Natural helpers: a community approach to harm reduction

This paper, by Jennifer Taylor and Theresa Jasperson, looks at a successful harm-reduction initiative developed by Streetworks, a needle exchange program in Edmonton, Alberta. The Natural Helpers initiative provides and enhances the skills, knowledge, resources, and support that people who use injection drugs need in order to take care of others in their community. The evolution of the project, from its inception to the present situation, is described.     

Population drug use in Australia: a wastewater analysis

Accurate information on drug use in communities is essential if health, social and economic harms associated with illicit drug use are to be addressed efficiently. In most countries population drug use is estimated indirectly via surveys, medical presentations and police and custom seizures. All of these methods have at least some problems due to bias, small samples and/or long time delays between collecting the information and analysing the results. Recently the direct quantification of drug residues in wastewater has shown promise as a means of monitoring drug use in defined geographical areas. In this study we measured 3,4-methylenedioxymethamphetamine (MDMA), methamphetamine and benzoylecgonine in sewage inflows in metropolitan and regional areas of Australia and compared these data with published European data. Cocaine use was small compared to European cities (p<0.001) but was compensated for by much greater consumption of methamphetamine (p<0.001) and MDMA (p<0.05). MDMA was more popular in regional areas (p<0.05) whereas methamphetamine and cocaine were mainly consumed in the city (p<0.05). Greater than 5-fold increases in MDMA use were detected on weekends (p<0.001). This approach has the potential to improve our understanding of drug use in populations and should be further developed to improve prevention and treatment programs.     

From dynamic risk factors to causal processes: a methodological framework

ABSTRACT

It is becoming increasingly apparent that dynamic risk factors are unable to function as explanations of offending because they are composite constructs, which contain a mixture of putative causes, states of affairs, and problematic cognitive, affective, behavioural and social states associated with crime. In this paper we draw from psychopathology research and theory on the conception and classification of mental disorders to develop the Dynamic Risk Research Framework (DRRF). In our opinion, the assumptions and methodological tool associated with this framework can better focus research into the causes of offending by making use of the information provided by dynamic risk factors. A conceptual framework such as the DRRF can arguably translate this valuable information into deep, coherent explanations, and ultimately, more streamlined and precise intervention strategies.     

Anxiety,alcohol use,and aggression: Untangling the causal pathways

Given the enormous social and economic costs of alcohol‐related violence, understanding the causal processes that give rise to the relationship between alcohol and violence is of paramount importance. McMurran provides a valuable contribution to this literature by offering a conceptually coherent, empirically grounded, and plausible model of the relationship between anxiety, alcohol intoxication, and aggression ( McMurran, 2011 , pp. 357–371). In this commentary, I first look more narrowly at the proposed causal relationships that link anxiety problems with aggression via alcohol use, suggesting that although they are largely consistent with McMurran's thesis there may be scope to build yet more complexity into the model. In the second part of the commentary, I consider the nature of both anxiety and aggression within the broader framework of our evolutionary history and argue that considering the adaptive functions of anxiety and aggression may contribute to our understanding of the proposed links with alcohol use. In particular, I highlight the potential value of disaggregating the links between anxiety, alcohol use, and aggression by gender, and type of violence.     

Community structure and drug use: From a social disorganization perspective

Social disorganization theory experienced a relative resurgence in the criminological literature during the 1980s. This new generation of research has expanded the work of Shaw and McKay by testing the relationship between neighborhood structure and delinquency through the use of self-report and victimization data. Confirmation of the theory has been widespread. In this paper we investigate variables mediating between social disorganization and adolescent drug use. We thus extend the research orientation to incorporate drug use and describe a preliminary attempt to examine how neighborhood structure affects behavior. The findings suggest that in the three distinct types of socially disorganized areas that were identified, there was no difference in rates of drug use but that different “mediating factors” appear to be operating in the three different types of communities.     

A Multidisciplinary Approach to Detecting and Responding to Elder Mistreatment: Creating a University-Community Partnership

As the aging population grows, the problem of elder mistreatment is escalating. Cases of elder mistreatment are anticipated to increase further as the—baby boomers age and the number of elderly individuals living and receiving care at home increases (Stiegel 2006; Kennedy 2005; Meeks-Sjostrom 2004). While there has been increasing attention placed on understanding the dynamic of elder mistreatment, advancement of public policy and scholarly work has been hampered due to the fact that much of this work occurs in disciplinary silos. This paper spotlights one example in which university scholars from various disciplines partnered with social service providers, legal professionals, and healthcare educators in the community to enhance the development of a sustainable comprehensive elder justice network.