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The definition of drug abuse has fluctuated with changes in cultural and legal norms, and there is currently no consensus on a standardized definition. However, drug abuse generally can be defined as the harmful or risky use of legal or illegal drugs or the use of legal drugs in a manner or amount inconsistent with medical advice. Some organizations such as the American Psychiatric Association (APA) do not refer to the abuse of drugs per se, but rather to the abuse of substances in general. These two terms (drug abuse and substance abuse) are often considered synonymous and are used synonymously in this entry.

The abuse of drugs is frequently associated with a myriad of psychosocial issues, including violence, homicide, homelessness, premature death, psychopathology, and economic loss. For secondary school-aged and college-aged individuals in particular, drug abuse is also correlated with school failure, criminal activity, accidents, aggressiveness, unsafe sex, unplanned pregnancy, and suicide.

Humankind has used alcohol and other drugs in one form or another since the beginning of recorded history. Alcohol was consumed as early as the Paleolithic era, and other drugs such as cocaine, marijuana, and opium have all been used in the past for religious or medical purposes. Even today, the abuse of both legal and illegal drugs is relatively commonplace despite moral implications and legal repercussions. Drug abuse is both a major public health issue and a highly pertinent matter facing educators today. Given the reliable association between drug abuse and impaired academic performance (among other variables relevant to students), educators, researchers, and practitioners of educational psychology need to be acutely aware of the following in order to help maximize the performance and adjustment of individuals in educational settings: the costs of drug abuse, trends in drug abuse, gender differences, theories of drug abuse, risk factors for drug abuse, the diagnosis and assessment of drug abuse, treatment options, and issues in prevention. These topics are addressed in this entry.

Costs and Trends of Substance Abuse

Economic Costs

The economic costs associated with alcohol and other drug abuse are staggering. According to the Office of National Drug Control Policy (ONDCP), the overall cost of drug abuse other than alcohol in 2002 in the United States was in excess of $180 billion. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) also estimated that, in 1998, the cost related to alcohol abuse alone was also in excess of $180 billion. In both of these cases, the majority of costs were attributed to lost productivity and health care costs. The ONDCP also reported that in the year 2000, Americans spent an estimated $36 billion on cocaine, $11 billion on marijuana, $10 billion on heroin, $5.4 billion on methamphetamine, and $2.4 billion on other illegal drugs.

Trends in Use and Abuse

The Substance Abuse and Mental Health Services Administration (SAMHSA) conducts an annual National Survey on Drug Use and Health (NSDUH) of Americans aged 12 years or older, and this is the primary source of information on the use of illicit drugs, alcohol, and tobacco in the civilian, noninstitutionalized population of the United States. According to the results of the 2005 NSDUH, an estimated 19.7 million Americans (or 8.1% of the population) reported using an illicit drug during the month prior to the survey. The most commonly used illicit drug was marijuana (14.6 million users in the past month), followed by prescription drugs used nonmedically (6.4 million), cocaine (2.4 million), and hallucinogens (1.1 million). Slightly more than 50% of Americans aged 12 years or older had consumed alcohol within the 30 days prior to the survey, which translates into about 126 million Americans.

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