetamine use can be more effective.

Learning Objectives: Participants will be sensitized to the methamphetamine user's perspective regarding treatment and be able to discuss ways in which treatment for methamphetamine can be more effective.

Keywords: Drug Abuse Treatment, Drug Use

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA