May 15, 2000 Health Forum Report


 

SUBSTANCE ABUSE ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors

Key Concerns:

  • Women and substance abuse; not enough treatment
  • Lack of $ and cuts
  • Not enough primary prevention
  • Integration of $ streams (government funding)
  • Decentralization of medical support services
  • Lack of treatment
  • Information about programs (prevention)
  • Lack of promotion of healthy lifestyles
  • Integration @ public school education
  • Involving community implementation and education
  • The lack of education that substance abuse impacts other health issues
  • National- erosion of family structure
  • Parental (education) supporting underage drinking
  • Public policy and lack of concern
  • Public access to treatment
  • Integration of services; disconnection of families

B I O L O G I C A L

Number

  • Hereditary Factors
  • Genetics

8


E C O N O M I C

Number

  • Easy access of and promotion of drugs in low economic neighborhoods

6

  • Lack of knowledge about societal cost of substance abuse

4


H E A L T H C A R E S Y S T E M

Number

  • Physician's lack of knowledge of addiction and related issues

11

  • Lack of integration of Public Health and Substance Abuse Programs (integrated funding)

6

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L I F E S T Y L E C H O I C E

Number

  • Societal norms/acceptance

8


P H Y S I C A L E N V I R O N M E N T

Number

  • Lack of family and neighbors' involvement in substance abuse prevention/neighborhood policing

11


P S Y C H O - S O C I A L

Number

  • Social acceptance - Rite of passage for adolescents

6

  • Lack of life skills for dealing with problems results in substance abuse

4


S P I R I T U A L

Number

  • Neglect of substance abuse issues by the faith community

10

Areas of overlap from small groups

  • Physicians' lack of knowledge & expectations (a health issue not criminal)
  • Public awareness
  • Family and parental structure: single families, grandparents raising children & children in foster care
  • Lack of collaboration/difficulty untreated mental health issues
  • Overnight change of social norms is difficult
  • Lack of funding for treatment (fragmented & not enough) competition
  • Fragmentation of services (Chemical dependency is not treated as a public health issue)
  • Stigma

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