### substance:

Substance abuse
* acts as a kind of hinge on the revolving door of the criminal-justice system.
* affects all classes, both adults and, tragically, children
  - erectile function as well
* affects everyone - our families, communities, social and economic resources
  - who is close to the abuser
  - everyone, in every community, in very different ways
  - small businesses as well as large
  - the body of a teen and an adult differently
  - women of color regardless of their socioeconomic status
* appears to impair the individual's ability to learn.
* becomes substance dependence.
* can also induce suicide.
* can be a cause of workplace violence
  - symptom of depression, but also a cause
  - cause acne
  - complicate diagnosis and treatment
  - have an effect from earliest infancy to old age
  - keep people locked in the homeless condition
  - make an already-severe mental illness much more difficult to treat
  - occur at any age, and it chronic disorder unless treated
  - reduce the effectiveness of treatment for schizophrenia
  - vary greatly in terms of how much it affects a person's life
* causes a number of other sociological problems.
* chronic and progressive disease, generally marked by repeated relapses
  - relapsing disorder
* common co-occurring problem for adults with mental disorders
  - factor in abusive relationships
  - problem among patients of all ages, races, sexes and social strata
* complex issue for women.
* continues to be a growing problem in the professional world
  - one of the greatest challenges to our society
  - deter teenagers from reaching their potential
* contributes dangerously to heart disease, lung dysfunction, and mental illness
  - to seven out of ten instances of child abuse and neglect
* crosses all boundaries of income, sex, religion, color, and education.
* cuts across all ethnic, religious and socioeconomic boundaries.
* disables users, causes birth defects, and threatens the safety of the community.
* disease that touches many families.
* escalates dramatically, followed by family violence and sexual abuse.
* family affair
* form of addictive behavior.
* has a detrimental impact on society
  - high cost to the individual and to society
  - one of the biggest gender gaps of all medical problems
* includes anything from drug use, such as cocaine and heroin, to alcohol abuse
  - drugs, medicines and alcohols
  - possession, use, purchase or sale of drugs or alcohol on company premises
* increases the risk of displacement for people with unstable housing.
* is about lack of control.
* is also a significant risk factor for suicide in young people
  - very significant factor in the lives of most offenders
  - quite common before the first psychotic break
  - an equal opportunity killer, snaring addicts in every social and economic class
* is an ongoing problem faced by generation after generation
  - threat to the safety and wellbeing of the citizens of Colorado
  - unfortunate part of our every day life
  - another reason why raves are popular
  - associated with a number of health risks
  - at the top of the list of offenses for which American Indian youths are arrested
  - both a cause and result of homelessness for the mentally ill
* is clearly a barrier to self sufficiency for some welfare recipients
  - primary contributor to child maltreatment
  - considered a health risk
  - embedded in the fabric of college life
  - endemic in the homosexual communities the world over
  - highest for Indian people versus other ethnic groups
  - human activities
  - known to be a major contributor to poor health
  - misuse
  - often an intergenerational problem within families
  - one of THE most important areas of social work practice
* is one of the most difficult disorders to assess and treat
  - nation s most serious health problems
  - primary health issues and social problems confronting our nation
  - pervasive in every town, every county in our state
  - potentially harmful to health
  - prevalent in far too many homes
  - public safety problem, a public health problem, and a public expenditure problem
  - responsible for imposing multibillion dollar costs on society
  - rooted in the normal neurobiology of reinforcement
* is the number one dual diagnosis with bipolar disorder
  - use of sutbstances leading to significant psychological impairment
  - usually acute or chronic
  - very common
  - viewed as a chronic disability in which recovery lifetime process
* knows no boundaries crossing all cultural, ethnic, and socioeconomic lines.
* leads to high levels of incarceration among indigenous people.
* major co-occurring problem for adults with mental disorders
  - factor in workplace accidents
* massive public health problem.
* occurs in all kinds of places, too.
* possible barrier between the average homeless person and work.
* potentially negative factor affecting workplace productivity and safety.
* presents educational problems for the user and the teaching-learning process
  - special challenges to medical treatment
* problem separate from domestic violence and requires specialized treatment.
* puts a strain on relationships.
* reaches the rich as well as the poor.
* remains a significant mental health problem and disorder
  - an important mental health problem in rural communities
* robs a person of the chance to lead as healthy and productive a life as possible.
* serious matter because abusers are unpredictable.
* sets the user apart from the daily lives of ordinary people.
* significant problem among adults in the communities.
* spiritual problem with a spiritual solution.
* undermines the capacity to concentrate as well as to retain information.