Integrated Substance Use Dynamics

WIP combining theories of substance use disorders including addiction and dependence using a framework modified from birckmeyer 2004 article PMID

WIP combining theories of substance use disorders including addiction and dependence using a framework modified from birckmeyer 2004 article PMID
Alcohol Tobacco and Other Drug Use (ATOD) produces ATOD Related Problems which affect their use
Individual Factors:The major stumbling block to individual-level prevention efforts, however, is the inability to affect long-term change at the population level. when targeting individuals, there will always be new people in need of intervention. The environmental domains shown here address population turnover by focusing on the environment in which individuals live, rather than the individuals themselves.

Economic availability: consumption declines as price increases
Retail availability: attempts to reduce the retail availability result in decreased use and or displacement 
Social availability: significant supply is obtained through social sources
Promotion: Higher levels of exposure to alcohol and tobacco advertising are associated with increased consumption and problems. It appears, however, that partial restrictions on advertising have little impact on the promotion/use relationship. Instead, total bans are needed to reduce use.
See also positive social marketing messaging IM  and internet marketing IM
Enforcement: Sanctions and laws are based on framing addiction as moral failure, rather than illness or choosing a harmful habit. Enforcement efforts can result in increased reductions of alcohol and tobacco consumption and associated problems over and above simple passage or existence of a law. For illicit drugs, in which strict policies prohibit buying, selling and using most drugs, and both penalties and enforcement already exist at relatively high levels, marginal increases in enforcement efforts appear to do little to change use patterns or problems. Random breath testing enforcement for alcohol and other drugs has rapidly changed social norms.
Norms involve Community and Social practices: levels and types of use and public policies to address use vary across culture, time, and place.
Biomedical treatment is based on framing addiction as a brain disease. Complicated by vested interests in selling a pharmaceutical management drug or or medical treatment that does not cure. e.g. Ongoing use of e-cigarettes and opioid agonists (Methadone etc) as harm reduction
Child and Adolescent Development changes Capability: See also Early childhood intervention IM
COM-B Framework from Michie 2011
Developmental cascade model of stress inoculation-induced resilience Lyons2009
Includes Physical and Psychological Capability
Social factors that affect confidence and trust include Role Identity and Supporting Institutional Structures
Capability is the focus of development including cognitive ability, emotional regulation, social skills, and engaging in planned behaviour for longer term goals.
Physical and Social opportunities are based on Environment and Social Structure
Motivation can be Extrinsic and Intrinsic
Distinction between Automated Response and Reflective Decision Making
Wanting a goal or feeling "willing" Push motives concern internal changes that have the effect of triggering specific motive states. . Pull motives represent external goals that influence one’s behaviour toward them. Most motivational situations are in reality a combination of push and pull conditions. For example, hunger, in part, may be signaled by internal changes in blood glucose or fat stores, but motivation to eat is also heavily influenced by what foods are available.West PRIME theory of motivation which overlaps with behaviour. Some other relevant conceptsIntent (Purpose and Will) and Emotion (Passions and Interests)Attractiveness and Saliency ImmediacyUncertainty and Anxiety --> Stress (motivation and behaviour)Blocked goals -->  AngerAbandoned goals --> Despair
Behaviour includes Stimulus Response (Pain vs Pleasure) and Planned Behaviours. Related concepts include Perception, Intent ,Expectations, Habits, Social action.
Motivation can be Extrinsic and Intrinsic
Distinction between Automated Response and Reflective Decision Making
Wanting a goal or feeling "willing" Push motives concern internal changes that have the effect of triggering specific motive states. . Pull motives represent external goals that influence one’s behaviour toward them. Most motivational situations are in reality a combination of push and pull conditions. For example, hunger, in part, may be signaled by internal changes in blood glucose or fat stores, but motivation to eat is also heavily influenced by what foods are available.West PRIME theory of motivation which overlaps with behaviour. Some other relevant conceptsIntent (Purpose and Will) and Emotion (Passions and Interests)Attractiveness and Saliency ImmediacyUncertainty and Anxiety --> Stress (motivation and behaviour)Blocked goals -->  AngerAbandoned goals --> Despair
End of Unfolding Explore more notes

View the model in Insight Maker