4.6. Informing the Field of Substance Misuse: Progress and Challenges

  1. Hamid Ghodse2,
  2. Helen Herrman3,
  3. Mario Maj4 and
  4. Norman Sartorius5
  1. David A. Deitch

Published Online: 18 MAR 2011

DOI: 10.1002/9780470975084.ch9

Substance Abuse Disorders

Substance Abuse Disorders

How to Cite

Deitch, D. A. (2009) Informing the Field of Substance Misuse: Progress and Challenges, in Substance Abuse Disorders (eds H. Ghodse, H. Herrman, M. Maj and N. Sartorius), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470975084.ch9

Editor Information

  1. 2

    International Centre for Drug Policy, St George's University of London, London, UK

  2. 3

    Orygen Youth Health Research Centre, Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia

  3. 4

    Department of Psychiatry, University of Naples SUN, Naples, Italy

  4. 5

    Association for the Improvement of Mental Health Programmes, Geneva, Switzerland

Author Information

  1. University of California, San Diego, CA, USA

Publication History

  1. Published Online: 18 MAR 2011
  2. Published Print: 18 MAR 2009

Book Series:

  1. World Psychiatric Association Evidence and Experience in Psychiatry Series

Book Series Editors:

  1. Helen Herrman

Series Editor Information

  1. WPA Secretary for Publications, University of Melbourne, Australia

ISBN Information

Print ISBN: 9780470745106

Online ISBN: 9780470975084



  • informing the field of substance misuse - progress and challenges;
  • ‘axiomatic truths’, the greater the availability of any substance - and increased use;
  • world of competitive striving - humans, vulnerable to a drive to alter consciousness;
  • media and prevention effectiveness;
  • economic crises, worldwide and in California - cuts in financing, population-specific protective factors;
  • world political and economic realities - interventions, those behaviourally stuck in consuming substances;
  • use of screening, brief motivational interviewing - and treatment techniques;
  • high risk of relapse - in absence of social recovery capitol;
  • craving-drive state, inevitable part of recovery - pronounced, with no alternate sources of reward;
  • reinforcement contingency management CBTs - retaining people while in acute care