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  • Needle and Syringe Programs in Rural Areas: Addressing the Intravenous Drug Use EpidemicGo to article: Needle and Syringe Programs in Rural Areas: Addressing the Intravenous Drug Use Epidemic

    Needle and Syringe Programs in Rural Areas: Addressing the Intravenous Drug Use Epidemic

    Article

    Background

    Opioid use has reached epidemic proportions in rural communities in the United States and injection of drugs is commonly used. As a result of shared or reusing needles and syringes, the risk for contracting blood-borne diseases is significantly increased. Rural areas face many social and attitudinal barriers regarding syringe exchange programs (SEPs).

    Objective

    This article describes national trends for drug injection problems in rural areas and discusses effectiveness of needle and SEPs as a harm reduction healthcare policy. Ethical and practical considerations in the implementation of SEPs are also presented.

    Method

    The rehabilitation literature was reviewed on trends in substance abuse and intravenous (IV) drug use in rural areas to identify the status and need for SEPs to address risk factors of infectious diseases resulting from needle sharing and reusing of needles.

    Findings

    IV drug use in rural communities has reached epidemic proportions with resulting dramatic increases in hepatitis C and B and incidence of HIV. Yet, many rural communities continue to object to the implementation of SEPs due to fears that such programs will increase drug use and crime in the community.

    Conclusion

    IV drug use is a critical public health issue for users and non-IV users in rural communities, and is increasingly becoming an issue about which rural rehabilitation counselors will need to be informed. For the sake of public health, SEPs should be recognized as an economical, ethical, and effective factor in the larger response to the epidemic of IV drug use in rural America.

    Source:
    Rehabilitation Research, Policy, and Education
  • Social Justice and Cultural Diversity IssuesGo to article: Social Justice and Cultural Diversity Issues

    Social Justice and Cultural Diversity Issues

    Article

    Early definitions of cultural diversity focused primarily on race/ethnicity, with subsequent inclusion of age, gender, sexual orientation, class, religion, geography, and a combination of positionalities. More recently, social justice has resurfaced as a component of cultural diversity to explain experiences of people of color, women, and marginalized groups. This article examines the movement to include cultural diversity and social justice in rehabilitation education, and offers a model for curriculum development in light of the new CORE standards.

    Source:
    Rehabilitation Research, Policy, and Education
  • Introduction to the Special Issue: CORE Standards for the Master's Degree Curriculum in Rehabilitation CounselingGo to article: Introduction to the Special Issue: CORE Standards for the Master's Degree Curriculum in Rehabilitation Counseling

    Introduction to the Special Issue: CORE Standards for the Master's Degree Curriculum in Rehabilitation Counseling

    Article
    Source:
    Rehabilitation Research, Policy, and Education
  • Inclusion of Aging in Rehabilitation Counseling Journals 2000–2012: A Content AnalysisGo to article: Inclusion of Aging in Rehabilitation Counseling Journals 2000–2012: A Content Analysis

    Inclusion of Aging in Rehabilitation Counseling Journals 2000–2012: A Content Analysis

    Article

    Purpose: To conduct a content analysis of the rehabilitation counseling literature to identify articles published on aging.

    Method: To determine the number of articles that were published on aging in rehabilitation counseling journals, a content analysis of articles from 2000 through 2012 was performed. For purposes of this review, only full-length, peer-reviewed articles (i.e., research studies, literature reviews, and program descriptions) with abstracts were included for analysis.

    Results: The prevalence of articles addressing aging in the mainstream rehabilitation counseling literature is limited over a 13-year period. Since 2000, only 24 (l.3 %) articles in rehabilitation journals account for content on aging.

    Conclusion: Several facts are clear regarding older individuals, including their increased life expectancy, extended stay in the workplace, and living with a disability. Given those realities, the field of rehabilitation counseling must be poised to respond with evidence-based research to address the needs and demands of the aging population with disabilities in the workplace, around quality of life issues, and within a sociopolitical context of globalization.

    Source:
    Rehabilitation Research, Policy, and Education
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