Four Pillars drug strategy https://vancouver.ca/people-programs/four-pillars-drug-strategy.aspx About the four pillars approach The four pillars approach to drug addiction was first implemented in Europe in the 1990s, and is based on four principals: • Harm reduction 20-40%+ of substance users have ADHD. • Prevention Only 5% of adults have ADHD • Treatraent Demand ALL BC doctors have • Enforcement Mandatory CME Courses on ADHD https://addcoach4u.com/adhd-addictions-articles/ Successfully used in such cities as Geneva, Zurich, Frankfurt, and Sydney, this four pillars approach has resulted in a: • Dramatic reduction in the number of drug users consuming drugs on the street • Significant drop in overdose deaths • Reduction in the infection rates for HIV and hepatitis.
https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/table/T2/?report=objectonly 110%太三 Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: Table 2 A 33-Year Follow-Up Study Features of Homelessness in Probands and Comparisonsa https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/ ADHD Probands (n=32) Comparisons (n=6) Non ADHD Variables Mean (SD)/n Median (min- (%) max) Mean (SD)/n Median (min- (%) max) Place stayed while homeless b Street-Shelter Family-Friends Longest continuous duration of homelessness (months) Total duration of homelessness (months) Number of homeless periods 19 (59.4) 13 (40.6) 10.7 (17.8) 15.5 (22.9) 2.3 (2.8) 3.5 (1-78) 6.0 (1-96) 1.0 (1-12) aPresented for information's sake. Small n (n=6) precludes meaningful statistical contrasts. bif more than 1 episode was reported, the most severe is presented
33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/
https://adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies/ Numbers of people with ADHD in jail • 46% of female prisoners in Rhode Island met criteria for childhood ADHD. • Swedish study showed 40% of adult male longer-term prison inmates had ADHD. • The overall prevalence of ADHD in young male prisoners according to DSM-IV was 45% • Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood • Studies show that at least 25% of prisoners in the United States have ADHD. • Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between ADHD and depression was found to exist. Rates of arrests and types of crime • Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). • Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders • The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. • For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. • Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1% arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality,
None are talking about prevention
1 of the 4 pillars of Vancouver's Drug Policy.
27% of homeless people had ADHD.
20-40%+ of people with SUD have ADHD
21-45% of prisoners have ADHD.
Nightmare to get an ADHD diagnosis in BC
No councillors demand #MandatoryCMECoursesOnADHD
#bcdpoli #UBCM