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Dominica - Health care

Seen here the Carib Indians receiving their Make Jesus Smile gifts last Christmas.

SPECIFIC HEALTH PROBLEMS IN DOMINICA

Research has shown that families with an alcoholic member live in environments that are disorganized and unstable, said Dr. Grant. "Children of alcoholics may be neglected or abused and frequently face economic hardship and social isolation.

Seen here the Carib Indians receiving their Make Jesus Smile gifts last Christmas.

They also are vulnerable to psychopathology and medical problems, including an increased risk for themselves developing alcohol abuse or alcohol alcoholism."

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Seen here the Carib Indians receiving their Make Jesus Smile gifts last Christmas.

According to Dr. Gordis, "These findings once again call attention to the enormous impact of alcohol in our country and the need to confront its social, health, and economic consequences head on."

http://alcoholism.about.com

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Drug Abuse is one of the most consistent and significant contributors to the social problems in existence in our communities today. Thus, the primary objective of this proposed programme is the facilitation of ‘drug abuse prevention’.

The Children Are People Support Group i

The Children Are People ( CAP) Support Group is one that offers children within the five to twelve (5-12) age range the opportunity to learn skills in the area of coping with peer pressure and conflict.

< Read more about CAP >

The Children Are People  Graduation
The Children Are People Support Group i

Permission requested to use information from www.guideline.gov

Impact of Substance Abuse on Families

People who abuse substances are likely to find themselves increasingly isolated from their families. A growing body of literature suggests that substance abuse has distinct effects on different family structures. The effects of substance abuse frequently extend beyond the nuclear family. Extended family members may experience feelings of abandonment, anxiety, fear, anger, concern, embarrassment, or guilt, or they may wish to ignore or cut ties with the person abusing substances.

Various treatment issues are likely to arise in different family structures that include a person who is abusing substances:

  • Client who lives alone or with a partner. In this situation, both partners need help. The treatment of either partner will affect both. When one person is chemically dependent and the other is not, issues of codependence arise.
  • Client who lives with a spouse (or partner) and minor children. Most available data on the enduring effects of parental substance abuse on children suggest that a parent’s drinking problem often has a detrimental effect on children. The spouse of a person abusing substances is likely to protect the children and assume the parenting duties not fulfilled by the parent abusing substances. If both parents abuse alcohol or illicit drugs, the effect on children worsens.
  • Client who is part of a blended family. Stepfamilies present special challenges under normal circumstances; substance abuse can intensify problems and become an impediment to a stepfamily’s integration and stability. Clinicians should be aware of the dynamics of blended families and that they require additional considerations.
  • An older client who has grown children. An older adult with a substance abuse problem can affect everyone in a household. Additional family resources may need to be mobilized to treat the older adult’s substance use disorder. As with child abuse and neglect, elder maltreatment can be subject to statutory reporting requirements for local authorities.
  • Client is an adolescent and lives with family of origin. When an adolescent uses alcohol or drugs, siblings in the family may find their needs and concerns are ignored or minimized while their parents react to continuous crises involving the adolescent who abuses alcohol or drugs. In many families that include adolescents who abuse substances, at least one parent also abuses substances. This unfortunate modeling can set in motion a combination of physical and emotional problems that can be very dangerous.
  • Someone not identified as the client is abusing substances. When someone in the family other than the person with presenting symptoms is involved with alcohol or illicit drugs, issues of blame, responsibility, and causation will arise. With the practitioner’s help, the family should refrain from blaming, but still be encouraged to reveal and repair family interactions that create the conditions for continued substance abuse.

In any form of family therapy for substance abuse treatment, consideration should be given to the range of social problems connected to substance abuse. Problems such as criminal activity, joblessness, domestic violence, and child abuse or neglect also may be present in families experiencing substance abuse. To address these issues, treatment providers need to collaborate with professionals in other fields (i.e., concurrent treatment). Whenever concurrent treatment takes place, communication among clinicians is vital.

 
 
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