Substance Abuse/Chemical Dependency
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What is substance use disorder?

The main words used medically to describe substance abuse or addiction include the following:
Substance (drug) abuse (alcohol or other drugs)
Substance abuse is the medical term used to describe a pattern of using a substance (drug) that causes significant problems or distress. This may be missing work or school, using the substance in dangerous situations, such as driving a car. It may lead to substance-related legal problems, or continued substance use that interferes with friendships, family relationships, or both. Substance abuse, as a recognized medical brain disorder, refers to the abuse of illegal substances, such as marijuana, heroin, cocaine, or methamphetamine. Or it may be the abuse of legal substances, such as alcohol, nicotine, or prescription medicines. Alcohol is the most common legal drug of abuse.
Substance (drug) dependence
Substance dependence is the medical term used to describe abuse of drugs or alcohol that continues even when significant problems related to their use have developed. Signs of dependence include:
• Tolerance to or need for increased amounts of the drug to get an effect
• Withdrawal symptoms that happen if you decrease or stop using the drug that you find difficult to cut down or quit
• Spending a lot of time to get, use, and recover from the effects of using drugs
• Withdrawal from social and recreational activities
• Continued use of the drug even though you are aware of the physical, psychological, and family or social problems that are caused by your ongoing drug abuse
What substances are most often abused?
Substances frequently abused include:
• Alcohol
• Marijuana
• Prescription medicines, such as pain pills, stimulants, or anxiety pills
• Methamphetamine
• Cocaine
• Opiates
• Hallucinogens
• Inhalants
What causes drug abuse or dependence?
Cultural and societal factors determine what are acceptable or allowable forms of drug or alcohol use. Public laws determine what kind of drug use is legal or illegal. The question of what type of substance use can be considered normal or acceptable remains controversial. Substance abuse and dependence are caused by multiple factors, including genetic vulnerability, environmental stressors, social pressures, individual personality characteristics, and psychiatric problems. But which of these factors has the biggest influence in any one person cannot be determined in all cases.
What are the symptoms of drug abuse or dependence?
The following are the most common behaviors that mean a person is having a problem with drug or alcohol abuse. But each person may have slightly different symptoms. Symptoms may include:
• Using or drinking larger amounts or over longer periods of time than planned.
• Continually wanting or unsuccessfully trying to cut down or control use of drugs or alcohol.
• Spending a lot of time getting, using, or recovering from use of drugs or alcohol.
• Craving, or a strong desire to use drugs or alcohol.
• Ongoing drug or alcohol use that interferes with work, school, or home duties.
• Using drugs or alcohol even with continued relationship problems caused by use.
• Giving up or reducing activities because of drug or alcohol use
• Taking risks, such as sexual risks or driving under the influence.
• Continually using drugs or alcohol even though it is causing or adding to physical or psychological problems.
• Developing tolerance or the need to use more drugs or alcohol to get the same effect. Or using the same amount of drugs or alcohol, but without the same effect.

• Having withdrawal symptoms if not using drugs or alcohol. Or using alcohol or another drug to avoid such symptoms.
The symptoms of drug or alcohol abuse may resemble other medical problems or psychiatric conditions. Always consult your doctor for a diagnosis.
How is drug abuse or dependence diagnosed?
A family doctor, psychiatrist, or qualified mental health professional usually diagnoses substance abuse. Clinical findings often depend on the substance abused, the frequency of use, and the length of time since last used, and may include:
• Weight loss
• Constant fatigue
• Red eyes
• Little concern for hygiene
• Lab abnormalities
• Unexpected abnormalities in heart rate or blood pressure
• Depression, anxiety, or sleep problems
Treatment for drug abuse or dependence
Specific treatment for drug abuse or dependence will be determined by your doctor based on:
• Your age, overall health, and health history
• Extent of the symptoms
• Extent of the dependence
• Type of substance abused
• Your tolerance for specific medicines, procedures, or therapies
• Expectations for the course of the condition
• Your opinion or preference
A variety of treatment (or recovery) programs for substance abuse are available on an inpatient or outpatient basis. Programs considered are usually based on the type of substance abused. Detoxification (if needed, based on the substance abused) and long-term follow-up management or recovery-oriented systems of care are important features of successful treatment. Long-term follow-up management usually includes formalized group meetings and psychosocial support systems, as well as continued medical supervision. Individual and family psychotherapy are often recommended to address the issues that may have contributed to and resulted from the development of a substance abuse disorder.
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RCW 71.05.020
Definitions.

(2) "Alcoholism" means a disease, characterized by a dependency on alcoholic beverages, loss of control over the amount and circumstances of use, symptoms of tolerance, physiological or psychological withdrawal, or both, if use is reduced or discontinued, and impairment of health or disruption of social or economic functioning;
(3) "Antipsychotic medications" means that class of drugs primarily used to treat serious manifestations of mental illness associated with thought disorders, which includes, but is not limited to atypical antipsychotic medications;
(7) "Chemical dependency" means:
(a) Alcoholism;
(b) Drug addiction; or
(c) Dependence on alcohol and one or more psychoactive chemicals, as the context requires;
(20) "Drug addiction" means a disease, characterized by a dependency on psychoactive chemicals, loss of control over the amount and circumstances of use, symptoms of tolerance, physiological or psychological withdrawal, or both, if use is reduced or discontinued, and impairment of health or disruption of social or economic functioning;
(22) "Gravely disabled" means a condition in which a person, as a result of a mental disorder, or as a result of the use of alcohol or other psychoactive chemicals: (a) Is in danger of serious physical harm resulting from a failure to provide for his or her essential human needs of health or safety; or (b) manifests severe deterioration in routine functioning evidenced by repeated and escalating loss of cognitive or volitional control over his or her actions and is not receiving such care as is essential for his or her health or safety;
(26) "Imminent" means the state or condition of being likely to occur at any moment or near at hand, rather than distant or remote;
(29) "Intoxicated person" means a person whose mental or physical functioning is substantially impaired as a result of the use of alcohol or other psychoactive chemicals;
(35) "Likelihood of serious harm" means:
(a) A substantial risk that: (i) Physical harm will be inflicted by a person upon his or her own person, as evidenced by threats or attempts to commit suicide or inflict physical harm on oneself; (ii) physical harm will be inflicted by a person upon another, as evidenced by behavior which has caused such harm or which places another person or persons in reasonable fear of sustaining such harm; or (iii) physical harm will be inflicted by a person upon the property of others, as evidenced by behavior which has caused substantial loss or damage to the property of others; or
(b) The person has threatened the physical safety of another and has a history of one or more violent acts;
(54) "Substance use disorder" means a cluster of cognitive, behavioral, and physiological symptoms indicating that an individual continues using the substance despite significant substance-related problems. The diagnosis of a substance use disorder is based on a pathological pattern of behaviors related to the use of the substances;
58) "Violent act" means behavior that resulted in homicide, attempted suicide, nonfatal injuries, or substantial damage to property.

Complete Chapter | RCW Dispositions

Chapter 71.24 RCW
COMMUNITY MENTAL HEALTH SERVICES ACT
Sections
chem·i·cal de·pend·en·cy
[chemical dependency]
NOUN

chemical dependencies (plural noun)

1. addiction to a mood- or mind-altering drug, such as alcohol or cocaine.
2. Q. are there are acceptable drugs by the health industry for depression which are not addictive but yet effective
3. A. As toward other drugs, patients may develop addiction to the mood-improving actions of the medications, so potentially every medication that works has the potential to induce addiction (even medications to other non-psychiatric condition that cause good feeling may do that).
4. chemical dependency
5. n.
6. A physical and psychological habituation to a mood- or mind-altering drug, such as alcohol or cocaine, especially when resulting in addiction.
7. Solasodine (Synonyms: Purapuridine; Solancarpidine; Solasodin)
8. Cat. No.: HY-N0068 Purity: >98.0%
9. Data Sheet SDS Handling Instructions
10. Solasodine(Purapuridine) is a poisonous alkaloid chemical compound that occurs in plants of the Solanaceae family.
11. For research use only. We do not sell to patients.
12. IC 12-7-2-96"Gravely disabled"
13. Sec. 96. "Gravely disabled", for purposes of IC 12-26, means a condition in which an individual, as a result of mental illness, is in danger of coming to harm because the individual:
14. (1) is unable to provide for that individual's food, clothing, shelter, or other essential human needs; or
15. (2) has a substantial impairment or an obvious deterioration of that individual's judgment, reasoning, or behavior that results in the individual's inability to function independently.
16. [Pre-1992 Revision Citation: 16-14-9.1-1(b).]
17. As added by P.L.2-1992, SEC.1.
18.
19. Substance-related disorders – Psychoactive substance-use disorders
result from the physical effects of using psychoactive substances.
Substance-induced disorders include the physical and/or behavioral
conditions that result from substance abuse

IC 16-18-2-1.6"Abortion inducing drug"
Sec. 1.6. "Abortion inducing drug" means a medicine, drug, or substance prescribed or dispensed with the intent of terminating a clinically diagnosable pregnancy with the knowledge that the termination will, with reasonable likelihood, cause the death of the fetus. The term includes the off-label use of a drug known to have abortion inducing properties if the drug is prescribed with the intent of causing an abortion.
As added by P.L.136-2013, SEC.3.

SEE HOW THE SAME TERM CAN HAVE DIFFERENT MEANING ---(LIKE GRAVELY DISABLED)

• USLegal
• Legal Definitions
• C
• Controlled Substances
Controlled Substances Law and Legal Definition
Controlled substances are drugs that are regulated by state and federal laws that aim to controll the danger of addiction, abuse, physical and mental harm, the trafficking by illegal means, and the dangers from actions of those who have used the substances. Such drugs may be declared illegal for sale or use, but may be dispensed under a physician's prescription.
The Controlled Substances Act (CSA), Title II of the Comprehensive Drug Abuse Prevention and Control Act of 1970, is the legal foundation of the federal government's fight against the abuse of drugs and other substances. This law is a consolidation of numerous laws regulating the manufacture and distribution of narcotics, stimulants, depressants, hallucinogens, anabolic steroids, and chemicals used in the illicit production of controlled substances.
The following is an outline of the Federal Controlled Substances Schedules, with examples of some of the drugs that fall in the respective schedules:
Federal Schedules for Controlled Substances
Schedule 1 (C-I)
High potential for abuse; no current accepted medical use in the United States. Hallucinogenic substances; heroin and certain other opioids;methaqualone. Not for prescription use, but available for research, instructional use and chemical analysis purposes.
Schedule 2 (C-II)
High potential for abuse; currently accepted medical use in the United States; high potential for abuse; severe liability to cause psychic or physical dependence. Opium, morphine, codeine, hydromorphone, oxycodone, oxymorphone, methadone, fentanyl, dextroamphetamine, methamphetamine, methylphenidate, amobarbital, pentobarbital, secobarbital, diphenoxylate. Written prescription required except in emergency, no refills, written prescriptions may be transmitted by fax in some instances
Schedule 3 (C-III)
Potential for abuse that is less than those in Schedules I and II; their abuse may lead to moderate or low physical dependence or high psychological dependence than substances in Schedules 1 or 2. Combinations of codeine with aspirin or acetaminophen; certain sedative drugs. Oral prescription orders allowed. Prescription orders valid for 6 months. 5 refills allowed in 6 months.
Schedule 4 (C-IV)
Low potential for abuse relative that leads only to limited physical dependence or psychological dependence relative to drugs in Schedule III. Benzodiazepines, phenobarbital, propoxyphene, certain sedative drugs. Same restrictions as for Schedule III.
Schedule 5 (C-V)
Potential for abuse that is less that the drugs in Schedule IV; may be dispensed without a prescription order.

drug addiction or drug dependency

a chronic physical and psychological compulsion or craving to take a drug, in which the person concerned must continue to take the drug in order to avoid unpleasant physical and psychological effects resulting from withdrawal from the drug. Compare DRUG TAKING FOR PLEASURE.

Many drugs can be associated with drug addiction and dependency, including sedatives (e.g. barbiturates), the opiates (e.g. heroin) and alcohol (see ALCOHOLISM). Drugs which do not lead to dependency include cannabis, the hallucinogens (e.g. lysergic acid – LSD), and stimulants such as cocaine and amphetamines. While so-called ‘hard drugs’ such as heroin attract the main attention of governments and researchers, addiction to alcohol is far more widespread. The indiscriminate medicinal use of barbiturates in the 1960s has also been responsible for much drug dependency. More recently, benzodiazepines (notably Valium) replaced barbiturates as a new source of medically induced drug dependency The control of addictive drugs has been a major concern of Western governments and the United Nations, but with mixed success. While government control of dangerous drugs reflects public concern, what needs explanation is why some non-addictive drugs, such as cannabis, are illegal, whilst other, more addictive drugs, such as tobacco and alcohol, are legal. Various explanations are offered for this phenomenon, including: the difficulty of controlling long-established drugs, and the occurrence of MORAL PANICS and mass media DEVIANCE AMPLIFICATION, and hence heightened controls and policing in relation to newly introduced drugs, particularly when these are associated with other forms of social DEVIANCE, and/or with lower status and ethnic minority groups.
__________________________________________________________________
medical Definition of CHEMICAL DEPENDENCE
: addiction to or dependence on drugs
Addiction Law and Legal Definition
Addiction refers to the chronic or habitual use of any chemical substance to alter states of body or mind for other than medically warranted purposes. Common addictions are to tobacco products, drugs, alcohol, gambling, pornography.Traditional definitions of addiction, with their criteria of physical dependence and withdrawal have been modified with increased understanding and the introduction of new drugs, such as cocaine.
Addiction is more often now defined by the continuing, compulsive nature of the drug use despite physical and/or psychological harm to the user and society and includes both licit and illicit drugs, and the term “substance abuse” is now frequently used because of the broad range of substances (including alcohol and inhalants). Psychological dependence is the subjective feeling that the user needs the drug to maintain a feeling of well-being; physical dependence is characterized by tolerance and withdrawal symptoms when the user is abstinent. Tolerance occurs when it takes more and more of the substance to get the same amount of pleasure. Withdrawal occurs when you experience painful, and sometimes dangerous, symptoms when you go for any period without that substance. An addiction can be psychological, physical, or both.
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RCW 9A.46.020
Definition—Penalties.
(1) A person is guilty of harassment if:
(a) Without lawful authority, the person knowingly threatens:
(i) To cause bodily injury immediately or in the future to the person threatened or to any other person; or
(ii) To cause physical damage to the property of a person other than the actor; or
(iii) To subject the person threatened or any other person to physical confinement or restraint; or
(iv) Maliciously to do any other act which is intended to substantially harm the person threatened or another with respect to his or her physical or mental health or safety; and
(b) The person by words or conduct places the person threatened in reasonable fear that the threat will be carried out. "Words or conduct" includes, in addition to any other form of communication or conduct, the sending of an electronic communication.
(2)(a) Except as provided in (b) of this subsection, a person who harasses another is guilty of a gross misdemeanor.
(b) A person who harasses another is guilty of a class C felony if any of the following apply: (i) The person has previously been convicted in this or any other state of any crime of harassment, as defined in RCW 9A.46.060, of the same victim or members of the victim's family or household or any person specifically named in a no-contact or no-harassment order; (ii) the person harasses another person under subsection (1)(a)(i) of this section by threatening to kill the person threatened or any other person; (iii) the person harasses a criminal justice participant who is performing his or her official duties at the time the threat is made; or (iv) the person harasses a criminal justice participant because of an action taken or decision made by the criminal justice participant during the performance of his or her official duties. For the purposes of (b)(iii) and (iv) of this subsection, the fear from the threat must be a fear that a reasonable criminal justice participant would have under all the circumstances. Threatening words do not constitute harassment if it is apparent to the criminal justice participant that the person does not have the present and future ability to carry out the threat.
(3) Any criminal justice participant who is a target for threats or harassment prohibited under subsection (2)(b)(iii) or (iv) of this section, and any family members residing with him or her, shall be eligible for the address confidentiality program created under RCW 40.24.030.
(4) For purposes of this section, a criminal justice participant includes any (a) federal, state, or local law enforcement agency employee; (b) federal, state, or local prosecuting attorney or deputy prosecuting attorney; (c) staff member of any adult corrections institution or local adult detention facility; (d) staff member of any juvenile corrections institution or local juvenile detention facility; (e) community corrections officer, probation, or parole officer; (f) member of the indeterminate sentence review board; (g) advocate from a crime victim/witness program; or (h) defense attorney.
(5) The penalties provided in this section for harassment do not preclude the victim from seeking any other remedy otherwise available under law.
(4)(a) "Bodily injury," "physical injury," or "bodily harm" means physical pain or injury, illness, or an impairment of physical condition;
(b) "Substantial bodily harm" means bodily injury which involves a temporary but substantial disfigurement, or which causes a temporary but substantial loss or impairment of the function of any bodily part or organ, or which causes a fracture of any bodily part;
(c) "Great bodily harm" means bodily injury which creates a probability of death, or which causes significant serious permanent disfigurement, or which causes a significant permanent loss or impairment of the function of any bodily part or organ;
from katrineelizabethsackett32463whitelady(5'3)(5'21/2)
spring terrace apts a donated old building not in working order donated for apt use for those social security and homeless and disabled and wheel chair combined and others
date feb 2019

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