Services to prevent child placing-out for cocaine-affected and non-affected families

This study sought to evaluate the effectiveness of the'In-Home Family Care' programme of Children's Home Society of California in Alameda County, particularly regarding the emphasis and impact of services for cocaine-affected families. The family characteristics, problems addressed and service provision in cases served over a 3-year period were assessed in terms of their relation to placement outcome for cocaine-affected and non-affected families. This evaluation found that, despite serious and often chronic problems among cocaine-affected families, their child removal rate was no higher than that for non-affected families. Implications for risk assessment and placement decisions are discussed.     

“I Was in Crisis”

This article explores the illicit labor and imprisonment of two women, Cynthia and Dinah, in the Santa Monica prison in Lima, Peru through the lens of gendered motherwork. Because the unequal distribution of care places the burden of this labor on women, Cynthia and Dinah were primarily responsible for the care of their adult children who were diagnosed with AIDS. Both women entered the transnational cocaine commodity chain in order to provide their children with medication that was not administered by the state. Neoliberal healthcare in the form of cuts to national health systems makes the motherwork of poor women more difficult to perform. In order to afford care for their children's health, Cynthia and Dinah entered a labor market that is criminalized by punitive war on drug policies and they were subsequently imprisoned. Illicit labor was therefore an extension of their motherwork and the removal of this care from their children resulted in tragic health consequences. This article is based on ethnographic dissertation fieldwork in 2008–09 in the largest women's prison in Peru.     

The new dependency: Technological change and socioeconomic restructuring in Latin America

This article analyzes the implications for the Latin American societies of the ongoing restructuring of the world economy, which is driven by the accelerated application of science and technology to the production process. After a short review of the current developments at the regional level, the article focuses on Mexico and Bolivia. These two extreme cases, ranging from high-technology industries on the United States-Mexico border to the growth of an underground economy based in the production of coca and cocaine, allow the analysis of new forms of dependency that are already constraining the economic adjustment and the democratization process in Latin America.     

Coping Behaviors of Cocaine Dependent Women

Abstract

Four-hundred and forty-nine cocaine dependent women from three treatment programs were assessed for level of addiction severity, family difficulty, medical problems, and types of coping strategies at treatment entry. Results indicate that the women utilized more problem-focused coping at treatment entry than emotion-focused. And, findings also revealed that most women used similar coping strategies regardless of intensity or philosophy of the treatment program. ANOVA analysis revealed differences between groups in the use of express emotion and social withdrawal. Findings that reveal an association between social support and the utilization of more positive coping strategies have implications for engaging family members and support network persons in the treatment process. Relationships between social withdrawal and other emotion focused coping strategies have implications for aggressive outreach to engage women in treatment.     

Impact of Drugs and Alcohol on the Brain Through the Life Cycle

Abstract

This article discusses the impact of alcohol and other drugs on the brain during five stages of the life cycle: perinatal (pregnancy-2 years), childhood (2-12 years), adolescence (13-21), adulthood (22-50), and senior (50+). Alcohol and psychotropic drugs act through specific chemicals in the brain called neurotransmitters. Neurotransmitters have two main functions in the brain: mediate electrical transmission (synaptic activity) and promote growth (trophic activity). The trophic activity results in a neuron increasing its size and the complexity of its branches (dendrites). The ability of drugs and alcohol to influence neuronal growth (neuroplasticity) has unique consequences in children, adults, and seniors. Knowledge of such biological principles as developmental critical period, age-related cortical shrinkage and steroid-induced neuronal growth is presented in the context of alcohol and other drug abuse. A few suggestions are made for developing new treatment strategies based on the inherent dynamics of the brain during the life cycle.     

Crack ‘Hos and Skeezers: Traumatic experiences of women crack users

The involvement of women in crack cocaine abuse has had a severe impact on their health, the health of their children and the stability of their communities. Of particular concern has been the development of a system of barter in which crack‐for‐sex exchanges are the means through which women obtain the drug. Earlier studies have suggested that drug abuse may be related to and exacerbated by trauma. In the project described herein, we interviewed women crack users in Harlem to study the relationship between trauma, crack use, and crack‐related sexual behavior. Results suggested the existence of three types of trauma: (1) traumas that predate the respondent's onset of crack use; (2) traumas that were the direct sequelae of crack use; and (3) stigma trauma, that is, trauma that results from membership in a despised or oppressed group. We observed a complex inter‐relationship involving crack use, crack‐for‐sex transactions, and these three types of trauma. Treatment of the eventual co‐morbidity of trauma and addiction is an urgent challenge.