Abstract

This is a theoretical paper with an aim to construct an integrated conceptual framework for the prevention of adolescents' use and abuse of psychotropic drugs. This paper first reports the subjective reasons for adolescents' drug use and abuse in Hong Kong and reviews the theoretical underpinnings. Theories of drug use and abuse, including neurological, pharmacological, genetic predisposition, psychological, and sociological theories, were reviewed. It provides a critical re-examination of crucial factors that support the construction of a conceptual framework for primary prevention of adolescents' drug use and abuse building on, with minor revision, the model of victimization and substance abuse among women presented by Logan et al. This revised model provides a comprehensive and coherent framework synthesized from theories of drug abuse. This paper then provides empirical support for integrating a positive youth development perspective in the revised model. It further explains how the 15 empirically sound constructs identified by Catalano et al. and used in a positive youth development program, the Project P.A.T.H.S., relate generally to the components of the revised model to formulate an integrated positive youth development conceptual framework for primary prevention of adolescent drug use. Theoretical and practical implications as well as limitations and recommendations are discussed.

Highlights

  • According to the Narcotics Division of the Security Bureau of the Government of Hong Kong [1], the main reasons for drug use of the reported drug abusers aged under 21 in Hong Kong in 2009 were peer influence/to identify with peers (66.7%), relief of boredom/depression/anxiety (51.1%), curiosity (43.0%), seeking euphoria or sensory satisfaction (33.6%), and avoid discomfort of its absence (15.2%)

  • Research reveals that the adolescent brain is more responsive to drugs and more vulnerable to drug abuse than the adult brain, and it drives an interest in novelty that vastly exceeds that of children and adults [5]

  • The findings showed that students in the Experimental Group showed better growth trajectories than did students in the Control Group in terms of positive identity, behavioral competence, general positive youth developmental qualities, prosocial behavior, life satisfaction, and ability to control the use of the Internet

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Summary

REASONS FOR PSYCHOTROPIC DRUG ABUSE AMONG YOUNG PEOPLE IN HONG KONG

According to the Narcotics Division of the Security Bureau of the Government of Hong Kong [1], the main reasons for drug use of the reported drug abusers aged under 21 in Hong Kong in 2009 were peer influence/to identify with peers (66.7%), relief of boredom/depression/anxiety (51.1%), curiosity (43.0%), seeking euphoria or sensory satisfaction (33.6%), and avoid discomfort of its absence (15.2%). Oversea research reported similar results [2]. These self-reported reasons are only overt reasons that youths themselves can realize. Some young people mentioned that they abused drug because they wanted to relieve their depression, the data does not show what made them depressed. With these overt reasons in mind, a critical examination of the theoretical underpinnings of adolescents’ use and abuse of psychotropic drugs is presented

THEORIES OF DRUG USE AND ABUSE
The Neurological Perspective
The Pharmacological Perspective
Genetic Predisposition
Psychological Theories
Hypothesis
POSITIVE YOUTH DEVELOPMENT
Findings
DISCUSSION
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