National Drug Control Strategy (2013) uploaded by Richard J. Campbell

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8>5< KE FJKEI MXT@ LJK XJI \ XE D@V  

Transcript of National Drug Control Strategy (2013) uploaded by Richard J. Campbell

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    8>558 tj mfsluss jur prj`rdss ekm fmdktfcy prfjrftfds cjr tbd ljafk` yder.

    ]fs prjldss jc ljksuitetfjk idm tj e kuahdr jc dkbekldadkts fk tbd 8>5< \tretd`y. Cjr dxeapid, jur wjro

    tj emmrdss prdslrfptfjk mru` ehusd fk tbd Tkftdm \tetds idm us tj ljiiehjretd wftb e wfmd rek`d jc rdsderlbdrs,

    emvjletds, ekm pjiflyaeodrs ljkldrkdm wftb tbd fapelt tbfs dpfmdafl fs bevfk` jk tbd bdeitb jc ajtbdrs

    ekm fkcekts. Fk Eu`ust 8>58, F bjstdm e ketfjkei idemdrsbfp addtfk` tbet cjlusdm jk kdjketei ehstfkdkld

    sykmrjad ekm dvfmdkld-hesdm trdetadkt ekm prdvdktfjk jptfjks cjr aetdrkei emmfltfjk. ]d ljkliusfjks

    rdelbdm et tbfs addtfk` erd rddltdm fk e rdkdwdm dapbesfs jk aetdrkei emmfltfjk ekm kdjketei ehstfkdkldsykmrjad fk tbd \tretd`y.

    ]d 8>558, F trevdidm tj Pfiods Ljukty, Kjrtb Lerjifke, ekm vfsftdm ^rjgdlt Iezerus, ek

    jr`ekfzetfjk bdipfk` tj emmrdss tbd prdslrfptfjk mru` ehusd prjhida fk e rd`fjk berm bft hy tbd dpfmdafl.

    Pbfid tbdrd, F adt wftb mjltjrs, ljaaukfty idemdrs, ekm iew dkcjrldadkt prjcdssfjkeis mdmfletdm tj rdmul-

    fk` prdslrfptfjk mru` ehusdtj fkliumd prdvdktfk` mru`-rdietdm mdetbs tbrju`b tbd usd jc tbd ifcd-sevfk`

    jvdrmjsd rdvdrsei mru` keijxjkd. Es e rdsuit, tbd 8>5< \tretd`yfkliumds e sdltfjk jk jvdrmjsd ekm bf`bif`bts

    e iew dkcjrldadkt prjcdssfjkei wbj fs pfjkddrfk` tbd usd jc keijxjkd hy pjifld jldrs fk bfs bjadtjwk jc

    Uufkly, Aesselbusdtts.]dsd kdw ljapjkdkts eu`adkt tbd Emafkfstretfjks heiekldm puhifl bdeitb ekm secdty epprjelb tj rdmulfk`

    mru` usd ekm fts ljksdqudklds. ]drd erd kj desy ekswdrs tj tbd mru` prjhida, hut dxpdrfdkld bes sbjwk us

    tbet hy hrdeofk` mjwk sfijs ekm ljiiehjretfk` elrjss mfslfpifkds, wd lek aeod rdei ekm iestfk` lbek`d. F ijjo

    cjrwerm tj wjrofk` wftb tbd Ljk`rdss ekm tbd Eadrflek pdjpid tj ddlt tbet lbek`d fk tbd yder ebdem.

    X. @fi Odrifojwsod

    Mfrdltjr jc Ketfjkei Mru` Ljktrji ^jifly

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    5

    Fktrjmultfjk

    ]bd ^rdsfmdkts fkeu`urei 8>5> Ketfjkei Mru` Ljktrji \tretd`yiefm jut e ljaprdbdksfvd, dvfmdkld-hesdm

    epprjelb tj rdmulfk` mru` usd ekm fts ljksdqudklds fk tbd Tkftdm \tetds. Fk mjfk` sj, tbd Emafkfstretfjk

    lbertdm e tbfrm wey fk mru` pjifly, e petb tbet rdgdlts tbd jppjsfk` dxtrdads jc id`eifzetfjk jr e iewdkcjrldadkt-jkiy wer jk mru`s. Xetbdr, tbd \tretd`ypursuds e 85st ldktury epprjelb tj mru` pjifly

    tbet heieklds puhifl bdeitb prj`reas, ddltfvd iew dkcjrldadkt, ekm fktdrketfjkei pertkdrsbfps. ]bfs

    tbfrm wey fs rjjtdm fk tbd okjwidm`d tbet mru` emmfltfjk fs e mfsdesd jc tbd hrefkjkd tbet lek hd

    trdetdm, rdljvdrdm crja, ekm, ajst fapjrtektiy, prdvdktdm. Ft rdprdsdkts tbd cuturd jc mru` pjifly kjt

    gust fk tbd Tkftdm \tetds, hut eii jvdr tbd wjrim.

    Fk Aey 8>58, tbd Tkftdm \tetds prdsdktdm e mjluadkt tj tbd fktdrketfjkei ljaaukfty tbet sdts cjrtb tbd

    prfklfpids upjk wbflb tbd Emafkfstretfjks epprjelb tj mru` pjifly fs hesdm. ]bd ^rfklfpids jc Ajmdrk

    Mru` jiflywes rdidesdm et tbd yders e`j, tbd @jvdrkadkt jc \wdmdk ukmdrtjjo e sjlfei dxpdrfadkt fk \tjlobjia7 id`ei prdslrfp-

    tfjk jc mru`s ukmdr jvdrkadkt ekm admflei supdrvfsfjk cjr tbjsd wftb suhstekld usd mfsjrmdrs. ]bd

    dxpdrfadkt qufloiy hdlead prjhidaetfl es pertflfpekts hd`ek tj mfvdrt tbd kerljtfls fktj fiiflft aerodts,

    ekm tbd prj`rea wes tdrafketdm fk 5630. Es e rdsuit jc tbfs kd`etfvd dxpdrfdkld wftb mru` id`eifzetfjk,

    \wdmdk bes hdljad e `ijhei idemdr fk emvjletfk` cjr heiekldm, dvfmdkld-hesdm mru` pjiflfds.

    \wdmdks dxpdrfdkld wftb mru` ifhdreifzetfjk fs dspdlfeiiy rdidvekt tjmey. Fk rdldkt yders, tbd mdhetd

    ehjut mru` pjifly bes iurlbdm hdtwddk twj dxtrdads. Jkd sfmd jc tbd mdhetd su``dsts tbet mru` id`ei-

    fzetfjk fs tbd sfivdr huiidt sjiutfjk tj mru` ljktrji. ]bd jtbdr sfmd aefktefks e iew dkcjrldadkt-jkiy

    Per jk Mru`s adkteifty.

    http://www.whitehouse.gov/ondcp/policy-and-research/principles-of-modern-drug-policyhttp://www.whitehouse.gov/ondcp/policy-and-research/principles-of-modern-drug-policyhttp://www.whitehouse.gov/ondcp/policy-and-research/principles-of-modern-drug-policyhttp://www.whitehouse.gov/ondcp/policy-and-research/principles-of-modern-drug-policy
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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    8

    Kdftbdr jc tbdsd epprjelbds fs buaekd, ddltfvd, jr rjukmdm fk dvfmdkld. ]bd Jheae Emafkfstretfjk

    suppjrts e tbfrm wey epprjelb tj mru` ljktrjijkd tbet fs hesdm jk tbd rdsuits jc ljksfmdrehid fkvdst-

    adkt fk rdsderlb crja sjad jc tbd wjrims prddafkdkt slbjiers jk tbd mfsdesd jc emmfltfjk.

    ]bd Emafkfstretfjk fs mjfk` fts pert tj curtbdr tbd ^rfklfpids, hjtb et bjad ekm ehrjem. Pd bevd rdhei-

    ekldm ketfjkei mru` ljktrji pjifly tj rddlt tbd ljapidxfty jc mru` usd es hjtb e puhifl bdeitb ekmpuhifl secdty fssud, mdmfletfk` ajrd tbek $5>.4 hfiifjk tj prdvdktfjk ekm trdetadkt, ljaperdm tj $6.3

    hfiifjk cjr mjadstfl iew dkcjrldadkt.

    Fk tbd erde jc mdaekm rdmultfjk, sfkld 8>>6, tbd Emafkfstretfjk bes ljaafttdm ajrd tbek $ afiifjk

    tj tbd Mru` Crdd Ljaaukftfds \uppjrt rj`rea, wbflb prjvfmds cukmfk` tj ljaaukfty ljeiftfjks tbet

    jr`ekfzd tj prdvdkt yjutb suhstekld usd. Pd bevd wjrodm tj dxpekm slrddkfk` ekm hrfdc fktdrvdktfjk

    sdrvflds fk bdeitb lerd sdttfk`s ekm dksurd tbet trdetadkt cjr suhstekld usd mfsjrmdrs fs fktd`retdm

    fktj tbd aefkstrdea bdeitb lerd systda tbrju`b tbd Ejrmehid Lerd Elt. ]bd Jld jc Ketfjkei Mru`

    Ljktrji jifly (JKML^) bes dstehifsbdmcjr tbd strst tfade mdmfletdm jld rdspjksfhid cjr pjiflfds

    ekm prj`reas tbet suppjrt Eadrfleks fk rdljvdry crja emmfltfjk. Ekm wd bevd suppjrtdm tbd mdvdijp-

    adkt jc kdw admfletfjks tj trdet emmfltfjk ekm tbd fapidadktetfjk jc admfletfjk-essfstdm trdetadkt(AE]) prjtjljis. AE] fs hdfk` fktd`retdm fktj EFM\ trdetadkt tbrju`b tbd rdsfmdkts Dadr`dkly iek

    cjr EFM\ Xdifdc, tbd ier`dst djrt fk bfstjry tj trdet e sfk`id mfsdesd.

    ]bd Emafkfstretfjk fs eisj emveklfk` lrfafkei gustfld rdcjra, suppjrtfk` tbd dccjrts jc ajrd tbek

    8,0>> mru` trdetadkt ljurts fk tbd Tkftdm \tetds tbet prjvfmd epprjxfaetdiy 58>,>>> jdkmdrs delb

    yder wftb mru` trdetadkt fkstdem jc prfsjk. ]bd Emafkfstretfjk suppjrts fkkjvetfvd ljaaukfty secdty

    prj`reas tbet bevd hddk prjvdk tj rdmuld lrfad ekm rdlfmfvfsa, sulb es dkbekldm prjhetfjk ekm

    perjid prj`reas ekm mru` aerodt fktdrvdktfjk prj`reas tbet rdmuld jpdk efr mru` aerodts ekm jdr

    jdkmdrs e wey jut. Fk 8>5>, tbd ^rdsfmdkt sf`kdm tbd Cefr \dktdklfk` Elt fktj iew, rdmulfk` tbd 5>>-

    tj-5 sdktdklfk` mfsperfty hdtwddk jdksds cjr lrelo ekm pjwmdr ljlefkd. ]brju`b fts suppjrt cjr tbd

    \dljkm Lbekld Elt, tbd Emafkfstretfjk bes ukmdrsljrdm tbd fapjrtekld jc suhstekld ehusd trdetadkt,dapijyadkt, adktjrfk`, ekm jtbdr sdrvflds tbet faprjvd tbd treksftfjk jc fkmfvfmueis crja tbd lrfafkei

    gustfld systda tj e kdw ifcd fk tbd ljaaukfty.

    Fktdrketfjkeiiy, tbd Tkftdm \tetds fs bdipfk` secd`uerm buaek rf`bts ekm fs prjajtfk` dvfmdkld-hesdm

    mru` pjiflfds. Fk 8>55, tbd kjk`jvdrkadktei jr`ekfzetfjkBuaek Xf`bts Petlb rdidesdm e rdpjrtehjut

    fkbuaekd ljkmftfjks fk Sfdtkeadsd trdetadkt prj`reas tbet liefadm tj hd cjiijwfk` tbd T.\. Ketfjkei

    Fkstftutd jk Mru` Ehusds (KFME) ^rfklfpids jc Ddltfvd ]rdetadkt. ]bdsd prj`reas wdrd fk celt kjt fk

    elljrmekld wftb KFMEs ^rfklfpids ekm wdrd kjt rdldfvfk` cukmfk` crja tbd T.\. Ketfjkei Fkstftutds jc

    Bdeitb. ]bd Mfrdltjrs jc JKML^ ekm KFME rdftdretdm tbd Tkftdm \tetds strjk` suppjrt cjr secd ekm ddl-

    tfvd mru` emmfltfjk trdetadkt tbet fs ljksfstdkt wftb KFMEs ^rfklfpids ekm fktdrketfjkeiiy rdlj`kfzdm

    buaek rf`bts. Fk 8>55 ekm 8>58, tbd Tkftdm \tetds prjajtdm hdst preltflds fk mdaekm rdmultfjk es tbd

    Lbefr jc tbd Mdaekm Xdmultfjk Dxpdrts @rjup jc tbd Fktdr-Eadrflek Mru` Ehusd Ljktrji Ljaafssfjk

    (okjwk hy fts \pekfsb elrjkya, LFLEM). \fkld 8>>6, tbd Tkftdm \tetds bes sulldsscuiiy spjksjrdm TK

    rdsjiutfjks jk tbd fssuds jc prdvdktfjk, prdslrfptfjk mru` ehusd, mru``dm mrfvfk`, ekm eitdrketfvds

    tj fklerldretfjk. Ekm tbrju`b sulb prj`reas es tbd Adrfme Fkftfetfvd, tbd Lerfhhdek Hesfk \dlurfty

    Fkftfetfvd (LH\F), ekm tbd Ldktrei Eadrfle Xd`fjkei \dlurfty Fkftfetfvd (LEX\F), tbd Tkftdm \tetds bes

    http://www.hrw.org/news/2011/11/16/ending-forced-labor-vietnam-s-drug-detention-centershttp://www.drugabuse.gov/publications/principles-drug-addiction-treatment/principles-effective-treatmenthttp://www.drugabuse.gov/publications/principles-drug-addiction-treatment/principles-effective-treatmenthttp://www.hrw.org/news/2011/11/16/ending-forced-labor-vietnam-s-drug-detention-centers
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    F K ] X J M T L ] F J K

    5> hy tbd ^rdsfmdkts strst Ketfjkei Mru` Ljktrji \tretd`y. Curtbdr fkcjr-aetfjk jk prj`rdss tjwerm elbfdvfk` tbd jeis jc tbd \tretd`ywfii hd prjvfmdm fk tbd 8>5< ^drcjraekld

    Xdpjrtfk` \ystda Xdpjrt.

    Ketfjkei Mru` Ljktrji \tretd`y@jeis tj Hd Ettefkdm hy 8>54

    @jei 57 Lurtefi fiiflft mru` ljksuaptfjk fk Eadrfle

    5e. Mdlrdesd tbd -mey prdveidkld jc mru` usd eajk` 58- tj 50-yder-jims hy 54 pdrldkt

    5h. Mdlrdesd tbd ifcdtfad prdveidkld jc 2tb `remdrs wbj bevd usdm mru`s, eiljbji, jr tjhellj hy

    54 pdrldkt

    5l. Mdlrdesd tbd -mey prdveidkld jc mru` usd eajk` yjuk` emuits e`dm 5284 hy 5> pdrldkt

    5m. Xdmuld tbd kuahdr jc lbrjkfl mru` usdrs hy 54 pdrldkt

    @jei 87 Faprjvd tbd puhifl bdeitb ekm puhifl secdty jc tbd Eadrflek pdjpid hy rdmulfk` tbd

    ljksdqudklds jc mru` ehusd

    8e. Xdmuld mru`-fkmuldm mdetbs hy 54 pdrldkt

    8h. Xdmuld mru`-rdietdm ajrhfmfty hy 54 pdrldkt

    8l. Xdmuld tbd prdveidkld jc mru``dm mrfvfk` hy 5> pdrldkt

    Mete \jurlds7 \EAB\Es Ketfjkei \urvdy jk Mru` Tsd ekm Bdeitb (5e, 5l)? Ajkftjrfk` tbd Cuturd (5h)?

    Pbet Eadrfleks \pdkm jk Fiid`ei Mru`s (5m)? Ldktdrs cjr Mfsdesd Ljktrji ekm rdvdktfjk (LML) Ketfjkei

    Sftei \tetfstfls \ystda (8e)? \EAB\Es Mru` Ehusd Perkfk` Kdtwjro mru`-rdietdm dadr`dkly rjja vfsfts,

    ekm LML mete jk BFS fkcdltfjks ettrfhutehid tj mru` usd (8h)? Ketfjkei \urvdy jk Mru` Tsd ekm Bdeitb ekm

    Ketfjkei Bf`bwey ]rel \ecdty Emafkfstretfjk (KB]\E) rjemsfmd survdy (8l)

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    Lbeptdr 5. \trdk`tbdk Djrts tj^rdvdkt Mru` Tsd fk Jur Ljaaukftfds

    ^rdvdktfjk fs e cjukmetfjkei pfiier jc tbd Ketfjkei Mru` Ljktrji \tretd`yekm jkd jc tbd Emafkfstretfjksbf`bdst mru` pjifly prfjrftfds. ]bd 8>55 Ketfjkei \urvdy jk Mru` Tsd ekm Bdeitb (K\MTB) cjukm tbet ek

    dstfaetdm 88.3 afiifjk Eadrfleks e`d 58 ekm jvdr wdrd lurrdkt (pest ajktb) fiiflft mru` usdrs, fkliumfk`

    8.4 afiifjk yjuk` pdjpid hdtwddk tbd e`ds jc 58-50. ]bdsd mete mdajkstretd tbd kddm cjr e strjk`

    Cdmdrei ljaaftadkt tj suhstekld usd prdvdktfjk.

    Cjr suhstekld usd prdvdktfjk djrts tj hd ddltfvd, tbdy aust hd ljaprdbdksfvd fk sljpd ekm teod

    fktj elljukt hjtb rfso celtjrs (d.`., e``rdssfvd hdbevfjr, mru` evefiehfifty, ekm pjvdrty) ekm prjtdltfvd

    celtjrs (d.`., perdktei fkudkld, elemdafl ljapdtdkld, ekm ceafiy suppjrt). ^jiflfds, prj`reas, ekm

    adsse`ds tbet bdip yjutb ehstefk crja mru`s ekm eiljbji erd kddmdm et bjad, fk slbjji, eajk` pddrs,

    et wjropields, ekm tbrju`bjut tbd ljaaukfty. Xdldkt rdsderlb bes ljkliumdm tbet dvdry mjiier fkvdstdm

    fk slbjji-hesdm suhstekld usd prdvdktfjk prj`reas bes tbd pjtdktfei tj sevd up tj $52 fk ljsts rdietdm

    tj suhstekld usd mfsjrmdrs.

    ^rdvdktfjk djrts erd ajst sulldsscui elrjss sdttfk`s tj ljaaukfletd ljksfstdkt adsse`ds tbrju`b

    slbjji, wjro, rdif`fjus fkstftutfjks, ekm tbd admfe. Xdsderlb sbjws tbet prj`reas tbet rdelb yjutb

    tbrju`b auitfpid sjurlds lek strjk`iy fapelt ljaaukfty kjras. Ft fs fapdretfvd tj rdelb perdkts ekm

    emuit fkudkldrs es wdii es yjutb wbdrd tbdy ifvd, iderk, wjro, ekm piey wftb fkcjraetfjk ehjut tbd mek-

    `drs jc suhstekld usd ekm prjvfmd tbda wftb tjjis tj bdip yjuk` pdjpid dahreld e mru`-crdd ifcdstyid.

    Pftb tbfs fk afkm, cdmdreiiy-suppjrtdm djrts fk 8>58 bdipdm stetds, trfhei ketfjks, ekm ijlei ljaaukftfds

    ljktfkud tj hufim e sjifm cjukmetfjk cjr mdifvdrfk` ekm sustefkfk` ddltfvd prdvdktfjk sdrvflds tbrju`b

    sulb prj`reas es tbd \uhstekld Ehusd ekm Adktei Bdeitb \drvflds Emafkfstretfjk (\EAB\E) \uhstekldEhusd rdvdktfjk ekm ]rdetadkt Hijlo @rekt, tbd \tretd`fl rdvdktfjk Creadwjro-\tetd Fkldktfvd @rekt,

    ekm tbd ertkdrsbfps cjr \ulldss prj`reas. Emmftfjkeiiy, JKML^s Mru` Crdd Ljaaukftfds (MCL) \uppjrt

    ^rj`rea prjvfmds mfrdlt cukmfk` ekm tdlbkflei essfstekld tj ljaaukfty-hesdm ljeiftfjks tbet jr`ekfzd

    tj prdvdkt yjutb suhstekld usd.

    E kuahdr jc Cdmdrei fkftfetfvds bdip dksurd tbet ljaaukftfds, yjuk` pdjpid, perdkts, ekm prjcdssfjkeis

    bevd tbd ietdst ekm ajst elluretd fkcjraetfjk evefiehid tj ufmd tbdfr prdvdktfjk eltfvftfds, pertfluieriy

    fk rdspjksd tj sjad jc tbd ietdst mru` usd trdkms, sulb es prdslrfptfjk mru` ehusd, aerfgueke, ekm syk-

    tbdtfls (d.`., O-8, \pfld, ekm hetb seits). Cjr dxeapid, fk 8>58 tbd Ehjvd tbd Fkudkld leapef`k, ruk

    hy JKML^ fk ljiiehjretfjk wftb tbd ^ertkdrsbfp et Mru`crdd.jr`, wjrodm tbrju`b tdidvfsfjk, prfkt, sjlfei

    admfe, ijlei remfj emvdrtfsfk`, ekm pertkdrsbfps wftb ljaaukfty jr`ekfzetfjks tj fkcjra ekm fkspfrdtddks tj rdgdlt fiiflft mru`s. ]bd Mdpertadkt jc E`rfluiturds Lbfimrdk, Vjutb, ekm Ceafifds Dmuletfjk ekm

    Xdsderlb Kdtwjro bes wjrodm wftb KFME tj mfssdafketd dvfmdkld-hesdm prdvdktfjk stretd`fds. ]bdsd

    ekm jtbdr eltfvftfds luiafketdm fk e ^rdsfmdktfei ^rjlieaetfjkmdsf`ketfk` Jltjhdr 8>58 es Ketfjkei

    \uhstekld Ehusd rdvdktfjk Ajktb, murfk` wbflb ljaaukftfds ketfjkwfmd wdrd dkljure`dm tj teod

    eltfjk tj prjajtd bdeitby, mru`-crdd ljaaukftfds ekm wjropields. Xdm Xfhhjk Pddo, ljaadajretdm

    fk bjkjr jc MDE \pdlfei E`dkt Dkrfqud Ofof Leaerdke, wbj wes ofiidm fk tbd ifkd jc muty fk 5624, fs

    http://www.drugfree.org/http://www.whitehouse.gov/sites/default/files/ondcp/prevention/national_substance_abuse_prevention_month_2012_view.pdfhttp://www.whitehouse.gov/sites/default/files/ondcp/prevention/national_substance_abuse_prevention_month_2012_view.pdfhttp://www.drugfree.org/
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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    3

    jhsdrvdm murfk` tbd stkei wddo jc ^rdvdktfjk Ajktb. Eadrfleks elrjss tbd ljuktry pertflfpetd hy

    jr`ekfzfk` ljaaukfty ektf-mru` dvdkts ekm aeofk` pidm`ds tj ifvd mru`-crdd ifvds.

    Cdmdreiiy-suppjrtdm prdvdktfjk eltfvftfds ljkmultdm fk 8>58 cjlusdm jk tbrdd aegjr jeis7 (5) curtbdrfk`

    tbd mdvdijpadkt jc e ketfjkei prdvdktfjk systda fkcrestrulturd? (8) celfiftetfk` mfssdafketfjk jc dvf-

    mdkld-hesdm mru` prdvdktfjk adsse`fk`, wftb ek dapbesfs jk aerfgueke, syktbdtfls, ekm prdslrfptfjkmru` ehusd? ekm (5> Ketfjkei Mru` Ljktrji \tretd`yukmdrsljrdm tbd fapjrtekld jc prdperfk` ljaaukftfds tj

    prjvfmd ddltfvd prdvdktfjk sdrvflds. \tetds piey e lrftflei rjid fk tbfs djrt, ekm \EAB\E ljktfkuds tj

    prjajtd stetd-ljaaukfty prdvdktfjk pertkdrsbfps tbrju`b fts ^ertkdrsbfps cjr \ulldss prj`rea. Fk

    8>58, \EAB\E ewermdm 54 `rekts tjteifk` ajrd tbek $=8 afiifjk tj emmrdss ukmdre`d mrfkofk` ekmprdslrfptfjk mru` ehusd eajk` bf`b-rfso pjpuietfjks tbrju`b tbd \tretd`fl rdvdktfjk Creadwjro

    ^ertkdrsbfps cjr \ulldss FF `rekts. ]bdsd `rekts bdip hufim prdvdktfjk lepelfty, mdvdijp mete-mrfvdk

    stretd`fds, fapidadkt ljaprdbdksfvd, dvfmdkldm-hesdm epprjelbds, ekm dveiuetd jutljads. Tkmdr

    tbd Mdpertadkt jc Dmuletfjks \ecd ekm Mru`-Crdd \lbjjis ekm Ljaaukftfds prj`reas, rdsjurlds ekm

    tdlbkflei essfstekld bevd hddk prjvfmdm tj stetd dmuletfjk e`dklfds, es wdii es tj slbjji mfstrflts ekm

    slbjjis, tj fapidadkt prj`reas tj ajkftjr ekm faprjvd tbd slbjji lifaetd, wbfid mfsljure`fk` mru`

    usd. Fk emmftfjk, tbd Emafkfstretfjk bes prjpjsdm tj lrdetd e kdw \ulldsscui, \ecd, ekm Bdeitby \tumdkts

    ^rj`rea et tbd Mdpertadkt jc Dmuletfjk tbet wjuim prjvfmd fklrdesdm dxfhfifty tj \tetds ekm slbjji

    mfstrflts tj mdsf`k ekm fapidadkt stretd`fds tbet hdst rddlt tbd kddms jc tbdfr stumdkts ekm ljaaukf-

    tfds (ekm wbflb aey fkliumd prj`reas tbet cjlus jk mru` ekm vfjidkld prdvdktfjk). Ljaaukfty iewdkcjrldadkt jldrs rdldfvd suppjrt crja tbd Mdpertadkt jc Gustflds (MJG) Dmwerm Hyrkd Adajrfei

    Gustfld Essfstekld @rekt ^rj`rea tj suppjrt ljaaukfty mru` prdvdktfjk prj`reas. ]bd Mdpertadkt jc

    Mdcdksd (MJM) es wdii es tbd Emafkfstretfjk cjr Lbfimrdk ekm Ceafifds rdelbds sjad jc jur ajst Et Xfso

    ofms tbrju`b tbd Ketfjkei @uerm LbeiidK@d ^rj`rea, ekm tbd ^rj`rea tj Dkbekld \ecdty jc Lbfimrdk

    Edltdm hy \uhstekld Ehusd rdspdltfvdiy.

    H. \prdem ^rdvdktfjk tj tbd Pjropield

    Pjropields prjvfmd ek jppjrtukfty tj dmuletd afiifjks jc Eadrfleks ehjut tbd mek`drs jc mru`s ekm

    eiljbji, rdfkcjrld mru`-crdd kjras, dksurd tbd secdty ekm wdiikdss jc dapijydds, ekm jdr essfstekld

    tbrju`b rdcdrreis ekm suppjrt tj dapijydds wbj erd dxpdrfdklfk` suhstekld usd mfsjrmdrs tbdasdivdsjr wftbfk tbdfr ceafifds. ]bd wjropield fs ek fmdei sdttfk` fk wbflb tj mdifvdr prdvdktfjk adsse`fk` cjr

    wjrofk` perdkts tj mdtdr suhstekld usd fk tbdfr ceafifds.

    ]bd Cdmdrei Mru`-Crdd Pjropield ^rj`rea fs e ljaprdbdksfvd prj`rea tj elbfdvd e mru`-crdd wjro-

    pield? ft eppifds tj tbd Cdmdrei wjropield hut eisj sdrvds es e ajmdi cjr tbd prfvetd sdltjr. Dxeapids jc

    epprjelbds fk tbd prj`rea fkliumd tbd usd jc wrfttdk pjiflfds, dapijydd dmuletfjk, supdrvfsjr trefkfk`,

    dapijydd essfstekld prj`reas, ekm prjvfsfjks tj fmdktfcy fiid`ei mru` usd, fkliumfk` mru` tdstfk`. Cjr

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    0

    dxeapid, tbd Mdpertadkt jc ]rekspjrtetfjk (MJ]) jvdrsdds e strjk` mru` ekm eiljbji tdstfk` prj-

    `rea tj dksurd puhifl secdty. Murfk` leidkmer yder 8>55, trekspjrtetfjk dapijydrs ljkmultdm kderiy

    4.0 afiifjk mru` tdsts, ekm fk tbd strst 3 ajktbs jc 8>58, tbdy ljkmultdm kderiy < afiifjk mru` tdsts. MJ]

    eisj prjvfmds jutrdelb tj tbd puhifl fk tbd cjras jc bf`biy utfifzdm wdhsftds, kuadrjus prdsdktetfjks

    et ljkcdrdklds ekm addtfk`s, ekm e verfdty jc tjji ofts ekm `ufmekld mjluadkts cjr dapijydrs ekm

    dapijydds. Fapjrtektiy, tbd MJ] prj`rea eisj rdqufrds tbet trekspjrtetfjk dapijydds fmdktfstdm es

    bevfk` suhstekld ehusd prjhidas erd rdcdrrdm cjr dveiuetfjk ekm trdetadkt. \EAB\E eisj cukms tbd

    ^rdvdktfk` ^rdslrfptfjk Ehusd fk tbd Pjropield (^^EP) prj`rea tj prjvfmd tdlbkflei essfstekld tj bdip

    lfvfifek ekm afiftery wjropields fk ljaaukftfds rdmuld prdslrfptfjk mru` ehusd prjhidas. ]bd ^^EP

    prjvfmds e verfdty jc tdlbkflei essfstekld rdsjurlds tj wjropields, \EAB\Es rektdds, ekm ljaaukfty

    pertkdrs.

    8. ^rdvdktfjk Djrts Aust Dkljapess tbd Xek`d jc \dttfk`s fk

    Pbflb Vjuk` djpid @rjw Tp

    E. \trdk`tbdk tbd Mru -Crdd Ljaaukftfds \uppjrt ^rj`rea

    Fk CV 8>58, tbd Emafkfstretfjk prjvfmdm $24 afiifjk fk MCL \uppjrt ^rj`rea cukms tj suppjrt lja-

    aukfty-hesdm prdvdktfjk. ]bfs ljksfstdm jc $0.6 afiifjk fk kdw MCL `rekts tj 3> ljaaukftfds ekm

    3 kdw MCL Adktjrfk` `rekts, hufimfk` jk tbd $03.0 afiifjk fk ljktfkuetfjk `rekts tbet wdrd ewermdm

    tj 3>2 lurrdktiy-cukmdm MCL ljeiftfjks ekm 52 MCL Adktjrfk` ljeiftfjks. Jvdr tbd pest 2 yders, MCLsbevd elbfdvdm sf`kfstlekt rdmultfjks fk yjutb eiljbji, tjhellj, ekm aerfgueke usd eajk` afmmid slbjji

    yjutb.

    \uhstekld Tsd ekm Tkdapijyadkt

    Ek dxtdksfvd hjmy jc rdsderlb su``dsts tbet prjhidaetfl suhstekld usd fs hjtb e leusd ekm e rdsuit jcukdapijyadkt. Fkmfvfmueis lek dt leu`bt fk e vflfjus lylid jc suhstekld usd ekm ukdapijyadkt tbet

    lek hd mfluit tj hrdeo wftbjut trdetadkt ekm gjh ljuksdifk`. \tumfds fkmfletd tbet eiljbji usd mfsjrmdrs

    mjuhid tbd rfso jc hdljafk` ukdapijydm? bdevy eiljbji usdrs erd 3 tfads ajrd ifodiy tj hd ukdapijydm

    tbek ijw usd mrfkodrs? ekm ljlefkd usd tdkms tj ijwdr tbd ifodifbjjm jc hdfk` dapijydm hy 8< tj

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    2

    H. Idvdre`d ekm Dvjivd tbd Ehjvd tbd Fkudkld Hrekm tj \uppjrt ]ddk ^rdvdktfjk Djrts

    JKML^s Ketfjkei Vjutb Ektf-Mru` Admfe Leapef`k wes lrdetdm hy Ljk`rdss fk 5662 tj dmuletd ekm

    prdvdkt mru` usd eajk` yjutb ekm bes hddk tbd Ketfjks sjid ekm ljksfstdkt vdbflid cjr prjvfmfk`

    ketfjkei-idvdi mru` prdvdktfjk adsse`fk` vfe aess admfe ekm puhifl jutrdelb. Es tbd Admfe Leapef`k

    bes hddk rdstkdm, tbfs eltfjk ftda bes hddk ajmfstdm tj rddlt tbd Admfe Leapef`ks djrts ukmdr tbd

    Ehjvd tbd Fkudkld hrekm (E]F).

    E]F bes elbfdvdm e bf`b 22 pdrldkt ewerdkdss idvdi eajk` tddks, ekm tbd leapef`k ljktfkuds tj bevd

    e strjk` prdsdkld jk sjlfei kdtwjros. ]bd E]F Celdhjjo lja-

    aukfty rdldktiy surpessdm 5.0 afiifjk ifods, aeofk` ft jkd jc tbd

    ier`dst tddk-ter`dtdm Celdhjjo prdsdklds eajk` Cdmdrei@jvdrkadkt jr kjkprjcft yjutb jr`ekfzetfjks. Emmftfjkeiiy,

    tbrdd fkmdpdkmdkt pddr-rdvfdwdm stumfds bevd ljkstradm tbet

    tbd Admfe Leapef`k fs ddltfvd, rdidvekt tj yjutb, ekm fkstru-

    adktei tj mru` prdvdktfjk djrts fk ljaaukftfds elrjss tbd

    ljuktry.

    Ijlei dk`e`dadkt wftb E]F bes eapifstdm tbd Admfe Leapef`ks ddlts. ]j cjstdr yjutb pertflfpetfjk

    et tbd ljaaukfty idvdi, tbd leapef`k bes pertkdrdm wftb ajrd tbek 2> yjutb-sdrvfk` jr`ekfzetfjks

    fk jvdr =4 lftfds tj prjvfmd e rdlj`kfzdm ketfjkei pietcjra tbet lek hd emeptdm tj prjvfmd lustjafzdm

    ijlei emvdrtfsfk` fk E]F ljaaukftfds. Ajrd tbek 5,>>> ljaaukfty jr`ekfzetfjks bevd rdldfvdm tdlbkflei

    essfstekld ekm trefkfk` tbrju`b ljkcdrdklds ekm wdhfkers.

    L. \uppjrt Adktjrfk` Fkftfetfvds, Dspdlfeiiy Eajk` Et-Xfso Vjutb

    ^erdkts ekm pjsftfvd emuit fkudkldrs, fkliumfk` adktjrs, piey e vftei rjid fk bdeitby yjutb mdvdijpadkt

    ekm suhstekld usd prdvdktfjk. E stumy jc jkd ketfjkei adktjrfk` prj`rea kjtds tbet yjutb fkvjivdm fk

    adktjrfk` erd =3 pdrldkt idss ifodiy tj hd`fk usfk` fiid`ei mru`s. ]bd =-B prj`rea fs e yjutb jr`ekfze-

    tfjk suppjrtdm hy tbd Ketfjkei Fkstftutd jc Cjjm ekm E`rfluiturd jc tbd T.\. Mdpertadkt jc E`rfluiturd,

    SdtLjrps et Pjro fk Aeketdd Ljukty, Cijrfme

    Fk rdspjksd tj tbd kddms jc afiftery ceafifds ekm sdrvfld adahdrs, tbd Ljaaukfty Ektf-Mru` Ljeiftfjks

    jc Eadrfle (LEMLE) eppifdm cjr ekm rdldfvdm e rekt crja tbd Ljrpjretfjk cjr Ketfjkei ekm Ljaaukfty

    \drvflds EadrfLjrps rj`rea tj dstehifsb SdtLjrps. ]bd purpjsd jc SdtLjrps fs tj dstehifsb suppjrt cjr

    afiftery ceafifds ekm sdrvfld adahdrs tbrju`b ljaaukfty-hesdm ljeiftfjks. MCL bes pertkdrdm wftb tbd

    SdtLjrps fkftfetfvd ekm bes dkljure`dm ljaaukfty ljeiftfjks tj rdspjkm tj tbfs vdry fapjrtekt fkftfe-

    tfvd. Ek dxeapid jc bjw e MCL-cukmdm ljeiftfjk bes ljiiehjretdm wftb SdtLjrps fs tbd Aeketdd Ljukty

    \uhstekld Ehusd Ljeiftfjk ijletdm eijk` tbd Cijrfme @uic Ljest. ]bd Aeketdd Ljukty @jvdrkadkts

    Sdtdreks \drvflds Mfvfsfjk sdidltdm e cjradr Aerfkd es tbd kdw SdtLjrps rdvdktfjk Ljjrmfketjr. ]bd

    Aeketdd Ljukty SdtLjrps prjgdlt wfii essfst fk fmdktfcyfk` eps fk sdrvflds hy etbdrfk` mete pdrtefkfk`

    tj vdtdreks ekm tbdfr ceafifds? ljjrmfketfk` eajk` ijlei Ketfjkei @uerm Tkfts? essfstfk` afiftery sdrvfld

    adahdrs ekm tbdfr ceafifds fk erdes jc dapijyadkt, bdeitblerd, dmuletfjk ekm bjusfk`? ekm ljjrmfketfk`

    suhstekld ehusd prdvdktfjk djrts rdietfk` tj vdtdreks.

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    6

    wftb tbd afssfjk jc dk`e`fk` yjutb tj rdelb tbdfr cuiidst pjtdktfei wbfid emveklfk` tbd stdim jc yjutb

    mdvdijpadkt. Pftb jvdr 3 afiifjk yjuk` pdjpid e`ds 4-56 pertflfpetfk` elrjss tbd ljuktry, tbd prj-

    `rea prjvfmds jkd-jk-jkd adktjrfk` ekm rjup adktjrfk` cjr yjutb ekm essfsts tbda fk mdvdijpfk`

    ijk`-tdra `jeis. Ajrd spdlfstleiiy, tbd =-B Adktjrfk`7 Vjutb ekm Ceafifds wftb ^rjafsd prj`rea fs e

    prdvdktfjk prj`rea ter`dtdm tj et-rfso yjutb e`ds 5>-5=? tbdsd prj`reas fkljrpjretd ceafiy kf`bt jut,

    =-B eltfvftfds sulb es liuh ekm sjlfei fkvjivdadkt, ekm jkd-tj-jkd adktjrfk`.

    M. Ajhfifzd ^erdkts ]j Dmuletd Vjutb tj Xdgdlt Mru` Tsd

    ^erdkts erd jctdk tbd sjurld jc tbd cfrst adsse`ds lbfimrdk wfii bder ehjut tbdfr bdeitb ekm wdii-

    hdfk`, ekm perdkts jctdk eso bjw tj teio tj tbdfr lbfimrdk ehjut steyfk` mru`-crdd. Fk Jltjhdr

    8>58, KFME ieuklbdm e kdw rdsderlb-hesdm prdvdktfjk tjji, tbd Ceafiy Lbdlo-Tp wdhsftd,

    wbflb bf`bif`bts perdktfk` sofiis tbet erd fapjrtekt tj prdvdkt tbd fkftfetfjk ekm prj`rdssfjk

    jc mru` usd eajk` yjutb. Hesdm jk tbd wjro jc tbd Lbfim ekm Ceafiy Ldktdr et tbd Tkfvdrsfty jc

    Jrd`jk, tbd Ceafiy Lbdlo-Tp ljktefks cfvd qudstfjks ekm mfslussfjk pjfkts tj bdip perdkts hdt-

    tdr ljaaukfletd wftb tbdfr lbfimrdk ekm prdvdkt kd`etfvd hdbevfjrs ifod suhstekld usd. Eisj

    fk ietd 8>58, tbd Mdpertadkt jc Dmuletfjk pertkdrdm wftb tbd Mru` Dkcjrldadkt Emafkfstretfjk

    (MDE)- tj upmetd ekm rdidesd e kdw vdrsfjk jc tbdfr pjpuier puhifletfjk, @rjwfk` Tp Mru` Crdd7

    E erdkts @ufmd tj rdvdktfjk. JKML^ eisj fkliumdm aetdrfeis tj bdip perdkts teio wftb tbdfr lbfimrdk

    fk tbd Mru``dm Mrfvfk` ]jjioft.

    Emvjletds cjr Eltfjk7 ]bd Xjz`e Ceafiy

    Afod, Gek, ekm Mekfdi Xjz`e okjw tbd fapjrtekld jc mru`

    prdvdktfjk eii tjj wdii. Fk Gukd 8>5>, tbdfr sjk ekm hrjtbdr

    Mevfm ceteiiy sbjt bfasdic wftbfk ek bjur jc sajofk` O8, emek`drjus syktbdtfl mru`. ]bd Xjz`es bevd sfkld turkdm tbdfr

    tre`dmy fktj purpjsd, wjrofk` tj dmuletd pdjpid jk tbd

    mek`drs jc syktbdtfl mru`s ekm emvjletfk` cjr id`fsietfvd

    lbek`ds tj prdvdkt tbd aekucelturd jc tbdsd suhsteklds. ]bd

    Xjz`es ieuklbdm e kdw wdhsftd, www.o8mru`celts.lja, tj fvd

    ceafifds tbd jppjrtukfty tj sberd tbdfr dxpdrfdklds ekm refsd

    ewerdkdss ehjut mek`drjus hut ifttid ukmdrstjjm syktbdtfl mru`s ifod O-8. ]bd Xjz`e ceafiy bes eisj teodk

    fts adsse`d jk tbd rjem, spdeofk` tj bf`b slbjjis, ljiid`ds, lburlb rjups, DA\ prjvfmdrs, ekm ljkmultfk`

    dxtdksfvd jutrdelb tbrju`b ijlei ekm ketfjkei admfe jutidts. ]bd Xjz`es erd lurrdktiy wjrofk` wftb

    ]bd ertkdrsbfp et Mru`crdd.jr`ekm tbdfr ^EL]prj`rea tj ljktfkud emvjletfk` cjr eltfjk jk syktbdtfl

    mru`sprdvdktfk` jtbdr ceafifds crja dxpdrfdklfk` tbd tre`dmy tbdy sudrdm.

    http://www.drugabuse.gov/family-checkuphttp://www.justice.gov/dea/pr/multimedia-library/publications/growing-up-drug-free.pdfhttp://www.justice.gov/dea/pr/multimedia-library/publications/growing-up-drug-free.pdfhttp://www.whitehouse.gov/sites/default/files/ondcp/issues-content/drugged_driving_toolkit.pdfhttp://www.k2drugfacts.com/http://www.drugfree.org/http://pact360.org/http://pact360.org/http://www.drugfree.org/http://www.k2drugfacts.com/http://www.whitehouse.gov/sites/default/files/ondcp/issues-content/drugged_driving_toolkit.pdfhttp://www.justice.gov/dea/pr/multimedia-library/publications/growing-up-drug-free.pdfhttp://www.justice.gov/dea/pr/multimedia-library/publications/growing-up-drug-free.pdfhttp://www.drugabuse.gov/family-checkup
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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    5>

    58, tbd T.\. Mdpertadkt jc Dmuletfjks Ldktdr cjr Eiljbji, Mru` Ehusd, ekm Sfjidkld rdvdktfjkljkmultdm trefkfk`s cjr ljiid`d ekm ukfvdrsfty jlfeis jk lrdetfk` e suhstekld-crdd sjlfei ekm luiturei

    dkvfrjkadkt jk ljiid`d leapusds, dk`e`fk` leapus prdvdktfjk dxpdrts, rdsderlbdrs, Cdmdrei pertkdrs,

    ekm rdprdsdktetfvds crja tbd Ljiid`fetd Xdljvdry Kdtwjro. Hdleusd jc e sf`kfstlekt lut fk epprjprfetdm

    cukms cjr tbd \ecd ekm Mru`-Crdd \lbjjis ekm Ljaaukftfds prj`rea, tbd Mdpertadkt kj ijk`dr jpdr-

    etds tbd Bf`bdr Dmuletfjk Ldktdr es e stekm-eijkd tdlbkflei essfstekld ldktdr. Fkstdem, tbd Mdpertadkt

    bes rdstrulturdm ekm ljksjifmetdm fts tdlbkflei essfstekld ldktdrs tbet cjlus jk slbjji lifaetd ekm

    eiljbji ekm mru` usd prdvdktfjk et tbd didadktery, sdljkmery, ekm pjstsdljkmery idvdis tj mdvdijp ekm

    sberd rdsjurlds ajrd ljst-ddltfvdiy ekm prjvfmd ljjrmfketdm tdlbkflei essfstekld. ]bd kdw Ketfjkei

    Ldktdr jk \ecd \uppjrtfvd Iderkfk` Dkvfrjkadkts hd`ek jpdretfjks jk Kjvdahdr 5, 8>58.

    H. Dxpekm Xdsderlb jk Tkmdrstumfdm \uhsteklds

    Ajrd rdsderlb fs kddmdm tj emmrdss tbd aeky verfehids pdrtefkfk` tj ukmdrstumfdm mru`s, sulb es syk-

    tbdtfl letbfkjkds ekm lekkehfkjfms (d.`., O8, \pfld, ekm hetb seits). ]j metd, tbdrd bes hddk ifaftdm

    suhstekld ehusd rdsderlb ljkmultdm jk tbdsd suhsteklds. ]bd KFME-suppjrtdm Ajkftjrfk` tbd Cuturd

    \tumy hd`ek ljiidltfk` mete jk tddk usd jc syktbdtfl lekkehfkjfms fk 8>55 ekm syktbdtfl letbfkjkds

    fk 8>58 tj bdip fkcjra prdvdktfjk djrts. KFME eisj suppjrts rdsderlb tj hdttdr ukmdrstekm bjw tbdsd

    dadr`fk` mru`s edlt tbd hrefk. Fk rdspjksd tj kdw suhstekld usd trdkms, JKML^ wfii ljiiehjretd wftb

    Cdmdrei pertkdrs tj mdvdijp e rdsderlb e`dkme jk dadr`fk` suhsteklds ehusdm hy yjutb.

    L. ^rdperd e Xdpjrt jk tbd Bdeitb Xfsos jc Vjutb \uhstekld Tsd]bd Jld jc tbd \ur`djk @dkdrei fs mdvdijpfk` e Leii tj Eltfjk tj ^rdvdkt ^rdslrfptfjk Mru` Ehusd eajk`

    Vjutb tbet wfii jutifkd spdlfstl stretd`fds tbet lek hd teodk hy auitfpid sdltjrs jc tbd ljaaukfty7 yjutb,

    perdkts, iew dkcjrldadkt, ljaaukfty ljeiftfjks, ekm Cdmdrei, stetd, ekm ijlei `jvdrkadkt ekm iew

    dkcjrldadkt e`dklfds. ]bfs rdpjrt wfii bdip fapidadkt tbd strst pfiier jc tbd Emafkfstretfjks ^rdslrfptfjk

    Mru` Ehusd rdvdktfjk iek7 Dmuletfk` perdkts ekm yjutb jk tbd mek`drs jc prdslrfptfjk mru` ehusd.

    =. Lrfafkei Gustfld E`dklfds ekm ^rdvdktfjk Jr`ekfzetfjks Aust

    Ljiiehjretd

    E. ^rjvfmd Fkcjraetfjk jk Ddltfvd ^rdvdktfjk \tretd`fds tj Iew DkcjrldadktIew dkcjrldadkt e`dklfds lek piey e pfvjtei rjid fk rdmulfk` suhstekld ehusd fk ljaaukftfds? tbdy

    sbjuim hd e pert jc e ljaprdbdksfvd epprjelb wbdk emmrdssfk` suhstekld usd. Fk 8>58, JKML^ prj-

    vfmdm tbd Mru``dm Mrfvfk` ]jjioft tj tbd Ketfjkei Essjlfetfjk jc \lbjji Xdsjurld Jldrs tj bdip jldrs

    tj fmdktfcy, dmuletd, ekm prdvdkt yjutb mru``dm mrfvfk`. Fk emmftfjk, MJG spjksjrs tbd fktdre`dkly

    Ketfjkei Cjrua jk Vjutb Sfjidkld rdvdktfjk, e wjrofk` rjup adlbekfsa tbet bdips lftfds wjro wftb

    yjuk` pdjpid tj mdtdr yjutb vfjidkld fk tbdfr ljaaukftfds hy dkljure`fk` tbda tj rfsd ehjvd tbd

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    L B E ^ ] D X 5 . \ ] X D K @ ] B D K D C C J X ] \ ] J ^ X D S D K ] M X T @ T \ D F K J T X L J A A T K F ] F D \

    55

    kd`etfvd fkudklds fk tbdfr ifvds. Fk 8>58, cjur emmftfjkei lftfds wdrd emmdm tj MJGs Ketfjkei Cjrua jk

    Vjutb Sfjidkld rdvdktfjk7 Leamdk, KG, Afkkdepjifs, AK, ^bfiemdipbfe, E, ekm Kdw Jrideks, IE. ]bdsd

    hrfk` tbd lurrdkt tjtei jc lftfds pertflfpetfk` tj tdk.

    H. Dkehid Iew Dkcjrldadkt Jldrs tj ertflfpetd fk Ljaaukfty rdvdktfjk rj`reas fk

    \lbjjis, Ljaaukfty Ljeiftfjks, Lfvfl Jr`ekfzetfjks, ekm Ceftb-Hesdm Jr`ekfzetfjks

    ]bd Bf`b Fktdksfty Mru` ]relofk` Erdes (BFM]E) prj`rea prjvfmds essfstekld tj Cdmdrei, stetd, ijlei,

    ekm trfhei iew dkcjrldadkt e`dklfds jpdretfk` fk erdes mdtdrafkdm tj hd lrftflei mru` trelofk` rd`fjks

    jc tbd Tkftdm \tetds. E kuahdr jc BFM]Es dapbesfzd prdvdktfjk ekm trdetadkt es pert jc tbdfr stretd-

    `fds. Fk 8>58, JKML^ ewermdm 8> BFM]E rekts tjteifk` $8.6 afiifjk tj fklrdesd ljjrmfketfjk hdtwddk

    prdvdktfjk prj`reas ekm iew dkcjrldadkt. Cjr dxeapid, tbd Pesbfk`tjk/Heitfajrd BFM]E spjksjrs tbd

    Xflbajkm Kdf`bhjrbjjm Mru` Fktdrvdktfjk ekm rdvdktfjk Fkftfetfvd, e prj`rea cjr kjkvfjidkt yjutb

    jdkmdrs tbet ljahfkds prdvdktfjk, trdetadkt, ekm fktdrvdktfjk ekm jdrs dmuletfjkei ekm vjletfjkei

    jppjrtukftfds. Vjuk` jdkmdrs wbj teod pert fk tbd prj`rea efk tbd jppjrtukfty tj rdfktd`retd fktj

    tbd ljaaukfty wftb kdw sofiis. Emmftfjkeiiy, tbd Mdpertadkt jc Bjadiekm \dlurfty (MB\) prjvfmdm

    wdh-hesdm trefkfk` tj ljaaukfty ljeiftfjks jk stretd`fds ljaaukftfds lek usd tj prdvdkt suhstekld

    ehusd. ]bd Ketfjkei @uerm Ljuktdrmru` rj`reas Lfvfi Jpdretfjks Mfvfsfjk ljjrmfketds ekm prjvfmds

    sdrvflds tj ektf-mru` ljeiftfjks ekm jtbdr prdvdktfjk prjvfmdrs et slbjjis ekm fk ljaaukftfds. \fkld

    8>>=, tbd stvd Ketfjkei @uerm Ljuktdrmru` \lbjjis bevd spjksjrdm trefkfk` cjr ljaaukfty ljeiftfjks.

    MDEs Mdaekm Xdmultfjk \dltfjk ljktfkuds dxtdksfvd puhifl dmuletfjk tbrju`b fts tddk wdhsftd,

    www.gusttbfkotwfld.lja, ekm tbd perdkt wdhsftd, www.`dtsaertehjutmru`s.lja. MDE prjmuldm

    sdvdrei dmuletfjkei puhifletfjks ter`dtfk` tddks ekm perdkts, fkliumfk` ^rdslrfptfjk cjr Mfsestdr7 Bjw

    ]ddks Ehusd Admflfkd. MDE ljiiehjretdm wftb tbd Hjys & @fris Liuhs jc Eadrfle tj prjmuld @dt ft \tref`bt

    cjr afmmid slbjji yjutb ekm tbd @dt ft \tref`bt Celfiftetjr @ufmd.

    L. \trdk`tbdk ^rdvdktfjk Djrts eijk` tbd \jutbwdst Hjrmdr

    Fk 8>58, \EAB\E spjksjrdm tbd T.\. Ljuktfds eijk` tbd Adxflj Hjrmdr Fkftfetfvd, wbflb essfsts slbjjis,

    ljaaukfty ldktdrs, wjropields, ekm ijlei prdvdktfjk prjvfmdrs eijk` tbd hjrmdr tj essdss pjpuietfjk

    kddms, rdsjurlds, ekm rdemfkdss tj prjvfmd luitureiiy ekm ifk`ufstfleiiy epprjprfetd prj`reas. Fk emmftfjk

    tj tbd hjrmdr ljuktfds fkftfetfvd, tbd KFME-suppjrtdm SFME (Suikdrehfifty Fssuds fk Mru` Ehusd) rj`rea

    prdperds celuity ekm stumdkts tj ljkmult mru` ehusd rdsderlb ekm trefkfk` cjr ukmdrrdprdsdktdm lja-

    aukftfds. SFME pertkdrdm wftb tbd Tkfvdrsfty jc ]dxes-Di esj tj bjim e ljkcdrdkld cjr hjtb hdbevfjrei

    bdeitb prjvfmdrs ekm rdsderlbdrs tj prdsdkt ekm mfsluss ddltfvd prj`rea stretd`fds, fkliumfk` tbd usd

    jcprjajtjrds(ljaaukfty bdeitb wjrodrs) cjr pjpuietfjks eijk` tbd hjrmdr.

    http://www.justthinktwice.com/http://www.getsmartaboutdrugs.com/http://www.getsmartaboutdrugs.com/http://www.justthinktwice.com/
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    55=, aeky ajrd pdjpid wfii

    hd dif`fhid cjr suhstekld usd mfsjrmdr sdrvflds. Dxpekmfk` tbd rek`d jc mjltjrs, pbysflfeks essfstekts,

    kursds, ljuksdijrs, sjlfei wjrodrs, ekm jtbdr spdlfeifsts ehid tj fmdktfcy ekm dksurd trdetadkt cjr fkmf-

    vfmueis wftb suhstekld usd mfsjrmdrs bes fapjrtekt fapifletfjks cjr tbd bdeitb jc tbd Eadrflek pdjpid

    ekm jur Ketfjks dljkjay. Curtbdr, wd aust ljktfkud tj cjlus jk djrts tj dxpekm ekm ajmdrkfzd tbd

    ljktfkuua jc sdrvflds bdeitb lerd preltftfjkdrs prjvfmd cjr tbdfr petfdkts, tj fkliumd suhstekld ehusd

    sdrvflds.

    ]bd bdeitb lerd stdim wfii ljktfkud tj kddm tj emjpt ekm

    fktd`retd dvfmdkld-hesdm epprjelbds tj emmrdss suh-stekld usd mfsjrmdrs. \ulldsscui fktd`retfjk jc dvf-

    mdkld-hesdm epprjelbds fktj aefkstrdea bdeitb lerd

    wfii rdqufrd bdeitb lerd preltftfjkdrs tj wjro fk tdeas

    tbet jctdk fkliumd spdlfeifsts crja jtbdr admflei stdims.

    ]j dkbekld tbfs prjcdssfjkei ljjpdretfjk, tdea ada-

    hdrs wfii kddm tj ukmdrstekm tbd mfsdesd jc emmfltfjk

    tj emmrdss e wfmd rek`d jc suhstekld usd prjhidas fk

    e verfdty jc sdttfk`s.

    E kuahdr jc tjjis erd evefiehid tj bdip bdeitb lerd prjvfmdrs mdtdlt ekm emmrdss suhstekld usd mfsjrmdrs.

    ]brju`b \lrddkfk`, Hrfdc Fktdrvdktfjk, ekm Xdcdrrei tj ]rdetadkt (\HFX]), preltftfjkdrs eso tbdfr petfdktsehjut tbdfr suhstekld usd (slrddkfk`) tj essdss tbd rfso jc suhstekld usd mfsjrmdrs ekm tbdk, fc epprjprf-

    etd, prjvfmd e hrfdc fktdrvdktfjk jr rdcdrrei tj trdetadkt. \HFX] fktd`retds ekm ljjrmfketds slrddkfk` ekm

    trdetadkt sdrvflds ekm ifkos tbjsd sdrvflds tj ijlei spdlfeifzdm trdetadkt prj`reas tbrju`b e kdtwjro

    jc deriy fktdrvdktfjk ekm rdcdrrei eltfvftfds.

    ]bd Ejrmehid Lerd Elt dkms mfslrfafketfjk e`efkst pdjpid wftb prd-dxfstfk` ljkmftfjks, fkliumfk`

    pdjpid wftb adktei bdeitb ekm suhstekld usd mfsjrmdrs. Fksurdrs lek kj ijk`dr mdky ljvdre`d tj lbfimrdk

    hdleusd jc e prd-dxfstfk` ljkmftfjk, ekm, stertfk` fk 8>5=, rdcusfk` tj ljvdr ekyjkd wftb e prd-dxfstfk`

    ljkmftfjk wfii hd prjbfhftdm. \HFX] bdips fmdktfcy pdjpid wbj aey jtbdrwfsd `j ukmfe`kjsdm wftb e

    lbrjkfl suhstekld mdpdkmdkld prjhida (letd`jrfzdm prfjr tj tbd Ejrmehid Lerd Elt es e prd-dxfstfk`

    ljkmftfjk) ekm `dt tbda fktj lerd. \HFX] fs ek fktdrvdktfjk epprjelb tj emmrdss rfsoy usd (ljuksdi-fk`) ekm ek jppjrtukfty tj mfe`kjsd ekm rdcdr petfdkts tj spdlfeity trdetadkt, eii es ljvdrdm sdrvflds.

    Curtbdrajrd, e verfdty jc bdeitb systdas elrjss tbd Ketfjk erd fktd`retfk` \HFX] fktj didltrjkfl bdeitb

    rdljrms tj hdttdr ljjrmfketd petfdkt lerd.

    Xdsderlb jk \HFX]s ddltfvdkdss cjr eiljbji ekm suhstekld usd prjhidas fkmfletds tbd epprjelb idems

    tj sbjrt-tdra bdeitb faprjvdadkts ekm su``dsts pjtdktfei ijk`-tdra hdkdstts.

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

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    Mete crja \EAB\E rekt prj`reas bdip mdajkstretd tbd ddlt \HFX] bes jk petfdkt bdeitb. ]brju`b

    tbd \EAB\E \HFX] fkftfetfvd, petfdkts dxpdrfdkldm7

    Xdmultfjks fk eiljbji ekm mru` usd 3 ajktbs ectdr rdldfvfk` tbd fktdrvdktfjk?

    Faprjvdadkts fk queifty-jc-ifcd adesurds, fkliumfk` dapijyadkt/dmuletfjk stetus, bjusfk`

    stehfifty, ekm pest -mey errdst retds? ekm

    Xdmultfjks fk rfsoy hdbevfjrs, fkliumfk` cdwdr ukprjtdltdm sdxuei dkljuktdrs.85

    5. Letlbfk` \uhstekld Tsd Mfsjrmdrs Deriy \evds Ifvds ekm Ajkdy

    E. Dxpekm ekm Dveiuetd \lrddkfk` cjr \uhstekld Tsd fk Eii Bdeitb Lerd \dttfk`s

    Fk 8>58, \EAB\Es Ldktdr cjr \uhstekld Ehusd ]rdetadkt cukmdm tbd ljktfkuetfjk jc 80 \HFX] `rekts

    ekm tbrdd kdw auitf-yder rekts. @rekt cukms wfii curtbdr fktd`retd \HFX] wftbfk admflei trdetadkt sdt-

    tfk`s tj prjvfmd deriy fmdktfstletfjk ekm fktdrvdktfjk sdrvflds tj et-rfso fkmfvfmueis wftbfk tbd ljktdxt

    jc tbdfr prfaery lerd prjvfmdr.KFME ljktfkuds tj dkljure`d pbysflfeks ekm jtbdr bdeitb lerd prjcdssfjkeis tj slrddk cjr mru` ehusd,

    dkbeklfk` fts tjjis ekm rdsjurlds fkliumfk` fts fktdreltfvd slrddkfk` tjji tbet dkdretds lifkflei rdlja-

    adkmetfjks. ]bd tjji fs evefiehid jk tbd KFMEADM wdhsftd ekm fs kjw jptfafzdm cjr ajhfid mdvflds

    (mdslrfhdm fk ajrd mdtefi ietdr fk tbfs lbeptdr). Eisj fk 8>58, tbd Mdpertadkt jc Bdeitb ekm Buaek

    \drvflds E`dkly cjr Bdeitblerd Xdsderlb ekm Uueifty cukmdm tbd Pfsljksfk Fkftfetfvd tj ^rjajtd Bdeitby

    Ifcdstyids, e prj`rea jc tbd Tkfvdrsfty jc Pfsljksfk \lbjji jc Admflfkd ekm ^uhifl Bdeitb. ]bd prjgdlt

    prjmuldm fkcjraetfjk ekm tjjis tj bdip dapijydrs prjajtd dapijydd bdeitb, fkliumfk` e ljst-ddltfvd

    hdbevfjrei slrddkfk` ekm fktdrvdktfjk prj`rea.Es Pfsljksfks bdeitb lerd systda ajvds tjwerm sys-

    tdaetfleiiy emmrdssfk` suhstekld usd mfsjrmdrs fk fts petfdkt pjpuietfjk, fkftfetfvds sulb es tbfs tbet rdiy jk

    ukfvdrsfty ekm dapijydr pertkdrsbfps sbjuim hd ljksfmdrdm es e ajmdi cjr puhifl-prfvetd ljiiehjretfjks..

    Aetdrkei Emmfltfjk ekm Kdjketei Ehstfkdkld \ykmrjad

    ]bd Emafkfstretfjk fs teofk` stdps tj ukmdrstekm ekm emmrdss tbd lifkflei ekm pjifly fssuds rdietdm tj kdj-

    ketei ehstfkdkld sykmrjad (KE\), tbd wftbmrewei syaptjas dxbfhftdm hy sjad fkcekts hjrk tj ajtbdrs

    dxpjsdm tj fiiflft mru`s ekm ldrtefk admfletfjks murfk` prd`kekly. ]bfs lbrjkfl dxpjsurd lek jllur mud tj

    emmfltfjk jr hdleusd jc id`ftfaetd admflei trdetadkt wftb ldrtefk ljktrjiidm suhsteklds. Aeky bjspfteis

    wftb ifttid dxpdrfdkld lerfk` cjr mru` dxpjsdm kdwhjrks prfjr tj tbd prdslrfptfjk mru` ehusd dpfmdafl erd

    kjw wftkdssfk` fklrdesds fk hfrtbs rdqufrfk` emmftfjkei bjspftei rdsjurlds. E rdldkt stumy cjukm tbet elrjss

    tbd Tkftdm \tetds7 Hdtwddk 8>>> ekm 8>>6, tbd retd jc bjspfteis hfiifk` cjr KE\ fklrdesdm crja 5.8 tj >> bjspftei

    hfrtbs pdr yder. ]bfs treksietds tj rju`biy jkd fkcekt pdr bjur hjrk wftb sf`ks jc mru` wftbmrewei.

    ]bd kuahdr jc ajtbdrs usfk` jpfetds fklrdesdm crja 5.8 tj 4.3 pdr 5,>>> bjspftei hfrtbs pdr yder.

    Bjspftei ljsts cjr trdetfk` delb KE\ fkcekt evdre`dm $4> fk 8>>6, ekm Admflefm wes tbd prfaery

    peydr cjr trdetadkt cjr jvdr 04 pdrldkt jc tbdsd hehfds.

    http://www.wiphl.org/employershttp://www.wiphl.org/employershttp://www.wiphl.org/employershttp://www.wiphl.org/employers
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    LB E^] D X 8 . \ D D O D EXI V FK ] D XS D K ] FJK J^^JX] TK F] FD \ FK B D EI ] B LEXD

    54

    H. Fklrdesd Emjptfjk ekm Tsd jc \HFX] Ljmds

    Fk 8>58, tbd kuahdr jc stetds emjptfk` tbd sdt jc ljmds cjr \HFX] es e rdfahursehid sdrvfld ukmdr tbdfr

    stetd Admflefm pieks fklrdesdm crja 53 tj 56 stetds. ]bdsd ljmds erd usdm tj rdpjrt admflei sdrvflds

    cjr prfvetd ekm puhifl bdeitb fksurekld systdas cjr rdfahursdadkt ekm liefas prjldssfk`. ]bdy eisj

    prjvfmd ukfcjrafty fk iek`ue`d tj prjvfmd rdifehid ketfjkwfmd mete ljiidltfjk. Fk Admflerd, tj essfst

    ajrd prjvfmdrs fk usfk` tbd ljmds, tbd Ldktdr cjr \uhstekld Ehusd ]rdetadkt pertkdrdm wftb tbd Ldktdrs

    cjr Admflerd & Admflefm \drvflds (LA\) Admflerd Iderkfk` Kdtwjro tj mdvdijp aetdrfeis ekm ljmfk`

    fkstrultfjks cjr Admflerd ljmd rdfahursdadkt.

    L. Dkbekld Bdeitb Lerd rjvfmdrs \ofiis fk \lrddkfk` ekm Hrfdc FktdrvdktfjkFk 8>58, \EAB\E ljktfkudm tj cukm trefkfk` cjr admflei rdsfmdkts ekm eiifdm bdeitb prjcdssfjkeis jk

    \HFX]. \fkld tbd `rekt wes fkftfetdm fk 8>>6, kderiy =,0>> admflei rdsfmdkts ekm 5>,> eiifdm bdeitb

    prjcdssfjkeis bevd hddk trefkdm. Fkcjraetfjk ehjut \HFX] trefkfk` lurrfluie fs evefiehid cjr bdeitb

    lerd prjvfmdrs jk \EAB\Es wdhsftd. Ek Emmfltfjk ]dlbkjij`y ]rekscdr Ldktdr (E]]L) cjr \HFX] bes

    hddk dstehifsbdm tbrju`b \EAB\Es E]]L kdtwjro, ekm wfii hd prjvfmfk` dxtdksfvd rdsjurlds cjr tbd

    fapidadktetfjk jc \HFX] tj \EAB\E `rektdds (wftb tbd dxldptfjk jc lurrdkt \HFX] `rektdds) ekm jtbdr

    fktdrdstdm bdeitb lerd dktftfds.

    Fk rdspjksd tj tbfs dadr`fk` fssud, JKML^ ljkvdkdm e ketfjkei idemdrsbfp addtfk` jk aetdrkei emmfltfjk

    ekm mru` dxpjsurd fk Eu`ust 8>58. Addtfk` pertflfpekts mfslussdm tbd ljapidx pjifly iekmslepd ekm fts

    fktdrpiey wftb admflei lerd cjr ajtbdrs ekm fkcekts, fkliumfk` tbd stf`ae ekm herrfdrs tbet aeky dxpdltekt

    ajtbdrs aey dxpdrfdkld wbdk sddofk` trdetadkt cjr suhstekld usd mfsjrmdrs. ]bdsd herrfdrs lek fkliumd

    ljkldrks ehjut tbd fkvjivdadkt jc tbd lbfim wdicerd systda jr iew dkcjrldadkt ekm aey hd e mdtdrrdkt cjrbdeitb lerd prjcdssfjkeis tj slrddk dxpdltekt ajtbdrs cjr suhstekld usd mfsjrmdrs jr cjr prd`kekt wjadk

    tj sddo prdketei lerd jr mfslijsd tbdfr mru` usd.

    Pftbmrewei crja jpfjfms lek hd mek`drjus tj e prd`kekt wjaek ekm aey tbrdetdk tbd ifcd jc bdr mdvdijp-

    fk` lbfim. Mdtjxfstletfjk lek hd e admflei dadr`dkly. Cjr tbdsd rdesjks, stdps sulb es tbd ljktfkuetfjk jc

    stehid jpfjfm mjsds jr AE] wftb dftbdr huprdkjrpbfkd jr adtbemjkd erd rdljaadkmdm. Fk celt, jkd stumy

    cjukm tbet trdetfk` jpfjfm mdpdkmdkt ajtbdrs wftb huprdkjrpbfkd lek faprjvd jutljads essjlfetdm wftb

    KE\, fkliumfk` idss tfad fk tbd bjspftei, sbjrtdr trdetadkt muretfjk, ekm idss ajrpbfkd usdm tj trdet wftb-

    mrewei syaptjas. Bdeitb lerd ekm trdetadkt prjvfmdrs, fkliumfk` jhstdtrflfeks/`ykdljij`fsts, sbjuim hd

    trefkdm tj rdlj`kfzd jpfjfm emmfltfjk ekm trdet prd`kekt wjadk wftb AE].

    ^rd`kekt wjadk aey kddm ek errey jc trdetadkt ekm rdljvdry suppjrt sdrvflds. Jpfjfm-mdpdkmdktwjadk lek bevd ljapidx ekm veryfk` lbeiidk`ds, fkliumfk` ielo jc dmuletfjk, pjvdrty, ielo jc dapijy-

    adkt jr perdktfk` sofiis, jr ljajrhfm adktei ekm pbysflei fiikdssds. Emmrdssfk` tbdsd mfvdrsd kddms aey

    fkliumd lbfimlerd murfk` trdetadkt, bjusfk` ekm trekspjrtetfjk suppjrt, ceafiy-hesdm trdetadkt tj

    tdelb perdktfk` sofiis es e pert jc tbdrepy, rdsfmdktfei trdetadkt tbet pdrafts lbfimrdk tj ifvd wftb jr rjja

    wftb ajtbdrs, psylbjsjlfei trdetadkt ekm psylbfetrfl dveiuetfjk, slrddkfk`, ekm jtbdr sjlfei suppjrts.

    Fk rdspjksd tj tbdsd ekm jtbdr fssuds surrjukmfk` KE\, JKML^ fs wjrofk` wftb emvjlely ekm prjcds-

    sfjkei rjups ekm jvdrsddfk` tbd Cdmdrei rdspjksd tj prdvdkt ekm trdet aetdrkei emmfltfjk ekm KE\. ]bd

    Emafkfstretfjk fs eisj wjrofk` wftb stetd idemdrs tj dksurd tbet stetd-idm djrts tj emmrdss prdslrfptfjk

    mru` ehusd emdquetdiy elljukt cjr tbd ljaprdbdksfvd kddms jc wjadk ekm tbdfr lbfimrdk.

    http://www.samhsa.gov/samhsanewsletter/Volume_17_Number_6/SBIRT.aspxhttp://www.samhsa.gov/samhsanewsletter/Volume_17_Number_6/SBIRT.aspx
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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    53

    M. Fmdktfcy ekm Aeod Evefiehid Emmftfjkei ]refkfk` fk Dvfmdkld-hesdm ^reltflds cjr\uhstekld Tsd Mfsjrmdr Essdssadkt ekm Lerd tj Bdeitb Lerd ^rjcdssfjkeis rjvfmfk`Lerd tj Afiftery Bdeitb \ystda Hdkdstlferfds

    Fk 8>58, tbd Mdpertadkt jc Sdtdreks Eefrs (SE) ekm tbd MJM mdvdijpdm tbd \uhstekld Tsd Mfsjrmdr

    ]jjiofttj bdip bdeitb lerd prjvfmdrs cjr afiftery pdrsjkkdi/vdtdreks mdifvdr dvfmdkld-hesdm trdetadkt

    ljksfstdkt wftb hjtb Mdpertadkts Lifkflei ^reltfld @ufmdifkds tj curtbdr rdmuld mru` ehusd eajk`

    afiftery adahdrs ekm tbdfr ceafifds. ]bd tjjioft fklrdesds okjwidm`d ekm celfiftetds trdetadkt mdlf-

    sfjks cjr hjtb prjvfmdrs ekm petfdkts. Ft fkliumds e pjlodt `ufmd tj bdip prjvfmdrs trdet petfdkts ekm

    faprjvd jutljads hy essfstfk` wftb syaptja rdlj`kftfjk, trdetadkt, ekm aeke`dadkt? e hjjoidt tbet

    bf`bif`bts AE] cjr eiljbji mdpdkmdkld tbet prjvfmds petfdkts wftb tbd okjwidm`d tj aeod fkcjradm

    lbjflds rd`ermfk` tbdfr trdetadkt? ekm e hrjlburd cjr ceafiy adahdrs ehjut suhstekld usd mfsjrmdrsekm suppjrt-cjlusdm rdsjurlds.

    ]j prjvfmd emmftfjkei trefkfk` ekm dmuletfjk cjr Afiftery Bdeitb \ystda admflei prjvfmdrs wbj prdslrfhd

    pjtdktfeiiy emmfltfk` admfletfjks, ek fktdreltfvd vfmdj trefkfk` dktftidm Mj Kj Bera wes mdvdijpdm

    hy tbd Tkfcjradm \drvflds Tkfvdrsfty jc tbd Bdeitb \lfdklds (T\TB\) tj fiiustretd tbd ajst fapjrtekt

    pjfkts ehjut prdslrfptfjk admfletfjk afsusd. ]bd fktdreltfvd vfmdj trefkfk` emmrdssds tbd fklfmdkld

    jc admfletfjk afsusd? rfso celtjrs ekm rfso stretfstletfjk jc petfdkts cjr admfletfjk afsusd? stdps tj

    aftf`etd admfletfjk afsusd? ekm fkmfletfjks cjr rdcdrrei tj suhspdlfeity prjvfmdrs. ]bfs trefkfk` wfii hd

    mfssdafketdm tj admflei prjvfmdrs fk 8>555, tbd Pjadks Hurdeu et tbd Mdpertadkt jc Iehjr mdvdijpdm ]reuae-Fkcjradm Lerd cjrPjadk Sdtdreks Dxpdrfdklfk` Bjadidsskdss7 E @ufmd cjr \drvfld rjvfmdrs. ]bd `rjwfk` kuahdrs jc

    wjadk vdtdreks celd kuadrjus lbeiidk`ds tbet put tbda et rdetdr rfso jc bjadidsskdss ekm suhstekld

    ehusd. ]bd ]reuae @ufmd fs adekt tj emmrdss tbd psylbjij`flei ekm adktei bdeitb kddms jc wjadk

    vdtdreks hy jdrfk` hdst preltflds tj sdrvfld prjvfmdrs cjr dk`e`fk` cdaeid vdtdreks. ]bd ufmd jdrs

    jhsdrvetfjkei okjwidm`d ekm ljklrdtd `ufmdifkds cjr ajmfcyfk` preltflds wftb tbd `jei jc fklrdesfk`

    rd-dktry jutljads.

    Mdvdijpadkt jc d-]jjis, d-Iderkfk`, ekm Ljktfkufk` Admflei Dmuletfjk jk

    ^rdslrfptfjk Mru` Ehusd ekm ]rdetadkt

    KFME, tbrju`b fts wdh-hesdm KFMEADM fkftfetfvd, jdrs jkifkd tjjis tj bdip lifkflfeks prjvfmd \HFX]

    sdrvflds cjr kjk-admflei prdslrfptfjk mru` usd, es wdii es cjr tjhellj, eiljbji, ekm fiiflft mru` usd. ]bfsslrddkfk` tjji bes kjw hddk jptfafzdm cjr usd jk bekmbdim mdvflds. Ft eisj jdrs quflo rdcdrdkld ekm

    ljaprdbdksfvd rdsjurld ufmds tj celfiftetd usd jc tbd tjjis, es wdii es lurrfluiua rdsjurlds mdvdijpdm hy

    KFMEs Ldktdrs jc Dxldiidkld cjr bysflfek Fkcjraetfjk cjr admflei stumdkts, rdsfmdkts, ekm admflei slbjji

    celuity. JKML^ eisj prjvfmdm KFME cukmfk` tj aeod fts lifkflfek tjjis rdietdm tj prdslrfptfjk mru` ehusd

    ajrd elldssfhid ekm sdic-`ufmdm, wbfid jdrfk` lifkflfeks ljktfkufk` admflei dmuletfjk (LAD) lrdmfts es

    fkldktfvds. Fk Jltjhdr 8>58, JKML^ ekm KFME ieuklbdm twj jkifkd LAD ajmuids usfk` tbd tdst-ekm-

    tdelb ajmdijkd cjlusdm jk secd prdslrfhfk` cjr pefk ekm tbd jtbdr jk aeke`fk` petfdkts wbj ehusd

    prdslrfptfjk jpfjfms.

    http://dcoe.health.mil/PsychologicalHealth/Products.aspxhttp://dcoe.health.mil/PsychologicalHealth/Products.aspxhttp://www.dol.gov/wb/trauma/http://www.dol.gov/wb/trauma/http://www.dol.gov/wb/trauma/http://www.dol.gov/wb/trauma/http://dcoe.health.mil/PsychologicalHealth/Products.aspxhttp://dcoe.health.mil/PsychologicalHealth/Products.aspx
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    LB E^] D X 8 . \ D D O D EXI V FK ] D XS D K ] FJK J^^JX] TK F] FD \ FK B D EI ] B LEXD

    50

    Emvjletd cjr Eltfjk7 Faekf Peiodr

    \fxtddk yders e`j, Faekf Peiodr cjukm bdrsdic fk e mdspdretd sftuetfjk es e ajtbdr

    wftb mdpdkmdkt lbfimrdk wbj wes sudrfk` crja emmfltfjk ekm mdprdssfjk. Ft tjjo

    bdr < ijk` yders tj elldss ek epprjprfetd ijk`-tdra, ljaprdbdksfvd, ceafiy-ldktdrdm

    trdetadkt prj`rea fk Pesbfk`tjk, ML. ]brju b tbd ljursd jc bdr 52-ajktb trdet-

    adkt, sbd rdeifzdm sbd wes kjt eijkd. Aeky ajtbdrs bem mfluity elldssfk` dkmdr-

    rdspjksfvd, treuae-fkcjradm, ceafiy-cjlusdm sdrvflds. Faekf dadr`dm crja bdr

    trdetadkt prj`rea wftb e kdw sdksd jc purpjsd7 tj fvd e vjfld tj tbd aeky ajtbdrs

    wftb yjuk` lbfimrdk wbj sudr crja emmfltfjk ekm bevd mfluity elldssfk` epprj-

    prfetd sdrvflds. \bd sjjk tjjo e rjup jc ajtbdrs tj Lepftji Bfii tj aeod tbdfr

    ljkldrks okjwk tj pjifly aeodrs ekm suhsdqudktiy lj-cjukmdm tbd Xdhdlle ^rjgdlt

    cjr Buaek Xf`bts.]bd Xdhdlle rjgdlt jr`ekfzdm ajtbdrs fk 54 stetds ekm cjradm e ljeiftfjk jc ceafiy-

    hesdm trdetadkt prjvfmdrs elrjss tbd ljuktry tj dksurd tbet ceafifds erd ehid tj elldss deriy fktdrvdktfjk,

    ceafiy-cjlusdm suhstekld ehusd trdetadkt sdrvflds.

    http://www.rebeccaproject.org/http://www.rebeccaproject.org/http://www.rebeccaproject.org/http://www.rebeccaproject.org/
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    56

    Lbeptdr 55, 85.3 afiifjk pdrsjks e`dm 58 jr jimdr kddmdm trdetadkt cjr ek fiiflft mru`

    jr eiljbji usd prjhida, hut jkiy 8.< afiifjk pdrsjks (5>.2 pdrldkt jc tbjsd kddmfk` trdetadkt) rdldfvdm

    ft. \tumfds bevd mdajkstretdm tbet petfdkts rdldfvfk` ldrtefk dvfmdkld-hesdm trdetadkt epprjelbds

    elbfdvd ijk`dr sustefkdm pdrfjms jc ehstfkdkld ekm/jr mdlrdesdm usd tbek petfdkts fk ljaperfsjk

    ljkmftfjks.

    Celtjrfk` fk puhifl bdeitb, lrfad, ekm ijst prjmultfvfty, fiiflft mru` usd ljst tbd ljuktry ek dstfaetdm $56>0. Cfkmfk`s crja jkd Leifcjrkfe stumy su``dst dapijydd suhstekld usd lek hd dxtrdadiy

    ljstiy tj dapijydrs ekm tbet suhstekld ehusd trdetadkt cjr 3> meys jr ajrd lek sevd jvdr $2,8>> pdr

    pdrsjk fk bdeitb lerd ekm prjmultfvfty ljsts. ]bd Ejrmehid Lerd Elt wfii dxpekm adktei bdeitb ekm

    suhstekld usd mfsjrmdr hdkdstts ekm perfty prjtdltfjks cjr 38 afiifjk Eadrfleks. Hd`fkkfk` fk 8>5=,

    eii kdw saeii `rjup ekm fkmfvfmuei prfvetd aerodt pieks wfii hd rdqufrdm tj ljvdr adktei bdeitb ekm

    suhstekld usd mfsjrmdr sdrvflds es pert jc tbd bdeitb lerd iews Dssdktfei Bdeitb Hdkdstts letd`jrfds, ekm

    adktei bdeitb hdkdstts wfii hd ljvdrdm et perfty. Eisj hd`fkkfk` fk 8>5=, fksurdrs wfii kj ijk`dr hd ehid

    tj mdky ekyjkd ljvdre`d hdleusd jc e prd-dxfstfk` ljkmftfjk.

    Fk emmftfjk, es pert jc fts djrts tj hdttdr emmrdss suhstekld usdhjtb fk tbd wjropield ekm disd-

    wbdrd\EAB\E wfii ljktfkud tj wjro tjwerm emjptfjk jc didltrjkfl bdeitb rdljrms. ]bfs tdlbkjij`yfs kddmdm tj hdttdr fktd`retd suhstekld usd mfsjrmdr sdrvflds wftb hrjemdr bdeitb systdas sdrvflds,

    suppjrt tbd fktd`retfjk jc dvfmdkld-hesdm preltflds, ekm faprjvd queifty, ljjrmfketfjk, ekm elljukt-

    ehfifty. Jk`jfk` trefkfk`, tdlbkflei essfstekld, ljksuitetfjk, ekm dveiuetfjk erd kddmdm tj suppjrt tbfs

    treksftfjk.

    ]bd Emafkfstretfjk fs wjrofk` wftb stetds, trfhds, ijlei `jvdrkadkts, trdetadkt ekm rdljvdry suppjrt

    sdrvflds prjvfmdrs, ekm jtbdr steodbjimdrs tj mdvdijp systdas ekm sdrvflds tbet suppjrt sustefkdm

    rdljvdry. Ek dssdktfei ljapjkdkt jc tbfs djrt fs prjajtfk` tbd usd jc rdljvdry suppjrt sdrvfldskjk-

    lifkflei sdrvflds tbet ter`dt pdjpid fk jr sddofk` rdljvdry. ]bdsd sdrvflds erd jctdk prjvfmdm hy pdjpid

    wbj erd tbdasdivds fk sustefkdm rdljvdry ekm erd dapijydm hy jr vjiuktddr et pddr-idm rdljvdry

    ljaaukfty jr`ekfzetfjks. Dvfmdkld sbjws tbet dxpekmfk` rdljvdry suppjrt sdrvflds fklrdesds tbdpdrldkte`d jc pdjpid tbet sulldsscuiiy kevf`etd tbd pesse`d crja deriy rdljvdry tj stehid rdljvdry.

    Pbfid ifaftdm rdsderlb bes hddk ljkmultdm jk rdljvdry suppjrt sdrvflds, tbdrd fs kjkdtbdidss dvfmdkld

    jc tbdfr ddltfvdkdss. Cjr dxeapid, rdsfmdkld fk ek Jxcjrm Bjusd, e cjra jc pddr-ruk rdljvdry rdsfmdkld,

    fs essjlfetdm wftb rdmuldm suhstekld usd, fklrdesdm dapijyadkt, ekm faprjvdm sdic-rd`uietfjk.

    Ajrdjvdr, tbd Jxcjrm Bjusd ajmdi bes hddk cjukm tj hd ljst-ddltfvd. Ek dveiuetfjk jc tbd ]dxes

    Elldss tj Xdljvdry prj`rea cjukm tbet sdrvflds ajst lijsdiy rdietdm tj tbd prjldss jc rdljvdry (d.`.,

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    8>

    fkmfvfmuei rdljvdry ljelbfk`, rdljvdry suppjrt `rjups, spfrftuei suppjrt `rjups, ekm rdiepsd prdvdktfjk

    `rjups) wdrd essjlfetdm wftb pjsftfvd rdljvdry jutljads. Xdsderlb jk tbd Pesbfk`tjk \tetd Elldss

    tj Xdljvdry prj`rea cjukm pertflfpetfjk fk tbd prj`rea wes essjlfetdm wftb fklrdesds fk idk`tb jc stey,

    trdetadkt ljapidtfjk, retds jc dapijyadkt, ekm rdmultfjks fk Admflefm ljsts.

    Xdlj`kfzfk` tbd veiud jc rdljvdry suppjrt sdrvflds, tbd Emafkfstretfjk bes prfjrftfzdm tbd curtbdr mdvdi-jpadkt jc rdljvdry suppjrt sdrvflds ekm rdljvdry-jrfdktdm sdrvfld systdas. @fvdk tbd mdvdijpadktei

    keturd jc suhstekld usd mfsjrmdrs ekm tbd hdkdstts jc fktdrvdkfk` deriy, JKML^ fs fvfk` spdlfei ettdktfjk

    tj suhstekld usd mfsjrmdrs eajk` emjidsldkts ekm yjuk` emuits. Mete crja K\MTB (8>55) hder jut tbd

    kddm cjr sulb e cjlus. Eajk` yjuk` emuits e`dm 52 tj 84, retds jc suhstekld usd mfsjrmdrs erd kderiy

    tbrdd tfads tbjsd cjukm fk emuits jvdr tbd e`d jc 84 (85.= pdrldkt vdrsus 3.< pdrldkt), wbfid 3.6 pdrldkt

    jc yjuk` pdjpid e`dm 58 tj 50 wdrd dstfaetdm tj bevd suhstekld usd mfsjrmdrs.

    Sdry jctdk iews, ruids, pjiflfds, ekm preltflds lrdetd herrfdrs tj sustefkdm rdljvdry. Cjr dxeapid, fkmfvfmu-

    eis wftb e mru` ljkvfltfjk aey hd mdkfdm bjusfk`, prjcdssfjkei ifldksds, dapijyadkt, ekm dmuletfjkei

    jppjrtukftfds. Pbdk tbfs jllurs, ft fs kjt jkiy pdjpid fk rdljvdry wbj pey e prfld, hut eisj tbdfr ceafifds

    ekm tbd hrjemdr ljaaukfty. ]bfs fs wby ajmfcyfk` jr difafketfk` iews, ruids, pjiflfds, ekm preltfldstbet lrdetd herrfdrs tj rdljvdry rdaefks jkd jc tbd Emafkfstretfjks prfjrftfds. Pd aust eisj suppjrt

    tbd mdvdijpadkt jc e rjhust rdljvdry rdsderlb e`dkme tj faprjvd jur ukmdrstekmfk` jc wbet pjiflfds,

    sdrvflds, ekm epprjelbds hdst suppjrt rdljvdry.

    5. Emmfltfjk ]rdetadkt Aust Hd ek Fktd`retdm, Elldssfhid ^ert jc

    Aefkstrdea Bdeitb Lerd

    E. Dxpekm Emmfltfjk \pdlfeity \drvflds fk Ljaaukfty Bdeitb Ldktdrs

    \uhstekld usd mfsjrmdr sdrvflds erd jkd jc tbd tdk letd`jrfds jc dssdktfei bdeitb hdkdstts spdlfstdm fk

    tbd Ejrmehid Lerd Elt, prjvfmfk` ajrd pdjpid wftb elldss tj trdetadkt sdrvflds. Bdeitb Ldktdrs erdprdperfk` cjr ljvdre`d dxpeksfjk fk e kuahdr jc weys. Cjr dxeapid, fk 8>58, tbd \EA\BE- ekm BX\E-

    cukmdm Ldktdr cjr Fktd`retdm Bdeitb \jiutfjks prjvfmdm trefkfk` tj Cdmdreiiy Uueifstdm Bdeitb Ldktdrs

    jk suhstekld ehusd sdrvflds, fkliumfk` e wdhfker jk hdst preltflds fk \HFX]. ]bfs wdhfker fs pjstdm jk

    e kdwiy lrdetdm sdltfjkjc tbd Ldktdr cjr Fktd`retdm Bdeitb \jiutfjks wdhsftd mdmfletdm tj dxpekmfk`

    \HFX] sofiis cjr tbd bdeitb lerd wjrocjrld.

    H. Fklrdesd Emmfltfjk ]rdetadkt \drvflds Pftbfk tbd Fkmfek Bdeitb \drvfld

    Fk 8>55, tbd Fkmfek Bdeitb \drvfld bfrdm emmftfjkei hdbevfjrei bdeitb spdlfeifsts, fkliumfk` lbdaflei

    mdpdkmdkly ljuksdijrs, ekm jdrdm trefkfk` slbjiersbfps tj suppjrt tbd mdvdijpadkt jc kdw hdbev-

    fjrei bdeitb spdlfeifsts. Fapjrtekt stdps wdrd eisj teodk tj pevd tbd wey cjr fktd`retfk` \HFX] fktj Fkmfek

    Bdeitb \drvfld dadr`dkly lifkfls.

    http://www.integration.samhsa.gov/clinical-practice/sbirthttp://www.integration.samhsa.gov/clinical-practice/sbirt
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    85

    L. Dxpekm tbd Fkkjvetfjks jc tbd Mdpertadkt jc Sdtdreks Eefrs \uhstekld Tsd Mfsjrmdr]rdetadkt Epprjelb tj Jtbdr Cdmdrei Bdeitb Lerd \ystdas

    Fk Cdhruery 8>55, tbd SE ieuklbdm e wdhsftd wftb fkcjraetfjk ehjut rdsjurlds evefiehid tj bdip vdtdreks

    ekm tbdfr ceafiy adahdrs ekswdr qudstfjks, stkm suppjrt, `dt trdetadkt, ekm rdljvdr crja suhstekld

    usd mfsjrmdrs. Fk emmftfjk, SE jdrs rdsjurlds cjr SE bdeitb lerd preltftfjkdrs, tj fkliumd7

    SE ]eidkt Aeke`dadkt \drvflds (]A\) ljursds7SEs ]A\ ljursds prjvfmd fkcjraetfjk tj SE

    preltftfjkdrs jk jpfjfm tbdrepy preltflds fk fkpetfdkt ekm jutpetfdkt sdttfk`s, fkliumfk` tbd

    usd jc jpfjfms cjr elutd pefk (fkliumfk` petfdkt ljktrjiidm ekei`dsfe) ekm lbrjkfl pefk. Ljursds

    cjlus jk tbd aeke`dadkt jc ljapidx pefk petfdkts ekm jk tbd trdetadkt jc pefk fk prfaery

    lerd rurei bdeitb lerd sdttfk`s.

    Lifkflei ^reltfld @ufmdifkds jk Jpfjfm ]bdrepy cjr tbd Aeke`dadkt jc Lbrjkfl ^efk

    ]jjioft7Mdvdijpdm fk ljiiehjretfjk wftb tbd MJM, tbd ]jjioft prjvfmds dmuletfjk ekm `ufm-

    ekld tj prfaery lerd lifkflfeks, spdlfeifsts, rdsderlbdrs ekm jtbdr bdeitb prjcdssfjkeis es tbdy

    dkljuktdr petfdkts wftb pdrsfstdkt pefk ekm fts ljapifletfjks.

    SE fs prdperfk` tj pertflfpetd fk stetd ^rdslrfptfjk Mru` Ajkftjrfk` rj`reas (^MA^s). ]bd Emafkfstretfjk

    wjrodm wftb tbd Ljk`rdss tj sdlurd iek`ue`d fk tbd CV 8>58 Ljksjifmetdm Epprjprfetfjks Elt tj eiijw

    SE tj sberd prdslrfptfjk mru` mete wftb stetd ^MA^s, ek fapjrtekt mdvdijpadkt tj dksurd secd prd-

    slrfhfk` ekm petfdkt secdty cjr jur vdtdreks. ^uhifletfjk jc ek fktdrfa stkei ruid jk Cdhruery 55, 8>558, tbd Fkstftutd jc Admflfkds stumy jk lurrdkt suhstekld usd prjhidas wftbfk tbd T.\. afiftery

    cjukm tbet e ijk` bfstjry jc eiljbji ekm jtbdr mru` afsusd ekm ehusd bes hddk trekscjradm hy fklrdes-

    fk` retds jc prdslrfptfjk mru` ehusd eajk` sdrvfld adahdrs, wbfid bdevy eiljbji usd ekm hfk`d mrfko-fk` ljktfkud tj hd e ljkldrk wftbfk tbd afiftery. ]j emmrdss suhstekld usd mfsjrmdrs eajk` sdrvfld

    adahdrs, tbd Fkstftutd jc Admflfkd rdljaadkms tbet dvfmdkld-hesdm prdvdktfjk, slrddkfk`, mfe`kjsfs,

    ekm trdetadkt preltflds hd fkljrpjretdm fktj tbd prfklfpids ekm strulturds jc MJM pjiflfds. JKML^ wfii

    ljktfkud tj wjro lijsdiy wftb MJM tj dksurd tbet trefkfk`, lrdmdktfeifk`, ekm stek` rdqufrdadkts cjr

    suhstekld usd mfsjrmdrs erd elbfdvdm? tbet trdetadkt sdrvflds erd fapidadktdm systdaetfleiiy? ekm tbet

    tbdsd sdrvflds erd dxpekmdm ekm faprjvdm cjr eii afiftery hreklbds.

    M. Dkbekld ^uhifl ekm ^rfvetd Fksurekld Ljvdre`d jc Emmfltfjk ]rdetadkt

    Didltrjkfl bdeitb rdljrms essfst sdrvfld prjvfmdrs fk aeofk` mdlfsfjks ekm mdvdijpfk` epprjprfetd

    ljursds jc trdetadkt hesdm jk petfdkts cuii admflei bfstjry, fkliumfk` trdetadkts, admfletfjks, ekm tbdr-epfds pdrcjradm ekm prdslrfhdm hy jtbdr prjvfmdrs. Fk 8>58, \EAB\E, LA\, ekm tbd Bdeitb Xdsjurlds

    ekm \drvflds Emafkfstretfjk dstehifsbdm twj bdeitb fkcjraetfjk tdlbkjij`y pieks cjr suhstekld usd

    mfsjrmdr trdetadkt prjvfmdrs tj usd es ajmdis tj eutjaetd ekm stekmermfzd mete ljiidltfjk, fkcjrae-

    tfjk sberfk`, ekm sdrvfld rdfahursdadkt. Eisj fk 8>58, \EAB\E ljkmultdm 54 wdhfkers jk bdeitb lerd

    rdcjra eltfvftfds, fkliumfk` stetd fksurekld dxlbek`ds, trfhei ljksuitetfjk, bdeitb bjads, ekm elljukt-

    LB E^] D X < . FK ] D @XE] D ] XD E] AD K ] CJX \ TH\ ] EK LD T\ D MF\ JXMD X\FK ] J B D EI ] B LEXD EK M D R ^EK M \ T^^JX] CJX XD LJS D XV

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    88

    ehid lerd jr`ekfzetfjks, ekm prjvfmdm ek jvdrvfdw jc Admflefm dxpeksfjk ekm jppjrtukftfds ukmdr tbd

    Ejrmehid Lerd Elt.

    D. Fkcjra ^uhifl Bdeitb \ystdas jk Fapidadktetfjk jc Kddmid Dxlbek`d rj`reas

    Jk Cdhruery 855, tbd Mdpertadkt jc Bdeitb ekm Buaek \drvflds puhifsbdm e kjtfld fk tbd CdmdreiXd`fstdr stetfk` tbet tbd \ur`djk @dkdrei jc tbd Tkftdm \tetds bes mdtdrafkdm tbet e mdajkstretfjk

    kddmid dxlbek`d prj`rea (jr ajrd epprjprfetdiy leiidm syrfk`d sdrvflds prj`rea jr \\^) wjuim hd

    ddltfvd fk rdmulfk` mru` ehusd ekm tbd rfso tbet tbd puhifl wfii hdljad fkcdltdm wftb tbd dtfjij`fl

    e`dkt cjr elqufrdm faaukd mdstlfdkly sykmrjad. ]bfs mdtdrafketfjk wes rdqufrdm hy iew tj pdraft

    tbd dxpdkmfturd jc \uhstekld Ehusd ^rdvdktfjk ekm ]rdetadkt Hijlo @rekt cukms cjr syrfk`d sdrvflds

    prj`reas. Tkcjrtuketdiy, tbd Ljk`rdss rdfkstetdm tbd hek jk ajst Cdmdrei cukmfk` cjr syrfk`d sdrvflds

    prj`reas fk tbd CV 8>58 Jakfhus epprjprfetfjks hfii.

    8. Emmfltdm ^etfdkts ekm ]bdfr Ceafifds Aust Xdldfvd Bf`b-Uueifty Lerd

    E. \uppjrt tbd Mdvdijpadkt jc Kdw Admfletfjks cjr Emmfltfjk

    KFME bes aemd tbd mdvdijpadkt jc emmfltfjk admfletfjks e tjp prfjrfty, pertfluieriy cjr stfauiekts (d.`.,

    ljlefkd, adtbeapbdteafkd), aerfgueke, ekm pjiysuhstekld emmfltfjk cjr wbflb tbdrd erd kj epprjvdm

    admfletfjks. ]j erkdr ajrd pberaeldutflei fkvjivdadkt, KFME fs teofk` tbd epprjelb jc md-rfsofk`

    ljapjukms fk tbd deriy ste`ds jc mfsljvdryewermfk` ier`d `rekts up-crjkt cjr sbjrtdr muretfjks

    tj dkljure`d quflodr rdsuits eajk` lijsdiy ajkftjrdm `rektdds jr tj eiijw e lbek`d fk mfrdltfjk es

    kddmdm. ]bfs ajrd kfahid stretd`fl epprjelb wes prjaptdm fk pert hy tbd sulldsscui lifkflei trfei jc

    ^rjhupbfkd, suppjrtdm hy 8-yder Eadrflek Xdljvdry ekm Xdfkvdstadkt Elt cukmfk`. ^rjhupbfkd

    fs e cjra jc huprdkjrpbfkd tbet fs fapiektdm ukmdr tbd sofk ekm eiijws ljktfkujus mdifvdry jc tbd

    admfletfjk cjr 3 ajktbs ectdr e sfk`id trdetadkt, pjtdktfeiiy difafketfk` tbd kddm cjr e mefiy mjsd ekm

    rdmulfk` tbd pjtdktfei cjr mfvdrsfjk ekm ehusd. ]ftek beraeldutfleis, tbd aekucelturdrs jc rjhupbfkd,

    ekkjukldm fk Jltjhdr 8>58 tbet ft stidm e Kdw Mru` Eppifletfjk wftb tbd CME, wbflb bes `rektdm tbd

    eppifletfjk prfjrfty rdvfdw ekm wfii mdtdrafkd fc ^rjhupbfkd addts epprjvei stekmerms.

    KFME fs eisj cukmfk` e prjafsfk` epprjelb tj trdet stfauiekt ekm jtbdr suhstekld usd mfsjrmdrs tbet

    usds ektf-mru` dkzyads jr ektfhjmfds tj kdutreifzd tbd suhstekld wbfid ft fs stfii fk tbd hijjmstrdea,

    oddpfk` ft crja dktdrfk` tbd hrefk. ]j bdip emvekld tbd aerodtehfifty jc tbfs epprjelb, twj rdldkt

    KFME-suppjrtdm prdlifkflei stumfds bevd mdvdijpdm e stretd`y tbet usds kjk-fkcdltfvd vfrusds ajmfstdm

    tj mdifvdr (beraidssiy) e `dkd tbet ljmds cjr tbd mdsfrdm dkzyad jr ektfhjmy. ^rdifafkery rdsuits sbjw

    tbet, jkld dxprdssdm fk tbd hjmy ectdr e sfk`id fkgdltfjk jc tbd vfrus lerrfdr, tbdsd `dkd prjmults lek

    fktdrcdrd wftb tbd pberaeljij`flei ddlts jc tbd ter`dt mru` cjr e ijk` tfad.JKML^ wfii ljktfkud tj wjro wftb KFME ekm tbd CME tj dksurd kdw admfletfjks erd hrju`bt tbrju`b

    mdvdijpadkt ekm tdstfk`. Ft fs lrftflei tbet tbdsd admfletfjks erd tbdk aemd evefiehid fk tbd aerodt,

    pertfluieriy fk ukmdrsdrvdm ljaaukftfds sulb es rurei erdes ekm jtbdr ijletfjks wftb ifaftdm trdetadkt

    fkcrestrulturd.

    http://www.whitehouse.gov/ondcp/chapter-integrate-treatment-for-substance-use-disorders#2http://www.whitehouse.gov/ondcp/chapter-integrate-treatment-for-substance-use-disorders#2
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    8 suhstekld

    ehusd prjvfmdr ekm rdljvdry suppjrt jr`ekfzetfjks delb yder tbrju`b tbd ^rjvfmdr Husfkdss Jpdretfjks

    Iderkfk` Kdtwjros prjgdlt (HBHusfkdss). \EAB\E bes ieuklbdm tbd HBHusfkdss prjgdlt ekm fs fk tbd

    prjldss jc mdvdijpfk` tbd iderkfk` ajmuids ekm prjvfmdr eppifletfjk/sdidltfjk lrftdrfe.

    L. ^rjaui`etd tbd Ketfjkei Uueifty Cjrua \tekmerms cjr Emmfltfjk ]rdetadkt

    JKML^ ekm tbd Mdpertadkt jc Bdeitb ekm Buaek \drvflds wjrodm wftb Cdmdrei pertkdrs tj mdvdijp

    ljksdksus rdljaadkmetfjks cjr 5= hdbevfjrei bdeitb-rdietdm lifkflei queifty adesurds. Delb adesurdsuppjrts jkd jr ajrd jc tbd Fkstftutd jc Admflfkd mjaefks jc bdeitb lerd queifty, prjajtfk` ddltfvd,

    secd, dlfdkt, petfdkt-ldktdrdm, dquftehid, ekm tfadiy lerd. ]bdsd adktei bdeitb ekm suhstekld usd

    mfsjrmdr trdetadkt adesurds wfii hd fkliumdm fk tbd Ldktdr cjr Admflerd & Admflefm \drvflds Didltrjkfl

    Bdeitb Xdljrms Adekfk`cui Tsd Fkldktfvd ^rj`rea. ]bd Adekfk`cui Tsd prj`rea prjvfmds Cdmdrei

    fkldktfvds tj bdip bdeitb lerd prjvfmdrs emjpt didltrjkfl bdeitb rdljrms.

    M. Dqufp Bdeitb Lerd rjvfmdrs ekm Cfrst Xdspjkmdrs ]j Xdlj`kfzd ekm Aeke`d Jvdrmjsds

    Fk 8>58, tbd CME, KFME, \EAB\E, ekm tbd Ldktdrs cjr Mfsdesd Ljktrji ekm ^rdvdktfjk (LML) wjrodm

    tj`dtbdr tj mdvdijp epprjelbds tj rdmuld jpfjfm jvdrmjsd ceteiftfds ekm fmdktfcy fssuds rdietdm tj ajrd

    wfmdsprdem evefiehfifty jc ekm elldss tj keijxjkd E mdtefidm mfslussfjk jc tbd Emafkfstretfjks jvdrmjsdprdvdktfjk ekm fktdrvdktfjk djrts fs fkliumdm ukmdr ^jifly Cjlus7 rdvdktfk` rdslrfptfjk Mru` Ehusd.

    D. Fktd`retd \uhstekld Tsd ]rdetadkt ekm BFS rdvdktfjk ekm Lerd, Fkliumfk` fk tbdLrfafkei Gustfld \ystda

    Fkmfvfmueis fkvjivdm fk tbd lrfafkei gustfld systda bevd mfsprjpjrtfjketdiy bf`b retds jc suhstekld usd

    mfsjrmdrs ekm fkcdltfjus mfsdesds, fkliumfk` BFS/EFM\. Ddltfvd ifkoe`d tj BFS trdetadkt lek kjt jkiy

    faprjvd bdeitb jutljads cjr jdkmdrs hut eisj ifaft BFSs sprdem fk tbd ljaaukfty. KFME sddos tj

    dkbekld BFS ekm jtbdr fkcdltfjus mfsdesd slrddkfk` ekm trdetadkt cjr jdkmdrs. KFME fs suppjrtfk`

    rdsderlb tj mdvdijp ekm tdst stretd`fds cjr fmdktfcyfk` lrfafkei gustfld-fkvjivdm fkmfvfmueis wbj bevd

    kjt rdldktiy hddk tdstdm (sddo), prjvfmd tbda wftb BFS tdstfk` (tdst), ekm fkftfetd, ajkftjr, ekm aefktefkBf`biy Eltfvd Ektfrdtrjvfrei ]bdrepy (BEEX]) cjr tbjsd wbj tdst pjsftfvd (trdet). ]bdsd `rekts wfii tdst

    stretd`fds tj ifko BFS+ fkmfvfmueis fk lrfafkei gustfld sdttfk`s tj BFS lerd fk tbd ljaaukfty? usd trefkdm

    pddrs tj bdip elldss ekm sustefk BFS sdrvflds? fktd`retd BFS tdstfk` ekm trdetadkt fktj gefi ekm prfsjk

    sdttfk`s? fktd`retd BFS ekm emmfltfjk trdetadkt? ekm stumy tbd fapelt jc sddo, tdst, ekm trdet stretd`fds

    et tbd ljaaukfty idvdi. KFMEs Lrfafkei GustfldMru` Ehusd ]rdetadkt \tumfds, e auitfsftd rdsderlb

    ljiiehjretfvd, fs eisj tdstfk` fapidadktetfjk stretd`fds cjr ek BFS ljktfkuua jc lerdtbet fs, slrddkfk`

    LB E^] D X < . FK ] D @XE] D ] XD E] AD K ] CJX \ TH\ ] EK LD T\ D MF\ JXMD X\FK ] J B D EI ] B LEXD EK M D R ^EK M \ T^^JX] CJX XD LJS D XV

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    8=

    ekm ljuksdifk`, rfso-rdmultfjk fktdrvdktfjks, ekm ljktfkufty jc ektfrdtrjvfrei trdetadkt crja prfsjk jr gefi

    fktj tbd ljaaukfty. \EAB\E fs eisj wjrofk` tj elbfdvd tbd ljapidadktery jeis jc tbd Ketfjkei Mru`

    Ljktrji \tretd`yekm Ketfjkei BFS/EFM\ \tretd`ytbrju`b verfjus `rekt prj`reas cjlusfk` jk afkjrfty

    pjpuietfjks et rfso cjr BFS, fkgdltfjk mru` usdrs, ekm tbjsd hdfk` sdrvdm hy suhstekld usd trdetadkt

    ldktdrs.

    55, tbd ajst rdldkt yder cjr wbflb mete erd evefiehid, tbd prj`rea

    dxlddmdm fts lepelfty dxpeksfjk jei hy e sf`kfstlekt aer`fk, sdrvfk` =0,> pdrldkt

    jc fts `jei jc . \fx ajktbs ectdr emafssfjk tj tbd prj`rea, 28.5 pdrldkt jc pertflfpekts rdpjrtdm

    kj suhstekld usd murfk` tbd pest ajktb, ekm 63.0 pdrldkt jc pertflfpekts rdpjrtdm kj fkvjivdadkt jr

    rdmuldm fkvjivdadkt wftb tbd lrfafkei gustfld systda. Emmftfjkeiiy, 6> pdrldkt jc pertflfpekts rdpjrtdm

    fklrdesdm fktdreltfjk wftb ceafiy adahdrs ekm crfdkms wbj wdrd suppjrtfvd jc tbdfr rdljvdry murfk`

    tbd 3 ajktbs pjst-emafssfjk.

    H. Xdvfdw Iews ekm Xd`uietfjks tbet Fapdmd Xdljvdry crja Emmfltfjk

    Fk 8>58, JKML^ rdvfdwdm prjldmurds ekm preltflds rdietdm tj tbd emafkfstretfjk jc Cdmdrei stumdkt

    ijeks ekm `rekts tj fmdktfcy pjtdktfei herrfdrs tj rdljvdry. Cjradriy, tbd iew aemd fkmfvfmueis wftb e pest

    mru` ljkvfltfjk fkdif`fhid cjr Cdmdrei stkeklfei efm. Kjw tbd iew jkiy rdstrflts tbd dif`fhfifty jc fkmfvfmu-

    eis ljkvfltdm jc e mru` jdksd tbet wes ljaafttdm wbfid tbdy wdrd rdldfvfk` Cdmdrei stkeklfei efm. ]j

    bdip rdmuld ljkcusfjk tbet ljuim erfsd cjr eppiflekts wftb e pest mru` ljkvfltfjk, tbd Mdpertadkt jc

    Dmuletfjk lbek`dm tbd jkifkd vdrsfjk jc tbd Crdd Eppifletfjk cjr Cdmdrei \tumdkt Efm (CEC\E) cjra sj

    stumdkts wbj bevd kjt prdvfjusiy rdldfvdm Cdmdrei \tumdkt Efmekm erd tbdrdcjrd kjt edltdm hy tbd

    rdstrfltfjks lurrdktiy fk tbd iewerd kjt esodm ehjut pest mru` ljkvfltfjks. JKML^ fs lurrdktiy wjrofk`

    wftb tbd Mdpertadkt jc Dmuletfjk tj fmdktfcy emmftfjkei stdps tj rdmuld pjtdktfei herrfdrs tj Cdmdrei

    stumdkt essfstekld. JKML^ fs eisj wjrofk` wftb tbd Mdpertadkt jc Bjusfk` ekm Trhek Mdvdijpadkt

    (BTM) ekm tbd Fktdre`dkly Xddktry Ljuklfi tj bf`bif`bt tbd fapjrtekld jc bdipfk` pdjpid rddktdrfk` tbd

    ljaaukfty crja fklerldretfjk tj elldss puhifl bjusfk` ekm cdmdreiiy-suhsfmfzdm prfvetdiy bdim bjusfk`.

    Fk Mdldahdr 8>58, \EAB\E fssudm e rdvfsdm Cdmdrei ruid jvdrkfk` tbd mfspdksfk` jc huprdkjrpbfkdfk jpfjfm trdetadkt prj`reas. rdvfjusiy, e petfdkt prdslrfhdm huprdkjrpbfkd tbrju`b ek jpfjfm trdet-

    adkt prj`rea kddmdm tj hd fk stehid trdetadkt cjr 6 ajktbs hdcjrd tbd pbysflfek wes eutbjrfzdm tj

    pdraft mfspdksfk` jc teod-bjad admfletfjk. Tkmdr tbd kdw ruid, tbd pbysflfek fs ejrmdm mfslrdtfjk

    tj mdtdrafkd wbdk ekm bjw tj mfspdksd teod-bjad admfletfjk.

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    84

    L. Cjstdr tbd Dxpeksfjk jc Ljaaukfty-Hesdm Xdljvdry \uppjrt rj`reas, Fkliumfk`Xdljvdry \lbjjis, ddr-idm rj`reas, Autuei Efm @rjups, ekm Xdljvdry LjaaukftyJr`ekfzetfjks

    JKML^, \EAB\E, ekm e rek`d jc kjk-`jvdrkadktei jr`ekfzetfjks erd ljiiehjretfk` tj dxpekm ljaau-

    kfty-hesdm rdljvdry suppjrt sdrvflds. JKML^ bes pertflfpetdm fk tbd jk`jfk` mdvdijpadkt jc vjiukteryketfjkei ellrdmftetfjk stekmerms cjr rdljvdry ljaaukfty jr`ekfzetfjks ekm bes kderiy trfpidm tbd sfzd

    jc fts Xdljvdry-Jrfdktdm \ystdas jc Lerd Iderkfk` Ljaaukfty cjr stetds, trfhds, ekm ijlei jvdrkadkts,

    hrfk`fk` fts adahdrsbfp tj 53 gurfsmfltfjks. JKML^ eisj pertflfpetdm fk tbd mdvdijpadkt jc wdhfkers

    ekm e trefkfk` fkstftutd jk ljiid`fetd rdljvdry prj`reas. Emmftfjkeiiy, \EAB\E ljkmultdm e pjifly

    elemday cjr stetds wfsbfk` tj fapidadkt tbd Xdljvdry-Jrfdktdm \ystdas jc Lerd creadwjro. JKML^

    ljktfkuds tj bf`bif`bt tbd kddms jc emjidsldkts ekm yjuk` emuits fk rdljvdry, tj fkliumd prjajtfk`

    tbd fapjrtekld jc rdljvdry bf`b slbjjis ekm ljiid`fetd rdljvdry prj`reas.

    Emvjletd cjr Eltfjk7 Mdvfk Cjx

    Mdvfk Cjx fs ldidhretfk` = yders fk ljktfkujus rdljvdry ekm fs

    bdipfk` jtbdr yjuk` pdjpid elbfdvd tbd sead sulldss. Cjr

    Mdvfk, rdljvdry fs kjt jkiy e ijk`-tdra prjldss idemfk` tj e

    hdttdr ifcd? ft fs eisj tbd cjrld tbet mrfvds bfs ifcd. Es e cjukmfk`

    adahdr jc tbd ketfjkei kjkprjstt jr`ekfzetfjk Vjuk` ^djpid

    fk Xdljvdry, Mdvfk wjros tj `fvd yjuk` pdjpid fk rdljvdry e

    vjfld tbrju`b sjlfei admfe ekm pjifly. Es Mdvfk stetds, Vjuk`

    pdjpid fk rdljvdry stkmfk` tbdfr vjfld fk e ketfjk tbet bes hddk

    mdec tj jur fkput fs ajrd tbek e leusd. ]bfs ajvdadkt fs kjt

    sjadtbfk` F bfmd hdbfkm. F stekm prjumiy eijk` wftb ft ekm elokjwidm`d ft es afkd, yjurs ekm dvdryjkd wbj

    wekts ft. Mdvfk eisj sdrvds es tbd Xdljvdry Emvjletdcjr tbd Kdw Gdrsdy Mfvfsfjk jc Adktei Bdeitb ekmEmmfltfjk \drvflds, ek Emvjlely Idemdrcjr tbd Kdw Gdrsdy lbeptdr jc tbd Ketfjkei Ljkcdrdkld jc Eiljbji

    ekm Mru` Mdpdkmdkld, ekm es ^rfaery ]bdrepfst et \uaaft Hdbevfjrei Bdeitbfk ^rfkldtjk Gukltfjk, Kdw

    Gdrsdy.

    LB E^] D X < . FK ] D @XE] D ] XD E] AD K ] CJX \ TH\ ] EK LD T\ D MF\ JXMD X\FK ] J B D EI ] B LEXD EK M D R ^EK M \ T^^JX] CJX XD LJS D XV

    http://www.youngpeopleinrecovery.org/http://www.youngpeopleinrecovery.org/http://www.state.nj.us/humanservices/das/recovery/advocate/http://www.ncaddnj.org/page/Advocacy-Leader-Program.aspxhttp://www.summithelps.com/http://www.summithelps.com/http://www.ncaddnj.org/page/Advocacy-Leader-Program.aspxhttp://www.state.nj.us/humanservices/das/recovery/advocate/http://www.youngpeopleinrecovery.org/http://www.youngpeopleinrecovery.org/
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    80

    Lbeptdr =7 Hrdeo tbd Lylid jc Mru` Tsd,Lrfad, Mdifkqudkly, ekm Fklerldretfjk

    Mdlemds jc slfdktfstl stumy sbjw tbet emmfltfjk fs e mfsdesd jc tbd hrefk tbet lek hd prdvdktdm ekmtrdetdm. Pbfid saert iew dkcjrldadkt djrts wfii eiweys piey e vftei rjid fk prjtdltfk` ljaaukftfds

    crja mru`-rdietdm lrfad ekm vfjidkld, wd lekkjt errdst jur wey jut jc tbd mru` prjhida. Jvdr tbd pest

    < yders, tbd Emafkfstretfjk bes sju`bt tj rdcjra tbd lrfafkei gustfld systda tj ajrd ddltfvdiy emmrdss

    fkmfvfmueis wftb suhstekld usd mfsjrmdrs ekm rdmuld rdlfmfvfsa. Pbdk ek fkmfvfmuei hdljads fkvjivdm

    wftb tbd lrfafkei gustfld systda, ft aey hd tbdfr strst jppjrtukfty tj jhtefk suhstekld ehusd trdetadkt.

    ]bd kddm cjr trdetadkt fs ukmdrsljrdm hy kdw mete jk mru` usd retds eajk` errdstdds. ]bd 8>55 Errdstdd

    Mru` Ehusd Ajkftjrfk` (EMEA) prj`rea fkmfletds tbet fk delb jc tbd 5> pertflfpetfk` adtrjpjiftek

    erdes, ajrd tbek beic jc tbd emuit aeids errdstdm cjr lrfadsafsmdadekjrs ekm cdijkfdstdstdm

    pjsftfvd cjr et idest jkd mru`.

    ]bd Emafkfstretfjk suppjrts eitdrketfvds tj fklerldretfjk sulb es mru` ljurts, mfvdrsfjk prj`reas,

    dkbekldm prjhetfjk ekm perjid prj`reas, ekm jtbdr supdrvfsfjk stretd`fds tbet fkliumd ljaaukfty-

    hesdm trdetadkt ekm sdrvflds. ]brju`b MJGs Gustfld Xdfkvdstadkt Fkftfetfvd, tbd Emafkfstretfjk fs wjro-

    fk` et tbd stetd ekm ljukty idvdi tj ekeiyzd prfsjk ekm gefi pjpuietfjks ekm ljrrdltfjks dxpdkmfturds.

    ]bfs ekeiysfs wfii suppjrt tbd mdvdijpadkt jc pjiflfds tj mdlrdesd ljsts ekm rdlfmfvfsa ekm rdfkvdst

    sevfk`s fktj ljaaukfty supdrvfsfjk prj`reas ekm sdrvflds, fkliumfk` suhstekld ehusd trdetadkt sdr-

    vflds. Lurrdktiy, 50 stetds ekm 52 ljuktfds erd pertflfpetfk` fk tbfs fkftfetfvd. ]bd Emafkfstretfjk fs eisj

    rdmulfk` herrfdrs tj rddktry ekm rdljvdry cjr cjradriy fklerldretdm fkmfvfmueis hy rdvfdwfk` rd`uietfjks

    ekm pjiflfds, lierfcyfk` afsljkldptfjks, ljrrdltfk` ukkdldssery herrfdrs, ekm suppjrtfk` trdetadkt ekm

    jtbdr sdrvflds cjr cjradriy fklerldretdm fkmfvfmueis.

    ^ielfk` ajrd kjk-vfjidkt fkmfvfmueis wftb suhstekld usd mfsjrmdrs jk ljaaukfty supdrvfsfjk ekm

    prjvfmfk` trdetadkt ekm jtbdr sdrvflds fs `efkfk` elldptekld eajk` lrfafkei gustfld slbjiers ekm

    preltftfjkdrs. Dmuletfjk cjr lrfafkei gustfld ekm iew dkcjrldadkt prjcdssfjkeis jk tbd slfdkld jc

    emmfltfjk ekm tbd kdurjij`flei ddlts jc mru` usd lek bdip celfiftetd ajrd fkkjvetfjk fk tbd stdim. Fk

    emmftfjk, lrfafkei gustfld prjcdssfjkeis sbjuim fkliumd tbd usd jc AE] es epprjprfetd cjr tbjsd fk tbd

    guvdkfid ekm lrfafkei gustfld systdas. Et tbd Cdmdrei idvdi, rdsderlb fs ukmdrwey tj fmdktfcy tbd hdst

    stretd`fds cjr fapidadktfk` AE] fk lrfafkei gustfld sdttfk`s. Cjr dxeapid, wftb cukmfk` crja KFME, tbd

    Cdmdrei Hurdeu jc ^rfsjks (HJ^) bes pertkdrdm wftb ]dxes Lbrfstfek Tkfvdrsfty tj ljkmult e stvd-yder

    Admfletfjk-Essfstdm ]rdetadkt Fapidadktetfjk fk Ljaaukfty Ljrrdltfjkei Dkvfrjkadkts (AE]FLLD)

    rdsderlb prjgdlt? prdifafkery rdsuits erd dxpdltdm fk 8>558, KFME ekkjukldm ft fs sddofk` prjpjseis

    cjr auitfsftd stumfds cjlusfk` jk tbd ljktfkuua jc suhstekld ehusd prdvdktfjk ekm trdetadkt sdrvflds

    mdifvdrdm tj yjutb ukmdr guvdkfid gustfld supdrvfsfjk. ]bdsd stumfds wfii hd mdvdijpdm ekm ljkmultdm

    elrjss e verfdty jc ljaaukfty-hesdm supdrvfsfjk sdttfk`s, fkliumfk` guvdkfid prjhetfjk, truekly ekm

    tddk ljurts, ekm emjidsldkt mru` ljurts tj mdtdrafkd tbd ddltfvdkdss jc dvfmdkld-hesdm suhstekld

    ehusd fktdrvdktfjks fk rdei wjrim sdttfk`s. ]bd auitfsftd stumfds erd dxpdltdm tj hd`fk fk Guiy 8>5

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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    82

    5. ^rjvfmd Ljaaukftfds wftb tbd Lepelfty tj rdvdkt Mru`-Xdietdm Lrfad

    E. Jr`ekfzd Ljaaukftywfmd Djrts tj Xdmuld Jpdk-Efr Mru` Aerodts ekm @ek` Eltfvftyvfe Mru` Aerodt Fktdrvdktfjk Epprjelbds

    ]bd Mru` Aerodt Fktdrvdktfjk (MAF) ajmdi bes prjvdk ddltfvd fk sbuttfk` mjwk jpdk-efr mru` aerodtstbrju`b ljaaukfty-hesdm sjiutfjks ekm mfrdlt dk`e`dadkt eajk` iew dkcjrldadkt, prjsdlutjrs,

    mru` mdeidrs, tbdfr ceafifds, ekm ljaaukftfds. ]bd Hurdeu jc Gustfld Essfstekld (HGE) suppjrts tbd

    fapidadktetfjk ekm jpdretfjks jc tbd MAF ajmdi tbrju`b fts MAF ]refkfk` ekm ]dlbkflei Essfstekld

    Fkftfetfvd ljkmultdm hy Aflbf`ek \tetd Tkfvdrsfty (A\T) cjr dxfstfk` ekm kdw sftds. ]j metd, tbdrd bevd

    hddk 8= sftds trefkdm tbrju`b tbfs fkftfetfvd. Fk CV 8>554.

    H. Dk`e`d Ceftb-Hesdm ekm Kdf`bhjrbjjm Ljaaukfty Jr`ekfzetfjks tj rdvdktMru`-Xdietdm Lrfad

    ]bd Ketfjkei Vjutb Sfjidkld ^rdvdktfjk Cjrua fs e Pbftd Bjusd-idm fkftfetfvd ljaafssfjkdm hy tbd

    ^rdsfmdkt fk 8>5>, ifkofk` lftfds ekm Cdmdrei e`dklfds tj`dtbdr tj fapidadkt stretd`fds ekm prj`reas

    tj prdvdkt yjutb ekm ek` vfjidkld fk tbd Tkftdm \tetds. ]bd Emafkfstretfjk bes dk`e`dm ljaaukfty

    ekm ceftb-hesdm idemdrs tbrju`b Cjrua addtfk`s ekm sftd vfsfts tj tbd Cjrua pertflfpetfk` lftfds. Fk

    8>58, tbd Cjrua emmdm cjur kdw lftfds7 Leamdk, KG? Afkkdepjifs, AK? Kdw Jrideks, IE? ekm bfiemdipbfe,E. ]bdsd fktdreltfjks mdifvdr fkcjraetfjk ekm fmdktfcy trefkfk` ekm tdlbkflei essfstekld ekm cukmfk`

    rdsjurlds cjr lftfds fk tbdfr djrts tj rdmuld yjutb vfjidkld, jc wbflb mru`-rdietdm lrfad fs e sf`kfstlekt

    suhsdt.

    L. \uppjrt Fkkjvetfvd Lrfafkei Gustfld Xdsderlb ^rj`reas

    ]bd Emafkfstretfjk suppjrts rdsderlb fktj fkkjvetfvd lrfafkei gustfld epprjelbds tj sberd wftb ljaau-

    kftfds tbrju`bjut tbd ljuktry. Fk 8>55, HGE cukmdm tbd Bjkdst Jppjrtukfty ^rjhetfjk wftb Dkcjrldadkt

    Mdajkstretfjk Cfdim Dxpdrfadkt (BJ^D MCD) fk cjur gurfsmfltfjks. Hesdm jk tbd sulldss jc Beweffs

    Jppjrtukfty rjhetfjk wftb Dkcjrldadkt (BJ^D) fkftfetfvd, tbdsd twj-yder prjgdlts wfii usd mru` tdstfk`

    ekm swfct ekm ldrtefk sekltfjks tj rdmuld prjhetfjk vfjietfjks. ]bd BJ^D MCD fs lurrdktiy ukmdrweyekm HGE bes hddk ljkmultfk` sftd vfsfts ekm prjvfmfk` tdlbkflei essfstekld cjr cjur sdidltdm sftds. KFG

    fs ljkmultfk` ek dveiuetfjk tj mdtdrafkd tbd ddltfvdkdss jc tbd BJ^D ajmdi et tbd cjur sftds. ]bd

    dveiuetfjk rdsuits erd dxpdltdm fk suaadr 8>54.

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    LB E^] D X = 7 HXD EO ] B D LVLI D JC MXT@ T\ D , LXFAD , MD I FK UTD K LV, EK M FK LEXLD XE] FJK

    86

    8. Mdvdijp Fkcrestrulturd tj rjajtd Eitdrketfvds tj Fklerldretfjk

    Pbdk Epprjprfetd

    E. Dkbekld ekm ^rjajtd Mfvdrsfjk \tretd`fds

    Emmrdssfk` tbd lbeiidk`ds jc prdtrfei gustfld fs e kdldssery ljapjkdkt jc lrfafkei gustfld rdcjra.Cfrst ljkvdkdm fk Jltjhdr 8>55 ekm ljktfkudm fk 8>58, tbd Jld jc Gustfld ^rj`reas ^rdtrfei Gustfld

    Pjro`rjup cjlusdm jk faprjvfk` tbd ljstiy prdtrfei gustfld systda. ]wj prdtrfei rfso essdssadkt tjjis erd

    lurrdktiy hdfk` fapidadktdm fk Ljijremj ekm Cijrfme. ]bdsd tjjis essfst lrfafkei gustfld prjcdssfjkeis fk

    aeofk` mdlfsfjks ehjut pertfluier fkmfvfmueis murfk` prdtrfei. HGE eisj fssudm twj puhifletfjks7 ^rdtrfei

    Xfso Essdssadkt 5>5 ekm Tsfk` ]dlbkjij`y tj Dkbekld ^rdtrfei \drvflds7 Lurrdkt Eppifletfjks ekm

    Cuturd ^jssfhfiftfds. Fk suppjrt jc MJGs ljaaftadkt tj prjajtfk` hdst preltflds cjr fktdrvdktfjks et

    tbd crjkt-dkm jc tbd lrfafkei gustfld systda, tbd KFG cukmdm e $5 afiifjk Auitfsftd Dveiuetfjk jc Mfstrflt

    Ettjrkdys rdtrfei Mfvdrsfjk rj`reas fk CV 8>58.

    H. \uppjrt Mru` ekm Jtbdr ^rjhida-\jivfk` LjurtsFkliumfk` MPF ekm Sdtdreks ]rdetadkt Ljurts, tbd Ketfjkei Essjlfetfjk jc Mru` Ljurt ^rjcdssfjkeis

    rdpjrtdm e tjtei jc 8,058. Fk CV 8>58, HGE

    ewermdm jvdr $8> afiifjk cjr verfjus mru` ljurt prjgdlts, fkliumfk` mru` ljurt fapidadktetfjk ekm

    dxpeksfjk `rekts es wdii es ketfjkei ekm stetdwfmd trefkfk` ekm tdlbkflei essfstekld `rekts? \EAB\E

    sdperetdiy ewermdm jvdr $58.= afiifjk cjr =8 `rekts tj dxpekm suhstekld ehusd trdetadkt lepelfty fk

    emuit ekm ceafiy mru` ljurts. \EAB\E prjvfmdm dxtdksfvd tdlbkflei essfstekld ekm trefkfk` tj fts mru`

    ljurt rekt ljbjrt, fkliumfk` trefkfk` jk treuae-fkcjradm lerd, emmrdssfk` afkjrfty pjpuietfjk kddms,

    slrddkfk` ekm essdssadkt jc rfso ekm sdvdrfty, ekm ajtfvetfjkei fktdrvfdwfk` tj faprjvd lifkflei sdrvflds

    mdifvdry tj mru` ljurt lifdkts. \EAB\E ekm HGE eisj gjfktiy ewermdm kderiy $8 afiifjk tj dkbekld sdr-

    vflds, ljjrmfketfjk, ekm trdetadkt fk emuit mru` ljurts. HGE ljktfkuds tj dk`e`d wftb preltftfjkdrs tjprjajtd tbd 85 lurrfluie mdvdijpdm cjr vdtdreks ljurts, trfhei bdeifk` tj wdiikdss ljurts, ljurts sdrvfk`

    fkmfvfmueis wftb lj-jllurrfk` mfsjrmdrs, emuit mru` ljurts, ekm ljurts celfk` luiturei prjstlfdkly fssuds.

    ]bd Emuit Mru` Ljurt Xdsderlb tj reltfld Fkftfetfvd, gjfktiy cukmdm hy HGE ekm KFG, prjmuldm e wdhfker

    fk 8>58 jk sdvdk ljapjkdkts jc sulldsscui prj`reaafk` hesdm jk KFGs Auitfsftd Emuit Mru` Ljurt

    Dveiuetfjk ekm jtbdr rf`jrjus rdsderlb. Ft eisj prjvfmdm trefkfk` ekm tdlbkflei essfstekld tj MPF (mrfvfk`

    wbfid fktjxfletdm) ljurts. ]brju`b tbd Ketfjkei Essjlfetfjk jc Mru` Ljurt ^rjcdssfjkeis, HGE suppjrtdm

    5> adktjr mru` ljurts ketfjkwfmd ekm HGE wjrodm wftb tbd Ldktdr cjr Ljurt Fkkjvetfjk tj sdidlt

    rd`fjkei adktjr ljaaukfty ljurts fk \dettid, Meiies, ekm Bertcjrm tj essfst gurfsmfltfjks fk dstehifsbfk`

    ljaaukfty ljurts. Ljaaukfty ljurts erd prjhida-sjivfk` ljurts tbet cjlus jk kdf`bhjrbjjm lrfad

    ekm puhifl secdty fssuds. ]j metd, tbdrd erd epprjxfaetdiy => ljaaukfty ljurts fk tbd Tkftdm \tetds.

    L. ^rjajtd ]E\L (]rdetadkt Eitdrketfvds cjr \ecd Ljaaukftfds) Ajmdi jc FktdksfvdLesd Aeke`dadkt

    Dmuletfk` lrfafkei gustfld prjcdssfjkeis jk tbd slfdkld jc emmfltfjk ekm ajmdis jc ddltfvd fktdrvdk-

    tfjks fs lrftflei tj lrfafkei gustfld rdcjra. ]bd Gustfld Idemdrs \yapjsfua7 Dkbeklfk` Ljurt Dlfdkly

    tbrju`b Dadr`fk` Emmfltfjk \lfdkld trefks gum`ds ekm lrfafkei gustfld prjcdssfjkeis jk tbd slfdkld

    jc emmfltfjk ekm pjtdktfei fktdrvdktfjks eijk` tbd ljktfkuua jc tbd lrfafkei gustfld systda, fkliumfk`

    http://research2practice.org/http://research2practice.org/
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    K E] FJK EI MXT@ LJK ] XJI \ ] XE] D @V

    AE]. ]bd fkftfetfvd bdim jkd ketfjkei trefkfk` ekm jkd stetd trefkfk` fk 8>58 cjr epprjxfaetdiy 04 gum`ds

    ekm lrfafkei gustfld prjcdssfjkeis.

    M. Cjstdr Dquftehid Mru` \dktdklfk`

    ]bd Emafkfstretfjk fs ljaafttdm tj tbd cefr ekm dquei eppifletfjk jc tbd Ketfjks iews. Fk rdlj`kftfjk jctbfs ljaaftadkt, tbd rdsfmdkt sf`kdm tbd Cefr \dktdklfk` Elt fk 8>5>. rfjr tj tbd Cefr \dktdklfk` Elt,

    tbd mfsperfty fk sdktdklfk` hdtwddk jdksds cjr lrelo ljlefkd ekm pjwmdr ljlefkd wes 5>>-tj-5. Pftb

    tbd dkeltadkt ekm rdtrjeltfvd eppifletfjk jc tbd Cefr \dktdklfk` Elt, tbd mfsperfty fk sdktdklfk` bes

    hddk mreaetfleiiy rdmuldm. ]bfs aeros tbd strst tfad fk => yders tbet Ljk`rdss bes rdmuldm e aekmetjry

    afkfaua sdktdkld.

    D. ^rjajtd Hdst reltflds es Eitdrketfvds tj Fklerldretfjk

    ]j hrfk` ddltfvd eitdrketfvds tj fklerldretfjk tj sleid, tbd Emafkfstretfjk suppjrts rdsderlb ekm dveiue-

    tfjks jc mfdrdkt epprjelbds hdfk` fapidadktdm fk tbd stdim. \fkld 8>55, KFG bes suppjrtdm twj rdsderlb

    prjgdlts jk sdktdklfk` ekm ljaaukfty ljrrdltfjks preltflds tbet prjajtd ddltfvd ekm ljst-dlfdkteitdrketfvds tj fklerldretfjk. ]bd strst, wbflb fs dxpdltdm tj hd ljapidtdm fk ceii 8>55=, fs stumyfk`

    e veifmetdm essdssadkt tjji hdfk` usdm fk tbrdd Kdw Vjro Lfty mru` ljurts.

    C. Faprjvd Fktdrvdktfjk ekm ]rdetadkt \drvflds cjr Cdaeid Jdkmdrs fk tbd Guvdkfid ekmLrfafkei Gustfld \ystdas

    ]bd kuahdr jc wjadk fk prfsjk fklrdesdm hy 3=3 pdrldkt hdtwddk 562> ekm 8>5>.,Elljrmfk` tj tbd

    Hurdeu jc Gustfld \tetfstfls, 84 pdrldkt jc wjadk fk stetd prfsjks erd fklerldretdm cjr e mru` jdksd.

    Fk emmftfjk, wjadk fk prfsjk erd ajrd ifodiy tbek adk tj bevd lbrjkfl ekm/jr ljaaukflehid admflei

    prjhidas.]bd Ketfjkei Fkstftutd jc Ljrrdltfjks Pjadk Jdkmdrs Fkftfetfvd fs mdvdijpfk` ek dvfmdkld-hesdm, dkmdr-fkcjradm lurrfluiua tj bdip aeke`drfei-idvdi ljrrdltfjks preltftfjkdrs ekeiyzd pjiflfds

    ekm preltflds rdidvekt tj wjadk fk tbd lrfafkei gustfld systda. ]bd Ketfjkei Fkstftutd jc Ljrrdltfjks

    Pjadk Jdkmdrs Fkftfetfvd ekm tbd Xdsderlb Mfvfsfjk erd mdvdijpfk` ek jkifkd `ufmd cjr vfmdj vfsfte-

    tfjk, tj hd rdidesdm fk Aerlb 8>5=. ]bd ufmd wfii essfst ljrrdltfjkei fkstftutfjks fk mdvdijpfk` vfsftetfjk

    prjtjljis efadm et strdk`tbdkfk` tbd hjkms hdtwddk fklerldretdm perdkts ekm tbdfr lbfimrdk, ceafiy

    adahdrs, ekm ljaaukftfds. ]bd ufmd wfii dkbekld epprjprfetd ljkkdltfjks ekm prjvfmd e adeks tj

    emmrdss herrfdrs tbet fkbfhft jk-sftd vfsftetfjk. ]bd Ketfjkei Xdsjurld Ldktdr jk Gustfld Fkvjivdm Pjadk,

    fk pertkdrsbfp wftb HGE ekm tbd Ketfjkei Fkstftutd jc Ljrrdltfjks, prjvfmds trefkfk` ekm tdlbkflei essfs-

    tekld sdrvflds tj lrfafkei gustfld prjcdssfjkeis jk fssuds rdietfk` tj gustfld-fkvjivdm wjadk.

    @. Dxeafkd Fktdrvdktfjks ekm ]rdetadkt \drvflds cjr Sdtdreks wftbfk tbd Lrfafkei Gustfld\ystda

    Ifod jtbdr prjhida-sjivfk` ljurts, Sdtdreks ]rdetadkt Ljurts cjlus jk trdetadkt ekm pdrsjkei elljukt-

    ehfifty tj emmrdss suhstekld ehusd ekm adktei bdeitb mfsjrmdrs wftbjut rdsjrtfk` tj tremftfjkei fklerldr