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Author |
Hunt, Neil |
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Title |
Public health or human rights: what comes first? |
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Journal Article |
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Year |
2004 |
Publication |
International journal of drug policy |
Abbreviated Journal |
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Volume |
15 |
Issue |
4; 09/2004 |
Pages |
231-237 |
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Keywords |
human rights; public health; AOD use; harm reduction |
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Respect for human rights is a defining feature of harm reduction, which is commonly characterised as a public health-based movement. The importance it attaches to ‘user-friendliness’ and the view that drug users have a right to the same respect and dignity that other users of health and social care services receive is largely undisputed among harm reductionists. Within harm reduction there is also a developing discourse identifying drug use itself as a human right; nudging harm reduction towards being a rights based movement. This allows us to describe two philosophies of harm reduction: a ‘weak rights’ version, in which people are entitled to good treatment and a ‘strong rights’ version that additionally recognises a basic right to use drugs. Prioritising human rights or public health can lead to different concepts of harm reduction and different forms of ‘right action’. Privileging health may even, in some circumstances, be consistent with prohibitionary policies if these reduce harm. By contrast, the strong rights version of harm reduction subordinates public health considerations to the right to use drugs and implies support for policies that may sometimes increase harm. In the UK, the publication of ‘The Angel Declaration’, which recognises a right to use drugs and proposes a skeletal regulatory framework for a post-prohibition era, adds to the impetus for harm reductionists to clarify whether they fully embrace a right to use drugs within their understanding of harm reduction. This paper elaborates these issues in the context of the constraints upon the development of an evidence-based approach to controlling drug use that arise from the UN Conventions of 1961, 1971 and 1988. |
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0955-3959 (Print); 1873-4758 (Electronic) |
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Aussi disponible en français: 50-15026 |
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50-15025 |
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60066 |
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Author |
Hüsler, Gebhard; Plancherel, Bernard; Werlen, Egon |
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Title |
Psychosocial predictors of cannabis use in adolescents at risk |
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Journal Article |
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Year |
2005 |
Publication |
Prevention Science |
Abbreviated Journal |
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Volume |
6 |
Issue |
3; 09/2005 |
Pages |
237-244 |
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Keywords |
cannabis; adolescent; risk factors; protective factors; psychosocial environment; social integration; gender differences; study; statistical data; research; secondary prevention; Switzerland |
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This research has tested a social disintegration model in conjunction with risk and protection factors that have the power to differentiate relative, weighted interactions among variables in different socially disintegrated groups. The model was tested in a cross-sectional sample of 1082 at-risk youth in Switzerland. Structural equation analyses show significant differences between the social disintegration (low, moderate, high) groups and gender, indicating that the model works differently for groups and for gender. For the highly disintegrated adolescents results clearly show that the risk factors (negative mood, peer network, delinquency) are more important than the protective factors (family relations, secure sense of self). Family relations lose all protective value against negative peer influence, but personal variables, such as secure self, gain protective power. |
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1389-4986 (Print) ; 1573-6695 (Online) |
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50-15024 |
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60065 |
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Author |
Hüsler, Gebhard; Plancherel, Bernard |
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Title |
A gender specific model of substance use |
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Journal Article |
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Year |
2006 |
Publication |
Addiction Research and Theory |
Abbreviated Journal |
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14 |
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4; 08/2006 |
Pages |
399-412 |
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AOD use; adolescent; risk factors; protective factors; family; peer; emotional and psychiatric depression; gender differences; study; statistical data; research; secondary prevention; Switzerland |
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This research has tested a structural model of risk and protection factors among 1437 at-risk adolescents in Switzerland. The model was used to identify important gender and age differences. Our research shows that interactions between parents, peers, negative mood, and secure self create a range of risk factors for girls and boys, and for younger and older teens. Negative peer group was a greater risk for young girls than for young boys. Negative mood can serve as an early warning sign for boys, as can negative peer group for girls. Mood for boys was marginally associated with a substance-using peer group and with poor relationships in the family. This suggests that for boys the focus of prevention should be on family relationships and for girls on peer relationships. For older girls, secure self was the greatest protector against substance-using peers, whereas for younger boys and girls, parents continued to offer some protection. The focus on development of secure self in older girls holds promise for secondary prevention. |
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1606-6359 (Print); 1476-7392 (Online) |
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Call Number |
50-15023 |
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60064 |
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Author |
Hüsler, Gebhard; Blakeney, Ronny; Werlen, Egon |
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Title |
Adolescent risk: the co-occurrence of illness, suicidality, and substance use |
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Journal Article |
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Year |
2005 |
Publication |
Journal of youth and adolescence |
Abbreviated Journal |
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Volume |
34 |
Issue |
6; 12/2005 |
Pages |
547-557 |
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Keywords |
AOD use; adolescent; risk factors; protective factors; emotional and psychiatric depression; suicidal behavior; study; statistical data; research; secondary prevention; Switzerland |
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Illness is rarely considered a “risk factor” in adolescence. This study tests illness, suicidality and substance use as outcome measures in a path analysis of 1028 Swiss adolescents in secondary prevention programs. The model showed that negative mood (depression and anxiety) predicted two paths. One path led from negative mood to suicidality and from there to substance use. The other path led directly from negative mood to illness. Traditional protective factors (good relationships, secure identity) protected against the negative mood-suicide-substance path, but not against the negative mood-illness path. |
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1573-6601 (electronic); 0047-2891 (paper) |
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Call Number |
50-15022 |
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60063 |
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Author |
Hüsler, Gebhard; Werlen, Egon; Rehm, Jürgen |
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Title |
The Action Plan : a new instrument to collect data on interventions in secondary prevention in adolescents |
Type |
Journal Article |
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Year |
2005 |
Publication |
Substance use and misuse |
Abbreviated Journal |
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Volume |
40 |
Issue |
6 |
Pages |
761-777 |
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Keywords |
AOD use; adolescent; risk; Supra-f; community involvement; secondary prevention; prevention research; program evaluation; study; statistical data; Switzerland |
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Abstract |
It is difficult to draw causal conclusions about the effectiveness of secondary prevention programs for adolescents at risk, when the programs use a variety of different interventions. The Action Plan is an instrument that is designed to make collection of such data possible. This allows calculating different kinds of intervention patterns for each participant and program, which, in combination with outcome measures, gives an estimate of successful vs. less successful interventions. The study compared intervention patterns from 12 different sites in a national intervention program in Switzerland. The program, called supra-f (www.supra-f.ch), started in 1999 and will end in 2005. Results are presented from the ongoing study with approximately 600 adolescents. We calculated effect sizes (ES) to compare interventions with outcome measures. Effect sizes (ES) are presented on well being, coping, self-esteem, delinquency, and substance use (cigarettes, alcohol, cannabis) in relation to intervention packages, risk groups (low, moderate, high), and age (two groups: 11-15 and 16-20 years of age) using data collected from 1999-2002. |
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1532-2491 (electronic); 1082-6084 (paper) |
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Call Number |
50-15021 |
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60062 |
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Author |
Haden, Mark |
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Title |
La régulation de drogues illégales: une exploration d'instruments de santé publique |
Type |
Journal Article |
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Year |
2004 |
Publication |
International journal of drug policy |
Abbreviated Journal |
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Volume |
15 |
Issue |
4; 09/2004 |
Pages |
225-230 |
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Keywords |
drug market; illicit drug; legal regulation; drug legalization; drug decriminalization; public health; AOD public policy strategy; policy recommendations |
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Ce commentaire explore le concept de la régulation du marché pour les drogues actuellement illégales. Il énumère en détail une série d’instruments de santé publique qui pourraient être utilisés pour un accès à ces substances sous un régime de régulation et de contrôle. La distinction entre instruments de contrôle administratif et de contrôle social est discutée. L’auteur conclut qu’un marché régulé des drogues fondé exclusivement sur des principes moraux et de santé publique constitue une approche rationnelle des préoccupations majeures de notre société eue égard aux drogues illégales. |
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French |
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0955-3959 (Print); 1873-4758 (Electronic) |
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Also available in English: 50-15017 |
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50-15018 |
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60061 |
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Author |
Aschwanden, Reto |
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Title |
Drogenlegalisierung : am Anfang der Debatte |
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Journal Article |
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2010 |
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Surprise : Strassenmagazin |
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232; 27.08.2010 |
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10-12 |
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AOD public policy strategy; government and politics; legislative process; drug decriminalization; drug legalization; harm reduction; contact center; injection room; prevention; research chemical; designer drug; public health; Switzerland; Basel-City |
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Abstract |
Die Schweizer Drogenpolitik gerät wieder in Bewegung. Nach einigen Jahren der relativen Ruhe fordert nun eine Expertenkommission des Bundes die Entkriminalisierung von Besitz und Konsum. Die Diskussion unter Fachleuten, Politikern und Betroffenen ist eröffnet. |
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German |
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50-15008 |
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60059 |
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Author |
Simmel, Ueli; Dietrich, Nicolas; Eckmann, Franziska |
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Title |
Nouvelles exigences et nouveaux défis |
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2004 |
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Dépendances : des réflexions, des pratiques autour du champ des drogues légales et illégales |
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4; 05.02.2007 |
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5 |
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government and politics; public policy on AOD; social services; addiction care; economic slowdown; budget; cost (economic); Switzerland |
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1422-3368 |
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50-13427 |
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60058 |
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Author |
Menzi, Peter |
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Title |
Focus sur l'hépatite C : campagne nationale |
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Journal Article |
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Year |
2009 |
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Spectra : prévention et promotion de la santé |
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72; 01/2009 |
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12 |
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public health; viral hepatitis; hepatitis C; prevention campaign; prevention directed at groups; professional; drug user; continuing education; Switzerland |
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Auch auf Deutsch vorhanden: 50-13404 |
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50-13405 |
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60057 |
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Author |
Menzi, Peter |
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Title |
Das Thema Hepatitis C ins Bewusstsein rücken : nationale Sensibilisierungskampagne |
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Journal Article |
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2009 |
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Spectra : Gesundheitsförderung und Prävention |
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72; 01/2009 |
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12 |
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public health; viral hepatitis; hepatitis C; prevention campaign; prevention directed at groups; professional; drug user; continuing education; Switzerland |
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German |
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Aussi disponible en français: 50-13405 |
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50-13404 |
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60056 |
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