From Publishers Weekly
For those addicts who can't afford the Betty Ford clinic, who often find themselves on the wrong side of the law, on welfare and perhaps homeless, an unnavigable labyrinth of government agencies and treatment programs presents itself. Shavelson, a physician and photojournalist (A Chosen Death), accompanies five San Francisco addicts through weeks-long waiting periods for treatment, counseling sessions, harsh residential facilities and the "war" between zero tolerance and "harm reduction" programs. In 1997, the city's new Treatment on Demand program ("rehab for all addicts who seek it, within forty-eight hours") had hundreds of takers. Addicted to alcohol, methamphetamines and heroin, and with additional issues (often ignored by the drug treatment system) of past child abuse, current spousal abuse and mental illness, Darrel, Darlene and Mike sought treatment and agreed to be shadowed by Shavelson. Later he met Glenda, when the unconventional Death Prevention Team literally kidnapped her into treatment. At Drug Court he met Crystal, who was "tightly supervised" through a yearlong process of rehab, relapse and ultimate success. Shavelson lauds the little-used Drug Court system, an alternative to criminal court where "judges are as much responsible for `therapeutic impact' as... for judicial authority," and offers specific steps for increasing its effectiveness. The dismal facts are all here, but through his five subjects, Shavelson puts heartbreakingly human faces on "the drug problem" in America. Deeply felt, deftly rendered, stunningly informative and often enraging, this powerful breakthrough book should be read by everyone interested in addiction treatment and public policy. B&w photos. Agent, Felicia Eth. (June 1) Forecast: Shavelson's A Chosen Death was serialized in People magazine; this worthy book is attracting similar notice from major TV and print media. Popular coverage and an author tour will guarantee that this new work is noticed by more than a dedicated audience of homelessness, addiction and policy workers, as well as activists and reform-minded scholars.
Copyright 2001 Cahners Business Information, Inc.
--This text refers to the
Hardcover
edition.
The nation's war on drugs has assumed that enforcement of drug laws is the answer to our drug problems. But its dismal failure has increased interest in treatment programs as the best means of addressing drug abuse. Yet the overemphasis on law enforcement has apparently allowed treatment to be evaluated on faith rather than hard analysis. Shavelson, a doctor, follows the experience of five drug addicts in their rehabilitation programs and evaluates such treatment policies and inadequacies that are often overlooked. Shavelson follows these individuals in and out of their various programs, the courtrooms, and doctor's offices. He examines the connections between mental illness and drug abuse, and the strong association with childhood traumas, such as child abuse. Shavelson's personalized account shows a human sensitivity and concern with drug abusers, who are often viewed as social outcasts. Shavelson guides the reader through these various rehab programs with a sensitive reflection on the public and private impact of drug-abuse programs to address this vital social issue.
Vernon FordCopyright © American Library Association. All rights reserved
--This text refers to the
Hardcover
edition.