Crack Cocaine Treatment and Me – A Storey About The Development of Crack Cocaine Treatment In Birmingham, UK
Grantley Haynes began his interest with crack cocaine whilst on tour in the 1980s, when he witnessed the trail of misery left in the lives of users, families and their community, as well as the short-term highs that seduced those addicted, noticing how closely related heaven and hell could be. He had yet to learn that help or treatment would lie in one’s ability to manage the thoughts, feelings, and beliefs of the person being treated and the resolve of treatment availability. This story follows the Wheeler Street Crack Outreach team and the development of their pioneering approach to working with users at a time when the name crack would cause fear, and the presentation of users caused most hearts to beat faster. This team responded with understanding. In this book, Grantley reveals extraordinary new details, dispels myths, and highlights the most dramatic elements of his years in developing the team, delivering the Birmingham crack cocaine strategy, his time at Hodge Hill constituency, and his contribution as a non-executive director at the National Treatment Agency for Substance Misuse.
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Introduction
Chapter 3
- The War on Drugs 1971 ‘Just Say No’ 1980’s
- 1990’s – 1995 The British Response to Drugs and Treatment
- Tackling Drugs Together
- Illegal Drugs on The Increase
- 1998 Tackling Drugs to Build a Better Britain
- Tackling Drugs to Build a Better Britain 4 Strands
Chapter 2
- George Jung, Carlos Lehder, Griselda Blanco and Pablo Escobar
- Cocaine Paraphernalia
- Pablo Escobar’s Medellin Cartel
- The Medellin Cartel, Arrests and Convictions
Chapter 1
- Cocaine Hydrochloride
- What Is It and How Is It Made
- Crack Cocaine
- How Is Crack Made
- Why Do People Use Crack Cocaine
- The Hit, The High, The Buzz, The Cost
- Chemical Makeup
- Problems Arising from Crack Cocaine Use
- Method of Use
- Adverse Health Effects
- Harm Reduction
Chapter 6
- Wheeler Street Crack Outreach Team Study Trip – Aims and Objectives
- Team Development
- Mission
- Recommendations
Chapter 5
- Cocaine and Crack: A Personal Experience
- The Most Effective Treatments for Individuals Who Want to Stop Using Crack Cocaine
- Cocaine and Crack Outreach Team
- Positive Factors
- Concers
- Moral Panic and The Criminal Justice System
- Literature
- Existing Service – Shortfalls
Chapter 4
- The Territorial Army Reserves 1980
- 1993 Birmingham University Westhill College
- 1999 Master of Arts Criminology
Chapter 9
- Acupuncture
- The Five Ear Points
- Herbal Detoxification Tea’s
- Maslow’s Hierarchy of Needs
- Psychosocial Needs
- Security and Safety
- Social Needs
- Esteem Needs
- Self-Actualisation Needs
- Progressing Through the Pyramid of Needs
Chapter 8
- Emotional Intelligence
- What Business Are We In
- Wheeler Street Crack Outreach Team – Team Development and Make-Up
- Team Development Service Delivery Outline
- Mission Statement
- Service Delivery Outline
- Worker Role & Clinical Responsibilities
- Daily Service Provision and Structure
- Groupwork – Weekly Groups
- Partnerships – Weekly Partnerships
- Community Services
- Staff Training
- Service Review and Its Benefits
Chapter 7
- Management
- The 3Es
- Administration
Chapter 12
- The Cycle of Change
- Assessment and Outcome
- Goal Setting
- Example of Goals
- S.M.A.R.T
- Goals to Improve Lifestyles
- Drug Use – Related Goals
Chapter 11
- Johari Window
- Johari Window – The Four Quadrants
- Open
- Blind
- Hidden
- Unknown
- Johari Diagram – Complete 4 Quadrants
- Goal
- Feedback
- The Practitioner
- Confidentiality
- Record Keeping and Case Notes
- Monitoring
- The Interview
- Important Others
- Standard Key Worker Questions
- Why Are We Here
- Pattern and Context
- Drug Use and Combinations
- Personal Background Information
- Lifestyle and Social Stability
- Family Background and Social Support
- Physical Health Problem
- Alcohol-Related Health Problems
- Drug Related Heath-Problems
- Psychiatric Mood Disturbances
Chapter 10
- Assessment of Crack Cocaine Using Clients – A Step-By-Step Guide
- Confidentiality
- Assessment Is a Two-Way Process
- Assessment Preparation Key Points
- Assessing Clients Who Use Crack
- Early Intervention
- Risk Assessment
- Setting Priorities
- Setting The Environment
Chapter 15
- Relapse Management
- What Is Relapse Prevention
- Relapse Prevention Program
- What Is a Relapse Prevention Program
- Why Is Relapse Prevention Crucial In-Recovery
- Causes of Relapse
- How Does Relapse Work – The CBT Model – Motivational Interviewing
- Creating a Relapse Prevention Program Plan
- Evaluating The History of The Client’s Substance Misuse
- General a Plan for Preventing Relapse Managing the Signs That Clause Cause Relapse
- Establish An Action Plan
- Relapse Prevention Plan Details
- Triggers
- Recognising Triggers
- Managing Craving
- Prevention Tools
- Support Groups and Programs
- Lifestyle Changes
- Relapse Prevention Plans
- Emotional Relapse
- Mental Relapse
- Signs and Signals
- Physical Relapse
- Recognising Triggers
- Most Common Relapse Triggers
- Talk Therapy and Counselling
- Harm Reduction
- Family Members and Friends
- Access, Throughput, Exit and Recovery
- S.W.O.T
- P.E.S.T
Chapter 14
- Crack Cocaine – User 12-Week Brief Intervention Change Program
- What Type of User Is My Client, and How Do I Best Serve Their Needs
- The Light Recreational User
- The Binge User
- The Chronic User
- Diversity
- Effects
- The Crack-Using Cycle
- The Beginning – Crash
- The Late Crash
- Feeling OK
- The Mission
- Learning Example 1
- Examine How This User Began Their Drug-Using Career
- Background Factors That Predisposed the Clients to Develop Drug Use
- Thoughts, Emotions and Behaviours
- Learning Example 2
- Additional Factors, Consider the Following Taking Place
- What Do We Most Understand, The Effects on The Body
- Fight or Flight Response
- Sweating
- Shaking
- Continuous Adrenaline Production
- Cognitions and Work – With Crack Users
- How to Identify Cognitions
- Automatic Thoughts
- Emotions and Cognitions
- Health Implications and Harm Reduction
- Strokes and Seizures
- Respiratory System
- Main Risks to Lungs
- 4 Types of Cravings
- Managing Craving
- Relapse Prevention and Commitment to Change
- Change and Change Management
Chapter 13
- Why Users Never Seem To Get Enough
- Heroin – A Brief Snapshot
- Drug Use
- Treatment
- Working With Clients Who Use Both Crack Cocaine and Heroin
Chapter 18
- Crack Cocaine-Specific Training
- Mo Mowlam Helps
Chapter 17
- What Is Outreach
- Definitions
- Planning Requirements
- Service Requirements
- Improving Understanding – Crack Cocaine in Birmingham
- Corporate Social Responsibility
- Crack Mythology
- Crack Education and Information Pathway
Chapter 16
- Victims of Our Success
- The Team and Its Delivery
- Generating Income, Delivering More
- National Crack Cocaine Conference
- The Way Forward
Chapter 21
- The Birmingham Midnight Bus – Working in the Community
Chapter 20
- The Birmingham Crack Strategy Awards
Chapter 19
- The National Treatment Agency for Substance Misuse (NTA)
Appendix 1 – The City of Birmingham Crack Cocaine Strategy 2005 – 2008
- The Key Priorities Crack Cocaine Strategy
- Plan of Delivery Crack-Related Matters
- Treatment
- Communities
- Offending
- Young People
- Training
- The Local Picture In 2005
- Crack Cocaine Use in Birmingham
- Crack Cocaine Hot Spots
- Service Gaps
- Prevalence
- Drug Dealing
- Drug Intervention Program (DIP) Outreach and Community Engagement Team
- Training
- Seminars, Including Competency Development
- Crack Cocaine Strategy Improvement Plan
Appendix 2 – Hodge Hill Constituency Drug Delivery Partnership Needs Analysis & Action Plan 2006 – 2008
Appendix 3 – Local Hero: The Man Who Gave Up Music Scene To Fight Drug Culture