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¶ … Stress and Drug Abuse
CISM
Discuss the relationship between stress and substance abuse following critical incidents
Sufferers of post-traumatic stress disorder (PTSD) and survivors of other forms of trauma exhibit far higher rates of substance abuse than the general population. They may suffer from "psychiatric disorders that are clearly reactive to the trauma of the crime to which anyone would be vulnerable….the horror and helplessness of being victimized [may] have somehow triggered a persistent pattern of distress which may be viewed as an exaggerated adaptive and protective response" (Chapter 21: Substance abuse and victimization, n.d, Tennessee Victim Assistance Manual: 776). Substance abuse can be one way to self-medicate from such exaggerated responses, particularly if the symptoms of PTSD are not identified and treated early on during the sufferer's illness.
Examples of critical incidents that can increase the likelihood of substance abuse include violent crimes like domestic violence: approximately 50% of all female alcoholics have been victims of domestic violence (Chapter 21: Substance...
Of teens that have been sexually assaulted, "over one half of adolescent victims said that their first use of substances occurred after the year they were first assaulted" (Chapter 21: Substance abuse and victimization, n.d, Tennessee Victim Assistance Manual: 772).
One of the challenges of treating survivors of sexual assault for drug abuse is that the 'tough love format' favored by some substance abuse programs does not address the fact that survivors are indeed victims. The stress upon personal responsibility and making apologies to people whom the substance abuser has hurt in the past can simply intensify the feelings of blame and lack of self-worth that originally caused the addict to self-medicate.
The stress of combat or simply living in a military environment can also cause many current and ex-soldiers to self-medicate. AU.S. government study of Army soldiers who were screened 3 to 4 months after returning from deployment to Iraq found that 27% of the soldiers met the criteria for alcohol abuse (Substance abuse, 2011, Drug Abuse). Police…
CISM Program Surry Nuclear Power Plant What is CISM? Why is a CISM program necessary for the agency? Agency description, community, and social context Prevention and Interventions Primary Secondary Tertiary Interventions Chronic health and innovative approaches Cultural Issues Proposed Budget .17 Critical incident stress management plays an important role in assuring the psychological resilience necessary for those who are exposed to a traumatic incident. This proposal outlines a program to add mental Health Services to the existing emergency management plan for the
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Breathing Exercise and CISM Applications Last week's breathing exercise was a very eye- (and lung- ) opening experience for me, teaching me a new way to not only handle stress but to create a greater self-awareness of stress levels and other mental and physical goings-on. A large part of this new awareness was not simply that the meditation and breathing exercises helped me to actually become consciously aware of what was