Practicum Discussion



NursingIntervention for Substance Abuse, Injury, and Violence

Substance abuse, injury, and violence form part of the most commoncommunity health problems. Teenagers below the age of eighteen andindividuals in their early twenties are affected by the vice,negating the need to come up with interventions to address thesituation (Johnson, Whitbeck, &amp Hoyt, 2005). Interventions canbe introduced at different stages notably at individual or family,community, and systemic level. Other levels of interventions toaddress the problem of substance abuse, injury, and violence in thepopulation are at the primary, secondary and tertiary stage.

Family plays a crucial role in helping address the problem ofsubstance abuse, injury, and violence in the population. Parents andguardians can advise young people on the dangers of the problem andneed to avoid the same. At the community and systemic level, anawareness campaign can be conducted that educates the youth on thedetrimental effects of substance abuse, injury, and violence(Suarez, Belcher, Briggs, &amp Titus, 2012). Emphasis should be onthe adverse effects of such vices on the growth and development ofthe community.

Furthermore, primary, secondary and tertiary measures can be employedto address the issue that affects the population. Primaryintervention entails the reduction of onset of the problem ofsubstance abuse, injury, and violence. Secondary intervention wouldfocus on reducing the effects of the problem on the community with afocus on injury and violence associated with the same. Tertiaryintervention focuses on elimination of long-term effects of substanceabuse, injury, and violence in the community. It is achieved throughcoordination of service providers and community (Butler et al.,2008).

Community Resources

The community can utilize established structures such as counselingcenters to help those dealing with the problem. The primarylimitation is the shortage of professionals available to providecare. Community values should serve as a basis to discourageindividuals from engaging in violent activities and abuse ofsubstances. Cultural-based issues that exist regard the need for thecommunity through those affected to avoid drugs while at the sametime maintaining peace. Evidence-based behavior change to be adoptedcan be working with healthcare providers to reduce effects ofsubstance abuse (Haug, Shopshire, Tajima, Gruber, &amp Guydish,2008). Evidence-based intervention could focus on integratingservices of health care professionals and community members to helptackle the vice.


Butler, M., Kane, R. L., McAlpine, D., Kathol, R. G., Fu, S. S.,Hagedorn, H., &amp Wilt, T. J. (2008). Integration of mentalhealth/substance abuse and primary care. EvidenceReport/technology Assessment, (173), 1–362.

Haug, N. A., Shopshire, M., Tajima, B., Gruber, V., &amp Guydish, J.(2008). Adoption of evidence-based practices among substance abusetreatment providers. Journal of Drug Education, 38(2),181–92.

Johnson, K. D., Whitbeck, L. B., &amp Hoyt, D. R. (2005). SubstanceAbuse Disorders Among Homeless and Runaway Adolescents. Journal ofDrug Issues, 35(4), 799–816.

Suarez, L. M., Belcher, H. M. E., Briggs, E. C., &amp Titus, J. C.(2012). Supporting the Need for an Integrated System of Care forYouth with Co-occurring Traumatic Stress and Substance AbuseProblems. American Journal of Community Psychology, 49(3-4),430–440.