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"28007","20","archive","1684",,,"disk0/00/02/80/07","2017-10-17 11:36:21","2017-10-17 12:45:07","2017-10-17 11:36:21","article",,,"show",,,,"","","","","","","","","","",,,,"Yoder","Ruth","","","","Yoder:Ruth::","",,,,,"","","How do individuals develop alcohol use disorder after bariatric surgery? A grounded theory exploration.","pub","BB","","none",,,,,,,,"BACKGROUND: Bariatric surgery is the most effective treatment for severe obesity. However, following Roux-en-Y gastric bypass (RYGB) surgery, a small minority of patients develop new-onset alcohol use disorder (AUD), the aetiology of which is poorly understood.

AIM: The aim is to construct a theory to explain the development of AUD among a sample of individuals who reported problematic drinking following RYGB.

METHOD: Semi-structured interviews were conducted with eight RYGB patients diagnosed with AUD attending a multi-disciplinary outpatient weight management service at a public hospital in the Republic of Ireland. A constructivist grounded theory methodology was used to analyse interview transcripts.

RESULTS: Participants' main concern was identified as 'unresolved psychological issues' which were managed by 'external coping mechanisms', namely, 'eating to cope'. After RYGB, comfort eating was no longer possible to the same extent. Following a 'honeymoon period', participants' need for an external coping mechanism resurfaced. 'Filling the void' provides a framework to explain how participants managed the symptoms of their unresolved psychological issues through 'behavioural substitution', that is, drinking alcohol instead of eating.

CONCLUSION: The theoretical framework of 'filling the void' adds to contemporary research that conceptualises AUD behavioural substitution as 'addiction transfer' by describing the process by which the phenomenon occurs as well as the characteristics of participants. The clinical implication of this research is to advocate for a reshaping of treatment of RYGB patients, with increased psychological input following surgery.","2017-10-14","published",,"Yoder Ruth",,"","",,"Obesity Surgery","Early online",,,"Springer",,,,,,,,,,,,,"TRUE","","","",,"1708-0428",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"https://link.springer.com/article/10.1007%2Fs11695-017-2936-7","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","Early online","Obesity Surgery","BB , FE10-4-6 , FN , FP , FR , GA2-2 , GC16 , JM , JQ6-4 , JQ6-8 , VH4-2","B Drugs and alcohol substances > Alcohol -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Motivation -- F Concepts in psychology > Emotion -- F Concepts in psychology > Attitude and behaviour -- G Health and disease > State of health > Physical health -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Care by type of problem > Medical care -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care","VA Geographic area > Europe > Ireland","Alcohol --  Skills  -  Coping skills --  Motivation --  Emotion --  Attitude and behaviour --  State of health  -  Physical health --  Drugs and alcohol disorder  -  Alcohol use --  Patient care management --  Care by type of problem  -  Medical care --  Care by type of problem  -  Mental health care","Europe  -  Ireland","Yoder Ruth , MacNeela Padraig , Conway Ronan , Heary Caroline","0","yes"
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MacNeela","Padraig","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Conway","Ronan","","",,,,,,,,,,,,"FN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heary","Caroline","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"28007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631","17","archive","5",,,"disk0/00/02/76/31","2017-07-21 07:19:38","2017-07-21 07:21:33","2017-07-21 07:19:38","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","","UK trial tests personality-based approach to preventing drinking.",,"BB","","public",,,,,,,,"The Adventure Trial tested the impact of a personality-targeted intervention delivered by teachers on substance use and misuse among pupils in London. This followed the reported success of the Preventure trial, which found that personality-targeted interventions were effective in reducing motivations for drinking that involve coping with negative feelings, and reducing symptoms of problem drinking during a two-year period.

Key points From summary and commentary:
•	The Adventure Trial examined whether personality-relevant coping skills could prevent drinking problems among London high school pupils.
•	High-risk young people were allocated to receive an intervention matched to their specific vulnerability (‘hopelessness’, ‘anxiety-sensitivity’, ‘impulsivity’, or ‘sensation-seeking’).
•	Long-term benefits were observed, with reduced odds of high-risk pupils in the intervention group reporting drinking, ‘binge’ drinking, and problem drinking, compared to peers allocated to receive standard drug education","2017-07-21",,,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings",,"21 July 2017","21 July 2017","Drug and Alcohol Findings","London",,"5 p.",,,,,,,,,,,"","aod_prevention","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">See also: <a href=""http://findings.org.uk/PHP/dl.php?file=Brody_GH_5.cab&amp;s=dy"" target=""_blank"" rel=""noopener noreferrer"">Parent-child intervention reduces teenage drinking in poor US families</a></p>",,,,,,,,,,,"",,"http://findings.org.uk/PHP/dl.php?file=Conrod_PJ_6.cab&s=dy","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Drug and Alcohol Findings","BB , FE10-4-6 , JB2 , JB6 , JC4-4 , JF10-12-4 , TA14 , TT6 , VH4-4","B Drugs and alcohol substances > Alcohol -- F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","Alcohol --  Skills  -  Coping skills --  Drugs and alcohol prevention --  Prevention outcome --  Basic prevention categories  -  Targeted prevention --  Prevention by sponsor or setting  -  Youth-club / cafe based prevention --  Adolescent / youth (teenager / young person) --  Prevention worker","Europe  -  United Kingdom",,"0","yes"
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469","13","archive","5",,,"disk0/00/02/74/69","2017-06-28 07:42:24","2017-06-28 07:42:24","2017-06-28 07:42:24","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Public Health England","People with learning disabilities: making reasonable adjustments. Guidance: substance abuse.","pub","FE10-4-6","","none",,,,,,,,,"2017-06-23","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,,,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""><b>1. Introduction</b></p>
<p style=""margin: 0cm 0cm 0pt;"">This guidance is to help professionals in drug and alcohol teams or learning disability teams support people with learning disabilities who have substance misuse problems. It summarises what the research tells us about the particular problems faced by this group of people and what approaches work best.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>2. The prevalence of substance misuse in people with learning disabilities</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Some people with learning disabilities misuse alcohol or illicit drugs and some misuse prescribed medications. Various studies have looked at the extent of substance misuse in people with learning disabilities. These are likely to underestimate the problem, as some used self-report measures and others only included people known to learning disability services. It’s important to note that little is known about the health of the ‘hidden majority’ of adults with learning disabilities who don’t use learning disability services. It’s this group of people with more mild learning disabilities who are most likely to misuse alcohol or drugs.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Overall, the evidence indicates that people with learning disabilities are less likely to misuse substances than the general population. However, some people believe that when people with learning disabilities do drink alcohol, there’s an increased risk that they will develop a problem with it.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">As increasing numbers of people with learning disabilities are living more independently in local communities they’re more likely to have access to alcohol and other drugs and, therefore, there’s a need for appropriate services to support those who misuse substances. It can be difficult to recognise that someone has mild learning disabilities, but they may still need a different approach to their treatment and support.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Research suggests that children with learning disabilities are more likely to experiment at an early age with potentially harmful levels of alcohol. Public health work aimed at reducing harmful drinking in children must recognise that those with learning disabilities are a high-risk group. Interventions should be targeted appropriately.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>3. Why people with learning disabilities misuse substances</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Research shows that some groups of people with learning disabilities are more likely to misuse substances than others. For example, people with profound and multiple learning disabilities are simply unlikely to have the opportunity.</p>
<p style=""margin: 0cm 0cm 0pt;"">People with learning disabilities have an increased risk of substance misuse if they:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">have borderline/mild learning disabilities</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">are young and male</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">have mental health problems.</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Interviews with people with learning disabilities who were misusing alcohol or drugs showed that the main reasons for this could be described as ‘self-medicating against life’s negative experiences’.</p>
<p style=""margin: 0cm 0cm 0pt;"">These included reasons related to:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">psychological trauma, such as bereavement or abuse,</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">social distance from their community such as isolation and loneliness.</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>3.1 Other risk factors for substance misuse include:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">living independently</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">boredom or lack of meaningful occupation</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">desire to be socially included/loneliness</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">limited social skills or low self-esteem</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">lack of family contact</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">impulsivity</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">negative life events, for example, neglect, abuse and bereavement</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">unemployment</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">poverty</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>4. Effects of substance misuse</b></p>
<p style=""margin: 0cm 0cm 0pt;"">In the general population, alcohol is the leading risk factor for preventable death in those aged 15 to 49, and the rates of people dying from liver disease are increasing. Alcohol misuse is also associated with other physical illnesses, such as stroke, and is linked to increased violence. For these reasons, one of Public Health England’s (PHE) top <a href=""https://www.gov.uk/government/publications/public-health-england-strategic-plan"" target=""_blank"" rel=""noopener noreferrer"">seven health priorities</a> is reducing harmful drinking and alcohol-related hospital admissions.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Substance misuse has negative and social effects on people with learning disabilities. These have been shown to include:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">deterioration in physical and mental health</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">alienation/social difficulties</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">cognitive deficits</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">aggression/mood changes</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">verbal and physical aggression</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">risk-taking behaviour including suicide</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">increased epileptic seizures</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">inpatient admissions</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">greater risk of offending behaviour – people in forensic learning disability services</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">often have problems with substance misuse</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">being vulnerable to exploitation</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">financial impact, including potential loss of housing</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">effects of stopping prescribed medication to be able to drink alcohol</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>5. Services available for substance misuse</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Although only a small proportion of people with learning disabilities are known to have substance misuse problems, they are a doubly disadvantaged group and currently, services aren’t meeting their needs.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">In one study the main places where people reported getting help were:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">learning disability services – these provided a positive educational role and acted as a liaison with other services</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">mainstream addiction services – the people that were positive about these services had received support on a one-to-one basis, rather than attending group sessions</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">primary care services – GPs tended to give basic advice and information leaflets and antidepressants were often prescribed to address mental health issues</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">A few studies have looked at the effectiveness of targeted interventions for substance misuse in people with learning disabilities. Interventions have included:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">medication</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">support groups</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">behavioural programmes.</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Evaluation is difficult due to the lack of any standard measures for this group. Thus, there’s a need for more evidence-based treatments.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>6. Barriers to substance misuse treatment</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Research shows that neither learning disability services nor substance misuse services have all the skills and training resources to support people with learning disabilities who have substance misuse problems.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Staff in drug and alcohol services do not have appropriate training for working with people with learning disabilities and staff working in learning disability services do not have knowledge about assessment, treatment and management of substance problems. Due to a lack of integrated service provision, people with learning disabilities may fall between the cracks of specialist learning disability and mainstream addiction services.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>6.1 barriers include:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">failure of drug and alcohol services to recognise someone has a learning disability</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">failure of learning disability services to detect drug and alcohol problems in people they support and to refer them to mainstream services</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">some drug and alcohol services specifically exclude people with learning disabilities</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">lack of integrated services and no clear pathways or protocols in place regarding inter-agency working</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">lack of recognition in mainstream alcohol and drug policies</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">health promotion messages are too complex</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">In general, mainstream drug and alcohol services fail to adapt the way they work to make services accessible to people with learning disabilities.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>6.2 Issues that may need to be considered are:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">people with learning disabilities may not benefit from group work in the same way as people in the general population</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">apparent lack of co-operation may be due to a lack of understanding, rather than a lack of motivation to engage in treatment</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">adapting the way in which they engage – alcohol and drug professionals reported using the same assessments they use for the general population</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">simplifying the information that is provided</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">people with learning disabilities may be dependent upon carers and paid staff to make the positive life changes emphasised in mainstream drug and alcohol services</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>7. What do we know about what works</b></p>
<p style=""margin: 0cm 0cm 0pt;"">There is a lack of evidence-based guidance about effective treatment for this group. However, some approaches and strategies may be helpful such as:</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">addiction services and learning disability teams integrating their services together to provide a link between these services</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">a personalised approach that tailors interventions to someone’s individual needs</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">interventions and information need to meet the particular communication and learning needs of individuals</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">people with learning disabilities may benefit from a one-to-one approach rather than group work</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">both substance misuse services and learning disability services should be screening for misuse problems/learning disabilities at initial assessments</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">training for mainstream addiction staff in how to work with people with learning disabilities and how to modify their assessment and treatment approaches</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">training for learning disabilities professionals around substance misuse</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">widening the person’s social support networks</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">greater family involvement in treatment</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">appropriate training and resources for support workers</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">access to support services including bereavement and sexual abuse that can help people to address the reasons behind their substance misuse</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;"">techniques such as motivational interviewing</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>8. Capacity and consent</b></p>
<p style=""margin: 0cm 0cm 0pt;"">The <a href=""http://www.legislation.gov.uk/ukpga/2005/9/contents"" target=""_blank"" rel=""noopener noreferrer"">Mental Capacity Act</a> sets out the law regarding capacity and consent. It provides guidance about the correct process in cases where there are concerns that an individual may not have the capacity to take an informed decision. One of the main principles of the Act is that a person is not to be treated as unable to make a decision merely because he/she makes what is considered to be an unwise decision.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Professionals supporting someone with learning disabilities and drug or alcohol problems may have difficulties making decisions about capacity in some situations where people apparently want to make unwise choices. <a href=""https://www.gov.uk/government/publications/reasonable-adjustments-for-people-with-learning-disabilities/www.gov.uk/government/uploads/system/uploads/attachment_data/file/497253/Mentalcapacity-act-code-of-practice.pdf"" target=""_blank"" rel=""noopener noreferrer"">The Code of Practice</a> guides anyone who is working with adults who may lack the capacity to make particular decisions.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>9. Safeguarding</b></p>
<p style=""margin: 0cm 0cm 0pt;"">People with mild to moderate learning disabilities are vulnerable to exploitation. Drug and alcohol teams are likely to come across some people with learning disabilities who are being coerced into commercial sex or working in the drug trade. Concerns should be raised with local authority safeguarding teams if they or others are thought to be at risk of harm or causing harm. There may be times when it is appropriate to go directly to the police. The local authority safeguarding team will decide whether to proceed with a full enquiry. If the concern does not meet criteria for an enquiry, there is still a duty to give advice or signpost to other services where appropriate.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Ideally, informed consent should be obtained before a referral is made. If the individual refuses to consent to information being disclosed, a decision needs to be taken as to whether information sharing is justified. This is necessary in some cases, for example, where others are at risk of serious harm. Drug and alcohol teams should have their protocol for such situations.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">SCIE has published <a href=""http://www.scie.org.uk/care-act-2014/safeguarding-adults/adult-safeguarding-practice-questions/"" target=""_blank"" rel=""noopener noreferrer"">guidance</a> for frontline practitioners and managers who work with adults who have care and support needs and who may be at risk of abuse or neglect. The guidance identifies some challenging safeguarding dilemmas and aims to make clear how these should be handled within the new legal framework of the Care Act. It includes information about what to do when a person who has full mental capacity acts in a way that is a risk to their safety or well-being.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>10. Further resources</b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>10.1 National Institute for Health and Care Excellence (NICE) guidance on offering best practice advice in:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.nice.org.uk/guidance/cg100"" target=""_blank"" rel=""noopener noreferrer"">providing care to adults and young people with alcohol-related physical complications</a>.</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.nice.org.uk/guidance/cg115/resources/alcoholuse-disorders-diagnosis-assessment-and-management-of-harmful-drinking-and-alcohol-dependence-35109391116229"" target=""_blank"" rel=""noopener noreferrer"">providing care to adults and young people with alcohol dependence or who are harmful drinkers</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.nice.org.uk/guidance/cg51"" target=""_blank"" rel=""noopener noreferrer"">young people who misuse drugs</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.nice.org.uk%0a/guidance/ph4"" target=""_blank"" rel=""noopener noreferrer"">community-based interventions to reduce substance misuse among vulnerable and disadvantaged children and young people</a></li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b>10.2 Resources about substance misuse for professionals/family members and carers:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.drinkaware.co.uk/"" target=""_blank"" rel=""noopener noreferrer"">Drinkaware provides evidence based information, advice and practical resources which raise awareness of alcohol and its harms</a>. The website has free alcohol education resources which are aimed at 9 to 14 year olds. These resources include lesson plans and videos</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://workingwithsubstanceuse.wordpress.com/"" target=""_blank"" rel=""noopener noreferrer"">Working with Substance Use has online resources for health and social care professionals working with people who are misusing substances</a>. There is a case study about a young man with learning disabilities</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b>10.3 Accessible resources:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.easyhealth.org.uk/sites/default/files/Alcohol%20-%20Information%20for%20service%20users.pdf"" target=""_blank"" rel=""noopener noreferrer"">Alcohol: information for service users has information about what alcohol does to your body and the amount of alcohol that is in different drinks</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.easyhealth.org.uk/sites/default/files/coming_for_a_drink.pdf"" target=""_blank"" rel=""noopener noreferrer"">Coming for a drink? has information about what alcohol does to your body</a>. There is also advice about drinking sensibly. There is information about how to judge if you are dependent on alcohol and what you can do about this.</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.easyhealth.org.uk/sites/default/files/What%20happens%20when%20you%20drink%20too%20much.pdf"" target=""_blank"" rel=""noopener noreferrer"">What happens when you drink too much</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://webarchive.nationalarchives.gov.uk/20160704150527/http:/www.improvinghealthandlives.org.uk/adjustments/index.php?adjustment=398"" target=""_blank"" rel=""noopener noreferrer"">Consequences of drinking alcohol is an easy-read booklet about the short and long-term effects of drinking alcohol</a>. There are top tips for drinking less alcohol</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://webarchive.nationalarchives.gov.uk/20160704150527/http:/www.improvinghealthandlives.org.uk/adjustments/index.php?adjustment=399"" target=""_blank"" rel=""noopener noreferrer"">Consequences of using cannabis is an easy-read booklet about the short and long-term effects of using cannabis</a>. There is also advice on giving up or cutting down</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.cambsdaat.org/wp-content/uploads/2015/08/Cambs-MyRAP-Final-Sept-15.pdf"" target=""_blank"" rel=""noopener noreferrer"">My Recovery Action Plan (My-RAP) is a document that uses easy-read and pictures to create a plan for people who wish to address drug or alcohol issues</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.cambsdaat.org/wp-content/uploads/2015/08/Alcohol-diary-prompt.pdf"" target=""_blank"" rel=""noopener noreferrer"">Alcohol diary prompt is picture-led resource to use with people with learning disabilities or communication difficulties when discussing alcohol and creating an alcohol diary</a></li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""http://www.cambsdaat.org/wp-content/uploads/2016/01/Easy-Read-Guide-to-Common-Drugs.pdf"" target=""_blank"" rel=""noopener noreferrer"">Guide to common drugs is an easy-read leaflet about illegal and legal drugs</a>. It gives information about what each looks like, how they are usually taken, how they might make you feel and the dangers</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://www.tes.com/teaching-resource/drug-chart-11198097"" target=""_blank"" rel=""noopener noreferrer"">Common drugs poster has photographs of common substances and details of the side effects which are depicted with graphics</a></li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""><b>10.4 Smartphone apps related to monitoring alcohol intake:</b></p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://itunes.apple.com/gb/app/one-you-drinks-tracker/id1082307338?mt=8"" target=""_blank"" rel=""noopener noreferrer"">Drinks Tracker helps someone keep track of how much they are drinking over the week</a>. It gives information about how much someone is spending on alcohol. There are practical tips on cutting down.</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://itunes.apple.com/gb/app/drinkaware-track-calculate/id901389586?mt=8"" target=""_blank"" rel=""noopener noreferrer"">Drinkaware helps someone to track alcohol consumption and spend over time</a>. It can also calculate units and calories and be used to set goals to help moderate drinking</li>
<li style=""margin: 0cm 0cm 0pt; color: #000000;""><a href=""https://itunes.apple.com/gb/app/drinkcontrol-free-track-drinks/id456207840?mt=8"" target=""_blank"" rel=""noopener noreferrer"">DrinkControl tracks and converts alcohol intake quantities, such as glasses, bottles or cans into the standard units of alcohol</a>. It lets someone know when they are going over the limits set by moderate drinking guidelines and how much they have spent on drinks. It can provide statistics and charts as well as a personal infographic on what has been drunk</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>",,,,,,,,,,,"","https://www.gov.uk/government/publications/reasonable-adjustments-for-people-with-learning-disabilities/substance-misuse","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , FJ , JA6-6 , JB2-4 , LC2-4 , TT2 , TT8-2 , VH4-4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Cognition -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom > England","Skills  -  Coping skills --  Cognition --  Risk and protective factors  -  risk factors --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction --  Interpersonal interaction and group dynamics  -  Social support --  Drug or health care worker --  Social worker","Europe  -  United Kingdom  -  England","Public Health England Public Health England","0","yes"
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384","17","archive","5",,,"disk0/00/02/73/84","2017-06-01 11:03:20","2017-06-01 11:03:20","2017-06-01 11:03:20","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","","Intervention targets personality traits of high-risk London pupils.",,"B6","","public",,,,,,,,"School staff trained to deliver personality-targeted substance use interventions to London high school pupils – effectively delaying cannabis use among a subset (those identified as ‘sensation-seekers’).

Key points from summary and commentary
•	The Adventure Trial tested the impact of personality-relevant coping skills on cannabis use among London high school pupils.
•	High-risk young people were allocated to receive an intervention matched to their specific vulnerabilities (‘hopelessness’, ‘anxiety-sensitivity’, ‘impulsivity’, or ‘sensation-seeking’).
•	Cannabis use was effectively delayed only among a subset – those identified as ‘sensation-seekers’","2017-05","published",,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings Bulletin",,"5 May 2017","5 May 2017","Drug and Alcohol Findings","London",,"5 p.",,,,,,,,,,,"","aod_disorder","cannabis",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://findings.org.uk/docs/bulletins/Bull_05_05_17.php?s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Drug and Alcohol Findings Bulletin","B6 , FE10-4-6 , FP , FS38-6-2 , JA6-6 , JA8-2 , JF10-10 , TA14 , VH4-4-2","B Drugs and alcohol substances > Cannabis / Marijuana -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe > United Kingdom > England","Cannabis / Marijuana --  Skills  -  Coping skills --  Emotion --  Specific attitude and behaviour  -  risk-taking behaviour --  Risk and protective factors  -  risk factors --  Risk and needs assessment  -  Risk assessment --  Prevention by sponsor or setting  -  School-based prevention --  Adolescent / youth (teenager / young person)","Europe  -  United Kingdom  -  England",,"0","yes"
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096","28","archive","5",,,"disk0/00/02/70/96","2017-04-06 12:46:46","2017-08-22 11:35:18","2017-04-06 12:46:46","monograph",,,"show",,,,"","","","","","","","","","",,,,"Ni Ogain","Eibhlin","","","","Ni Ogain:Eibhlin::","",,,,,"","","Drug and alcohol recovery outcomes framework.","pub","AH18","","public",,,,,,,,"Shared measurement involves using common tools to track outcomes across similar organisations and settings. It is both a process to understand a sector’s shared outcomes and a tool that can be used by multiple organisations to track social impact. 

Drug and Alcohol Task Forces (DATF) fund and run a number of services tackling various issues related to substance misuse. To date, many task forces have used logic models to understand their outcomes and have evaluated their work in different ways. However, as of yet there has not been a consistent approach to measuring outcomes across the many local and regional taskforces. This project aims to develop a shared outcomes framework and a set of common measures for taskforces to begin tracking the impact of their work in a consistent way. It is hoped that this will enable better understanding of what works to promote recovery from drug and alcohol misuse, enable learning across services, taskforces and regions and allow evidence of what interventions are effective at a local context to be fed into national strategy.","2017-04",,,"Ni Ogain Eibhlin",,"","",,,,,,"Catch Impact","London",,"27 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AH18 , FE10-4-6 , FR , FR16 , FS30 , FS38-6-2 , HZ26 , JP10 , JP24-4-1 , LC2-4 , NF20 , NF20-4","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Attitude and behaviour -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- F Concepts in psychology > Specific attitude and behaviour > choice-making behaviour  -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Rehabilitation > Vocational rehabilitation (employment / occupation) -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- N Communication, information and education > Education and training > affective and interpersonal education -- N Communication, information and education > Education and training > affective and interpersonal education > skills building",,"Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Skills  -  Coping skills --  Attitude and behaviour --  Attitude and behaviour  -  Attitude toward drugs and alcohol --  Specific attitude and behaviour  -  choice-making behaviour  --  Specific attitude and behaviour  -  risk-taking behaviour --  Treatment outcome --  Treatment and maintenance  -  treatment factors --  Rehabilitation  -  Vocational rehabilitation (employment / occupation) --  Interpersonal interaction and group dynamics  -  Social support --  Education and training  -  affective and interpersonal education --  Education and training  -  affective and interpersonal education  -  skills building",,"Ni Ogain Eibhlin , Hodgson Linsay","0","yes"
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hodgson","Linsay","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845","16","archive","5",,,"disk0/00/02/68/45","2017-02-15 08:36:28","2017-08-11 09:42:48","2017-02-15 08:36:28","article",,,"show",,,,"","","","","","","","","","",,,,"Murphy","Donnchadh","","","","Murphy:Donnchadh::","",,,,,"","","Promoting college students to seek help for mental health difficulties: a social normative approach.",,"FE10-4-6","","none",,,,,,,,"The aim of this study was to test whether an online social normative intervention would promote college students’ help seeking attitudes and intentions. To investigate this, a between-group, post-test, experimental design consisting of 207 students (69 males, 138 females), aged 18–25 years (M = 20.46, SD = 1.96) was used. Students who received the social normative feedback reported more positive help-seeking attitudes, with students who had mental health problems also reporting more positive help-seeking intentions. The findings of this study are discussed with respect to methodological considerations, and recommendations for practice and future research are provided for student counselling clinics.","2017-02","published",,"Murphy Donnchadh",,"","",,"International Journal of Mental Health Promotion","19","1","1","Taylor & Francis",,"14-25",,,,,,"doi.org/10.1080/14623730.2017.1288155",,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.tandfonline.com/eprint/r2y9CqR5bizyDgV7TJMk/full","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","19","International Journal of Mental Health Promotion","FE10-4-6 , FP , GA2-4 , HZ , HZ24 , HZ4 , JQ6-8 , NF2-6-8 , NF24-6 , TN2-6 , VH4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- G Health and disease > State of health > Mental health -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Counselling -- HJ Treatment method > Psychotherapy -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- N Communication, information and education > Education and training > Educational institution > Higher education institution (college / university) -- N Communication, information and education > Educational environment (school / college) > Student behaviour and participation -- T Demographic characteristics > Undergraduate or graduate student","VA Geographic area > Europe > Ireland","Skills  -  Coping skills --  Emotion --  State of health  -  Mental health --  Psychosocial treatment method --  Counselling --  Psychotherapy --  Care by type of problem  -  Mental health care --  Education and training  -  Educational institution  -  Higher education institution (college / university) --  Educational environment (school / college)  -  Student behaviour and participation --  Undergraduate or graduate student","Europe  -  Ireland","Murphy Donnchadh , Hennessy Ellis","0","no"
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hennessy","Ellis","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF2-6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26845",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661","10","archive","5",,,"disk0/00/02/56/61","2016-06-14 13:40:00","2016-06-14 13:40:00","2016-06-14 13:40:00","article",,,"show",,,,"","","","","","","","","","",,,,"Straley","Megan E","","","","Straley:Megan E::","",,,,,"","","Distinct alterations in motor & reward seeking behavior are dependent on the gestational age of exposure to LPS-induced maternal immune activation.","pub","AJ4","","none",,,,,,,,"The dopaminergic system is involved in motivation, reward and the associated motor activities. Mesodiencephalic dopaminergic neurons in the ventral tegmental area (VTA) regulate motivation and reward, whereas those in the substantia nigra (SN) are essential for motor control. Defective VTA dopaminergic transmission has been implicated in schizophrenia, drug addiction and depression whereas dopaminergic neurons in the SN are lost in Parkinson's disease. 

Maternal immune activation (MIA) leading to in utero inflammation has been proposed to be a risk factor for these disorders, yet it is unclear how this stimulus can lead to the diverse disturbances in dopaminergic-driven behaviors that emerge at different stages of life in affected offspring. Here we report that gestational age is a critical determinant of the subsequent alterations in dopaminergic-driven behavior in rat offspring exposed to lipopolysaccharide (LPS)-induced MIA. 

Behavioral analysis revealed that MIA on gestational day 16 but not gestational day 12 resulted in biphasic impairments in motor behavior. Specifically, motor impairments were evident in early life, which were resolved by adolescence, but subsequently re-emerged in adulthood. In contrast, reward seeking behaviors were altered in offspring exposed MIA on gestational day 12. These changes were not due to a loss of dopaminergic neurons per se in the postnatal period, suggesting that they reflect functional changes in dopaminergic systems. This highlights that gestational age may be a key determinant of how MIA leads to distinct alterations in dopaminergic-driven behavior across the lifespan of affected offspring.","2016-06-03","published",,"Straley Megan E",,"","",,"Brain, Behavior, and Immunity","epub ahead of print",,,"Elsevier",,"",,,,,,"doi: 10.1016/j.bbi.2016.06.002",,,,,"TRUE","","","",,"1090-2139",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.sciencedirect.com/science/article/pii/S0889159116301519","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","epub ahead of print","Brain Behavior and Immunity","AJ4 , EA , FE10-4-6 , GJ , JA6-6 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Theory of drugs and alcohol use > Biological drugs and alcohol use disorder theory -- E Concepts in biomedical areas > General life processes (physiology) -- F Concepts in psychology > Skills > Coping skills -- G Health and disease > Disorder by cause > Developmental disorder -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors","VA Geographic area > Europe > Ireland","Theory of drugs and alcohol use  -  Biological drugs and alcohol use disorder theory --  General life processes (physiology) --  Skills  -  Coping skills --  Disorder by cause  -  Developmental disorder --  Risk and protective factors  -  risk factors","Europe  -  Ireland","Straley Megan E , Van Oeffelen Wesley , Theze Sarah , Sullivan Aideen M , O'Mahony Siobhain M , Cryan John F , O'Keeffe Gerard W","0","yes"
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Van Oeffelen","Wesley","","",,,,,,,,,,,,"EA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Theze","Sarah","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sullivan","Aideen M","","",,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Mahony","Siobhain M","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cryan","John F","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Keeffe","Gerard W","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943","17","archive","5",,,"disk0/00/02/69/43","2017-03-02 10:12:33","2017-03-02 10:12:33","2017-03-02 10:12:33","guideline",,,"show",,,,"","","","","","","","","","",,,,"Walsh","Sophie D","","","",,"",,,,,"","","Adolescents at risk. Psychosomatic health complaints, low life satisfaction, excessive sugar consumption and their relationship with cumulative risks.","pub","FE10-4-6","","public",,,,,,,,"Adolescence is a time of transitions when experimentation, risk taking and active peer interactions can be viewed as a part of the development process. Yet, for some groups of young people with reported poor psychosomatic health, low life satisfaction or unhealthy eating habits these experiences may be different. Empirical evidence is limited in recognising the overlapping and cumulative risks of adolescents’ health disadvantage and multiple externalized risk behaviours and outcomes (smoking, drinking, binge drinking, regular fighting, injuries and bullying). 

Drawing on the most recent 2013/2014 data of the Health Behaviour of School Children (HBSC) study, this paper examines the risks of individual and cumulative risks (three or more types) associated with being in the bottom group of psychosomatic health complaints, life satisfaction and unhealthy eating (excessive sugar consumption) across 29 countres. Using multivariate logistic modelling, the association that was the strongest, most consistent and independent of family affluence (FAS) was that between cumulative risks and high levels of psychosomatic health complaints. Similarly consistent, although weaker, is the association found between adolescents’ low life satisfaction and unhealthy eating. Only in Greece and Hungary does the association between cumulative risks and life satisfaction seem to be mediated by family socio-economic status (SES). This is also the case for Denmark and Malta in the case of unhealthy eating.","2016-04",,,"UNICEF",,"","",,,,,,"UNICEF Office of Research","Florence",,"38 p.",,,,,"Innocenti Working Paper No.2016-13",,,,,,"report","aod_disorder","alcohol",,,,,,"UNICEF",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , FP , GA2 , GA2-4 , JA6-6 , JV , LW4 , MK10-4 , TA14 , VH","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- G Health and disease > State of health -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- J Health care, prevention and rehabilitation > Health care economics -- L Social psychology and related concepts > Inclusion and exclusion -- MA-ML Social science, culture and community > Social condition > Poverty -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe","Skills  -  Coping skills --  Emotion --  State of health --  State of health  -  Mental health --  Risk and protective factors  -  risk factors --  Health care economics --  Inclusion and exclusion --  Social condition  -  Poverty --  Adolescent / youth (teenager / young person)","Europe","Walsh Sophie D , Bruckauf Zlata , Gaspar Tania","0","yes"
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bruckauf","Zlata","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gaspar","Tania","","",,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LW4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129","12","archive","5",,,"disk0/00/02/51/29","2016-02-02 09:01:52","2016-02-02 09:01:52","2016-02-02 09:01:52","article",,,"show",,,,"","","","","","","","","","",,,,"Deasy","Christine","","","","Deasy:Christine::","",,,,,"","","Predictors of health of pre-registration nursing and midwifery students: findings from a cross-sectional survey.","pub","AD12-6","","none",,,,,,,,"BACKGROUND: Student nurses/midwives evidence less than exemplary lifestyle habits and poor emotional health, despite exposure to health education/promotion during their educational preparation. Knowledge of the factors that predict nursing/midwifery students' health could inform strategies to enhance their health and increase their credibility as future health promoters/educators.

OBJECTIVE: To establish the predictors of nursing/midwifery student emotional health.

SETTING: Cross-sectional survey took place at a university in Ireland.

PARTICIPANTS: We involved a total sample (n=473) student nurses/midwives.

METHODS: Participants completed the General Health Questionnaire, Lifestyle Behaviour Questionnaire and Ways of Coping Questionnaire to determine their self-reported emotional health, lifestyle behaviour and coping processes. Multivariate regression was performed to identify the predictors of student emotional health (dependent variable). The independent variables were demographics, coping, lifestyle behaviour and students' perceptions of determinants of their health.

RESULTS: Many respondents reported significant emotional distress (48.71%) and unhealthy lifestyle behaviours including smoking (27.94%), physical inactivity (34.29%), alcohol consumption (91.7%) and unhealthy diet (28.05%). Multivariate regressions indicated that the predictors of emotional distress included gender, year of study, smoking, passive coping and beliefs that their student life was stressful or/and that worry stress and boredom adversely impacted their diet.

CONCLUSIONS: Targeting student's beliefs regarding influences upon their health, promotion of positive lifestyles and adaptive coping is necessary to facilitate health gain of future health professionals.","2016-01","published",,"Deasy Christine",,"","",,"Nurse Education Today","36",,,"Elsevier",,"427-433",,,,,,,,,,,"TRUE","","","",,"1532-2793",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.sciencedirect.com/science/article/pii/S0260691715003962","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","36","Nurse Education Today","AD12-6 , BB , BD , FE10-4-6 , FP , TT2-14 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- B Drugs and alcohol substances > Alcohol -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Alcohol --  Tobacco (cigarette smoking) --  Skills  -  Coping skills --  Emotion --  Nurse","Europe  -  Ireland","Deasy Christine , Coughlan Barry , Pironom Julie , Jourdan Didier , Mannix-McNamara Patricia","0","no"
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coughlan","Barry","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pironom","Julie","","",,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jourdan","Didier","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mannix-McNamara","Patricia","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764","14","archive","5",,,"disk0/00/02/57/64","2016-07-06 07:48:23","2016-07-06 07:50:37","2016-07-06 07:48:23","guideline",,,"show",,,,"","","","","","","","","","",,,,"Greer","Alissa M","","","","Greer:Alissa M::","",,,,,"","","Peer engagement in harm reduction strategies and services: a critical case study and evaluation framework from British Columbia, Canada.","pub","FE10-4-6","","none",,,,,,,,"BACKGROUND: Engaging people with drug use experience, or 'peers,' in decision-making helps to ensure harm reduction services reflect current need. There is little published on the implementation, evaluation, and effectiveness of meaningful peer engagement. This paper aims to describe and evaluate peer engagement in British Columbia from 2010-2014.

METHODS: A process evaluation framework specific to peer engagement was developed and used to assess progress made, lessons learned, and future opportunities under four domains: supportive environment, equitable participation, capacity building and empowerment, and improved programming and policy. The evaluation was conducted by reviewing primary and secondary qualitative data including focus groups, formal documents, and meeting minutes.

RESULTS: Peer engagement was an iterative process that increased and improved over time as a consequence of reflexive learning. Practical ways to develop trust, redress power imbalances, and improve relationships were crosscutting themes. Lack of support, coordination, and building on existing capacity were factors that could undermine peer engagement. Peers involved across the province reviewed and provided feedback on these results.

CONCLUSION: Recommendations from this evaluation can be applied to other peer engagement initiatives in decision-making settings to improve relationships between peers and professionals and to ensure programs and policies are relevant and equitable.","2016","published",,"Biomed Central",,"","",,"BMC Public Health","16","1","1","BioMed Central",,"452","452",,,,,"DOI: 10.1186/s12889-016-3136-4",,,,,"TRUE","","aod_use_harm_reduction","alcohol_drugs_in_general",,"1471-2458",,,,"Biomed Central",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3136-4","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","16","BMC Public Health","FE10-4-6 , JB2-4 , JP , LC2-14 , LC2-4 , LW4 , TL4 , VC4","F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Treatment and maintenance -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Peer relations -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Inclusion and exclusion -- T Demographic characteristics > Drug user","VA Geographic area > Canada","Skills  -  Coping skills --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction --  Treatment and maintenance --  Interpersonal interaction and group dynamics  -  Peer relations --  Interpersonal interaction and group dynamics  -  Social support --  Inclusion and exclusion --  Drug user","Canada","Greer Alissa M , Luchenski Serena A , Amlani Ashraf A , Lacroix Katie , Burmeister Charlene , Buxton Jane A","0","yes"
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Luchenski","Serena A","","",,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Amlani","Ashraf A","","",,,,,,,,,,,,"JP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lacroix","Katie","","",,,,,,,,,,,,"LC2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Burmeister","Charlene","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Buxton","Jane A","","",,,,,,,,,,,,"LW4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25764",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VC4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354","13","archive","5",,,"disk0/00/02/53/54","2016-04-04 07:20:13","2016-06-28 08:58:23","2016-04-04 07:20:13","article",,,"show",,,,"","","","","","","","","","",,,,"Morton","Sarah","","","","Morton:Sarah::","",,,,,"","","Boxing clever: utilizing education and fitness to build recovery capital in a substance use rehabilitation program.","pub","AH18","","none",,,,,,,,"Aims: To explore the change processes for participants engaging in a 20-week integrated fitness and education substance-use rehabilitation program, with a particular focus on elements of social and community capital that supported and sustained recovery from problematic substance use. Program participants were a mix of abstinent and current substance users.

Methods: Two focus groups conducted with program participants midway (n = 17) and two focus groups on completion (n = 14) of the program. Transcripts were coded and themes identified.

Results: Three themes emerged from the analysis: the importance of fitness and education to build personal and social capital; the role of education in reducing substance use and its impact on families to aid recovery capital; and positive re-engagement with communities.

Conclusions: Findings support the use of education and fitness in developing social and personal capital in the lives of those seeking recovery from substance use. The unintended positive impacts on participant’s families and their own community engagement would suggest a wider value in building social capital than may previously have been recognized.","2016",,,"Morton Sarah",,"","",,"Journal of Substance Use","21","5","5","Informa healthcare",,"521-526",,,,,,"DOI:10.3109/14659891.2015.1077281",,,,,"TRUE","","","",,"ISSN 1465-9891 print/ISSN 1475-9942 online",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.tandfonline.com/doi/abs/10.3109/14659891.2015.1077281","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","21","Journal of Substance Use","AH18 , FE10-4-6 , JP24-4 , NF , NF20 , NF20-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Rehabilitation -- N Communication, information and education > Education and training -- N Communication, information and education > Education and training > affective and interpersonal education -- N Communication, information and education > Education and training > affective and interpersonal education > skills building","VA Geographic area > Europe > Ireland","Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Skills  -  Coping skills --  Rehabilitation --  Education and training --  Education and training  -  affective and interpersonal education --  Education and training  -  affective and interpersonal education  -  skills building","Europe  -  Ireland","Morton Sarah , O'Reilly Laura , O'Brien Karl","0","no"
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Reilly","Laura","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Brien","Karl","","",,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25354",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523","40","archive","5",,,"disk0/00/02/75/23","2017-07-07 11:22:13","2017-07-07 13:07:46","2017-07-07 11:22:13","guideline",,,"show",,,,"","","","","","","","","","",,,,"Bonell","Chris","","","","Bonell:Chris::","",,,,,"","","The effects of Positive Youth Development interventions on substance use, violence and inequalities: systematic review of theories of change, processes and outcomes.","pub","FE10-4-6","","none",,,,,,,,"BACKGROUND: Positive Youth Development (PYD) delivered outside school aims to enable young people to develop positive assets such as relationships and confidence, rather than to merely address risk. Existing reviews of PYD effects on substance use or violence are old and unsystematic.

OBJECTIVES: To systematically review evidence to answer the following questions: what theories of change inform PYD interventions addressing substance use and violence? What characteristics of participants and contexts are identified as barriers to and facilitators of implementation and receipt in process evaluations of PYD? What is the effectiveness and cost-effectiveness of PYD in reducing substance use and violence? What characteristics of participants and contexts appear to moderate, or are necessary and sufficient for, PYD effectiveness?

DATA SOURCES: A total of 21 bibliographic databases; 35 websites and contacting authors.
REVIEW METHODS: We included reports published in English since 1985 and reporting on theories of change, as well as process, outcome and economic evaluations of PYD targeting 11- to 18-year-olds and addressing substance use or violence. References were screened on title/abstract and, where appropriate, on full report. Data extraction and quality assessment used Critical Appraisal Skills Programme, Evidence for Policy and Practice Information and Co-ordinating Centre and Cochrane tools. Theories of change and process evaluations were qualitatively metasynthesised. Outcome evaluations were synthesised narratively and meta-analytically.

RESULTS: 32,394 unique references were identified and 48 were included. A total of 16 reports described theories, 13 (10 studies) evaluated processes and 25 (10 studies) evaluated outcomes.

THEORIES OF CHANGE: PYD interventions aim to offer opportunities for young people to develop positive ‘assets’ such as skills and confidence. These are theorised to promote and be promoted by young people’s ‘intentional self-regulation’, which involves reflecting on behaviour; determining goals; using existing resources to pursue these; and redirecting effort when thwarted. This enables ‘developmental regulation’, namely individuals capitalising on other opportunities to promote personal development. Positive assets thus accrued reduce health risks by reducing the impact on individuals of environmental risk or by ameliorating the impact of such risks. The literature offers limited insights beyond these general ideas.

PROCESS EVALUATIONS: Community engagement ensured that programmes were accessible and appealing. Staff capacity and continuity were crucial factors but often challenging when programmes could not offer full-time jobs. Tensions arose between a desire to empower participants to choose activities and a requirement for them to undertake a breadth of activities.

OUTCOME EVALUATIONS: Meta-analyses of all combined outcomes and of short-term alcohol use, illicit drug use and smoking found no significant effects. There were small, statistically significant, short-term effects for an omnibus measure of substance use and for violence. We could not undertake metaregression to assess sociodemographic moderators but narrative synthesis suggested no clear pattern of effects by sex. We found no economic evaluations.

LIMITATIONS: Insufficient studies precluded qualitative comparative analyses.

CONCLUSIONS: How PYD might promote health is currently undertheorised. Implementation can be challenging. We found little evidence that current PYD interventions delivered outside school reduce substance use or violence. However, these may not constitute a test of the effectiveness of the PYD model, as some included interventions that, although meeting our inclusion criteria, were not exemplars of PYD.","2016","published",,"NIHR",,"","",,"Public Health Research","4","5","5","National Institute for Health Research","Southampton",,,,,,,,,,,,,"review","aod_disorder","alcohol",,,,,,"NIHR",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.ncbi.nlm.nih.gov/books/NBK362316/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","4","Public Health Research","FE10-4-6 , FP , JB6 , JF10-12-4 , JF8 , MM6-6 , NF20-4 , TA14","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MM-MO Crime and law > Criminality > Youth (juvenile) offending -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- T Demographic characteristics > Adolescent / youth (teenager / young person)",,"Skills  -  Coping skills --  Emotion --  Prevention outcome --  Prevention by sponsor or setting  -  Youth-club / cafe based prevention --  Prevention by sponsor or setting  -  Community-based prevention --  Criminality  -  Youth (juvenile) offending --  Education and training  -  affective and interpersonal education  -  skills building --  Adolescent / youth (teenager / young person)",,"Bonell Chris , Dickson Kelly , Hinds Kate , Melendez-Torres GJ , Stansfield Claire , Fletcher Adam , Thomas James , Lester Katrina , Oliver Elizabeth , Murphy Simon M , Campbell Rona","0","yes"
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dickson","Kelly","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hinds","Kate","","",,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Melendez-Torres","GJ","","",,,,,,,,,,,,"JF10-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Stansfield","Claire","","",,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fletcher","Adam","","",,,,,,,,,,,,"MM6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Thomas","James","","",,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lester","Katrina","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Oliver","Elizabeth","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Murphy","Simon M","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Campbell","Rona","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988","23","archive","5",,,"disk0/00/02/79/88","2017-10-12 13:28:05","2017-10-12 13:28:37","2017-10-12 13:28:05","article",,,"show",,,,"","","","","","","","","","",,,,"Parchetka","Caroline","","","","Parchetka:Caroline::","",,,,,"","","Predictive utility of the NEO-FFI for later substance experiences among 16-year-old adolescents.","pub","FE10-4-6","","none",,,,,,,,"Purpose: The onset of substance use mostly occurs during adolescence. The aim of the present study is to investigate the relevance of personality on the basis of the NEO-Five-Factor Inventory (NEO-FFI) to future experiences with tobacco, alcohol and cannabis.

Methods: The test data were derived from the baseline assessment and first follow-up of the IMAGEN study, a European multicenter and multidisciplinary research project on adolescent mental health. In the present study 1004 participants were tested. The characterization of personality was conducted with the NEO-FFI at the age of 14 (T1). The data on substance use were collected with the European School Survey Project on Alcohol and Other Drugs (ESPAD) questionnaire at the age of 16 (T2). For the statistical analysis, t-tests and univariate analyses of variance were performed.

Results: The scores of Conscientiousness at T1 were significantly lower for adolescents with tobacco, alcohol and cannabis experiences at T2. We found lower scores of Agreeableness at T1 in participants with tobacco and cannabis use at T2. Extraversion at T1 was significantly higher for adolescents with smoking experiences at T2. No significant associations between Neuroticism or Openness and future substance use were observed.

Conclusion: Low scores of Conscientiousness and Agreeableness seem to have the greatest value for a prediction of later experiences with substance use. As the present study is the first one to examine the predictive value of the NEO-FFI for future substance use in an adolescent sample, further studies are necessary to enable a better applicability in a clinical context.","2016",,,"Parchetka Caroline",,"","",,"Journal of Public Health","24","6","6","Springer",,"489 -495",,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"https://link.springer.com/article/10.1007/s10389-016-0747-2","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","24","Journal of Public Health","FE10-4-6 , FJ , FN , FP , FR , HH , JG26_2_4_2 , TA14 , VH , VH4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Cognition -- F Concepts in psychology > Motivation -- F Concepts in psychology > Emotion -- F Concepts in psychology > Attitude and behaviour -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe -- VA Geographic area > Europe > Ireland","Skills  -  Coping skills --  Cognition --  Motivation --  Emotion --  Attitude and behaviour --  Psychosocial screening and diagnostic method --  Identification and screening  -  Identification and screening for drugs and alcohol use --  Adolescent / youth (teenager / young person)","Europe --  Europe  -  Ireland","Parchetka Caroline , Strache Nicole , Raffaelli Bianca , Gemmeke Isabel , Weib Katharina , Artiges Eric , Banaschewski Tobias , Bokde Arun L W , Bromberg Uli , Buechel Christian , Conrod Patricia , Desrivières Sylvane , Flor Herta , Frouin Vincent , Garav","0","yes"
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Strache","Nicole","","",,,,,,,,,,,,"FJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Raffaelli","Bianca","","",,,,,,,,,,,,"FN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gemmeke","Isabel","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Weib","Katharina","","",,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Artiges","Eric","","",,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Banaschewski","Tobias","","",,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bokde","Arun L W","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bromberg","Uli","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Buechel","Christian","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Conrod","Patricia","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Desrivières","Sylvane","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Flor","Herta","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Frouin","Vincent","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Garavan","Hugh","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gowland","Penny","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heinz","Andreas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ittermann","Bernd","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lemaitre","Herve","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Martinot","Jean-Luc","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mennigen","Eva","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nees","Frauke","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Paillère-Martinot","Marie-Laure","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Papadopoulos","Dimitri","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Paus","Tomas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Poustka","Luise","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jurk","Sarah","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smolka","Michael N","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vetter","Nora C","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Walter","Henrik","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Whelan","Robert","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schumann","Gunter","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gallinat","Jurgen","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786","15","archive","5",,,"disk0/00/02/47/86","2015-11-10 12:01:16","2015-11-10 12:01:16","2015-11-10 12:01:16","guideline",,,"show",,,,"","","","","","","","","","",,,,"Schlossarek","S","","","","Schlossarek:S::","",,,,,"","","Psychosocial determinants of cannabis dependence: a systematic review of the literature.","pub","B6","","none",,,,,,,,,"2016","published",,"Schlossarek S",,"","",,"European Addiction Journal","22","3","3","Karger",,,"131-44",,,,,"DOI:10.1159/000441777",,,,,,"review","aod_disorder","cannabis",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""><b>Background</b>: Many studies have examined factors associated with the first onset of cannabis use and abuse. Currently, there is relatively little research regarding conditions under which cannabis dependence is more likely to emerge. Although previous studies have examined different potential determinants of cannabis dependence, to our knowledge, a systematic review is lacking. Aims: The study aims to identify recent findings regarding psychosocial determinants of cannabis dependence and to summarize them systematically.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Methods</b>: A literature search in 4 databases - Embase, Medline, PsycINFO and PSYNDEX - was conducted. Searches were limited to publications between 2000 and April 2014, English and German as languages and humans as study subjects.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Results</b>: Our search detected a total of 10,568 studies. Twenty-six studies finally met inclusion criteria. Consumption patterns such as a regular cannabis use independent of social context and an early onset of use (11-15 years) were correlates of cannabis dependence. Moreover, early reactions to cannabis use and coping-oriented use motives explained additional variance. Stress factors and critical life events such as parental separation and early parental death as well as mental and social conflicts have also been linked with development of cannabis dependence. Additionally, comorbid mental disorders correlated with cannabis dependence.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Conclusion</b>: Numerous factors were shown to have an impact on transition to cannabis dependence. In particular, a wide range of mental disorders has been linked to an elevated risk of becoming dependent. The development of a dependence syndrome seems to be associated with diverse processes, in which social, biological and intra-individual factors interact in a complex manner. Nevertheless, the link between cannabis dependence and predisposing factors could not be resolved convincingly by most studies due to methodological weaknesses regarding dependence criteria. (© 2015 S. Karger AG, Basel)</p>",,,,,,,,,,,"","http://www.karger.com/Article/FullText/441777","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","22","European Addiction Journal","B6 , FE10-4-6 , FP , GA2-4 , GC6 , GD2 , JA6-6 , LG18-12 , LK4-18-10 , VA2","B Drugs and alcohol substances > Cannabis / Marijuana -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- G Health and disease > State of health > Mental health -- G Health and disease > Drugs and alcohol disorder > Drug use > Drug dependence -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Life event > Change or event related to family or friend > Death of family member or close friend","VA Geographic area > International aspects","Cannabis / Marijuana --  Skills  -  Coping skills --  Emotion --  State of health  -  Mental health --  Drugs and alcohol disorder  -  Drug use  -  Drug dependence --  Drugs and alcohol related disorder  -  Drugs and alcohol related mental disorder --  Risk and protective factors  -  risk factors --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Life event  -  Change or event related to family or friend  -  Death of family member or close friend","International aspects","Schlossarek S , Kempkensteffen J , Reimer J , Verthein U","0","yes"
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kempkensteffen","J","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Reimer","J","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Verthein","U","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LK4-18-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24786",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24997","13","archive","5",,,"disk0/00/02/49/97","2016-01-06 08:43:00","2016-01-06 08:43:00","2016-01-06 08:43:00","guideline",,,"show",,,,"","","","","","","","","","",,,,"Semczuk","Megan","","","","Semczuk:Megan::","",,,,,"","","An analysis of the relationship between a community-based prevention program for young people with multiple and complex needs and the prevalence of crime.","pub","FE10-4-6","","public",,,,,,,,,"2015-12","published",,"NDARC",,"","",,,,,,"National Drug and Alcohol Research Centre","Sydney",,"50 p.",,,,,"NDARC Monograph Number 65",,,,,,"report","crime_prevention","alcohol_drugs_in_general",,,,,,"NDARC",,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""><b>Background</b></p>
<p style=""margin: 0cm 0cm 0pt;"">There is an absence of high-quality evidence about which programs are most effective in reducing juvenile offending and crime recidivism.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>Aims</b></p>
<p style=""margin: 0cm 0cm 0pt;"">This study identifies the most common types of police incidents involving high-risk young people, describes the demographic characteristics of the persons of interest, examines the extent to which a community prevention program (<a href=""http://www.backtrack.org.au/"" target=""_blank"">BackTrack</a>) is associated with reductions in police incidents, and identifies the perceptions of key stakeholders about the impact of BackTrack.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>Methods</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Routinely collected crime data were obtained from 1999-2013 for Armidale (the BackTrack community). Descriptive analyses identified the most common incidents and their characteristics. Segmented regression analysis of an interrupted time series estimated BackTrack’s impact, with segments specified for pre (1999-2005) and post (2006-2013) the commencement of BackTrack. A thematic analysis was applied the perceptions of police officers and the magistrate in Armidale.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>Results</b></p>
<p style=""margin: 0cm 0cm 0pt;"">The most common types of police incidents were: break and enter dwelling; malicious damage to property; assault (non-domestic violence); and trespass. Most persons of interest were male, aged 14-17 years. A statistically significant reduction from pre- to post-commencement of BackTrack was identified for three outcomes (p≤0.05), while the fourth (break and enter) approached significance (p=0.055). A key perception was that outcomes are optimised when key stakeholders in community programs and the criminal justice system work together.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>Conclusions</b></p>
<p style=""margin: 0cm 0cm 0pt;"">BackTrack appropriately targets high-risk young people and is effective in reducing the most common types of criminal incidents.</p>",,,,,,,,,,,"",,"https://ndarc.med.unsw.edu.au/resource/analysis-relationship-between-community-based-prevention-program-young-people-multiple-and","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , JF8 , MM8-2 , TA14 , VK2","F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MM-MO Crime and law > Crime prevention -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Australia and Oceania > Australia","Skills  -  Coping skills --  Prevention by sponsor or setting  -  Community-based prevention --  Crime prevention --  Adolescent / youth (teenager / young person)","Australia and Oceania  -  Australia","Semczuk Megan , Shakeshaft Anthony , Knight Alice , Maple Myfanwy , McKay Kathryn , Shakeshaft Bernie","0","yes"
"24997",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Shakeshaft","Anthony","","",,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24997",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Knight","Alice","","",,,,,,,,,,,,"MM8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24997",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Maple","Myfanwy","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24997",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McKay","Kathryn","","",,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24997",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Shakeshaft","Bernie","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900","15","archive","5",,,"disk0/00/02/49/00","2015-12-08 15:22:19","2015-12-08 15:22:20","2015-12-08 15:22:19","guideline",,,"show",,,,"","","","","","","","","","",,,,"Terry","Lucy","","","","Terry:Lucy::","",,,,,"","","‘Understanding the whole person’: the first in a series of literature reviews on severe and multiple disadvantage.","pub","AH18","","public",,,,,,,,"Because many people experience multiple and complex needs, it is important to understand the cross-cutting and distinct themes across the journeys of recovery from mental illness, recovery from substance misuse, and desistance from crime. The key themes highlighted in our paper are based on a review of the literature within three separate disciplinary fields: mental health, criminology and substance misuse. 
Common themes emerging from the literature 

•	The three areas are processes, not events, involving setbacks, lapses, and trying again. While they are difficult many people eventually achieve lasting success - we should all be optimistic about people’s potential. 
•	These journeys are about moving towards something positive: this is as if not more important than rejecting or moving away from bad experiences. These are inherently hopeful journeys looking towards the future. 
•	The journeys are highly subjective and about the reality of people’s lives, not top-down interventions or treatments. A person must perceive an opportunity or event as meaningful for it to make a positive impact. 

•	Success is associated with developing a strong, positive identity. This means overcoming labels like ‘offender’ and ‘patient’ and believing in one’s own agency and capability. 
•	Healthy relationships are crucial. They give emotional and practical support as well as providing meaningful roles and opportunities to give back. But social networks are unhelpful in some cases, and often positive relationships are rare for certain groups such as drug-using offenders and other people facing multiple needs. 
•	It is key to believe in one’s role in the wider community and society, and internalised stigma can be a big barrier to recovery and desistance. 

Distinctive themes: 
•	Recovery in mental health focuses on recovery from institutions and the effects of being a mental health patient; whereas the other two domains focus more on processes of behaviour and motivational change taking place in a social context. 
•	Recovery in mental health also emphasises the need for socially inclusive policies and adaptations that allow people with an ongoing severe mental illness to still participate on their own terms. 
•	Some of the variation in themes is partly due to the particular research methods used by each domain. 

The review concludes that some of the themes distinctive to mental health recovery have potential relevance to all three domains. It also highlights the literature’s relevance to multiple needs policy and reiterates that there are many ways to support people on their complex but often successful journeys towards change.","2015-12","published",,"Terry Lucy",,"","",,,,,,"Revolving Doors Agency","London",,"27 p.",,,,,,,,,,,"review","crime_prevention","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.revolving-doors.org.uk/partnerships--development/research-network/literature-review-series/common-concepts-for-recovery-and-desistance/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AH18 , FE10-4-6 , JP24-4 , LC2-4 , MM8-2 , MN36-6-10-2 , TT8-2 , TV6-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Rehabilitation -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MM-MO Crime and law > Crime prevention -- MM-MO Crime and law > Criminal penalty > Community service (penalty) > Probation or parole -- T Demographic characteristics > Social worker -- T Demographic characteristics > Offender",,"Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Skills  -  Coping skills --  Rehabilitation --  Interpersonal interaction and group dynamics  -  Social support --  Crime prevention --  Criminal penalty  -  Community service (penalty)  -  Probation or parole --  Social worker --  Offender",,"Terry Lucy , Cardwell Vicki","0","yes"
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cardwell","Vicki","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MN36-6-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TV6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711","20","archive","5",,,"disk0/00/02/47/11","2015-10-29 10:10:38","2015-10-29 10:10:38","2015-10-29 10:10:38","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","No One Left Out: Solutions Ltd","Creating a psychologically informed environment. implementation and assessment.","pub","FE10-4-6","","public",,,,,,,,"A Psychologically Informed Environment (PIE) “... is one that takes into account the psychological makeup – the thinking, emotions, personalities and past experience - of its participants in the way that it operates.”  It’s an approach to supporting people out of homelessness, in particular those who have experienced complex trauma3 or are diagnosed with a personality disorder. It also considers the psychological needs of staff: developing skills and knowledge, increasing motivation, job satisfaction and resilience. 

Many of the clients homeless services work with seem to have difficulty managing their emotions, appear impulsive and do not consider the consequences of their actions. Some may be withdrawn, isolated and reluctant to engage or exhibit anti-social behaviour. The purpose of a PIE is to help staff understand where these behaviours are coming from and therefore work more creatively and constructively with challenging behaviours.

A PIE has 5 key elements:
1. Relationships
2. Staff support and training
3. The physical environment and social spaces
4. A psychological framework
5. Evidence generating practice","2015-10","published",,"MEAM",,"","",,,,,,"Westminster City Council","London",,"17 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"MEAM",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , FR , FS , JA8-4 , JA8-6-4 , LN12 , MQ6-2 , TT2 , TT2-14 , TT4-4 , TT8-2 , VH4-4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Attitude and behaviour -- F Concepts in psychology > Specific attitude and behaviour -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment > Community needs assessment -- L Social psychology and related concepts > Social context > Community environment -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Counsellor / Therapist -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom > England","Skills  -  Coping skills --  Attitude and behaviour --  Specific attitude and behaviour --  Risk and needs assessment  -  Needs assessment --  Risk and needs assessment  -  Needs assessment  -  Community needs assessment --  Social context  -  Community environment --  Organisational development  -  Workforce / staff skills and training --  Drug or health care worker --  Nurse --  Counsellor / Therapist --  Social worker","Europe  -  United Kingdom  -  England","No One Left Out: Solutions Ltd No One Left Out: Solutions Ltd","0","yes"
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481","52","archive","5",,,"disk0/00/01/94/81","2013-03-12 08:28:07","2016-06-07 10:57:58","2013-03-12 08:28:07","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","United Nations Office on Drugs and Crime","International standards on drug use prevention.","pub","JG10-4","","public",,,,,,"Minor editorial amendments have been made to this publication, however the content remains the same as the earlier version, first published in 2013.",,"Prevention strategies based on scientific evidence working with families, schools, and communities can ensure that children and youth, especially the most marginalized and poor, grow and stay healthy and safe into adulthood and old age. For every dollar spent on prevention, at least ten can be saved in future health, social and crime costs.

These global International Standards summarize the currently available scientific evidence, describing interventions and policies that have been found to result in positive prevention outcomes and their characteristics. Concurrently, the global International Standards identify the major components and features of an effective national drug prevention system. It is our hope that the International Standards will assist policy makers worldwide to develop programmes, policies and systems that are a truly effective investment in the future of children, youth, families and communities. This work builds on and recognizes the work of many other organizations (e.g. EMCDDA, CCSA, CICAD, Mentor, NIDA, WHO) which have previously developed standards and guidelines on various aspects of drug prevention.

[For appendices, click on website link above]","2015-08","published",,"UNODC",,"","",,,,,,"United Nations Office on Drugs and Crime","Vienna",,"48 p.",,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,"UNODC",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.unodc.org/unodc/en/prevention/prevention-standards.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JG10-4 , JG10-2-4 , JE , JG10-12 , JF8 , JF10-10 , JB2 , NA6-4 , JC4-4 , JC4-2 , JF10-12-4 , TA12 , JB6 , VA2 , NF16-2 , FE10-4-6","J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- J Health care, prevention and rehabilitation > Prevention programme or service -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- N Communication, information and education > Message (portrayal of drugs and alcohol use) > Portrayal of drugs and alcohol use in the media -- J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- J Health care, prevention and rehabilitation > Basic prevention categories > Universal prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention outcome -- N Communication, information and education > Education by subject > AOD education -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > International aspects","Prevention approach  -  Prevention through information and education --  Prevention approach  -  Family-focused prevention --  Prevention programme or service --  Prevention approach  -  Early intervention (young children) --  Prevention by sponsor or setting  -  Community-based prevention --  Prevention by sponsor or setting  -  School-based prevention --  Drugs and alcohol prevention --  Message (portrayal of drugs and alcohol use)  -  Portrayal of drugs and alcohol use in the media --  Basic prevention categories  -  Targeted prevention --  Basic prevention categories  -  Universal prevention --  Prevention by sponsor or setting  -  Youth-club / cafe based prevention --  Child --  Prevention outcome --  Education by subject  -  AOD education --  Skills  -  Coping skills","International aspects","United Nations Office on Drugs and Crime United Nations Office on Drugs and Crime","0","no"
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JE",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NA6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107","18","archive","5",,,"disk0/00/02/41/07","2015-06-16 07:37:08","2015-06-16 07:37:23","2015-06-16 07:37:08","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Mentor International","Drug prevention for parents.","pub","FE10-4-6","","public",,,,,,,,"This guide is divided into three sections to provide parents with tips to raise happy and healthy kids in their home, the school and the community:

1) HOME: Helping you to teach your children to develop good behaviours and social skills to promote a healthy lifestyle and reduce the likelihood of them abusing substances. Focusing in particular on:
•	Building your child’s resilience
•	Establishing good communication
•	Monitoring your child’s behaviour
•	Healthy relationships
•	Knowing the facts on alcohol and other drugs

2) Helping you ensure your child is connected to SCHOOL
3) Helping you ensure your child is connected to your COMMUNITY","2015-06",,,"Mentor Foundation",,"","",,,,,,"Mentor","London",,"11 p.",,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,"Mentor Foundation",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://mentorinternational.org/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , JB2 , JG10-2-4 , LG14-10-2 , LG18-12-2 , LG18-2 , TA12 , TA14 , TT6 , TW2-8 , VH4-4","F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Parent","VA Geographic area > Europe > United Kingdom","Skills  -  Coping skills --  Drugs and alcohol prevention --  Prevention approach  -  Family-focused prevention --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Adolescent / youth (teenager / young person) --  Prevention worker --  Parent","Europe  -  United Kingdom","Mentor International Mentor International","0","yes"
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075","17","archive","5",,,"disk0/00/02/40/75","2015-06-10 09:40:09","2015-06-10 09:40:09","2015-06-10 09:40:09","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Alcohol and Drug Education and Prevention Information Service","Building resilience and character in young people. Alcohol and drug prevention briefing paper.","pub","FE10-4-6","","public",,,,,,,,"Building resilience in children and young people is one of the key principles of good education, and a necessary requirement in facilitating personal growth, whilst enabling children and young people to successfully navigate life and life challenges.

This briefing paper looks at resilience in the context of universal educational settings (both formal and informal). By giving definitions of key terms to provide a better understanding, it will then explore ways in which these can be contextualised and translated into practice.","2015-03","published",,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"7 p.",,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://mentor-adepis.org/building-resilience-and-character-in-young-people/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , FP , JA6 , JH , NF , TA12 , TA14 , VH4-4","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- J Health care, prevention and rehabilitation > Risk and protective factors -- J Health care, prevention and rehabilitation > Health-related prevention -- N Communication, information and education > Education and training -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe > United Kingdom","Skills  -  Coping skills --  Emotion --  Risk and protective factors --  Health-related prevention --  Education and training --  Child --  Adolescent / youth (teenager / young person)","Europe  -  United Kingdom","Alcohol and Drug Education and Prevention Information Service Alcohol and Drug Education and Prevention Information Service","0","yes"
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530","14","archive","5",,,"disk0/00/02/35/30","2015-03-05 09:12:37","2015-03-05 09:12:37","2015-03-05 09:12:37","monograph",,,"show",,,,"","","","","","","","","","",,,,"O’Neill","Siobhan","","","","O’Neill:Siobhan::","",,,,,"","Ulster University","Towards a better future: the trans-generational impact of the Troubles on mental health.","pub","FE10-4-6","","public",,"other",,,,,,"•	Chapter 1: The impact of the conflict’s legacy on children in Northern Ireland: A review of the research 27
•	Chapter 2: The impact of the conflict’s legacy on early years’ development of children and young people 36
•	Chapter 3: Latent profiles of childhood adversity, exposure to Troubles/ conflict related trauma and mental health disorders in the Northern Ireland population 50
•	Chapter 4: Trans-generational trauma in Northern Ireland: Results from the Northern Ireland Study of Health and Stress 60
•	Chapter 5: The impact of the legacy of the Troubles on suicidal behaviour 68
•	Chapter 6: Treating trans-generational trauma and building resilience among young people in Northern Ireland 80
•	Chapter 7: A survey of organisations in Northern Ireland concerned and working with the trans-generational impact of the Troubles on children and young people 93

P.11
At a societal level the research provided evidence that identified the following key findings:
• The majority of people who experienced traumatic events and violence are not adversely affected in the long term;
• However a group of people have developed problems including mental disorders which have impacted on their functioning at family and community levels. The most recent figures estimate that this group represents around 14% of the adult population;
• Alcohol and other drugs are commonly used among those adversely affected by the Troubles;
• Economic deprivation constitutes an additional stressor which in turn impacts negatively on mental and general health; and
• The political and social divisions in Northern Ireland impact upon social integration and are associated with sectarianism and increasingly racism, homophobia and “hate crime”.","2015-03",,,"O’Neill Siobhan",,"","",,,,,,"Commission for Victims and Survivors","Belfast",,"143 p.",,,,,,,,,,,"","","","978-0-9927388-6-0",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"FE10-4-6 , GA2-4 , JA6-6 , MM , VH4-4-8","F Concepts in psychology > Skills > Coping skills -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- MM-MO Crime and law > Crime and violence","VA Geographic area > Europe > Northern Ireland","Skills  -  Coping skills --  State of health  -  Mental health --  Risk and protective factors  -  risk factors --  Crime and violence","Europe  -  Northern Ireland","O’Neill Siobhan , Armour Cherie , Bolton David , Bunting Brendan , Corry Colette , Devine Barney , Ennis Edel , Ferry Finola , McKenna Aine , McLafferty Margaret , Murphy Sam , Ulster University Ulster University","0","no"
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Armour","Cherie","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bolton","David","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bunting","Brendan","","",,,,,,,,,,,,"MM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corry","Colette","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Devine","Barney","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ennis","Edel","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ferry","Finola","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McKenna","Aine","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McLafferty","Margaret","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Murphy","Sam","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180","19","archive","1684",,,"disk0/00/02/31/80","2014-12-17 08:30:33","2015-09-04 12:05:44","2014-12-17 08:30:33","article",,,"show",,,,"","","","","","","","","","",,,,"Darker","Catherine D","","","","Darker:Catherine D::","",,,,,"","","Young people in drug treatment in Ireland: their views on substance use aetiology, trajectory, parents’ role in substance use and coping skills.","pub","AH2-2","","none",,,,,,,,,"2015","published",,"Darker Catherine D",,"","",,"Irish Journal of Psychological Medicine","32","3","3","Medmedia Group",,"247-258",,,,,,,,,,,"TRUE","","","",,"0790-9667",,,,,,,"","","","","available","","","","","",,"<p><strong>Objectives</strong>: The aim of the current study was to gain insight into the process of initiation and progression to problematic use among young people who reach clinically significant levels of substance use requiring treatment.</p>
<p><strong>Method</strong>: Twenty young people, aged between 15 and 19 years from two different drug treatment centres in Ireland were interviewed regarding their views on their pathway into substance use, their progress to more problematic use, their perception of their parents’ role, if any, in their trajectory and their typical coping style before treatment. Content analysis was conducted on the resulting narratives.</p>
<p><strong>Results</strong>: The use of substances to cope with life stressors emerged as a prominent theme at initial and problematic stages of use. Multiple maladaptive coping approaches were reported. Both direct and indirect influences from parents in their substance use problem were cited. However, some participants reported that parents had no causal role in their substance use trajectory, in particular regarding mothers.</p>
<p><strong>Conclusions</strong>: The current findings suggest that substance misuse is a multi-determined problem and a number of intervention strategies are suggested to delay onset and related harms associated with adolescent substance use.</p>",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","32","Irish Journal of Psychological Medicine","AH2-2 , FE10-4-6 , FR16 , HK2 , LG14-10-2 , LN2 , MC2 , TA14 , TL4-6 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drug use initiation -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- HJ Treatment method > Drugs and alcohol disorder treatment method -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Social context > Context of initiation of drugs and alcohol use -- MA-ML Social science, culture and community > Sociocultural aspects of AOD use > Societal attitude toward drugs and alcohol -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Young drug user","VA Geographic area > Europe > Ireland","Natural history of drugs and alcohol use  -  Drug use initiation --  Skills  -  Coping skills --  Attitude and behaviour  -  Attitude toward drugs and alcohol --  Drugs and alcohol disorder treatment method --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Social context  -  Context of initiation of drugs and alcohol use --  Sociocultural aspects of AOD use  -  Societal attitude toward drugs and alcohol --  Adolescent / youth (teenager / young person) --  Young drug user","Europe  -  Ireland","Darker Catherine D , Palmer Deirdre , O'Reilly G , Whiston Lucy , Smyth Bobby P","0","no"
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Palmer","Deirdre","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Reilly","G","","",,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Whiston","Lucy","","",,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smyth","Bobby P","","",,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MC2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24962","13","archive","5",,,"disk0/00/02/49/62","2015-12-22 12:52:06","2016-02-18 14:13:59","2015-12-22 12:52:06","article",,,"show",,,,"","","","","","","","","","",,,,"O'Connor","Maebh","","","","O'Connor:Maebh::","",,,,,"","","Constructing the Suicide Risk Index (SRI): does it work in predicting suicidal behavior in young adults mediated by proximal factors?","pub","FE10-4-6","","none",,,,,,,,"Suicide is a key concern among young adults. 

The aim of the study was to (1) construct a suicide risk index (SRI) based on demographic, situational, and behavioral factors known to be linked to suicidal behavior and (2) investigate whether the association between the SRI and suicidal behavior was mediated by proximal processes (personal factors, coping strategies, and emotional states). 

Participants consisted of 7,558 individuals aged 17-25 years (M = 20.35, SD = 1.91). Nearly 22% (n = 1,542) reported self-harm and 7% (n = 499) had attempted suicide. Mediation analysis revealed both a direct effect (ß = .299, 95% CI = [.281, .317], p < .001), and a mediated effect (ß = .204, 95% CI = [.186, .222], p < .001), between the risk index and suicidal behavior. The strongest mediators were levels of self-esteem, depression, and avoidant coping. Interventions to increase self-esteem, reduce depression, and encourage adaptive coping strategies may prevent suicidal behavior in young people.","2015","published",,"O'Connor Maebh",,"","",,"Archives of Suicide Research","19","1","1","Wiley",,"1-16",,,,,,,,,,,,"","","",,"1543-6136",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.tandfonline.com/doi/abs/10.1080/13811118.2014.915775?journalCode=usui20","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","19","Archives of Suicide Research","FE10-4-6 , FS62_4 , GA2-4 , JA6 , JH10-4 , TA16-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour  > suicidal behaviour / suicide -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Risk and protective factors -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Suicide prevention -- T Demographic characteristics > Young adult",,"Skills  -  Coping skills --  Specific attitude and behaviour  -  self-destructive behaviour   -  suicidal behaviour / suicide --  State of health  -  Mental health --  Risk and protective factors --  Health-related prevention  -  Health information and education  -  Suicide prevention --  Young adult",,"O'Connor Maebh , Dooley Barbara , Fitzgerald Amanda","0","yes"
"24962",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dooley","Barbara","","",,,,,,,,,,,,"FS62_4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24962",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fitzgerald","Amanda","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24962",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24962",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24962",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984","12","archive","5",,,"disk0/00/02/39/84","2015-05-26 11:31:44","2017-02-16 09:38:17","2015-05-26 11:31:44","article",,,"show",,,,"","","","","","","","","","",,,,"Castellanos-Ryan","Natalie","","","","Castellanos-Ryan:Natalie::","",,,,,"","","Neural and cognitive correlates of the common and specific variance across externalizing problems in young adolescence.","pub","EA","","none",,,,,,,,"Longitudinal and family-based research suggests that conduct disorder, substance misuse, and ADHD involve both unique forms of dysfunction as well as more specific dysfunctions unique to each condition. Using direct measures of brain function, this study also found evidence in both unique and disorder-specific perturbations.","2014-12-01","published",,"Castellanos-Ryan Natalie",,"","",,"The American Journal of Psychiatry","171","12","12","American Psychiatric Association",,"1310-1319",,,,,,,,,,,"TRUE","","","",,"1535-7228",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://ajp.psychiatryonline.org/doi/abs/10.1176/appi.ajp.2014.13111499?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","171","The American Journal of Psychiatry","EA , FE10-4-6 , FJ , JA6-6 , TA14 , VH","E Concepts in biomedical areas > General life processes (physiology) -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Cognition -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe","General life processes (physiology) --  Skills  -  Coping skills --  Cognition --  Risk and protective factors  -  risk factors --  Adolescent / youth (teenager / young person)","Europe","Castellanos-Ryan Natalie , Struve Maren , Whelan Robert , Banaschewski Tobias , Barker Gareth J , Bokde Arun L W , Bromberg Uli , Büchel Christian , Flor Herta , Fauth-Bühler Mira , Frouin Vincent , Gallinat Jurgen , Gowland Penny , Heinz Andreas , Lawren","0","yes"
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Struve","Maren","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Whelan","Robert","","",,,,,,,,,,,,"FJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Banaschewski","Tobias","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Barker","Gareth J","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bokde","Arun L W","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bromberg","Uli","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Büchel","Christian","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Flor","Herta","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fauth-Bühler","Mira","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Frouin","Vincent","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gallinat","Jurgen","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gowland","Penny","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heinz","Andreas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lawrence","Claire","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Martinot","Jean-Luc","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nees","Frauke","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Paus","Tomas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pausova","Zdenka","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rietschel","Marcella","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Robbins","Trevor W","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smolka","Michael N","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schumann","Gunter","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Garavan","Hugh","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Conrod","Patricia J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967","21","archive","5",,,"disk0/00/02/69/67","2017-03-06 10:52:08","2017-03-06 10:52:38","2017-03-06 10:52:08","guideline",,,"show",,,,"","","","","","","","","","",,,,"Galvani","Sarah","","","",,"",,,,,"","","Substance use and sight loss: a guide for professionals","pub","AA2","","public",,,,,,,,"This was an exploratory study of the relationship between substance use – alcohol and other drugs – and sight loss. Its origins lay in practice-based concerns about the extent to which service provision met the needs of people with sight loss who were experiencing problematic substance use. A preliminary review of the international literature found limited evidence relating to medical or clinical associations between sight loss and substance use but almost no literature that explored the experiences of those living, or working with, sight loss and substance use. Therefore, this study sought to answer three key research questions:
•	What does current evidence reveal about the nature and extent of the relationship between substance use and sight loss?
•	What is the role substance use plays in the lives of people with sight loss?
•	What are the experiences of professionals working with people who have sight loss and substance problems?

Key findings:
•	People with sight loss are more likely than their sighted peers to abstain from drinking alcohol. Analysis of two UK datasets showed that they are also more likely to drink fewer units of alcohol per week.
•	An international review of the literature found very little evidence for substance use leading directly to sight loss.
•	There was evidence that substance use may be a risk for sight loss conditions such as ‘tobacco-alcohol amblyopia’ or ‘toxic amblyopia’ where heavy substance use is combined with other risk factors including smoking or poor nutrition.
•	Among the people we spoke to who were living with sight loss and current or past substance use, some had been told by sight loss professionals that their alcohol or other drug use caused their sight loss.
•	For some people their substance use was a way of coping with the negative experiences of sight loss.
•	Among the professionals we spoke to, the number of people they worked with who had sight loss and substance problems was small but those who did posed considerable professional challenges.
•	In general, professionals in sight loss and substance use services felt they were not adequately equipped with the knowledge, professional guidance or organisational policy frameworks, to help them to identify and respond confidently when working with someone with both sight loss and substance problems.
•	Professionals identified partnership working as key to providing support and to stopping people falling through the gap in services. Joint training and resources for staff and individuals are recommended.","2014-12","published",,"Alcohol Research UK",,"","",,,,,,"Alcohol research UK","London",,"123 p.",,,,,"Alcohol insight number 118",,,,,,"report","aod_disorder","alcohol",,,,,,"Alcohol Research UK",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://alcoholresearchuk.org/alcohol-insights/alcohol-other-drugs-and-sight-loss-a-scoping-study/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AA2 , AD12-6 , BB , FE10-4-6 , GA2-2 , GA2-4 , LC2-4 , MQ6-2 , TT2 , TT2-12 , TT2-14 , TT8-2 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- B Drugs and alcohol substances > Alcohol -- F Concepts in psychology > Skills > Coping skills -- G Health and disease > State of health > Physical health -- G Health and disease > State of health > Mental health -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Prevalence of drugs and alcohol use --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Alcohol --  Skills  -  Coping skills --  State of health  -  Physical health --  State of health  -  Mental health --  Interpersonal interaction and group dynamics  -  Social support --  Organisational development  -  Workforce / staff skills and training --  Drug or health care worker --  Doctor --  Nurse --  Social worker","Europe  -  United Kingdom","Galvani Sarah , Livingston Wulf , Morgan Hannah , Wadd Sarah","0","yes"
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Livingston","Wulf","","",,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Morgan","Hannah","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wadd","Sarah","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26967",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22907","15","archive","5",,,"disk0/00/02/29/07","2014-11-06 11:16:08","2015-07-21 15:04:28","2014-11-06 11:16:08","article",,,"show",,,,"","","","","","","","","","",,,,"Keane","Martin","","","mkeane@hrb.ie","Keane:Martin::","",,,,,"","","Addiction recovery: a contagious paradigm.","pub","AH18","","public",,,,,,,,,"2014-10","published",,"Keane Martin",,"","",,"Drugnet Ireland","Issue 51, Autumn 2014",,,"Health Research Board",,"6-7",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"<p>On 17 July 2014, Councillor Mannix Flynn, representing the Lord Mayor of Dublin, Christy Burke, launched a report on behalf of Soilse, the drug rehabilitation service in HSE Dublin North City.1 The report entitled <i>Addiction recovery: a contagious paradigm</i> sets out a case for a recovery-focused approach to addiction treatment.  It was co-authored by Martin Keane, Health Research Board, Gerry McAleenan of Soilse and Joe Barry, Professor of Population Health at Trinity College Dublin. </p>
<p>The report contains three main sections:</p>
<ul>
<li>a review of the evidence underpinning the principles of recovery,</li>
<li>a review of Irish drug policy in relation to recovery/rehabilitation, and</li>
<li>the inputs that build policy, and the personal narratives and perspectives of people in recovery. </li>
</ul>
<p>There are increasing calls in the literature to draw on the experiences of people in recovery as a means of building effective policy and practice. This paper draws on the outputs of a symposium on recovery held in north inner-city Dublin in the summer of 2012. Over 100 people attended the symposium, the vast majority living or working in communities deeply stigmatised by opiate addiction. </p>
<p>The report also contains the detailed narratives of four people in recovery, plus a number of vignettes from Soilse participants speaking about their recovery journeys. One Soilse graduate talks about how having allies in recovery helped him reconnect with society: </p>
<p><i>In recovery I began to feel a part of something. For the first time in life I moved around with people who were happy. Felt comfortable and safe and wanted to hold onto it. I got structure into my life for the first time. Up to then had lost job, no prospects, drinking in house, no light in the tunnel, no way out.</i> </p>
<p>The report sets out a case for the reorientation of drug treatment and rehabilitation policy and practice towards a recovery-focused paradigm. The authors argue that such a shift can be achieved by placing the framework of recovery capital at the centre of policy and grounding practice in the principles of recovery. Table 1 captures the essence of recovery capital: a framework that contains the properties of what initiates and sustains addiction recovery. Recovery capital is referred to as an ‘assets-based model’, i.e. a way of recognising and prioritising the assets that people bring to their recovery and the attributes they need to develop to sustain their journey. This model differs from the ‘deficits-based’ model which seeks to emphasise the reduction of risks and problems such as drug use and crime. The report contains a detailed exploration of this debate. </p>
<p><b><img src=""/fckeditor_UPLOADS/autumn-2014/autumn-pg6-7-1.jpg"" height=""191"" width=""800"" /></b></p>
<p>Table 2 lists the principles of recovery that are grounded in robust research and inputs from extensive consultations with service users and providers. There is also consensus in the literature regarding these principles, a consensus echoed in the testimonies of Soilse participants. These principles recognise that there are multiple pathways and styles of long-term addiction recovery, and all should be cause for celebration. Central to the vision encapsulated in these principles is the recognition that the person in recovery is an ‘active agent’ in their own journey and that change for them via an improved quality of life is the key outcome to be pursued. The report contains an exploration of the evidence from robust research to support the transfer of these principles into practice. </p>
<p><img src=""/fckeditor_UPLOADS/autumn-2014/autumn-pg6-7-2.jpg"" height=""453"" width=""795"" /></p>
<p>The report concludes with recommendations on how to promote the reorientation of addiction policy and practice towards a recovery-focused paradigm. These include the proposal that recovery replace rehabilitation as the fifth pillar in the National Drugs Strategy. </p>
<p>The Lord Mayor, Christy Burke, speaking about the report, said:</p>
<p> <i>As Lord Mayor and first citizen of Dublin, in my time in office, I will promote the need for dialogue around recovery from drug addiction, to highlight and challenge the barriers preventing people getting away from the drug culture and ensure the voices and positive stories of those in recovery echo across our communities, motivating others to reclaim their lives.</i></p>
<p>1 Keane M, McAleenan G and Barry J (2014) <i>Addiction recovery: a contagious paradigm! A case for the re-orientation of drug treatment services and rehabilitation services in Ireland</i>. Dublin: Soilse. <a href=""/22291/"" target=""_blank"">http://www.drugsandalcohol.ie/22291/</a></p>
<p>2 Table from Cloud W and Granfield R (2008) Conceptualizing recovery capital: expansion of a theoretical construct. <i>Substance Use and Misuse</i>, 43 (12–13): 1971–1986.</p>
<p>3 List from Sheedy C K, and Whitter M (2009) <i>Guiding principles and elements of recovery-oriented systems of care: what do we know from the research?</i> HHS Publication No. (SMA) 09-4439. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.</p>",,,,,"Issue 51, Autumn 2014",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 51, Autumn 2014","Drugnet Ireland","AH18 , FE10-4-6 , JP24-4-1 , LC2-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Rehabilitation > Vocational rehabilitation (employment / occupation) -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support","VA Geographic area > Europe > Ireland","Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Skills  -  Coping skills --  Rehabilitation  -  Vocational rehabilitation (employment / occupation) --  Interpersonal interaction and group dynamics  -  Social support","Europe  -  Ireland","Keane Martin","0","yes"
"22907",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22907",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22907",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22907",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757","15","archive","5",,,"disk0/00/02/27/57","2014-10-09 07:13:22","2014-10-09 07:13:22","2014-10-09 07:13:22","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Institute of Health Equity","Building children and young people’s resilience in schools.","pub","FE10-4-6","","public",,,,,,,,"Summary 
1.	Resilience is the capacity to bounce back from adversity. Protective factors increase resilience, whereas risk factors increase vulnerability. Resilient individuals, families and communities are more able to deal with difficulties and adversities than those with less resilience. 
2.	Those who are resilient do well despite adversity, although it does not imply that those who are resilient are unharmed – they often have poorer outcomes than those who have low-risk background but less resilience. This applies to health outcomes and affects success in a range of areas of life across the life course. Evidence shows that resilience could contribute to healthy behaviours, higher qualifications and skills, better employment, better mental well-being, and a quicker or more successful recovery from illness. 
3.	Resilience is not an innate feature of some people’s personalities. Resilience and adversity are distributed unequally across the population, and are related to broader socio-economic inequalities which have common causes – the inequities in power, money and resources that shape the conditions in which people live and their opportunities, experiences and relationships. 
4.	Those who face the most adversity are least likely to have the resources necessary to build resilience. This ‘double burden’ means that inequalities in resilience are likely to contribute to health inequalities. 
5.	Schools have a key opportunity to build resilience among children and young people, and there is a range of ways in which local authorities can support and encourage schools to take action. 
6.	Actions to increase resilience can be targeted at different levels - they can aim to increase achievements of pupils; to support them through transitions and encourage healthy behaviours; to promote better interpersonal relationships between people – particularly parents or carers and children; and to create more supportive, cohesive schools that support both pupils and the wider community.","2014-09","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,"10 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , JF10-10 , LN36 , NF2-6-2 , NF20-4 , TA12 , TA14 , VH4-4","F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- L Social psychology and related concepts > Social context > School context -- N Communication, information and education > Education and training > Educational institution > School -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe > United Kingdom","Skills  -  Coping skills --  Prevention by sponsor or setting  -  School-based prevention --  Social context  -  School context --  Education and training  -  Educational institution  -  School --  Education and training  -  affective and interpersonal education  -  skills building --  Child --  Adolescent / youth (teenager / young person)","Europe  -  United Kingdom","Institute of Health Equity Institute of Health Equity","0","yes"
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF2-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052","25","archive","1684",,,"disk0/00/02/20/52","2014-06-09 15:41:10","2014-06-10 07:53:36","2014-06-09 15:41:10","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","SAOL Project","RecoverMe.","pub","AH18","","public",,"other",,,,,,,"2014-06","published",,"SAOL Project",,"","",,,,,,"SAOL Project","Dublin",,"247",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.saolproject.ie/content/index.php","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AH18 , FE10-4-6 , FP , HZ , HZ8-18-4-2 , HZ8-20 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Directive and nondirective therapy > Psychoanalytic therapy > Cognitive behavioural therapy (CBT) -- HJ Treatment method > Psychosocial treatment method > Motivational interviewing","VA Geographic area > Europe > Ireland","Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Skills  -  Coping skills --  Emotion --  Psychosocial treatment method --  Directive and nondirective therapy  -  Psychoanalytic therapy  -  Cognitive behavioural therapy (CBT) --  Psychosocial treatment method  -  Motivational interviewing","Europe  -  Ireland","SAOL Project SAOL Project","0","no"
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ8-18-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ8-20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790","14","archive","5",,,"disk0/00/02/27/90","2014-10-15 12:51:49","2015-12-23 11:07:46","2014-10-15 12:51:49","article",,,"show",,,,"","","","","","","","","","",,,,"Carli","Vladimir","","","","Carli:Vladimir::","",,,,,"","","A newly identified group of adolescents at ""invisible"" risk for psychopathology and suicidal behavior: findings from the SEYLE study.","pub","FE10-4-6","","none",,,,,,,,"This study explored the prevalence of risk behaviors (excessive alcohol use, illegal drug use, heavy smoking, reduced sleep, overweight, underweight, sedentary behavior, high use of Internet/TV/videogames for reasons not related to school or work, and truancy), and their association with psychopathology and self-destructive behaviors, in a sample of 12,395 adolescents recruited in randomly selected schools across 11 European countries. 

Latent class analysis identified three groups of adolescents: a low-risk group (57.8%) including pupils with low or very low frequency of risk behaviors; a high-risk group (13.2%) including pupils who scored high on all risk behaviors, and a third group (""invisible"" risk, 29%) including pupils who were positive for high use of Internet/TV/videogames for reasons not related to school or work, sedentary behavior and reduced sleep. Pupils in the ""invisible"" risk group, compared with the high-risk group, had a similar prevalence of suicidal thoughts (42.2% vs. 44%), anxiety (8% vs. 9.2%), subthreshold depression (33.2% vs. 34%) and depression (13.4% vs. 14.7%). 

The prevalence of suicide attempts was 5.9% in the ""invisible"" group, 10.1% in the high-risk group and 1.7% in the low-risk group. The prevalence of all risk behaviors increased with age and most of them were significantly more frequent among boys. Girls were significantly more likely to experience internalizing (emotional) psychiatric symptoms. The ""invisible"" group may represent an important new intervention target group for potentially reducing psychopathology and other untoward outcomes in adolescence, including suicidal behavior.","2014-02","published",,"Carli Vladimir",,"","",,"World Psychiatry","13","1","1","World Psychiatric Association",,"78-86",,,,,,,,,,,"TRUE","","","",,"1723-8617",,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3918027/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","13","World Psychiatry","FE10-4-6 , FP , FS38-6-2 , FS62_4 , GA2-4 , TA14 , VH , VH4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour  > suicidal behaviour / suicide -- G Health and disease > State of health > Mental health -- T Demographic characteristics > Adolescent / youth (teenager / young person)","VA Geographic area > Europe -- VA Geographic area > Europe > Ireland","Skills  -  Coping skills --  Emotion --  Specific attitude and behaviour  -  risk-taking behaviour --  Specific attitude and behaviour  -  self-destructive behaviour   -  suicidal behaviour / suicide --  State of health  -  Mental health --  Adolescent / youth (teenager / young person)","Europe --  Europe  -  Ireland","Carli Vladimir , Hoven Christina W , Wasserman Camilla , Chiesa Flaminia , Guffanti Guia , Sarchiapone Marco , Apter Alan , Balazs Judit , Brunner Romuald , Corcoran Paul , Cosman Doina , Haring Christian , Iosuec Miriam , Kaess Michael , Kahn Jean Pierre","0","no"
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hoven","Christina W","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wasserman","Camilla","","",,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Chiesa","Flaminia","","",,,,,,,,,,,,"FS62_4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Guffanti","Guia","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sarchiapone","Marco","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Apter","Alan","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Balazs","Judit","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brunner","Romuald","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","Paul","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cosman","Doina","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Haring","Christian","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Iosuec","Miriam","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kaess","Michael","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kahn","Jean Pierre","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Keeley","Helen","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Postuvan","Vita","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Saiz","Pilar","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Varnik","Airi","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wasserman","Danuta","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381","22","archive","5",,,"disk0/00/02/13/81","2014-02-12 15:06:08","2014-04-09 22:09:03","2014-02-12 15:06:08","article",,,"show",,,,"","","","","","","","","","","0",,,"Larkin","Celine","","","","Larkin:Celine::","",,,,,"","","Risk factors for repetition of self-harm: a systematic review of prospective hospital-based studies.","pub","JH10-4","","public",,,,,,,,,"2014-01","published",,"Larkin Celine",,"","",,"PLoS ONE","9","1","1","Public Library of Science",,,,,,,,"e84282. doi:10.1371/journal.pone.0084282",,,,,,"","","",,"eISSN-1932-6203",,,,,,,"","","","","electronic_only","","","","","",,"<p><b><span style=""color: #333333""><font size=""2"">Background</font></span></b><br /><span style=""color: #333333""><font size=""2"">Self-harm entails high costs to individuals and society in terms of suicide risk, morbidity and healthcare expenditure. Repetition of self-harm confers yet higher risk of suicide and risk assessment of self-harm patients forms a key component of the health care management of self-harm patients. To date, there has been no systematic review published which synthesises the extensive evidence on risk factors for repetition.</font></span><b>&#160;</b></p><div style=""background: white""><b><span style=""color: #333333""><font size=""2"">Objective</font></span></b></div><div style=""background: white""><span style=""color: #333333""><font size=""2"">This review is intended to identify risk factors for prospective repetition of self-harm after an index self-harm presentation, irrespective of suicidal intent.</font></span></div><div style=""background: white""><b>&#160;</b></div><div style=""background: white""><b><span style=""color: #333333""><font size=""2"">Data sources</font></span></b></div><div style=""background: white""><span style=""color: #333333""><font size=""2"">PubMed, PsychInfo and Scirus were used to search for relevant publications. We included cohort studies which examining factors associated with prospective repetition among those presenting with self-harm to emergency departments. Journal articles, abstracts, letters and theses in any language published up to June 2012 were considered. Studies were quality-assessed and synthesised in narrative form.</font></span></div><div style=""background: white""><b>&#160;</b></div><div style=""background: white""><b><span style=""color: #333333""><font size=""2"">Results</font></span></b></div><div style=""background: white""><span style=""color: #333333""><font size=""2"">A total of 129 studies, including 329,001 participants, met our inclusion criteria. Some factors were studied extensively and were found to have a consistent association with repetition. These included previous self-harm, personality disorder, hopelessness, history of psychiatric treatment, schizophrenia, alcohol abuse/dependence, drug abuse/dependence, and living alone. However, the sensitivity values of these measures varied greatly across studies. Psychological risk factors and protective factors have been relatively under-researched but show emerging associations with repetition. Composite risk scales tended to have high sensitivity but poor specificity.</font></span></div><div style=""background: white""><b>&#160;</b></div><div style=""background: white""><b><span style=""color: #333333""><font size=""2"">Conclusions</font></span></b></div><div style=""background: white""><span style=""color: #333333""><font size=""2"">Many risk factors for repetition of self-harm match risk factors for initiation of self-harm, but the most consistent evidence for increased risk of repetition comes from long-standing psychosocial vulnerabilities, rather than characteristics of an index episode. The current review will enhance prediction of self-harm and assist in the efficient allocation of intervention resources.</font></span></div>",,,,,,,,,,,"","http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0084282","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","9","PLoS ONE","JH10-4 , GA2-4 , VH4-2 , FS62 , JA6-6 , FE10-4-6 , FS38-6-2","J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Suicide prevention -- G Health and disease > State of health > Mental health -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour  -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour","VA Geographic area > Europe > Ireland","Health-related prevention  -  Health information and education  -  Suicide prevention --  State of health  -  Mental health --  Specific attitude and behaviour  -  self-destructive behaviour  --  Risk and protective factors  -  risk factors --  Skills  -  Coping skills --  Specific attitude and behaviour  -  risk-taking behaviour","Europe  -  Ireland","Larkin Celine , Di Blasi Zelda , Arensman Ella","0","no"
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Di Blasi","Zelda","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Arensman","Ella","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392","22","archive","5",,,"disk0/00/02/03/92","2013-08-08 09:54:37","2013-08-08 09:54:37","2013-08-08 09:54:37","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Mind","Building resilient communities: Making every contact count for public mental health.","pub","GA2-4","","public",,"other",,,,,,"Mental health should be a key part of every public health strategy. There is a strong moral and economic case for tackling the rising challenge of mental health problems for communities and the people who experience them. There are also clear, evidence-based and cost-effective steps that can be taken to build resilience, promote wellbeing and help to prevent mental health problems.

This report focuses on resilience; setting out the types of services, resources and infrastructure that need to be in place locally to support resilient communities, helping people to ‘feel good and function well’. It will be of interest to those who commission (or aim to influence the commissioning of) local services, those who provide services that impact on the wellbeing and resilience of their local community and those who use these services. Resilience should be central to any public mental health strategy but is only one element; it is essential that structural inequalities, like income or access to affordable housing, are also tackled. Evidence for this report was gathered through interviews, focus groups and a selected literature review.","2013-08","published",,"Mind",,"","",,,,,,"Mental Health Strategic Partnership","London",,"53 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.mind.org.uk/publicmentalhealth","org",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"GA2-4 , JQ6-8 , LC2-4 , FN , NF20-4 , VH4-4 , JA6 , FE10-4-6 , FR","G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- F Concepts in psychology > Motivation -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- J Health care, prevention and rehabilitation > Risk and protective factors -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Attitude and behaviour","VA Geographic area > Europe > United Kingdom","State of health  -  Mental health --  Care by type of problem  -  Mental health care --  Interpersonal interaction and group dynamics  -  Social support --  Motivation --  Education and training  -  affective and interpersonal education  -  skills building --  Risk and protective factors --  Skills  -  Coping skills --  Attitude and behaviour","Europe  -  United Kingdom","Mind Mind , Mental Health Foundation Mental Health Foundation","0","yes"
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mental Health Foundation",,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20392",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008","25","archive","5",,,"disk0/00/02/10/08","2013-12-03 16:06:15","2013-12-03 16:08:43","2013-12-03 16:06:15","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Martin","Kerry","","","",,"",,,,,"","","Effectiveness of school-based life-skills and alcohol education programmes: a review of the literature.","pub","JC4-4","","public",,,,,,,,"The review explores: 
• the impact of alcohol education/life-skills programmes in developing school-age children’s: knowledge of, and attitudes towards, alcohol; skills (including confidence, assertiveness, resistance skills; decision-making, and ability to stay safe and healthy); and behaviours (particularly related to consumption patterns, including frequency of drinking and episodes of drunkenness) 
• which alcohol education/life-skills programmes offer greatest value for money 
• the processes that facilitate or inhibit the implementation, sustainability and impact of alcohol education/life-skills programmes. 

The review builds on a variety of previous literature reviews, which present a mixed picture of the effectiveness of alcohol education initiatives for school-aged pupils. For full details of these reviews, see Section 2 of the report.

Review findings:
Which programmes have greatest impact on children and young people?
• Previous literature reviews of alcohol education and life-skills programmes present a mixed picture of their effectiveness for school-aged pupils.
• There are difficulties in judging impact due to:
− the challenge of generalising about effective programme ingredients
− issues related to programme fidelity. If fidelity has not been investigated through a thorough process evaluation, it is difficult to ascertain whether outcomes are a result of the effectiveness (or otherwise) of the programme, or of the way in which it has been implemented.
• This review found substantial evidence relating to the positive effects of school-based alcohol education and life-skills programmes on pupils’ alcohol related-knowledge.
• Few of the sources specifically measured the impacts on pupils’ attitudes. Those that did, have variable and inconclusive findings.
• There is little evidence of the effectiveness of alcohol education and life-skills programmes in improving pupils’ alcohol-related decision-making skills.
• There is a degree of evidence of the effectiveness of alcohol education and life-skills programmes in reducing the frequency of alcohol consumption and episodes of drunkenness among school-aged children. There are, however, limitations to several of the research studies cited.

Which programmes are most cost effective?
• Very few studies have investigated the cost benefits of universal school-based alcohol education programmes.
• There is some limited analysis of the costs incurred in running individual programmes, but no evidence as to how these compare to those of alternative programmes.
• World Health Organisation research suggests that school-based alcohol education is not cost effective in reducing alcohol-related harm in any European region. In contrast, alcohol pricing and taxation policy are cost-effective throughout Europe.
• However, some authors hypothesise that with just a very small effect size in reduced alcohol consumption rates among young people as a result of alcohol education programmes, the cost benefits to society could be substantial.
• There is evidence of one targeted residential programme in the USA (ChalleNGe), and of one specialist drug and alcohol service in the UK that have provided substantial cost benefits to individuals and society. These are not universal alcohol education programmes however.

What factors facilitate or inhibit the success of programmes?
• Programmes are not always transferrable from one situation or context to another. There needs to be caution when transferring lessons from effective programmes.
• Effective alcohol education curricula achieve a good balance between: accurate and consistent information giving and knowledge building; skills development; and sensitivity to factors influencing student attitudes and behaviours.
• Effective teaching and learning approaches include those that are interactive rather than didactic. Passive teaching approaches are associated with less favourable results.
• Course delivery by external professionals such as health workers and counsellors can sometimes lead to more positive outcomes than teacher-led delivery, and specialist school staff achieve more positive results than non-specialist teachers.
• There is tentative, but inconclusive, evidence that effective programmes focus on prevention rather than sanction, and on harm-reduction rather than abstinence.
The optimum age for effective exposure is unclear, but seems to be somewhere between the ages of 12 and 14. There is evidence that a series of short-duration interventions delivered through childhood, with booster sessions into adolescence, is an effective approach. Whatever age programmes are introduced, the cognitive expectations and teaching and learning approaches must be age appropriate.
• Parents and families act as critical protective agents for young people. Where families have been included in interventions, results are usually positive.
• In some instances, parental support is lacking. In such instances, schools have an increasingly important role to play in fulfilling a protective role.

Finally, we present the key findings of our review in relation to the degree of evidence of impact for different pupil outcomes, using the following terms: substantial evidence of impact; degree of evidence of impact; only a little evidence of impact. Where we are able to, we comment on apparent facilitators or inhibitors of impact.","2013","published",,"NFER",,"","",,,,,,"National Foundation for Educational Research","Slough",,"64 p.",,,,,,,,,,,"review","aod_prevention","alcohol",,"978-1-908666-72-7",,,,"NFER",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JC4-4 , LN36 , BB , AD12-6 , NF20-4 , JF10-10 , JB6 , JB2 , FE10-4-6","J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- L Social psychology and related concepts > Social context > School context -- B Drugs and alcohol substances > Alcohol -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- F Concepts in psychology > Skills > Coping skills",,"Basic prevention categories  -  Targeted prevention --  Social context  -  School context --  Alcohol --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Education and training  -  affective and interpersonal education  -  skills building --  Prevention by sponsor or setting  -  School-based prevention --  Prevention outcome --  Drugs and alcohol prevention --  Skills  -  Coping skills",,"Martin Kerry , Nelson Julie , Lynch Sarah","0","yes"
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nelson","Julie","","",,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lynch","Sarah","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391","32","archive","5",,,"disk0/00/02/03/91","2013-08-08 09:41:13","2014-04-09 22:07:29","2013-08-08 09:41:13","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Public Health England","Routes to recovery via the community. Mapping user manual.","pub","NF20-4","","public",,,,,,,,"Introduction: Outline of the manual; pages 3-8
Chapter One: Techniques and tools to enhance assessment and build a plan for recovery; pages 9-49
Chapter Two: Setting, achieving and rewarding goals; pages 50-56
Chapter Three Building social support for change; pages 57-70
Chapter Four: Providing information to reduce harm; pages 71-77
Chapter Five: Skills development; pages 78-93
Chapter Six: Exiting treatment and aftercare; pages 94-104","2013","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,"105 p.",,,,,,,,,,,"manual","rehabilitation","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"NF20-4 , AH18 , LN12 , LC2-4 , JG10-4 , VH4-4 , JP24-4-1 , LC2-14 , FE10-4-6 , JH2 , JB2-4","N Communication, information and education > Education and training > affective and interpersonal education > skills building -- A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- L Social psychology and related concepts > Social context > Community environment -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- J Health care, prevention and rehabilitation > Rehabilitation > Vocational rehabilitation (employment / occupation) -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Peer relations -- F Concepts in psychology > Skills > Coping skills -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction","VA Geographic area > Europe > United Kingdom","Education and training  -  affective and interpersonal education  -  skills building --  Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Social context  -  Community environment --  Interpersonal interaction and group dynamics  -  Social support --  Prevention approach  -  Prevention through information and education --  Rehabilitation  -  Vocational rehabilitation (employment / occupation) --  Interpersonal interaction and group dynamics  -  Peer relations --  Skills  -  Coping skills --  Health-related prevention  -  Health information and education --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction","Europe  -  United Kingdom","Public Health England Public Health England","0","yes"
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AH18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20391",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20433","15","archive","5",,,"disk0/00/02/04/33","2013-08-13 15:00:13","2013-08-13 15:00:13","2013-08-13 15:00:13","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","UNESCO Child & Family Research Centre, NUI, Galway","Foróige’s Leadership for Life Programme. Evaluation report.","pub","NF20-4","","public",,"other",,,,,,"Foróige is a national Irish youth organisation which aims to enable young people to involve themselves consciously and actively in their own development and the development of society. Since Foróige was established in 1952, youth leadership has been a core offering of the organisation. In 2009, Foróige established its Best Practice Unit, with investment from The Atlantic Philanthropies. Through the Best Practice Unit a comprehensive Youth Leadership Programme was developed, building on both practice wisdom and available international evidence in terms of what works in building young leaders. The youth leadership programme seeks to enable young people to develop the skills, inspiration, vision, confidence, and action plans to be effective leaders and to empower them to make a positive difference to their society through the practice of effective leadership","2013","published",,"UNESCO Child & Family Research Centre, NUI, Galway",,"","",,,,,,"UNESCO Child & Family Research Centre, NUI, Galway","Galway",,"206 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childandfamilyresearch.ie/publications/policy-practice","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"NF20-4 , TA14 , VH4-2 , FE10-4-6","N Communication, information and education > Education and training > affective and interpersonal education > skills building -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > Ireland","Education and training  -  affective and interpersonal education  -  skills building --  Adolescent / youth (teenager / young person) --  Skills  -  Coping skills","Europe  -  Ireland","UNESCO Child & Family Research Centre, NUI, Galway UNESCO Child & Family Research Centre, NUI, Galway","0","yes"
"20433",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20433",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20433",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631","34","archive","5",,,"disk0/00/01/86/31","2012-10-17 13:27:14","2013-01-16 15:06:09","2012-10-17 13:27:14","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Neale","Joanne","","","","Neale:Joanne::","",,,,,"","","The everyday lives of recovering heroin users.","pub","LC2-4","","public",,,,,,,,"The RSA (Royal Society for the encouragement of Arts, Manufactures and Commerce): an enlightenment organisation committed to finding innovative practical solutions to today’s social challenges.

This book draws upon a recently completed study to provide unique insights into the everyday lives of recovering heroin users. By reporting the actual words of our study participants, we have tried to produce an accessible resource for those who want to understand how recovery is really experienced from the perspectives of drug users themselves. The main intended audience for the book is drug workers and professionals working in the addiction field. However, the material presented should also be of interest to other health, social care and criminal justice professionals, drug users (both those in recovery and those contemplating recovery), their family members, policy makers, academics and interested lay readers.

Chapter 1: Setting the scene 14
•	Why read this book? 14
•	Why focus on recovery? 15
•	What is recovery? 15
•	A study of the everyday lives of recovering heroin users 17
•	Structure of the book 18
Chapter 2: Considering recovery 20
•	Introduction 20
•	Mapping services and support 20
•	Factors that can encourage and sustain recovery efforts 25
•	Barriers to recovery 29
•	Summary 31
Chapter 3: Treatment experiences 33
•	Introduction 33
•	Methadone madness 33
•	Substituting with Subutex 36
•	The demands of detox 38
•	Recovery through rehabilitation 40
•	Progressing with peer support 46
•	Summary 48
Chapter 4: Coming off drugs 49
•	Introduction 49
•	The process of detoxification 49
•	Understanding ‘rattling’, ‘clucking’ and ‘withdrawing’ 49
•	Withdrawal symptoms 51
•	Managing detoxification 53
•	Cravings 54
•	Lapses, relapses and prevention strategies 57
•	(Re)lapse triggers 58
•	Preventing (re)lapse 59
•	Cross addicting 62
•	Smoking tobacco 64
•	Summary 66
Chapter 5: (Re)building relationships 68
•	Introduction 68
•	Childhood relationships 68
•	Adult relationships with birth family members 71
•	Strained family relationships 71
•	Supportive family relationships 72
•	Relationships with partners and spouses 75
•	Parenting 78
•	Friendships 81
•	Pets 83
•	Summary 84
Chapter 6: Emotional changes 86
•	Introduction 86
•	Comfortably numb 86
•	Returning emotions during detoxification and early recovery 88
•	Managing emerging emotions 93
•	Finding a level 97
•	Summary 101
Chapter 7: Bodily adjustments 102
•	Introduction 102
•	Weight change 102
•	On the scales 102
•	Feelings about weight change 104
•	Bowel functioning 107
•	Libido changes 110
•	Tasting, smelling, hearing and seeing the difference 112
•	Menstruation 113
•	Summary 115
Chapter 8: Health and illness 117
•	Introduction 117
•	Blood borne viruses (BBVs) 117
•	Getting tested 117
•	Contracting hepatitis C 118
•	Drug-related accidents and injuries 120
•	Chest and lung complaints 121
•	Dental problems 123
•	Non-drug related health problems 125
•	Aches and pains 126
•	Colds and flu 127
•	Mental health 128
•	Summary 132
Chapter 9: Day-to-day self care 134
•	Introduction 134
•	Eating 134
•	Eating on heroin 134
•	Eating as heroin use reduces 138
•	Sleeping 140
•	Struggling to sleep 140
•	Sleeping in recovery 142
•	Personal hygiene and appearance 146
•	Keeping clean and presentable on drugs 146
•	Hygiene and appearance in recovery 149
•	Summary 151
Chapter 10: Keeping house 153
•	Introduction 153
•	Living arrangements 153
•	Moving around and settling down 153
•	Experiences of homelessness 155
•	Being housed 157
•	Doing domesticity 160
•	Managing income and expenditure 162
•	Paid work and benefits 163
•	Income generating crime 164
•	Supplementary income and benefits in kind 164
•	Financial outgoings 165
•	Money management 167
•	Summary 170
Chapter 11: Filling the void 172
•	Introduction 172
•	Dealing with boredom 172
•	Working towards recovery 176
•	Education and training 176
•	Paid jobs and voluntary work 178
•	Hobbies and interests 181
•	Chilling 181
•	Being physically active 182
•	Exercising the mind 183
•	Being creative 185
•	Being sociable 185
•	Managing a social life 186
•	Summary 187
Chapter 12: Thinking about the future 189
•	Introduction 189
•	One day at a time 189
•	Hopes and goals 190
•	Being clean 190
•	Getting a job 191
•	Rebuilding relationships 192
•	Setting up home 194
•	Doing nice things 194
•	Owning material possessions 195
•	Finding happiness 195
•	Fears and concerns 196
•	Relapsing and returning to old behaviours 196
•	Work worries 196
•	Family concerns 197
•	Housing and loneliness 198
•	Being in debt 198
•	Being unwell 198
•	Wanting to be normal 199
•	A family, a home and some possessions 199
•	Work and everyday activities 199
•	Emotions and body functioning 200
•	Drug use 201
•	Change and growth 202
•	Increased awareness of self and others 202
•	Becoming moral 203
•	Increasing self-control and reduced anger 204
•	Feeling happier 204
•	Growing up 205","2012-10","published",,"Neale Joanne",,"","",,,,,,"RSA","London",,"210 p.",,,,,,,,,,,"other","rehabilitation","opioid",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.thersa.org/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LC2-4 , LW4 , JP10_2_2 , BL2 , AH18 , FS30 , VH4-4 , FP , JP24-4 , LH4 , FE10-4-6 , TL4 , LG16","L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Inclusion and exclusion -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- B Drugs and alcohol substances > Opioids (opiates) > Heroin -- A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Specific attitude and behaviour > choice-making behaviour  -- F Concepts in psychology > Emotion -- J Health care, prevention and rehabilitation > Rehabilitation -- L Social psychology and related concepts > Life circumstances -- F Concepts in psychology > Skills > Coping skills -- T Demographic characteristics > Drug user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment","VA Geographic area > Europe > United Kingdom","Interpersonal interaction and group dynamics  -  Social support --  Inclusion and exclusion --  Treatment and maintenance  -  patient attitude toward treatment --  Opioids (opiates)  -  Heroin --  Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Specific attitude and behaviour  -  choice-making behaviour  --  Emotion --  Rehabilitation --  Life circumstances --  Skills  -  Coping skills --  Drug user --  Marital relations  -  Family and kinship  -  Family environment","Europe  -  United Kingdom","Neale Joanne , Nettleton Sarah , Pickering Lucy","0","yes"
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nettleton","Sarah","","",,,,,,,,,,,,"LW4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pickering","Lucy","","",,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AH18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LH4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18597","20","archive","5",,,"disk0/00/01/85/97","2012-10-16 08:00:18","2014-04-09 22:04:07","2012-10-16 08:00:18","monograph",,,"show",,,,"","","","","","","","","","","0",,,"O'Connell","Angela","","","","O'Connell:Angela::","",,,,,"","","How we see it. Report of a survey on young people's body image.","pub","BM","","public",,"government_publication",,,,,,"There is a growing body of research in Western and developing cultures demonstrating that teenagers, and teenage girls in particular, are worried about body image, although earlier studies also indicated an increasing concern with body image among boys. Negative body image is associated with poorer mental well-being, eating disorders, self-harm, acceptance of plastic surgery, smoking, use of anabolic steroids and dieting aids, excessive exercise, becoming the target of teasing and bullying, and developing a lack of confidence in interpersonal relationships. Fear of being seen as gay or lesbian (homophobia) in defining both male and female bodies, and in policing behaviour, is also implicit in many of the studies.

The main recommendations made by the young people who completed the survey can be broadly grouped under four approaches:
•	A Body Image Awareness campaign – to highlight the complex issues facing young people in relation to how they feel about their bodies.
•	Personal Development programmes and education – to help young people to develop a more positive body image.
•	Information that is made available and accessible to young people on issues such as healthy eating, eating disorders, obesity and anabolic steroids.
•	Promoting sports and exercise – to make young people healthier.","2012-10","published",,"O'Connell Angela",,"","",,,,,,"Department of Children and Youth Affairs","Dublin",,"48 p.",,,,,,,,,,,"","","","978-1-4064-2710-3",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BM , TA14 , VH4-2 , JA6-6 , FP , FE10-4-6","B Drugs and alcohol substances > Steroids of abuse -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- F Concepts in psychology > Emotion -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > Ireland","Steroids of abuse --  Adolescent / youth (teenager / young person) --  Risk and protective factors  -  risk factors --  Emotion --  Skills  -  Coping skills","Europe  -  Ireland","O'Connell Angela","0","no"
"18597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18233","19","archive","5",,,"disk0/00/01/82/33","2012-08-10 09:46:27","2014-04-09 22:03:24","2012-08-10 09:46:26","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","","Effectiveness Bank Bulletin [Training to reduce burn-out amongst staff]","pub","TT2","","public",,,,,,,,"Whole team training to reduce burn-out amongst staff on an in-patient alcohol ward.
Hill R.G., Atnas C.I., Ryan P. et al. Journal of Substance Use: 2010, 15(1), p. 42–50.

Even more so than in a typical psychiatric ward, staff at a London inpatient alcohol treatment ward experienced high levels of stress and other indicators of the potential for 'burn-out'. Whole-team training seemed to help, reflected especially in feelings of greater competence in working with sometimes challenging and complex patients.

Summary: 
Occupational stress and burn-out are common among hospital and community-based mental health staff; staff working where aggression and violence occur are at particular risk. The Maslach Burn-out Inventory is a questionnaire often used to measure these variables. It assesses feelings of emotional exhaustion, depersonalisation, and personal accomplishment. The results confirm high levels of stress and strain among mental health professionals, yet very little empirical work has been undertaken on ways to counter this, and the few studies there are generally had a weak research design.

The featured report derives from the EU-funded OSCAR project (Occupational Stress with Mental Health Clients in Acute Response). In five European countries, this aimed to gather information on occupational stress and burn-out among mental health workers in acute psychiatric hospital and community settings, investigate the causes, and test ways to reduce the problem. The strategy was to work with whole staff teams in order to affect team culture and introduce and 'bed down' working practices aimed at stress reduction.

In Britain the project was implemented at a mixed-sex, 16-bed inpatient ward in south east England offering generally a 28-day programme including group and individual therapy and detoxification for adults dependent on alcohol. It averaged five admissions a week. The ward had 19 staff; three quarters were women and two thirds had worked on the ward for under three years. Only one recalled in-service training on dealing with stress.

These staff completed the Maslach Burn-out Inventory. Three months later, as a team they underwent a two-day stress-reduction training course, the impacts of which were assessed by repeating the inventory a month later. The two days of the training were separated by a fortnight. Day one focused on managing stress at the individual, team and organisational levels. Day two focused on understanding the causes and consequences of aggression, involving identifying typical antecedents of violence from a comprehensive perspective, including client-related, environmental, team, and organisational factors. The team was then helped to undertake a comprehensive risk assessment along with plans for implementing effective risk management strategies.","2012-08-09","published",,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings","09 Aug",,,"Drug and Alcohol Findings",,,,,,,,,,,,,,"review","education_and_training","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://findings.org.uk/docs/bulletins/Bull_09_08_12.php","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","09 Aug","Drug and Alcohol Findings","TT2 , MU , VH4-4-2 , FE10-4-6 , MQ6-2","T Demographic characteristics > Drug or health care worker -- MP-MR Policy, planning, economics, work and social services > Labour and work -- F Concepts in psychology > Skills > Coping skills -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training","VA Geographic area > Europe > United Kingdom > England","Drug or health care worker --  Labour and work --  Skills  -  Coping skills --  Organisational development  -  Workforce / staff skills and training","Europe  -  United Kingdom  -  England",,"0","yes"
"18233",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18233",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18233",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18233",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17234","21","archive","5",,,"disk0/00/01/72/34","2012-03-27 09:44:25","2014-04-09 22:01:28","2012-03-27 09:44:25","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","The Drug Education Forum","Learning from life skills programmes in drug education.","pub","JG10-4","","public",,,,,,,,"Life skills education is an interactive process of teaching and learning which is being adopted around the world as a means of empowering young people.

Life skills education is synonymous with good PSHE education and has been shown to increase the likelihood that young people avoid the harms that drugs and alcohol can do.

The paper looks specifically at two programmes, Life Skills Training and Unplugged, examining the evidence for effectiveness and the content and processes that they share.","2012-03","published",,"Drug Education Forum",,"","",,,,,,"The Drug Education Forum","London",,"8 p.",,,,,"Briefing paper 5",,,,,,"other","aod_prevention","alcohol_drugs_in_general",,,,,,"Drug Education Forum",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.drugeducationforum.com/index.cfm?PageID=45","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JG10-4 , JH2 , NF20 , NF20-4 , NF16-2 , FE10-4-6","J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- N Communication, information and education > Education and training > affective and interpersonal education -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- N Communication, information and education > Education by subject > AOD education -- F Concepts in psychology > Skills > Coping skills",,"Prevention approach  -  Prevention through information and education --  Health-related prevention  -  Health information and education --  Education and training  -  affective and interpersonal education --  Education and training  -  affective and interpersonal education  -  skills building --  Education by subject  -  AOD education --  Skills  -  Coping skills",,"The Drug Education Forum The Drug Education Forum","0","yes"
"17234",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17234",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17234",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17234",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17234",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735","40","archive","5",,,"disk0/00/01/87/35","2012-11-07 09:01:10","2012-11-07 09:01:59","2012-11-07 09:01:10","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Maschinot","Beth","","","",,"",,,,,"","","Supporting infants, toddlers, and families impacted by caregiver mental health problems, substance abuse, and trauma. A community action guide.","pub","GA2-4","","public",,,,,,,,"Introduction 
•	Section 1: What’s so important about birth to 5? 
•	Section 2: Threats to resilience 
•	Section 3: Building a sturdy foundation for children: protective factors that promote resilience 
•	Section 4: A strategic framework for action 
•	Section 5: Moving forward 

References 
Appendix A: Resource list 
Appendix B: Screening tools 
Appendix C: Assessing the problem 
Appendix D: Conducting focus groups 
Appendix E: Strategies for coalition building

This guide was developed in the United States and is organized in sections designed for practical use. 
In Section 1, we focus on the importance of early development, highlighting recent findings about how the brain develops. In Section 2, we look at the newest and best research on how toxic stress can harm brain development. We focus particularly on toxic stress that can occur in families struggling with mental health problems, substance abuse, and a history of trauma. Use this information when you are developing or making the case for a new outreach effort, a new program, or a new law or advocacy effort. 

In Section 3, we look at how to build a sturdy foundation for the very young children in our communities, starting by supporting interactions between children and their closest caregivers, and then expanding to a wider sphere. Here the emphasis is on building supports and coping capacities in the families and in the people and service providers surrounding the child. This section can be used as a springboard to goal-setting and planning when you’ve gathered community partners. 

Section 4 provides you with a six-step road map for action: 
1. Assess how far along your community is in building resources and structures that contribute to the well-being of families; 
2. Assess your community’s capacity for supporting family well-being; 
3. Build partnerships and coalitions among existing community groups; 
4. Outline a strategic plan; 
5. Provide guides and tips for implementation; and 
6. Evaluate your efforts to better understand your impact and continually improve your strategies. 

Section 4 is designed to be a guide for identifying doable strategies. Although the process may seem complex, each of the steps can be used one at a time to increase your chances for success—whether you are embarking on outreach efforts or working to create larger programs or structures.","2012","published",,"SAMHSA, US",,"","",,,,,,"Substance Abuse and Mental Health Services Administration","Rockville, MD",,"92 p.",,,,,"DHHS Publication No. SMA-12-4726",,,,,,"guideline","rehabilitation","alcohol_drugs_in_general",,,,,,"SAMHSA, US",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , LG18-12 , ED4-12 , LC2-4 , TW2-10-4 , T10-4-2 , LG18-2 , TA12 , JF8 , ML4 , GD2 , NF20-4 , VD , LG14-10 , FE10-4-6","G Health and disease > State of health > Mental health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- E Concepts in biomedical areas > Pregnancy -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Pregnant woman -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MA-ML Social science, culture and community > Community action > Community involvement -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > United States","State of health  -  Mental health --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Pregnancy --  Interpersonal interaction and group dynamics  -  Social support --  Child of drugs and alcohol user --  Pregnant woman --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Prevention by sponsor or setting  -  Community-based prevention --  Community action  -  Community involvement --  Drugs and alcohol related disorder  -  Drugs and alcohol related mental disorder --  Education and training  -  affective and interpersonal education  -  skills building --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Skills  -  Coping skills","United States","Maschinot Beth , Cohen Julie","0","yes"
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cohen","Julie","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ML4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688","48","archive","5",,,"disk0/00/01/86/88","2012-10-30 10:37:04","2012-12-19 13:47:34","2012-10-30 10:37:03","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Center for Substance Abuse Treatment","Using Matrix with women clients. A supplement to the Matrix intensive outpatient treatment for people with stimulant use disorders.","pub","TW2-8-8","","public",,,,,,,,"The Matrix Intensive Outpatient Treatment for People with Stimulant Use Disorders, Counselor’s Treatment Manual, originally published in 1995 by the Matrix Center and reproduced by SAMHSA in 2006, has been used by thousands of addiction treatment counselors. The Matrix treatment model grew from a need for structured, evidence-based treatment for clients who abuse or are dependent on stimulant drugs, particularly methamphetamine and cocaine.

The program model has been well received by the addiction treatment field, and the demand for the Matrix program materials has been very high. At the same time, as the field became more experienced with the use of the program materials, a need was identified for tailoring of program materials to certain special populations. In 2005, an adaptation to the Matrix materials was developed for Native American/ American Indian persons. In 2006, an additional adaptation was prepared for men who have sex with men. These adaptations address unique concerns and needs of these populations and enhance the appeal of the Matrix program for these audiences.

The development of Using Matrix with Women Clients: A Supplement to the Matrix Intensive Outpatient Treatment for People with Stimulant Use Disorders continues efforts to tailor the Matrix program materials to a distinct audience. Much has been learned over the past decade about the unique substance abuse treatment needs and concerns of women. This knowledge has been applied to the women’s supplement. It covers the importance of relationships in women’s recovery; issues of trauma, abuse, and violence; sexuality and sex for money; body image and weight control; parenting and pregnancy; and family roles. Given the relatively high proportion of women seeking treatment for stimulant dependence, this adaptation is very timely.

During the field test of this new material, women commented on their experiences with the added sessions. Some of the comments were as follows: “Thank you for creating a safe space for women. It has made a radical difference in my recovery.” “I liked finding strength-based solutions to my challenges in recovery. Thank you. It’s so awesome and empowering.” “My first session was today and it was so liberating and empowering! I got to talk about things I never would have in front of men in the regular ER group.” These comments are reflective of other women-only group experiences for women participating in treatment and speak to the importance for addressing women’s unique concerns in the safety and comfort of a women-only group.

This manual is a supplementary programme to the main Matrix counselor’s treatment manual. As it was developed for use in the US treatment context, some areas will need to be carefully adapted for use in the UK. The proposed group sessions have been tailored to the specific needs of women in substance misuse treatment services, aiming to make them more responsive, accessible and relevant to women service users. This manual contains comprehensive materials for an additional 10 session group treatment programme for service users with stimulant use problems. The sessions include:
• Issues of trauma
• Abuse
• Violence
• Sex and sexuality
• Sex for money
• Body image and weight control
• Pregnancy and parenting
• Family roles.

{For Counselor's and client's treatment manuals see related links below]","2012","published",,"SAMHSA, US",,"","",,,,,,"Substance Abuse and Mental Health Services","Bethesda, MD",,"92 p.",,,,,,,,,,,"report","aod_disorder_treatment_method","cocaine",,,,,,"SAMHSA, US",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.drugsandalcohol.ie/18687/","pubn",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"TW2-8-8 , VD , NF20-4 , HZ24 , BK , NM6-2 , MM2-2 , BJ , BJ2-6 , HZ , T10-4 , JP10 , FP , TE2 , TT4-4 , FE10-4-6","T Demographic characteristics > Mother -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- HJ Treatment method > Counselling -- B Drugs and alcohol substances > Cocaine -- N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- MM-MO Crime and law > Crime > Drugs and alcohol related crime -- B Drugs and alcohol substances > CNS stimulants -- B Drugs and alcohol substances > CNS stimulants > Methamphetamine -- HJ Treatment method > Psychosocial treatment method -- T Demographic characteristics > Woman (women / female) -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- F Concepts in psychology > Emotion -- T Demographic characteristics > Gender differences -- T Demographic characteristics > Counsellor / Therapist -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > United States","Mother --  Education and training  -  affective and interpersonal education  -  skills building --  Counselling --  Cocaine --  Recommendations or guidelines  -  Practice / clinical guidelines --  Crime  -  Drugs and alcohol related crime --  CNS stimulants --  CNS stimulants  -  Methamphetamine --  Psychosocial treatment method --  Woman (women / female) --  Treatment and maintenance  -  treatment factors --  Emotion --  Gender differences --  Counsellor / Therapist --  Skills  -  Coping skills","United States","Center for Substance Abuse Treatment Center for Substance Abuse Treatment","0","yes"
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.drugsandalcohol.ie/17838/","pubn",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BK",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TE2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18688",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127","27","archive","5",,,"disk0/00/02/11/27","2013-12-20 11:00:24","2013-12-20 11:00:24","2013-12-20 11:00:24","article",,,"show",,,,"","","","","","","","","","","0",,,"Madge","Nicola","","","","Madge:Nicola::","",,,,,"","","Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) study.","pub","GA2-4","","none",,,,,,,,"There is evidence to suggest that both psychological characteristics and stressful life events are contributory factors in deliberate self-harm among young people. These links, and the possibility of a dose–response relationship between self-harm and both psychological health and life events, were investigated in the context of a seven-country school-based study. Over 30,000, mainly 15 and 16 year olds, completed anonymous questionnaires at secondary schools in Belgium, England, Hungary, Ireland, the Netherlands, Norway and Australia. Pupils were asked to report on thoughts and episodes of self-harm, complete scales on depression and anxiety symptoms, impulsivity and self-esteem and indicate stressful events in their lives.

Level and frequency of self-harm was judged according to whether they had thought about harming themselves or reported single or multiple self-harm episodes. Multinomial logistic regression assessed the extent to which psychological characteristics and stressful life events distinguished between adolescents with different self-harm histories. Increased severity of self-harm history was associated with greater depression, anxiety and impulsivity and lower self-esteem and an increased prevalence of all ten life event categories. 

Female gender, higher impulsivity and experiencing the suicide or self-harm of others, physical or sexual abuse and worries about sexual orientation independently differentiated single-episode self-harmers from adolescents with self-harm thoughts only. Female gender, higher depression, lower self-esteem, experiencing the suicide or self-harm of others, and trouble with the police independently distinguished multiple- from single-episode self-harmers. The findings reinforce the importance of psychological characteristics and stressful life events in adolescent self-harm but nonetheless suggest that some factors are more likely than others to be implicated.","2011","published",,"Madge Nicola",,"","",,"European Child & Adolescent Psychiatry","20","10","10","Springer",,"499-508",,,,,,"DOI 10.1007/s00787-011-0210-4",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>&#160;</p>",,,,,,,,,,,"","http://www.nsrf.ie/publications_2011/Psychological_StressfulLifeEvents_DSH_CASEstudy.pdf","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","20","European Child  Adolescent Psychiatry","GA2-4 , TA14 , VH4-2 , FS62 , JA6-6 , LL4 , FP , VH , FS38-6-2 , FE10-4-6","G Health and disease > State of health > Mental health -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour  -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Lifestyle -- F Concepts in psychology > Emotion -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe","State of health  -  Mental health --  Adolescent / youth (teenager / young person) --  Specific attitude and behaviour  -  self-destructive behaviour  --  Risk and protective factors  -  risk factors --  Lifestyle --  Emotion --  Specific attitude and behaviour  -  risk-taking behaviour --  Skills  -  Coping skills","Europe  -  Ireland --  Europe","Madge Nicola , Hawton Keith , McMahon Elaine M , Corcoran Paul , De Leo Diego , Jan de Wilde Erik , Fekete Sandor , van Heeringen Kees , Ystgaard Mette , Arensman Ella","0","yes"
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hawton","Keith","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McMahon","Elaine M","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","Paul","","",,,,,,,,,,,,"FS62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"De Leo","Diego","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jan de Wilde","Erik","","",,,,,,,,,,,,"LL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fekete","Sandor","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"van Heeringen","Kees","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ystgaard","Mette","","",,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Arensman","Ella","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118","26","archive","5",,,"disk0/00/01/81/18","2012-07-20 11:13:11","2012-07-20 11:13:11","2012-07-20 11:13:11","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Millar","Michelle A","","","","Millar:Michelle A::","",,,,,"","","‘Making a difference’ – an independent evaluation of the Incredible Years Programme in pre-schools in Galway city.","pub","LG18-12-4","","public",,"other",,,,,,"The focus of this report is the implementation of the Incredible Years Programme (IYP) in Galway City. The report explores the process of developing the Incredible Years Programme in Galway City with a particular focus on the evaluation of the implementation and outcomes of the Dina in the Classroom (Pre-School) Programme.

The IYP is designed to promote social and emotional competencies in children aged 3-10 years. The IYP which was developed in the University of Washington, Seattle by Professor Carolyn Webster-Stratton contains three separate training programmes, one for parents, teachers and children. Whilst each programme is designed as a stand-alone intervention, taken together they provide a cohesive and uniform strategy to address and eliminate behavioural difficulties for children. 

The IYP is designed to meet the needs of children with behavioural difficulties in the widest sense of the term. This encompasses a broad spectrum of behaviours from mildly disruptive to severely destructive which can present in the home and school, particularly among younger children. Yet this can also result in anti-social activities among adolescents and young people. Behavioural difficulties have a conduct dimension characterised by aggression, defiance and destructiveness as well as an emotional dimension, which is marked by negative affect and deficits in peer relations and pro-social behaviour.","2011","published",,"Millar Michelle A",,"","",,,,,,"UNESCO Child and Family Research Centre","Galway",,"143 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childandfamilyresearch.ie/publications/policy-practice","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , NF24-6 , LN36 , TA12 , NF20-4 , NF2-6-2 , JF10-10 , MQ8-10 , VH4-2-6 , FE10-4-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- N Communication, information and education > Educational environment (school / college) > Student behaviour and participation -- L Social psychology and related concepts > Social context > School context -- T Demographic characteristics > Child -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- N Communication, information and education > Education and training > Educational institution > School -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme evaluation -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > Ireland > Galway","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Educational environment (school / college)  -  Student behaviour and participation --  Social context  -  School context --  Child --  Education and training  -  affective and interpersonal education  -  skills building --  Education and training  -  Educational institution  -  School --  Prevention by sponsor or setting  -  School-based prevention --  Programme planning, implementation, and evaluation  -  Programme evaluation --  Skills  -  Coping skills","Europe  -  Ireland  -  Galway","Millar Michelle A","0","yes"
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF2-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055","30","archive","5",,,"disk0/00/01/40/55","2010-10-19 09:03:17","2014-04-09 21:55:22","2010-10-19 09:03:17","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Bostock","Lisa","","","",,"",,,,,"","","Promoting resilience in fostered children and young people.","pub","LG18-12","","public",,,,,,,,"This guide looks at how childcare professionals can make a difference to young people's experiences of foster care. Professionals play an important role by supporting caring relationships, ensuring that school is a positive experience, and promoting the self-esteem of children and young people in the foster care system.
 
This guide unpacks the concept of resilience and provides helpful hints for practice as well as access to further resources. It is aimed at the qualifying and newly qualified childcare professional and outlines why they matter in the life of a foster child. 

Positive relationships, at any age in the life span, can help improve poor self-image. People who take an interest, who listen, who care and love people, make others feel better. They bolster self-esteem.","2010","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,"42 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.scie.org.uk/publications/guides/guide06/index.asp","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12 , MV , MV14-4 , TW2-10-4 , JG10-12 , TA12 , JU10 , VH4-4 , FE10-4-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Prevention approach  -  Early intervention (young children) --  Child --  Health care administration  -  Health care quality control --  Skills  -  Coping skills","Europe  -  United Kingdom","Bostock Lisa","0","no"
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.c4eo.org.uk/themes/vulnerablechildren/",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940","31","archive","5",,,"disk0/00/01/89/40","2012-12-10 11:53:04","2015-12-22 15:39:43","2012-12-10 11:53:04","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Humeniuk","Rachel","","","",,"",,,,,"","","Self-help strategies for cutting down or stopping substance use: a guide.","pub","NM6","","public",,,,,,,,"This guide helps patients that think that their substance use is putting them at risk of experiencing problems, to weigh up their substance use behavior and give them some ideas about how to change it.

Contents:
1 Introduction 
2 How do you know if you are at risk? 
3 What is a substance use problem? 
4 Getting started 
5 Getting support 
6 Do I need to do something about my substance use? 
7 What is your substance use balance sheet? 
8 Are you concerned about your substance use? 
9 Measuring your substance use 
10 How much is too much? 
11 Making a decision 
12 Choosing your goal 
13 Changing the way you use 
14 My contract with myself 
15 Moving ahead 
16 High risk situations 
17 Setting targets: how to stop 
18 Setting substance use targets: how to cut down 
19 How to cope with cravings 
20 Helpful tips 
21 Handling high risk situations 
22 How to say no 
23 Sticking to your targets 
24 When things go wrong… 
25 Alternatives to substance use","2010","published",,"WHO",,"","",,,,,,"World Health Organization","Geneva",,"50 p.",,,,,,,,,,,"guideline","aod_disorder_treatment_method","alcohol",,"978 92 4 159940 5",,,,"WHO",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.drugsandalcohol.ie/18939/","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"NM6 , HK2 , AH18 , FS30 , HZ , FE10-4-6 , FS38-6-2 , HK2-6","N Communication, information and education > Recommendations or guidelines -- HJ Treatment method > Drugs and alcohol disorder treatment method -- A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- F Concepts in psychology > Specific attitude and behaviour > choice-making behaviour  -- HJ Treatment method > Psychosocial treatment method -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use",,"Recommendations or guidelines --  Drugs and alcohol disorder treatment method --  Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Specific attitude and behaviour  -  choice-making behaviour  --  Psychosocial treatment method --  Skills  -  Coping skills --  Specific attitude and behaviour  -  risk-taking behaviour --  Drugs and alcohol disorder treatment method  -  Cessation of drugs and alcohol use",,"Humeniuk Rachel , Henry Edwards S , Ali Robert , Meena S","0","yes"
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Henry Edwards","S","","",,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.drugsandalcohol.ie/18938/",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ali","Robert","","",,,,,,,,,,,,"AH18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Meena","S","","",,,,,,,,,,,,"FS30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
