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Behavioral change of drug users/abusers visiting rehabilitation centers in Jakarta: a longitudinal study
Bibliografi
Author:
Suci, Eunike Sri Tyas
;
Tampubolon, Lamtiur Hasianna
;
Wahjana, Laurentius Boedi
Topik:
Drug Abuse
;
Narkotika
;
Behavioral Change
;
Drugs
;
Drugs Users
;
Rehabilitation
;
Research
;
Jakarta
;
Narkoba
Bahasa:
(EN )
Penerbit:
Unika Atma Jaya
Tempat Terbit:
Jakarta
Tahun Terbit:
2008
Jenis:
Research Report
Fulltext:
Behavioral Change of Drugs Users.pdf
(8.84MB;
30 download
)
Ketersediaan
Perpustakaan PKPM
Nomor Panggil:
364.2 Suc b
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Abstract
Drug use/abuse has been increasing in Indonesia in the last decades, especially among young people in major cities of the country. The most popular substances used include injecting heroin, commonly known as "putaw", and crystal-methamphetamine, inhalants, and alcohol (Irwanto & Sarasvita 2004). Many young people start their addictions by smoking cigarette before consuming such substances.
The current situation of illicit drugs is difficult to describe as there is no comprehensive information about the magnitude of the problem at the national level. The most recent data can be found from the Website of the National AIDS Commission on AIDS (NAC, usually called KPAN). This governmental organization pays a close attention to the increase cases of drug abuse because those who inject heroin without sterile needle are at risks of HIV infection. The KPAN reported an increase of suspected drug users in Indonesia between 2001 and 2007, especially for narcotics and addictive substances. Among other provinces in the country, Jakarta Special District has the highest number of AIDS cases, which is 3077. More seriously, about 70 percent of them are intra-venous drug users or IDUs (KPAN 2008 at http://aids-ina.org).
With a population of over 12 millions, Jakarta has been a busy metropolitan city during the day and an entertaining place at night. Many people go to nightclubs, discotiques, and other entertainment places to spend the time with friends and colleagues; a number of them use substances. Information about drug users/abusers in Jakarta is unclear and the actual cases are under reported. The most available sources are from the Drug Dependent Hospital (RSKO) and rehabilitation centers. However, the number of patients visiting the RSKO after the Asian economic crisis decreased dramatically and only recently it started to increase (BNN, 2004 b). Overall, many drug users who never visit such services will not be reported.
As of drug cases in rehabilitation centers, the number of drug users visiting public rehabilitation centers in Jakarta within the last five years increased, while those visiting private rehabilitation centers decreased. The total number of clients visiting both private and public rehabilitation centers each year, indeed, does not change much (BNN, 2004 b). Since most drug abusers need long-term care, it is possible that after the economic crisis the cost of private rehabilitation centers increased, and this leads clients move from private to public facilities for services. The fact that the total number of clients does not change much indicates that many other drug users may think that they do not need such services.1 More seriously, they may think they do not need to quit from their addictive behaviors.
In response to the issues on drug abuse, the Indonesian government has been working to solve the problems for years with limited results due to the poor law enforcement. A number of regulations have been instituted, including the national law on psychothropic substances on Act No. 5/1997, the ratified of the UN Convention Against Illicit Traffic of Narcotic Drugs and Psychothropic Substances through Law No. 7/1997, the Narcotic Act No. 22/1997, and most recently the Presidential Decree No. 17/2002 on the formation of the National Narcotic Board (NNB) that allows the police to device a special unit in the police force to fight drug trafficking (Irwanto 2005).
The above explanation shows that the government increased its attention to the issues of drug abuse and finally establised the national strategies called P4GN that stands from Pencegahan (prevention), Pemberantasan (eradication), Penyalahgunaan (abuse), and Peredaran Gelap (trafficking) Narkoba (illicit substances).
Studies on the magnitude of drug problems in Indonesia is very limited. Based on our consultation to the National Health Department and the World Health Organization (WHO) in Jakarta, the current serious drug problems need to be evaluated in Indonesia are related to the reasons for relapse and drop out. This issue was the main priority of our study objectives.
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