The purpose of the guide is to:
1. Assist individuals to self assess their:
2. Assist hospital groups, community healthcare organisations and the national ambulance service to assess and build improvement capability and capacity that enable staff to participate in and lead improvement initiatives
3. Assist health sector trainers, third level colleges, institutions and professional bodies to design academic curricula and education and training programmes for improvement
The guide is designed for all staff both clinical and non-clinical working in the Irish health service. For example, whether you are providing direct care in mental health, social care, primary care, acute services, disability services or health and wellbeing or providing critical support services in catering, finance, human resources or information communication technology, this guide may be used by you. While our roles may be different our purpose is the same – to deliver high quality care and services to patients, service users and families in Ireland through the best use our resources.
",,,,,,,,,,,"","http://www.hse.ie/eng/about/Who/QID/Improvement-Knowledge-and-SkillsGuide/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JH2 , MQ6 , MQ6-2 , ND14 , ND2-6 , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2 , VH4-2","J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- N Communication, information and education > Information use and impact -- N Communication, information and education > Information transfer > Information transfer from research to practice -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Health-related prevention - Health information and education -- Organisational development -- Organisational development - Workforce / staff skills and training -- Information use and impact -- Information transfer - Information transfer from research to practice -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker","Europe - Ireland","Health Service Executive Health Service Executive","0","no" "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951","13","archive","5",,,"disk0/00/02/79/51","2017-10-05 08:11:02","2017-10-05 08:11:02","2017-10-05 08:11:02","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Public Health England","Health Matters: preventing ill health from alcohol and tobacco use.","pub","BB","","none",,,,,,,,,"2017-10",,,"Public Health England",,"","",,,,,,"Public Health England","London",,,,,,,,,,,,,"report","aod_disorder","alcohol",,,,,,"Public Health England",,,"","","","","","","","","","",,"This professional resource from the UK focuses on preventing ill health caused by alcohol and tobacco use and makes the case for why NHS providers should implement the ‘preventing ill health by risky behaviours – alcohol and tobacco CQUIN’.
",,,,,,,,,,,"","https://www.gov.uk/government/publications/health-matters-preventing-ill-health-from-alcohol-and-tobacco/health-matters-preventing-ill-health-from-alcohol-and-tobacco-use","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16 , JM , JS , TT2 , TT2-14 , TT6 , VH4-4","B Drugs and alcohol substances > Alcohol -- 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 > Health care delivery -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","Alcohol -- Drugs and alcohol disorder - Alcohol use -- Patient care management -- Health care delivery -- Drug or health care worker -- Nurse -- Prevention worker","Europe - United Kingdom","Public Health England Public Health England","0","yes" "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method","tobacco",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025","19","archive","1684",,,"disk0/00/02/80/25","2017-10-20 15:17:03","2017-10-20 15:17:03","2017-10-20 15:17:03","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Royal College of Nursing","Role of nurses in alcohol and drug treatment services.","pub","GC16","","public",,,,,,,,,"2017-10",,,"Royal College of Nursing",,"","",,,,,,"Public Health England","London",,"32 p.",,,,,,,,,,,"report","","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,"This resource is to assist commissioners and providers of specialist adult alcohol and drug treatment services to identify the right workforce to meet the needs of their local populations. It does not address the wider role of nurses across other areas of health and social care, such as midwives, who make a significant contribution to the care of people who misuse alcohol and drugs, and their families. It outlines:
• the roles of nurses working in alcohol and drug treatment including the contribution they can make to health and social care outcomes
• the added value nurses can bring to alcohol and drug treatment
• the competences and skills that should be expected of nurses working in alcohol and drug treatment
• what is required to develop and maintain these competences
",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GC16 , JQ6 , JS , JT14-4-12-4 , TT2 , TT2-14 , VH4-4","G Health and disease > Drugs and alcohol disorder > Alcohol use -- J Health care, prevention and rehabilitation > Care by type of problem -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Drugs and alcohol disorder treatment unit -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Drugs and alcohol disorder - Alcohol use -- Care by type of problem -- Health care delivery -- Health care programme or facility - Drugs and alcohol disorder treatment unit -- Drug or health care worker -- Nurse","Europe - United Kingdom","Royal College of Nursing Royal College of Nursing , Association of Nurses in Substance Abuse Association of Nurses in Substance Abuse , National Substance Misuse Non-Medical Prescribing Forum National Substance Misuse Non-Medical Prescribing Forum , Publi","0","yes" "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Association of Nurses in Substance Abuse",,,"JQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"National Substance Misuse Non-Medical Prescribing Forum",,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Public Health England",,,"JT14-4-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903","16","archive","5",,,"disk0/00/02/79/03","2017-09-26 07:03:01","2017-09-26 07:03:01","2017-09-26 07:03:01","guideline",,,"show",,,,"","","","","","","","","","",,,,"Ryan","Sara","","","","Ryan:Sara::","",,,,,"","","Do we all agree what ""good health care"" looks like? Views from those who are ""seldom heard"" in health research, policy and service improvement.","pub","JM","","none",,,,,,,,"Context: The aim of this study was to ask whether there are shared ideas about what good health care looks like that apply across different populations and conditions. Do priorities among ""seldom heard"" groups differ from mainstream views and, if so, how might we understand these differences? Design: Focus groups were recruited with the help of our study patient representatives. Participants discussed and prioritized a set of eight ""core components"" of good care. We recorded and transcribed the data for thematic analysis. Setting and participants: We recruited people who are seldom heard in health and policy research for separate focus group discussions (one each with illegal drug users, Irish Travellers, migrant workers, young men and learning disabled people). We also ran a reference group of educated, older adults and an online group with people with long-term conditions. Results: There were few differences in what participants thought was important in health care but considerable differences in their expectations that they might personally receive good care. Differences related to participants' previous experiences. The drug users group reported particularly poor experiences and low expectations of good care. Discussion: Differences in what is regarded as an entitlement or privilege in health care underline the persistence of structural and relational differences in how services are experienced. While we can be reassured that core aspects of care are similarly prioritized across different patient groups, including those who are seldom heard, a more intractable challenge remains: how to provide equitable health care for marginalized groups in an unequal society.","2017-10","published",,"Ryan Sara",,"","",,"Health Expectations","20","5","5","Wiley",,"878-885",,,,,,,,,,,"TRUE","","aod_disorder","alcohol_drugs_in_general",,"1369-7625",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1111/hex.12528/abstract;jsessionid=F0C14E92E7A6908BBA3C4527757C9CAD.f03t03?systemMessage=Wiley+Online+Library+will+be+unavailable+on+Saturday+7th+Oct+from+03.00+EDT+%2F+08%3A00+BST+%2F+12%3A30+IST+%2F+15.00+SGT+to+08.","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","20","Health Expectations","JM , JP10_2_2 , JQ6-8 , JS , JU10 , TL4 , TT2 , TT2-12 , TT2-14 , VH4-4","J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- T Demographic characteristics > Drug user -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Patient care management -- Treatment and maintenance - patient attitude toward treatment -- Care by type of problem - Mental health care -- Health care delivery -- Health care administration - Health care quality control -- Drug user -- Drug or health care worker -- Doctor -- Nurse","Europe - United Kingdom","Ryan Sara , Hislop Jenny , Ziebland Sue","0","yes" "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hislop","Jenny","","",,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ziebland","Sue","","",,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029","19","archive","5",,,"disk0/00/02/80/29","2017-10-23 07:34:50","2017-10-23 07:34:50","2017-10-23 07:34:50","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","WHO Regional Office for Europe","WHO alcohol brief intervention training manual for primary care.","pub","BB","","public",,,,,,,,"Alcohol contributes significantly to the disease and mortality burden in the WHO European Region, and primary health care systems play an important role in reducing the impact of harmful alcohol use. Screening and brief interventions (SBIs) for alcohol are an evidence-informed approach to addressing the needs of the many patients presenting in primary care who may benefit from reducing their alcohol consumption. This manual provides information to plan training and support for primary care practitioners to confidently deliver SBI for alcohol problems to their patients. The manual outlines the background and evidence base for SBI, and gives practical advice on establishing an implementation programme as well as detailed educational materials to develop the knowledge and skills of participants in organized training sessions. Unit 1. Introduction, course overview and group agreement p.22 Unit 2. Attitudes to alcohol p.26 Unit 3. Impact, consumption and harms of alcohol p.34 Unit 4. ABIs: goals, skills and practice change .p.44 Unit 5. Beginning a conversation about alcohol p.53 Unit 6. Screening and feedback using AUDIT p.57 Unit 7. Brief intervention core skills .p.68 Unit 8. Brief interventions – practice session p.77 Post training materials - Evaluation and monitoring p.93","2017-10",,,"WHO",,"","",,,,,,"WHO Regional Office for Europe","Copenhagan",,"117 p.",,,,,,,,,,,"report","aod_disorder_treatment_method","alcohol",,,,,,"WHO",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.euro.who.int/en/health-topics/disease-prevention/alcohol-use/publications/2017/who-alcohol-brief-intervention-training-manual-for-primary-care-2017","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16-6 , HZ , HZ2-2-2 , JG26_2_4_2 , JM , JT8_8_2 , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Psychosocial treatment method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Health care programme or facility - Community-based treatment (primary care) -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker",,"WHO Regional Office for Europe WHO Regional Office for Europe","0","no" "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28029",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466","24","archive","5",,,"disk0/00/02/24/66","2014-08-13 10:19:37","2017-10-23 09:35:35","2014-08-13 10:19:37","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell B1: practitioners - reducing harm.","pub","JB2-4","","public",,,,,,"From Drug Treatment Matrix, copyright Drug and Alcohol Findings and the Substance Misuse Skills Consortium.",,,"2017-09","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,,,,,,,,,,,,"other","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is this cell B1 about?
As described more fully in cell A1, about reducing the harms experienced by the user as a result of their drug use, without necessarily reducing use or seeking to overcome dependence. Common interventions include needle exchanges and substituting a legally prescribed drug of the same type for the original (and usually illegally obtained) substance, also considered as a treatment for addiction in row 3. This cell is however not about the content of the intervention (for which see cell A1), but whether its impact depends on the interpersonal style and other features of the practitioner relating to the client or conducting the intervention – a much less commonly researched topic.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/B1.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JB2-4 , JM , JP10_2_2 , JP10_6 , JS , MP18-2-8-16 , TT2 , TT2-12 , TT2-14 , TT4-4 , TT8-2","J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care delivery -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol > Harm reduction policy -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Counsellor / Therapist -- T Demographic characteristics > Social worker",,"Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Patient care management -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Health care delivery -- Policy - Policy on drugs and alcohol - Harm reduction policy -- Drug or health care worker -- Doctor -- Nurse -- Counsellor / Therapist -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2-8-16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794","16","archive","5",,,"disk0/00/02/77/94","2017-08-28 10:25:58","2017-08-28 10:25:58","2017-08-28 10:25:58","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Adfam","When parents take drugs.","pub","LG14-10","","public",,,,,,,,"This booklet is intended for use by anyone talking with young people about a parent or carer’s drug or alcohol use, to help them understand and come to terms with their situation. Professionals – such as teachers, youth workers and health workers – who may come into contact with young people who they know, or suspect, are affected by the drug and/ or alcohol use of one, or both, of their parents may find it particularly useful. It is intended to be a tool by which a young person can be encouraged to discuss their life and their feelings and be reassured that there are people who can help with their situation. It should not be seen as an assessment tool - nor as a substitute for professional intervention – but as a source of support for the young person. Each page contains scenarios or prompts to help direct the young person to think about some of the issues they are facing, whilst the boxes across the bottom contain information and suggestions to help the adult reader facilitate the discussion. Section 1 – For adults • How to use this booklet • What are drugs • Effects on young people • What a young person might be going through • Assessing the risks • What the law says • The United Nations Convention on the • Rights of the Child • Resources Section 2 – for 4-10 year olds • All about drugs • I feel... • What’s going on? • I feel better • Mum and dad • My life • My future Section 3 – for 11-15 year olds • All about drugs • I feel ****! • What’s going on? • Feeling better • What mum and dad might be going through • My life • My future","2017-08",,,"Adfam",,"","",,,,,,"Adfam","London",,"23 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol",,,,,,"Adfam",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG14-10 , LG14-10-2 , LG18-12-2-6 , LG18-2 , TT2 , TT8-2 , TW2-10-4 , TW2-8 , VH4-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- 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 grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > United Kingdom","Marital relations - Family and kinship - Family structure - Family support -- Marital relations - Family and kinship - Family structure - Family support - Parental support -- Marital relations - Family and kinship - Family relations - Family role - Role of grandparent -- Marital relations - Family and kinship - Family relations - Parent-child relations -- Drug or health care worker -- Social worker -- Child of drugs and alcohol user -- Parent","Europe - United Kingdom","Adfam Adfam","0","yes" "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27814","14","archive","5",,,"disk0/00/02/78/14","2017-08-31 08:47:20","2017-08-31 08:49:40","2017-08-31 08:47:20","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Collective Voice","Improving clinical responses to drug-related deaths. A summary of best practice and innovations from drug treatment providers.","pub","GC4-6","","public",,,,,,,,,"2017-08",,,"Collective Voice",,"","",,,,,,"Collective Voice and the NHS Substance Misuse Provider Alliance","London",,,,,,,,,,,,,"","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,"Collective Voice and the NHS Substance Misuse Provider Alliance (NHS SMPA) have worked together, with Public Health England's support, to produce a set of recommendations for providers with the aim of ensuring that everything that can be done is done by service providers to help reverse this damaging trend. This demands a challenging balancing act, retaining a focus on the importance of harm reduction and safety while not undermining the opportunity and ambition for recovery of many people we work with. The document covers a number of subject areas, but detailed below are the key recommendations we believe providers and those commissioning services should commit to:
1. Drug treatment services should review their information systems to enable data relevant to risk of overdose to be captured and deployed to inform individual treatment plans.
2. Treatment plans should be consistent with the 2017 Clinical Guidelines and should be individually tailored to balance the protective benefits of OST with the opportunity to safely progress towards recovery. Providers and commissioners should guard against forced reductions or premature removal from treatment in a desire to achieve targets.
3. All providers should establish clear protocols for managing the risk of overdose and ensure their staff are competent to implement them. This should include ensuring naloxone is widely available.
4. Commissioners and service providers have a responsibility to maximise their contribution to addressing all the physical and mental health needs of service users, ensuring these are met either within their own services or by effective engagement with timely and appropriate access to primary care and specialist services in the NHS. This includes ensuring that more people are tested and treated for hepatitis C.
5. Commissioners and treatment systems need to increase local penetration rates to reduce deaths among those who are currently not engaged in treatment or in contact with harm reduction services. Fundamental to this is promoting and expanding access to needle and syringe programmes.
Introduction p.5
1 Identifying risk of drug-related death p.6
2 Delivering safe, recovery-orientated drug treatment p.10
3 Preventing overdose in people who use drugs p.13
4 Meeting physical and mental health needs p.16
5 Reducing the risk of drug-related death for people outside drug treatment p.19
Appendix 1. Sources of information for assessing risk of drug-related death p. 25
Appendix 2. Contributors p.26
See also, from HPSC
Report on the consultation process and outcomes National clinical guideline - Hepatitis C screening
National guideline on screening for hepatitis C infection - Budget impact analysis
",,,,,,,,,,,"","http://health.gov.ie/national-patient-safety-office/ncec/national-clinical-guidelines/prevention/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"GH16-12-6-6 , JH10-6 , JM , JS , TL4-10-4 , TT2 , TT2-12 , TT2-14","G Health and disease > Disorder by cause > Communicable disease > Hepatitis C -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Communicable disease control -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Intravenous / injecting drug user -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Disorder by cause - Communicable disease - Hepatitis C -- Health-related prevention - Health information and education - Communicable disease control -- Patient care management -- Health care delivery -- Intravenous / injecting drug user -- Drug or health care worker -- Doctor -- Nurse",,"Department of Health Department of Health","0","no" "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH10-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253","35","archive","1684",,,"disk0/00/02/72/53","2017-07-17 08:19:38","2017-10-11 14:27:43","2017-07-17 08:19:38","monograph",,,"show",,,,"","","","","","","","","","",,,,"Bates","Geoff","","","","Bates:Geoff::","",,,,,"","","The effectiveness of interventions related to the use of illicit drugs: prevention, harm reduction, treatment and recovery. A ‘review of reviews’.","pub","AA2-4","","public",,,,,,,,,"2017-07","published",,"Bates Geoff",,"","",,,,,,"Health Research Board","Dublin",,"200 p.",,,,,"HRB Drug and Alcohol Evidence Review 5",,,,,,"","","",,,,,,,,,"","","5336","","available","","","","","",,"This review examines the evidence on the effectiveness of interventions in the areas of harm reduction, prevention, treatment and long-term recovery related to illicit drug misuse and dependence. The primary research questions for this review were:
Evidence was identified through a ‘review of reviews’ approach. High quality systematic reviews published since 2010 were identified through a comprehensive search of relevant electronic databases, and screened for relevance against pre-defined inclusion and exclusion criteria. The quality of relevant reviews was determined using quality check tool in the Joanna Briggs Institute methods manual for undertaking umbrella reviews (JBI, 2014). Lower quality reviews and reviews published prior to 2010 were included where evidence was missing on key interventions.
In total, 97 review articles were identified to answer the primary research questions and were split across three reviews under the headings of prevention (13 reviews), harm reduction (24 reviews) and treatment and recovery (62 reviews), with two reviews covering both harm reduction and treatment interventions. Outcomes relating to the review research questions were summarised in outcomes tables of evidence. The quality of the evidence was determined using a GRADE approach and rated ‘low’, ‘medium’ or ‘high’ dependent on the quality and extent of primary studies and the consistency of the direction of findings.
","HRB library",,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AA2-4 , AH18 , HK2 , HT6 , HZ , HZ26 , JB2 , JB2-4 , JB6 , JC4-2 , JC4-4 , JF10-10 , JF8 , JG , JM , JP10 , JT8_8_2 , TA14 , TT2-12 , TT6 , VA2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Other medical treatment method > Alternative medical treatment -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Basic prevention categories > Universal prevention -- J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- J Health care, prevention and rehabilitation > Prevention approach -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Doctor -- T Demographic characteristics > Prevention worker","VA Geographic area > International aspects","Prevalence of drugs and alcohol use - Problem drugs and alcohol use -- Natural history of drugs and alcohol use - Drugs and alcohol recovery -- Drugs and alcohol disorder treatment method -- Other medical treatment method - Alternative medical treatment -- Psychosocial treatment method -- Treatment outcome -- Drugs and alcohol prevention -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Prevention outcome -- Basic prevention categories - Universal prevention -- Basic prevention categories - Targeted prevention -- Prevention by sponsor or setting - School-based prevention -- Prevention by sponsor or setting - Community-based prevention -- Prevention approach -- Patient care management -- Treatment and maintenance - treatment factors -- Health care programme or facility - Community-based treatment (primary care) -- Adolescent / youth (teenager / young person) -- Doctor -- Prevention worker","International aspects","Bates Geoff , Jones Lisa , Cochrane Madeleine , Pendlebury Marissa , Sumnall Harry","0","yes" "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jones","Lisa","","",,,,,,,,,,,,"AH18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5337",,"available",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cochrane","Madeleine","","",,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pendlebury","Marissa","","",,,,,,,,,,,,"HT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sumnall","Harry","","",,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27638","13","archive","5",,,"disk0/00/02/76/38","2017-07-21 11:25:04","2017-07-21 11:25:39","2017-07-21 11:25:04","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","United Kingdom. Department of Health","Strengths-based social work practice with adults.",,"JS","","public",,,,,,,,"Report based on a workshop commissioned by the Department of Health and held at the Social Care Institute for Excellence in January 2017. This report is for social workers, senior leaders of adult social care, and people who use the services. It looks at what ‘strengths-based social work’ with adults, individuals, families and communities means for practitioners and people using the services. ‘Strengths-based practice is a collaborative process between the person supported by services and those supporting them, allowing them to work together to determine an outcome that draws on the person’s strengths and assets. As such, it concerns itself principally with the quality of the relationship that develops between those providing support and those being supported, as well as the elements that the person seeking support brings to the process. Working in a collaborative way promotes the opportunity for individuals to be co-producers of services and support rather than solely consumers of those services.","2017-07",,,"Department of Health (UK)",,"","",,,,,,"Department of Health","London",,"98 p.",,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,,,,,"Department of Health (UK)",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"https://www.gov.uk/government/publications/strengths-based-social-work-practice-with-adults?utm_campaign=8492941_Scieline%2021%20July%202017&utm_medium=email&utm_source=SCIE&utm_sfid=003G000000r6qrUIAQ&utm_role=&dm_i=4O5,52171,4IEVRL,JCL0J,1","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JS , LC2-4 , LU6-2 , MV , TT8-2 , VH4-4","J Health care, prevention and rehabilitation > Health care delivery -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Collaboration and conflict > Collaboration (co-operation) -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Health care delivery -- Interpersonal interaction and group dynamics - Social support -- Collaboration and conflict - Collaboration (co-operation) -- Social services -- Social worker","Europe - United Kingdom","United Kingdom. Department of Health United Kingdom. Department of Health","0","yes" "27638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LU6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27706","13","archive","1684",,,"disk0/00/02/77/06","2017-08-03 10:14:34","2017-08-03 10:14:34","2017-08-03 10:14:34","article",,,"show",,,,"","","","","","","","","","",,,,"McArdle","D","","","","McArdle:D::","",,,,,"","","Implementing a tobacco-free hospital campus in Ireland: lessons learned.","pub","BD","","none",,,,,,,,,"2017-07","published",,"McArdle D",,"","",,"Irish Journal of Medical Science","Early online",,,"Springer",,,,,,,,,,,,,"TRUE","","","",,"1863-4362",,,,,,,"","","","","available","","","","","",,"Background
The Irish Health Service Executive (HSE) had set a target that all HSE facilities should implement the HSE Tobacco Free Campus (TFC) policy by 2015.
Aim
The aims of this study are to examine hospital staff awareness and to assess the progress of selected HSE health care facilities towards a TFC policy.
Methods
Three health care facilities that were conveniently located were self-selected in County Cork, namely, an acute hospital, a mental health service and an older person’s facility. Three different types of quantitative data were collected between May and September 2016 drawn on Standards 3, 4 and 5 of the European Network for Tobacco Free Health Care Services (ENSH-Global) tools: (1) face-to-face consultation with health care facility managers on their progress towards the HSE TFC policy, (2) self-administered questionnaire to a purposive sample of 153 staff members across three health care facilities and (3) physical observation of signs of smoking and smoking-related information across each health care facility for objective verification of compliance.
Results
Of the 153 staff who completed the questionnaire, 64% were females, 39% were nurses, 20% were smokers and 76% agreed with the TFC policy. However, only 26% of the 153 staff had received training on motivational and tobacco cessation techniques. Seventy-seven percent of the 153 staff stated that the campus was not tobacco-free. Physical observation suggested signs of smoking within the campus across all three health care facilities surveyed.
Conclusion
Staff awareness of the HSE TFC policy across selected health care facilities in Ireland is positive but is not sufficient. There are gaps in the implementation process of the HSE TFC policy in the health care facilities. Therefore, proper communication on the importance of the ENSH-Global standards and cessation training to all staff is necessary to help reduce smoking rates across the health care facilities and also to move towards a Tobacco Free Campus in Ireland.
",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","Early online","Irish Journal of Medical Science","BD , JH2 , JS , JT , TT2 , VH4-2","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Tobacco (cigarette smoking) -- Health-related prevention - Health information and education -- Health care delivery -- Health care programme or facility -- Drug or health care worker","Europe - Ireland","McArdle D , Kabir Zubair","0","no" "27706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kabir","Zubair","","",,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27675","17","archive","5",,,"disk0/00/02/76/75","2017-07-26 13:52:01","2017-07-26 13:52:01","2017-07-26 13:52:01","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Extern","Pregabalin: Guidance for people working with Pregabalin users.","pub","BN","","public",,,,,,"Supported by the Public Health Agency, Northern Ireland",,"Pregabalin is a drug originally used to prevent focal seizures or ‘fits’ in people with epilepsy. It is one of the gabapentinoid family of medicines that also includes Gabapentin. It comes in different strengths from 25mg to 300mg capsules. Who this booklet is aimed at? This is primarily for people who work with people who use Pregabalin that is not prescribed to them. However it may also be useful to people who overuse their prescribed amount, people who take Pregabalin that isn’t prescribed for them or for people who care about a Pregabalin user. (If you are under 16 you should only use this booklet with support from a suitably qualified youth worker, social worker or addictions worker.)","2017-07",,,"Public Health Agency, Northern Ireland",,"","",,,,,,"Extern","Newtownabbey",,"20 p.",,,,,,,,,,,"guideline","aod_prevention","psychoactive",,,,,,"Public Health Agency, Northern Ireland",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.publichealth.hscni.net/publications/pregabalin-guidance-people-working-pregabalin-users","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BN , BT6-2 , TT2 , TT6 , VH4-2 , VH4-4-8","B Drugs and alcohol substances > New (novel) psychoactive substances -- E Concepts in biomedical areas > Drugs and alcohol substance by legal status > Prescription drug (medicine / medication) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe > Northern Ireland","New (novel) psychoactive substances -- Drugs and alcohol substance by legal status - Prescription drug (medicine / medication) -- Drug or health care worker -- Prevention worker","Europe - Ireland -- Europe - Northern Ireland","Extern Extern","0","no" "27675",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BT6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.extern.org/","author",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27675",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27675",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27675",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27675",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679","17","archive","5",,,"disk0/00/02/76/79","2017-07-27 07:26:10","2017-07-27 07:26:10","2017-07-27 07:26:10","guideline",,,"show",,,,"","","","","","","","","","",,,,"Christie","Emma","","","",,"",,,,,"","","Better care for people with co-occurring mental health and alcohol/drug use conditions. A guide for commissioners and service providers.","pub","GC12","","public",,,,,,,,"It is very common for people to experience problems with their mental health and alcohol/drug use (co-occurring conditions) at the same time. Research shows that mental health problems are experienced by the majority of drug (70%) and alcohol (86%) of alcohol users in community substance misuse treatment. Death by suicide is also common, with a history of alcohol or drug use being recorded in 54% of all suicides in people experiencing mental health problems. Other evidence tells us that people with co-occurring conditions have a heightened risk of other health problems and early death. We also know that in spite of the shared responsibility that NHS and local authority commissioners have to provide treatment, care and support, people with co-occurring conditions are often excluded from services. This Public Health England (PHE) guide, developed with the support of NHS England, seeks to address this disparity. It should be used by the commissioners and providers of mental health and alcohol and drug treatment services, to inform the commissioning and provision of effective care for people with co-occurring mental health and alcohol/drug use conditions. It also has relevance for all other services that have contact with people with co-occurring conditions, including people experiencing mental health crisis. It is an action for PHE from the Crisis Care Concordati national action plan. It has been co-produced with members of the expert reference group for co-existing substance misuse with mental health issues, and in consultation with experts through experience, service providers, practitioners, commissioners and policy leads. It supports implementation of the Five Year Forward View for Mental Health, including current and forthcoming development of a comprehensive set of evidence-based treatment pathways (EBTPs). It aims to support local areas to commission timely and effective responses for people with co-occurring conditions. It encourages commissioners and service providers to work together to improve access to services which can reduce harm, improve health and enhance recovery, enabling services to respond effectively and flexibly to presenting needs and prevent exclusion.","2017-07",,,"Public Health England",,"","",,,,,,"Public Health England","London",,"66 p.",,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"https://www.gov.uk/government/publications/people-with-co-occurring-conditions-commission-and-provide-services","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GC12 , GD2 , JQ6-8 , JS , TT2 , TT2-12 , TT2-14 , TT8-2 , VH4-4","G Health and disease > Drugs and alcohol related disorder > Dual diagnosis (comorbidity) -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- J Health care, prevention and rehabilitation > Health care delivery -- 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","Drugs and alcohol related disorder - Dual diagnosis (comorbidity) -- Drugs and alcohol related disorder - Drugs and alcohol related mental disorder -- Care by type of problem - Mental health care -- Health care delivery -- Drug or health care worker -- Doctor -- Nurse -- Social worker","Europe - United Kingdom","Christie Emma","0","yes" "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595","27","archive","5",,,"disk0/00/02/75/95","2017-07-14 12:06:36","2017-08-31 08:18:17","2017-07-14 12:06:36","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Clinical Guidelines on Drug Misuse and Dependence Update 2017 Independent Expert Working Group","Drug misuse and dependence. UK guidelines on clinical management.","pub","GA2","","public",,,,,,,,"Contents Chapter 1: Introduction 9 Chapter 2: Essential elements of treatment provision 15 2.1 Key points 15 2.2 Assessment, planning care and treatment 15 2.3 Delivery of treatment 27 2.4 Drug testing 28 2.5 General health assessment at presentation and in treatment 31 2.6 Effective communication with primary and secondary care services 35 2.7 Organisational factors for effective drug treatment 35 2.8 Intimate partner violence and domestic abuse 43 2.9 Planning and contracting or commissioning services 44 Chapter 3: Psychosocial components of treatment 47 3.1 Key points 47 3.2 Introduction 47 3.3 Core elements underpinning effective delivery 51 3.4 Making psychosocial interventions effective 52 3.5 Interventions focused on social network and family, friends and carers 56 3.6 Medication and psychosocial interventions 57 3.7 Delivering psychosocial interventions 58 3.8 Resources and further reading 81 3.9 References 81 Chapter 4: Pharmacological interventions 83 4.1 Key points 83 4.2 Prescribing 84 4.3 Choosing an appropriate opioid substitute 88 4.4 Induction onto methadone and buprenorphine substitution treatment 90 4.5 Supervised consumption 101 4.6 Assessing and responding to progress and failure to benefit 104 4.7 Opioid maintenance prescribing 110 4.8 Opioid detoxification 115 4.9 Naltrexone for relapse prevention 118 4.10 Pharmacological management of dependence on other drugs 119 4.11 Resources and further reading 124 4.12 References 125 Chapter 5: Criminal justice system 127 5.1 Key points 127 5.2 Introduction 128 5.3 Criminal justice systems in the community 130 5.4 Prisons and other secure environments 133 5.5 References 160 Chapter 6: Health considerations 163 6.1 Key points 163 6.2 Blood-borne viruses and other infections 163 6.3 Preventing drug-related deaths 174 6.4 Naloxone 178 6.5 Alcohol in drug treatment 183 6.6 Smoking and respiratory function 187 6.7 Oral health 190 6.8 References 194 Chapter 7: Specific treatment situations and populations 197 7.1 General key points 197 7.2 Pain management 197 7.3 Dependence on prescribed and over-the-counter opioids 205 7.4 Misuse of or dependence on gabapentinoids 208 7.5 Hospitalisation 209 7.6 Pregnancy and neonatal care 220 7.7 New psychoactive substances and club drugs 225 7.8 Image and performance enhancing drugs 229 7.9 Coexisting problems with mental health and substance use 231 7.10 Young people 240 7.11 Older people 247 7.12 References 252 Annexes 255 A1: Working group members and other contributors 257 A2: Governance 263 A3: Marketing authorisations 271 A4: Writing prescriptions 277 A5: Interactions 293 A6: Travelling abroad with controlled drugs 303 A7: Drugs and driving 305 A8: Glossary 311","2017-07","published",,"Public Health England",,"","",,,,,,"Department of Health","London",,"317 p.",,,,,,,,,,,"guideline","aod_disorder","alcohol",,,,,,"Public Health England",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://findings.org.uk/PHP/dl.php?file=Clinical_Guidelines_Working_Group_1.txt&s=eb","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2 , HK2 , HK2-10-2-2 , HK2-10-2-2-2 , HZ , HZ26 , JB2-4 , JH10-6 , JH2-2 , JM , JP10 , JS , JT8_8_2 , JU10 , TL4 , TT2 , TT2-12 , TT2-14 , VH4-4","G Health and disease > State of health -- HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and 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"27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"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",,,"","","","","","","","","","",,"1. Introduction
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.
2. The prevalence of substance misuse in people with learning disabilities
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.
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.
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.
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.
3. Why people with learning disabilities misuse substances
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.
People with learning disabilities have an increased risk of substance misuse if they:
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’.
These included reasons related to:
3.1 Other risk factors for substance misuse include:
4. Effects of substance misuse
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 seven health priorities is reducing harmful drinking and alcohol-related hospital admissions.
Substance misuse has negative and social effects on people with learning disabilities. These have been shown to include:
5. Services available for substance misuse
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.
In one study the main places where people reported getting help were:
A few studies have looked at the effectiveness of targeted interventions for substance misuse in people with learning disabilities. Interventions have included:
Evaluation is difficult due to the lack of any standard measures for this group. Thus, there’s a need for more evidence-based treatments.
6. Barriers to substance misuse treatment
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.
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.
6.1 barriers include:
In general, mainstream drug and alcohol services fail to adapt the way they work to make services accessible to people with learning disabilities.
6.2 Issues that may need to be considered are:
7. What do we know about what works
There is a lack of evidence-based guidance about effective treatment for this group. However, some approaches and strategies may be helpful such as:
8. Capacity and consent
The Mental Capacity Act 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.
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. The Code of Practice guides anyone who is working with adults who may lack the capacity to make particular decisions.
9. Safeguarding
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.
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.
SCIE has published guidance 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.
10. Further resources
10.1 National Institute for Health and Care Excellence (NICE) guidance on offering best practice advice in:
10.2 Resources about substance misuse for professionals/family members and carers:
10.3 Accessible resources:
10.4 Smartphone apps related to monitoring alcohol intake:
",,,,,,,,,,,"","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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23732","23","archive","5",,,"disk0/00/02/37/32","2015-04-08 08:54:21","2017-07-12 09:01:00","2015-04-08 08:54:21","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol matrix cell C5: Management/supervision - safeguarding the community.","pub","BB","","public",,,,,,,,,"2017-06","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,,,,,,,,,,,,"","aod_disorder","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"
The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is this cell about? Therapy and therapists matter of course, but so do the management functions of selecting, training and managing staff, and managing the intervention programme. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether staff are able to develop and maintain appropriate attitudes and knowledge, depend on management and supervision.
This cell is about the role played by these management functions in treatment organised and/or funded by criminal justice and other authorities, whose primary aim is to safeguard those in contact with the patient or the wider community. Typically in these contexts, treatment is offered or imposed not because it has been sought by the patient, but because it is thought that treating their drinking problems could cut crime, safeguard the drinker’s family, and prevent harm to others through drink-driving or other alcohol-affected behaviour. Studies which document the community and family impacts of treatment in general may also be found in this cell.
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What is this cell about? As well as concrete things like staff, management committees, resources, and an institutional structure, organisations have histories, values, priorities, an ethos, and links with other organisations, determining whether they offer an environment in which staff and patients/clients can maximise their potential. For these and other reasons, agencies also differ in how keenly and effectively they seek and incorporate evidence-based practices. This cell is specifically about the role organisational contexts play in treatment organised and/or funded by criminal justice and other authorities which offer or impose treatment, not because it has been sought by the patient, but because it could cut crime or otherwise benefit the community.
Compared to research on interventions, organisational-level research is scarce and rarely of the gold-standard, randomised controlled trial format. Instead, researchers usually look for patterns in what naturally happens rather than manipulating it to test the consequences. Those patterns may be due the presumed cause and effect mechanisms, but may instead be due to unmeasured influences which the analysts cannot take into account. By ensuring any such influences are equalised across the focal intervention and the comparator against which it is being benchmarked, randomisation is intended to prevent them obscuring the effect of the intervention. In the absence of randomisation or an equivalent procedure, these influences remain in play, making it difficult to draw conclusions from the findings of a study.
From the relatively few documents listed in this cell, you will see that organisational research is particularly lacking on alcohol treatment intended to safeguard the community. In the expectation that organisational influences in these settings may not differ too much from those elsewhere, we can also refer you back to cells dealing with these influences in respect of brief interventions, generically across treatment, medical treatments, and psychosocial therapies.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/D5.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , JA8-6-4 , MM8-2 , MO4-14 , MQ6 , MQ6-2 , TT2 , TT2-14 , TT8-2","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment > Community needs assessment -- MM-MO Crime and law > Crime prevention -- MM-MO Crime and law > Justice system > Community anti-crime or legal assistance programme -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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 > Social worker",,"Alcohol -- Risk and needs assessment - Needs assessment - Community needs assessment -- Crime prevention -- Justice system - Community anti-crime or legal assistance programme -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460","16","archive","5",,,"disk0/00/02/74/60","2017-06-26 07:47:10","2017-06-26 07:50:41","2017-06-26 07:47:10","guideline",,,"show",,,,"","","","","","","","","","",,,,"Matheson","Catriona","","","","Matheson:Catriona::","",,,,,"","","Older people with drug problems in Scotland. A mixed methods study exploring health and social support needs.",,"GA2","","public",,,,,,,,,"2017-06","published",,"Matheson Catriona",,"","",,,,,,"Scottish Drugs Forum","Glasgow",,"61 p.",,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,"978-1-903483-13-8",,,,,,,"","","","","","","","","","",,"Background: The population of problem drug users in Scotland is aging. This research was commissioned by the Scottish Government to provide a better understanding of the issues facing Older People with a Drug Problem (OPDP) in Scotland so that policy and practice can be targeted appropriately. The aim of the study was to identify and explore the health care and social support needs of older drug users (>35 years) in a cross sectional sample across Scotland.
Methods: A mixed method study design was used in which semi structured, face to face interviews collected both qualitative and quantitative data from participants. Data collection was undertaken by four peer researchers in a range of non NHS services across Scotland. A face to face questionnaire collected structured quantitative data. In depth, qualitative interviews provided insights into the views and experiences of OPDP.
Conclusion This research highlighted, very starkly, the issues facing those aged thirty five and over with a drug problem. In particular it highlighted that issues facing this group (average age 41) that would be equivalent to people in the general population fifteen years older. The report suggests that the working group consider actions in the following areas: isolation and loneliness, mental health, general health, pain management , retention, stigma, gender impact of welfare reform, advocacy, vulnerability.
",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2 , JA8-4 , LC2-4 , MV , TA16-6 , TT8-2 , VH4410","G Health and disease > State of health -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Elderly / Older person -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom > Scotland","State of health -- Risk and needs assessment - Needs assessment -- Interpersonal interaction and group dynamics - Social support -- Social services -- Elderly / Older person -- Social worker","Europe - United Kingdom - Scotland","Matheson Catriona , Liddell David , Hamilton Emma , Wallace Jason","0","yes" "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Liddell","David","","",,,,,,,,,,,,"JA8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hamilton","Emma","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wallace","Jason","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483","12","archive","5",,,"disk0/00/02/74/83","2017-06-29 08:58:08","2017-06-29 08:58:08","2017-06-29 08:58:08","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Institute for Health and Care Excellence","Liver disease. Quality standard.","pub","AM","","none",,,,,,,,,"2017-06","published",,"NICE",,"","",,,,,,"National Institute for Health and Care Excellence","London",,,,,,,,,,,,,"guideline","aod_disorder","alcohol",,,,,,"NICE",,,"","","","","","","","","","",,"This quality standard covers identifying, assessing and managing chronic liver disease in children, young people and adults, and cirrhosis in young people and adults. It describes high-quality care in priority areas for improvement.
Statement 1 People with non‑alcoholic fatty liver disease are given advice on physical activity, diet and alcohol.
Statement 2 People with non‑alcoholic fatty liver disease are offered regular testing for advanced liver fibrosis.
Statement 3 Young people and adults with risk factors for cirrhosis are offered non‑invasive testing for cirrhosis.
Statement 4 Adults with cirrhosis are offered 6‑monthly surveillance for hepatocellular carcinoma.
Statement 5 Young people and adults with cirrhosis and upper gastrointestinal bleeding are given prophylactic intravenous antibiotics at presentation.
",,,,,,,,,,,"","https://www.nice.org.uk/guidance/QS152","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AM , GA2-2 , JM , JS , TT2 , TT2-12 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- G Health and disease > State of health > Physical health -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor","VA Geographic area > Europe > United Kingdom","Drugs and alcohol effects and consequences -- State of health - Physical health -- Patient care management -- Health care delivery -- Drug or health care worker -- Doctor","Europe - United Kingdom","National Institute for Health and Care Excellence National Institute for Health and Care Excellence","0","yes" "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731","22","archive","5",,,"disk0/00/02/37/31","2015-04-08 08:49:08","2017-07-12 09:03:36","2015-04-08 08:49:08","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol matrix cell B5: Practitioners - safeguarding the community.","pub","BB","","public",,,,,,,,,"2017-05","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,"4 p.",,,,,,,,,,,"","aod_disorder","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is this cell about? In cell A4’s bite we learnt that among the ‘common factors’ affecting treatment’s success is the patient’s relationships with treatment staff. This cell explores research on this relationship and on worker attributes which affect their clients’ progress in criminal justice and other settings where treatment is offered or imposed not because it has been sought by the client, but because it is thought that treating their substance use could reduce offending or otherwise benefit the community. Though across psychotherapy now seen as of at least as much importance as the intervention they are delivering, the interpersonal style and other features of staff are much less commonly researched. From the small number of documents in this cell, you will see this is particularly apparent in criminal justice and allied settings. In the expectation that the influences exerted by practitioners in these settings may not differ too much from those elsewhere, for more studies we can refer you back to the other cells dealing with practitioner influences: cell B1 for brief interventions, cell B2 for treatment in general, cell B3 for medical treatments, and cell B4 for psychosocial therapies
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B5.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , FR16-6-4-2 , JP10_2_2 , JP10_6 , TT2 , TT2-12 , TT2-14 , TT4-4 , TT8-2","B Drugs and alcohol substances > Alcohol -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Counsellor / Therapist -- T Demographic characteristics > Social worker",,"Alcohol -- Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Drug or health care worker -- Doctor -- Nurse -- Counsellor / Therapist -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16-6-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311","63","archive","5",,,"disk0/00/01/53/11","2011-06-15 08:53:13","2017-05-18 07:53:27","2011-06-15 08:53:13","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","European Monitoring Centre for Drugs and Drug Addiction","EMCDDA Best practice portal.","pub","HK2","","none",,,,,,,,"The Best practice portal is a resource for professionals, policymakers and researchers in the areas of drug-related prevention, treatment, harm reduction and social reintegration. The portal concentrates on illicit drugs and polydrug use and has a clear European focus. It is continuously updated as information and research on interventions emerges. You can find the latest evidence (what works and what doesn't work) - guidelines, standards and tools (instruments and questionnaires). ‘Best practice is the best application of available evidence to current activities in the drugs field. • underlying evidence should be relevant to the problems and issues affecting those involved(professionals, policymakers, drug users, their families); • methods should be transparent, reliable and transferable and all appropriate evidence should be considered in the classification process; • experience in implementation, adaptation and training should be systematically collected and made available; • contextual factors should be studied by modelling different prevalence levels so as to assess the impact of an intervention on the population; and • evidence of effectiveness and feasibility of implementation should both be considered for the broader decision-making process.'","2017-05","published",,"EMCDDA",,"","",,,,,,"European Monitoring Centre for Drugs and Drug Addiction","Lisbon",,,,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,,,,,"EMCDDA",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.emcdda.europa.eu/best-practice","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HK2 , HZ26 , JA2 , JB2 , JB2-4 , JB6 , JG , JS , JU10 , ND2-6 , NM6 , RA14 , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2","HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Prevention approach -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- N Communication, information and education > Information transfer > Information transfer from research to practice -- N Communication, information and education > Recommendations or guidelines -- R Research > Research outcome -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Drugs and alcohol disorder treatment method -- Treatment outcome -- Health services, drugs and alcohol research -- Drugs and alcohol prevention -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Prevention outcome -- Prevention approach -- Health care delivery -- Health care administration - Health care quality control -- Information transfer - Information transfer from research to practice -- Recommendations or guidelines -- Research outcome -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker",,"European Monitoring Centre for Drugs and Drug Addiction European Monitoring Centre for Drugs and Drug Addiction","0","no" "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method","cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953","12","archive","5",,,"disk0/00/02/69/53","2017-03-03 09:56:12","2017-03-03 09:56:12","2017-03-03 09:56:12","guideline",,,"show",,,,"","","","","","","","","","",,,,"Sumnall","Harry","","","","Sumnall:Harry::","",,,,,"","","Novel Psychoactive Substances: important information for health professionals.","pub","AM","","none",,,,,,,,"Novel psychoactive substances (NPS; also known as new psychoactive substances or popularly, although erroneously, as ‘legal highs’) is the name given to drugs that are newly synthesised or newly available, and which do not fall under the control of United Nations Drug Conventions. These drugs exist as a result of advances in academic, industrial, and psychonautic chemistry and are used for many of the same reasons given for traditional illegal drugs such as cannabis, ecstasy, and heroin. However, many NPS are not detected by routine forensic screens, and so are relatively popular in secure settings such as prisons, or in professions that are subject to random drug screening programmes..........","2017-03-03","published",,"Sumnall Harry",,"","",,"The Mental Elf Blog",,"3 March 2017","3 March 2017","Minervation Ltd","Oxford",,,,,,,,,,,,,"","aod_use_harm_reduction","psychoactive",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.nationalelfservice.net/mental-health/substance-misuse/novel-psychoactive-substances-important-information-for-health-professionals/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","The Mental Elf Blog","AM , BN , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > New (novel) psychoactive substances -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Drugs and alcohol effects and consequences -- New (novel) psychoactive substances -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker",,"Sumnall Harry , Hamilton Ian , Monaghan Mark","0","yes" "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hamilton","Ian","","",,,,,,,,,,,,"BN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Monaghan","Mark","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525","26","archive","5",,,"disk0/00/02/25/25","2014-08-21 08:44:15","2017-04-05 07:59:52","2014-08-21 08:44:15","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell B4: Practitioners - psychosocial therapies.","pub","BB","","public",,,,,,,,,"2017-03",,,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,"7 p.",,,,,,,,,,,"","education_and_training","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell B4 about?
Every treatment involves direct or indirect human interaction, but this cell is about ‘psychosocial’ therapies in which interaction is intended to be the main active ingredient. These range in form from brief advice and counselling to extended outpatient therapies and all-embracing residential communities where clients stay for months. In their content and techniques therapies also differ, varying for example from the deep probing of psychoanalysis to the more skills-based cognitive-behavioural approaches. But as long as it is a well structured, bona fide treatment which ‘makes sense’ to patient and therapist, the ‘common factors’ shared by supposedly distinct therapies (on which see cell A4) seem more critical to their success.
For patients and researchers, how the therapist relates to the client is the main embodiment of the common factors shared by therapies and the most salient way they affect engagement and outcomes. We have seen this generally across treatment and in respect of medical treatments. Unsurprisingly, the evidence is strongest for psychosocial therapies, when the structured enactment of the therapist-client relationship is the treatment, forcing attention to it even in studies designed to minimise such influences. In this cell we focus on client-worker relationships, and on whether some therapists are more successful because they more strongly forge the right kind of relationships – ‘therapeutic’ relationships. Before moving into that territory, a reminder that therapists and counsellors typically work in organisations which limit or enhance their ability to maximise client progress, an issue explored earlier in this matrix in the context of the influence of practitioners in medically-based treatments. The same issue will emerge in this cell from a study (described in the supplementary text towards the end of this ‘bite’) which identified significant relationships between abstinence and the characteristics of the treatment organisation, but not (once organisational factors links had been taken into account) between abstinence and the client-worker relationship.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B4.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , HZ , HZ26 , JM , JP10 , JP10_2_2 , JP10_6 , MQ6-2 , TT2 , TT2-14 , TT4-4","B Drugs and alcohol substances > Alcohol -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- 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",,"Alcohol -- Psychosocial treatment method -- Treatment outcome -- Patient care management -- Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Counsellor / Therapist",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032","11","archive","5",,,"disk0/00/02/70/32","2017-03-15 08:54:30","2017-03-15 08:54:30","2017-03-15 08:54:30","article",,,"show",,,,"","","","","","","","","","",,,,"Pirona","Alessandro","","","","Pirona:Alessandro::","",,,,,"","","New psychoactive substances: Current health-related practices and challenges in responding to use and harms in Europe.","pub","BN","","none",,,,,,,,"BACKGROUND: The availability of new psychoactive substances (NPS) in Europe has rapidly increased over the last decade. Although prevalence levels of NPS use remain low in the general European population, there are serious concerns associated with more problematic forms of use and harms in particular populations and settings. It has thus become a priority to formulate and implement effective public health responses. However, considerable knowledge gaps remain on current practices as well as on the challenges and needs of European health professionals who are responding to use and harms caused by these substances. The aim of this study was to explore current health responses to NPS, and highlight key issues in order to inform planning and implementation of adequate responses. METHODS: This scoping study was based on a targeted multi-source data collection exercise focusing on the provision of health and drug interventions associated with NPS use and harms, in selected intervention settings across Europe. RESULTS: Findings revealed that in the absence of specific evidence, health professionals across most intervention settings rely primarily on acquired expertise with traditional drugs when addressing NPS-related harms. This study also identified a gap in the availability and access to timely and reliable information on NPS to users and health professionals. Health professionals in sexual health settings and custodial settings in contact with certain risk groups reported particular challenges in responding to NPS-related harms. CONCLUSION: Immediate investments are required in expanding substance identification capabilities, competence building among professionals and dissemination of risk information among relevant stakeholders. The risks of neglecting under-served risk populations and failure to address the information needs of health professionals and users on NPS harms in a context of rapid changing drug markets in Europe may have unforeseeable consequences at societal level.","2017-02","published",,"Pirona Alessandro",,"","",,"The International Journal on Drug Policy","40",,,"Elsevier",,"84-92",,,,,,,,,,,"TRUE","","","",,"1873-4758",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.sciencedirect.com/science/journal/09553959/40/supp/C","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","40","The International Journal on Drug Policy","BN , GA2 , GA4 , JB2-4 , TT2 , VH , VH4-2","B Drugs and alcohol substances > New (novel) psychoactive substances -- G Health and disease > State of health -- G Health and disease > Public health -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe -- VA Geographic area > Europe > Ireland","New (novel) psychoactive substances -- State of health -- Public health -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Drug or health care worker","Europe -- Europe - Ireland","Pirona Alessandro , Bo Alessandra , Hedrich Dagmar , Ferri Marica , van Gelder Nadine , Giraudon Isabelle , Montanari Linda , Simon Roland , Mounteney Jane","0","no" "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bo","Alessandra","","",,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hedrich","Dagmar","","",,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ferri","Marica","","",,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"van Gelder","Nadine","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Giraudon","Isabelle","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Montanari","Linda","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Simon","Roland","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mounteney","Jane","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26727","11","archive","5",,,"disk0/00/02/67/27","2017-01-30 16:20:24","2017-01-30 16:20:24","2017-01-30 16:20:24","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Cork & Kerry Drug & Alcohol Services","Case management manual 2015",,"JS","","public",,,,,,,,"Contents Section 1 Screening and Assessment Protocol p..2 AUDIT screening tool. p...4 DUDIT screening tool. p...7 Initial Assessment protocol Cork/Kerry p..10 Service Users Information & Consent Form p..12 Initial Assessment Form p..15 Comprehensive Assessment Protocol & Form. p..23 Section 2 Referral Protocol. p..38 Referral Form p..40 Section 3 Interagency Care Plan Protocol p.. 43 Interagency Care Plan Form p..45 Interagency Care Plan Review Form p..48 Interagency Care Plan – Case Manager Transfer Form p..49 Section 4 Keyworking, Care Planning & Case Management Local Protocols. p..51 Section 5 Confidentiality and Information Sharing Protocol p..56 Section 6 Gaps and Blocks Protocol p..61 Gaps and Blocks Reporting Form (NDRIC level) p..63 Gaps and Blocks Reporting Form (Local level p..65 Appendices: Appendix 1: Service User Information Sheet p.. 67 Appendix 2: Introduction Letter to external services explaining Case Management.. p..68 Appendix 3: Individual Care Plan Template. p..69 Appendix 4: Interagency Case Meeting Step by Step summary. p..70 Appendix 5: Chairing Skills: Dealing with Difficult Group Dynamics p..71 Appendix 6: Case management Training participants Cork/Kerry p..74 Appendix 7: Referral & Assessment guidelines to Tier 4. p..77 Appendix 8: Needle Exchange Service s p..82 Appendix 9 Monitoring. p..83","2017-01",,,"Cork & Kerry Drug & Alcohol Services",,"","",,,,,,"Cork & Kerry Drug & Alcohol Services","Cork",,"83 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JS , TT2 , VH4-2-3 , VH4-2-7","J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland > Cork -- VA Geographic area > Europe > Ireland > Kerry","Health care delivery -- Drug or health care worker","Europe - Ireland - Cork -- Europe - Ireland - Kerry","Cork & Kerry Drug & Alcohol Services Cork & Kerry Drug & Alcohol Services","0","yes" "26727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-3",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-7",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26707","15","archive","5",,,"disk0/00/02/67/07","2017-02-02 14:25:25","2017-02-02 14:25:25","2017-02-02 14:25:25","article",,,"show",,,,"","","","","","","","","","",,,,"Galvin","Brian","","","","Galvin:Brian::","",,,,,"","","HRB drug and alcohol evidence review on case management.","pub","HJ2","","public",,,,,,,,,"2017-01",,,"Galvin Brian",,"","",,"Drugnet Ireland","Issue 60, Winter 2017",,,"Health Research Board",,"15-17",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"The objective of the HRB’s recently published scoping review1 was to examine the peer-reviewed non-experimental literature on case management and substance use published between 2003 and 2013, and to answer specific research questions based on the literature. These comprised questions on the nature of case management, the outcomes studied, and gaps in the literature.
In a case management approach to service provision, clients are typically offered and receive, or are linked to, a range of services tailored to meet their specific, individual needs. The objective of linking clients to relevant medical and social services is a key characteristic of this approach. Case managers also frequently work as advocates for their clients. This advocacy work may involve liaising with housing associations to address accommodation needs or job centres to improve employability. The rationale behind the linkage and advocacy work is that clients frequently present with multiple needs or complications which impact on their recovery or rehabilitation. Developing and maintaining links with existing services can help to address these multiple needs and aid the recovery process. Case management is also used to increase client retention in services and improve treatment outcomes.
Case management: models and roles
Vanderplasschen et al. identified six basic models following their review of the case management literature up to 20032. These are outlined briefly below.
In recent years, the role of case management has been promoted in a number of important policy reports in Ireland, which include plans to improve service coordination for people in recovery from substance misuse. In 2007 the Report of the Working Group on Drugs Rehabilitation3 made a number of key recommendations and set out the structural arrangements required to implement them. One of these was the development of broad national protocols to facilitate interagency working; these cover issues such as confidentiality, common assessment tools, referral procedures, and conflict resolution between agencies. In 2010, the Health Service Executive (HSE) published the National Drugs Rehabilitation Framework (NDRF), setting out how services to current and former drug users were to be provided in the form of supported integrated care pathways (ICPs) with the cooperation of different service providers. The report recognised that service users may present with diverse needs, such as treatment, education, vocational training, employment support and accommodation, and that no single agency can cater for all possible needs. An individual care plan for each service user needs to be delivered by a multidisciplinary team. Where a service user has complex and multifaceted needs, a more intensive case management approach may be used. The framework stated that the provision of rehabilitation pathways is a shared responsibility of the education, training and employment sectors alongside the health, welfare and housing sector, non-governmental organisations, communities, families, and the individual themselves.
The ICP comprises four steps, linked to the four-tier model of service provision: initial contact, involving screening and referral; initial assessment and identification of appropriate service; comprehensive assessment, following which a case manager is identified to support the individual on their rehabilitation pathway; and implementation of the care plan.
The HRB’s scoping review was commissioned to examine the non-experimental research literature on case management and people in recovery from substance misuse. The objectives of the review were to explore the nature of case management as reported in the literature, document the outcomes associated with case management, and identify the gaps in the research literature. It is hoped that the report can be used by policy-makers and practitioners in Ireland to update their understanding and use of case management as an approach to improving service coordination and recovery.
In order to focus this review, three research questions were agreed at the outset:
What additional knowledge regarding the nature of case management can be gained from a review of recent non-experimental research on the topic?
Case management interventions tend to target clients experiencing extreme disadvantage relative to other substance misuse treatment clients, with a disproportionate amount applying to females. The groups of people being targeted by case management present with a multitude of personal and social problems, including substance misuse, homelessness, economic deprivation and mental health problems.
From the literature reviewed, it would appear that there are multiple objectives of case management, including reducing substance misuse and visits to hospital emergency departments, reducing hospital admissions, and improving social and psychological functioning. In addition, there are a number of objectives reported in the literature related to improving service coordination, such as providing linkages with medical and social services and retaining people in treatment. The identification of such a broad range of objectives points to the multiple needs of the client base and the expectations on case management as an intervention.
The review identified a number of features of case management delivery that were associated with improved outcomes reported in the evaluations. These included that duration and intensity of the intervention could be an important variable to consider both in future planning and evaluation of case management. Team-based case management and extensive engagement by case managers with the client group are also associated with positive outcomes.
What outcomes have been evaluated in the non-experimental research literature?
Of the 20 evaluations included in this review, 13 examined outcomes under the broad heading of psychosocial functioning, which, after substance use, is the second most frequent type of indicator in these studies. Two of these evaluations – one on a combination of ACT and ICM, and the other on using a community-based case management model – had a particular focus on quality-of -life issues, and both studies showed improvements in these outcome domains. Only three of the 20 evaluation studies in the review did not find sufficient evidence to support the claim that case management contributed to improved outcomes in at least one area. The improved outcomes reported in these studies may well be associated with the use of case management, or they may be due to unknown factors or influences which cannot be ruled out given the design of the evaluations reported. Only one-quarter of the evaluation studies used a comparison group; the rest of the evaluation studies used retrospective single groups and before-and-after designs.
What are the gaps in the literature?
Vanderplasschen et al. argue that there is a need to consider outcomes beyond drug use and other ‘socially acceptable outcomes’ and to take into account quality-of-life outcomes and clients’ subjective perceptions when evaluating the effectiveness of case management. They also noted that there is little information on the crucial features of case management and what specific aspects of this intervention contribute to specific outcomes. This is exacerbated by the lack of fidelity in implementation and the distance between the model chosen and its practical application.
The review identified similar gaps in the literature as those reported by Vanderplasschen et al. As pointed out above, in the 20 evaluations included in this review, two broad categories of outcomes were evaluated. The predominant use of these hard outcomes to evaluate case management suggests an overemphasis on using case management as a deficit-reduction intervention. Indeed, there is almost a complete absence in the literature of the strengths-based case management model being used and evaluated. This type of model prioritises the empowerment of the client group by emphasising their strengths and would be more amenable to evaluating the softer outcomes that may be associated with improvements in quality of life.
This review also identified a major gap in the literature around any attempt to identify what specific aspects of case management contribute to improved outcomes. In essence, both primary and secondary studies sought to determine whether case management works for people in recovery from substance misuse; in the main these studies and reviews have produced some evidence to suggest that case management is an effective intervention to use with this target group. While such study designs are important in determining the efficacy and effectiveness of an intervention, the authors suggest that the evidence base would also benefit from an evaluation approach that seeks to understand not only does it work, but for whom and under what conditions and contexts. They suggest that the realist approach to evaluation and synthesis may be an appropriate approach to consider for researchers and reviewers to use in future investigations of case management.
The authors suggested earlier that certain features of case management identified in this review ‒ notably the duration, intensity, the team-based nature of some of the work and the nature of the engagement between case managers and clients ‒ could be important variables that require further elaboration and evaluation. Although their observations are based on a small number of studies, the authors reiterate the point here and suggest that these features and perhaps many more could be investigated using the realist approach. The realist approach is a theory-driven approach to evaluation and synthesis; it seeks to uncover the processes or mechanisms that lead to particular outcomes, and the context within which this occurs.
A recent review in 2014 by Jackson et al.4 provides a useful example on how the realist approach may elucidate important learning about case management in future investigations4. This is a realist review and the methods used enabled the authors to draw certain conclusions about why an intervention may work sometimes and under what conditions. Its exploration of the literature in the area suggests that engagement with an intervention appears to be key to its success.
It could well be hypothesised that engagement is also a key mechanism that is associated with improved outcomes in clients of case management, for example, when the intervention is intensive, of longer duration, accompanied by a good working alliance between the case manager and client and with dedicated care plans. These components could well contribute to the client engaging with the intervention and ‘investing’ in their recovery and accruing some benefits. Further evaluation and synthesis of case management with people in recovery from substance misuse are needed to investigate the role of these potential features of case management in delivering improved outcomes for clients.
The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell C3 about?
About the treatment of alcohol dependence in a medical context and/or involving medical care, typically by GPs or at alcohol treatment or psychiatric clinics. Clinical staff are responsible for medications, so the centrality of these to an intervention distinguishes it most clearly as medical. But drugs are never all there is to medical care, and are prescribed in a relapse-prevention role to only a minority of patients in Britain. Even when they are prescribed, the clinician-patient relationship influences whether drugs are taken, and is a therapeutic influence in its own right.
The current cell focuses on how these processes are affected by the management functions of selecting, training and managing staff, and managing the intervention programme. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether practitioners can maintain recovery-generating attitudes and knowledge, depend on management and supervision.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/C3.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , JP10_6 , JS , JU , MQ6 , MQ6-2 , TT2 , TT2-12","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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",,"Alcohol -- Treatment and maintenance - provider attitude toward treatment -- Health care delivery -- Health care administration -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Doctor",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624","16","archive","5",,,"disk0/00/02/66/24","2017-01-04 11:54:40","2017-01-04 11:54:40","2017-01-04 11:54:40","guideline",,,"show",,,,"","","","","","","","","","",,,,"Koivula","Riitta","","","","Koivula:Riitta::","",,,,,"","","How does older people’s drinking appear in the daily work of home care professionals?","pub","AD12-6","","none",,,,,,,,"AIMS - In this article the authors ask how the alcohol use of elderly home care clients affects the daily work of home care professionals and how the professionals act to support the drinking client. METHODS - Semi-structured interviews with 10 home care professionals were conducted from December 2014 to February 2015 in the Helsinki metropolitan area of Finland. Everyday situations during home visits related to the clients’ alcohol use were analysed according to modalities of agency of the home care professionals. RESULTS - The results focus on three themes raised in the interviews: supporting life management of the client, the lack of qualifications in tackling clients’ drinking and the need for multi-professional collaboration. Intoxicated clients complicated the home care nurses’ work and obstructed the implementation of recommendations set out to guide the professionals’ operations. Care work with alcohol-using clients was particularly demanding, and the professionals were concerned about not having enough training in how to encounter elderly clients’ drinking. Multi-professional collaboration with substance abuse services and emergency department personnel was called for to remedy this problem. CONCLUSIONS - More extensive and detailed research is needed for a better picture of how clients’ drinking influences home care nurses’ working conditions and what kind of skills nurses need in different alcohol-related situations. Such research would have the potential to benefit clients and improve the well-being of the employees.","2016-12",,,"Koivula Riitta",,"","",,"Nordic Studies on Alcohol and Drugs","33","5-6","5-6","De Gruyter",,,"537-50",,,,,,,,,,,"","aod_disorder","alcohol",,"1455-0725",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.degruyter.com/view/j/nsad.2016.33.issue-5-6/nsad-2016-0044/nsad-2016-0044.xml?format=INT","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","33","Nordic Studies on Alcohol and Drugs","AD12-6 , AM , BB , GC16-4 , JM , LC2-4 , TA16-6 , TT2 , TT2-14 , VH2-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication -- J Health care, prevention and rehabilitation > Patient care management -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Elderly / Older person -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Finland","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Drugs and alcohol effects and consequences -- Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol intoxication -- Patient care management -- Interpersonal interaction and group dynamics - Social support -- Elderly / Older person -- Drug or health care worker -- Nurse","Europe - Finland","Koivula Riitta , Tigerstedt Christoffer , Vilkko Anni , Kuussaari Kristiina , Pajala Satu","0","yes" "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tigerstedt","Christoffer","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vilkko","Anni","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kuussaari","Kristiina","","",,,,,,,,,,,,"GC16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pajala","Satu","","",,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557","19","archive","5",,,"disk0/00/02/65/57","2016-12-19 14:11:30","2016-12-19 14:11:30","2016-12-19 14:11:30","guideline",,,"show",,,,"","","","","","","","","","",,,,"Warren","Fran","","","",,"",,,,,"","","‘What works’ in drug education and prevention?","pub","JB2","","public",,,,,,,,"This literature review provides background on what is meant by prevention and education and discusses the evidence base. The evidence of effectiveness for different approaches used in schools and other components necessary for effective drug prevention and education in schools is presented. The effectiveness of drug education and prevention beyond the school setting is then considered, alongside the evidence to support peer led interventions and specific programmes for vulnerable young people. Specific manualised and licensed prevention programmes are considered and some of the issues and challenges involved in implementing these programmes in different contexts is discussed. The evidence for ineffective approaches to drug prevention is highlighted and lastly recommendations from the literature for policy makers are set out, alongside some thoughts on the implications of this review for drug education and prevention in Scotland, in particular the need to map prevention activity for young people being delivered in Scotland.","2016-12","published",,"Scottish Government",,"","",,,,,,"Scottish Government","Edinburgh",,"44 p.",,,,,,,,,,,"review","aod_prevention","alcohol_drugs_in_general",,"9781786526304",,,,"Scottish Government",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.gov.scot/Publications/2016/12/4388?utm_content=buffer7c72e&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JB2 , JB6 , JF10-10 , JF8 , JG10-4 , NF16-2 , TA14 , TT2 , TT6 , TT8-2 , VH4410","J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- N Communication, information and education > Education by subject > AOD education -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom > Scotland","Drugs and alcohol prevention -- Prevention outcome -- Prevention by sponsor or setting - School-based prevention -- Prevention by sponsor or setting - Community-based prevention -- Prevention approach - Prevention through information and education -- Education by subject - AOD education -- Adolescent / youth (teenager / young person) -- Drug or health care worker -- Prevention worker -- Social worker","Europe - United Kingdom - Scotland","Warren Fran","0","no" "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26557",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520","23","archive","5",,,"disk0/00/02/25/20","2014-08-21 08:15:44","2017-04-05 08:50:29","2014-08-21 08:15:44","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell B3: Practitioners - medical treatment.","pub","BB","","public",,,,,,,,,"2016-11",,,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,"3 p.",,,,,,,,,,,"","aod_disorder","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell B3 about?
About the treatment of alcohol dependence in a medical context and/or involving medical care, typically by GPs or at alcohol treatment or psychiatric units in hospitals. Clinical staff are responsible for medications, so the centrality of these to an intervention distinguishes it most clearly as medical. But drugs are never all there is to medical care, and are prescribed in a relapse-prevention role to only a minority of patients in Britain. Even when they are prescribed, the clinician-patient relationship influences whether the drugs are taken and is also a therapeutic – or possibly anti-therapeutic – influence in its own right. Apparent also in the studies set in hospital treatment units listed in cell B2, how clinicians relate to patients affects whether they enter and engage in treatment. Through these mechanisms and perhaps also directly, relationships ultimately affect the degree to which treatment helps overcome drinking problems.
Pinning down the impact of these influences is however much harder than pinning down the impacts of medications or other specific interventions. To set the scene for randomised trials, researchers can ensure some patients get treatment x, and others treatment y or no treatment at all. The relationship-forming qualities of treatment staff are less easily controlled. Rather than deliberately allocating patients to workers known to differ along these dimensions, studies often have to rely on an association between outcomes and relationship quality or staff attributes observed in everyday practice, or as a by-product of a trial organised for another purpose. Usually the most that can be said is that the findings are consistent with these qualities affecting outcomes, not that they actually did affect outcomes. Usually such research designs cannot eliminate the possibilities that clinicians are reacting to the patient’s progress rather than causing it, that patients differed from the start, or that the clinician’s behaviour and the patient’s progress are both related to other factors.
However, difficulty in demonstrating to scientific standards that something is true, does not mean it is untrue. Observations and patient feedback testifying to the role of the clinician-patient relationship are persuasive, if not clinching, evidence.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B3.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , JP10 , JP10_2_2 , JP10_6 , JS , TT2 , TT2-12 , TT2-14","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Alcohol -- Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Health care delivery -- Drug or health care worker -- Doctor -- Nurse",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314","17","archive","5",,,"disk0/00/02/63/14","2016-10-27 14:46:07","2016-10-27 14:46:07","2016-10-27 14:46:07","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Mentor ADEPSIS","Preventing children and young people’s mental health and substance use problems.","pub","GA2-4","","public",,,,,,,,"This briefing paper is part of a series produced by Mentor ADEPIS on alcohol and drug education and prevention, for teachers and practitioners. It intends to provide teachers, educators and the wider school workforce with practical guidelines on how to prevent children and young people from developing mental health problems as a result of alcohol and drug misuse.","2016-10",,,"Mentor ADEPSIS",,"","",,,,,,"Mentor","London",,"7 p.",,,,,,,,,,,"report","aod_prevention","alcohol",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , JB2 , JC4-4 , JF10-10 , JF10-12-4 , LG18-12-4 , TA12 , TA14 , TT6 , VH4-4","G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","State of health - Mental health -- Drugs and alcohol prevention -- Basic prevention categories - Targeted prevention -- Prevention by sponsor or setting - School-based prevention -- Prevention by sponsor or setting - Youth-club / cafe based prevention -- Marital relations - Family and kinship - Family relations - Family role - Role of child -- Child -- Adolescent / youth (teenager / young person) -- Prevention worker","Europe - United Kingdom","Mentor ADEPSIS Mentor ADEPSIS","0","yes" "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333","20","archive","5",,,"disk0/00/02/63/33","2016-11-01 08:38:58","2016-11-01 08:38:58","2016-11-01 08:38:58","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Recovery Group UK","Quality standard frameworks for community treatment.","pub","AH18","","public",,,,,,,,"The standards were developed after consultation with the sector, and have been piloted by ten services, which used them to examine and assess how they support people into and through recovery, bringing together the relevant evidence to demonstrate the good work and then being interviewed by us. This represents a chance for services to both contribute to the overall quality of the treatment sector, and assess the quality of two or three vital aspects of their organisation.","2016-10",,,"Recovery Group UK",,"","",,,,,,"Recovery Partnership","London",,,,,,,,,,,,,"report","rehabilitation","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.recovery-partnership.org/quality-standard-frameworks.html","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AH18 , HZ26 , JP10 , JP24-4 , JS , JT8_8_2 , JU10 , MQ6 , TT2 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Rehabilitation -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > United Kingdom","Natural history of drugs and alcohol use - Drugs and alcohol recovery -- Treatment outcome -- Treatment and maintenance - treatment factors -- Rehabilitation -- Health care delivery -- Health care programme or facility - Community-based treatment (primary care) -- Health care administration - Health care quality control -- Organisational development -- Drug or health care worker","Europe - United Kingdom","Recovery Group UK Recovery Group UK","0","yes" "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26333",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057","20","archive","5",,,"disk0/00/02/60/57","2016-09-07 08:09:04","2016-09-07 08:15:05","2016-09-07 08:09:04","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell B2: Practitioners; generic and cross-cutting issues.","pub","AD12-6","","public",,,,,,,,,"2016-09","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,"4 p.",,,,,,,,,,,"review","aod_disorder","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell B1 about?
Whether medical or psychosocial, chosen positively or under pressure, among the ‘common factors’ affecting treatment’s success is the nature of the patient’s relationships with referral and treatment staff. (Common factors are dealt with more generally in cell A2.) Relationships affect whether people want to enter and stay in treatment, and through these and also directly, the degree to which treatment helps them overcome their drinking problems. Relationships emerge partly from the patient, but of most interest is the therapist’s contribution, because this is what can be changed by recruitment, training and experience. The interpersonal style and other features of treatment staff are much less commonly researched than the nature of the intervention, and many studies try to eliminate these influences in order to focus on the specific content of the intervention. This risks eliminating what matters, in order to focus on what generally (1 2) does not.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B2.htm&format=open&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AD12-6 , BB , FR16-6-4-2 , HZ26 , JP10 , JP10_2_2 , JP10_6 , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2","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 -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Treatment outcome -- Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16-6-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26057",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614","14","archive","5",,,"disk0/00/02/66/14","2017-01-03 09:18:32","2017-01-03 09:18:32","2017-01-03 09:18:32","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell D2: Organisational functioning; Generic and cross-cutting issues.","pub","BB","","public",,,,,,,,,"2016-09","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,"4 p.",,,,,,,,,,,"review","aod_disorder","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is this cell about? As well as concrete things like staff, management committees, resources, and an institutional structure, organisations have links with other organisations, histories, values, priorities, and an ethos, determining whether they offer an environment in which staff and patients/clients can maximise their potential. For these and other reasons, agencies differ in how keenly and effectively they seek and incorporate knowledge and implement evidence-based practices. The best might, for example, have effective procedures for monitoring performance and identifying where improvements are needed, facilitate staff learning from research and from each other, and forge learning or service provision links with other organisations. Openness to change and encouraging sources of change such as research and staff and patient feedback emerge as key attributes, along with the will and organisation to implement change. Research cited in this cell is about the impact of these attributes and their identification and development. At this distance from the preoccupation with intervention effectiveness, research is scarce, and generic sources (incorporated for example in Australian guidance) beyond the scope of the matrices become more important.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/D2.htm&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , JM , JS , JU10 , MQ6 , MQ6-2 , TT2","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Alcohol -- Patient care management -- Health care delivery -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26614",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980","13","archive","5",,,"disk0/00/02/59/80","2016-08-16 07:45:15","2016-08-16 07:45:15","2016-08-16 07:45:15","guideline",,,"show",,,,"","","","","","","","","","",,,,"Platt","Lucy","","","","Platt:Lucy::","",,,,,"","","How effective are brief interventions in reducing alcohol consumption: do the setting, practitioner group and content matter? Findings from a systematic review and metaregression analysis.","pub","AD12-6","","none",,,,,,,,,"2016-08","published",,"BMJ Open",,"","",,"BMJ Open","6","e011473","e011473","BMJ Publishing",,,,,,,,"doi:10.1136/bmjopen-2016-011473",,,,,,"","psychosocial_treatment_method","alcohol",,"2044-6055",,,,"BMJ Open",,,"","","","","","","","","","",,"Background While the efficacy and effectiveness of brief interventions for alcohol (ABI) have been demonstrated in primary care, there is weaker evidence in other settings and reviews do not consider differences in content. We conducted a systematic review to measure the effect of ABIs on alcohol consumption and how it differs by the setting, practitioner group and content of intervention.
Methods We searched MEDLINE, EMBASE, PsycINFO; CINAHL, Social Science Citation Index, Cochrane Library and Global Health up to January 2015 for randomised controlled trials that measured effectiveness of ABIs on alcohol consumption. We grouped outcomes into measures of quantity and frequency indices. We used multilevel meta-analysis to estimate pooled effect sizes and tested for the effect of moderators through a multiparameter Wald test. Stratified analysis of a subset of quantity and frequency outcomes was conducted as a sensitivity check.
Results 52 trials were included contributing data on 29 891 individuals. ABIs reduced the quantity of alcohol consumed by 0.15 SDs. While neither the setting nor content appeared to significantly moderate intervention effectiveness, the provider did in some analyses. Interventions delivered by nurses had the most effect in reducing quantity (d=−0.23, 95% CI (−0.33 to −0.13)) but not frequency of alcohol consumption. All content groups had statistically significant mean effects, brief advice was the most effective in reducing quantity consumed (d=−0.20, 95% CI (−0.30 to −0.09)). Effects were maintained in the stratified sensitivity analysis at the first and last assessment time.
Conclusions ABIs play a small but significant role in reducing alcohol consumption. Findings show the positive role of nurses in delivering interventions. The lack of evidence on the impact of content of intervention reinforces advice that services should select the ABI tool that best suits their needs.
",,,,,,,,,,,"","http://bmjopen.bmj.com/content/6/8/e011473.short?rss=1","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","6","BMJ Open","AD12-6 , BB , HZ , HZ2-2-2 , JS , TT2 , TT2-14","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 -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse",,"Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- Psychosocial treatment method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Health care delivery -- Drug or health care worker -- Nurse",,"Platt Lucy , Melendez-Torres GJ , O'Donnell Amy , Bradley Jennifer , Newbury-Birch Dorothy , Kaner Eileen , Ashton Charlotte","0","yes" "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Melendez-Torres","GJ","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Donnell","Amy","","",,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bradley","Jennifer","","",,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Newbury-Birch","Dorothy","","",,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kaner","Eileen","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25980",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ashton","Charlotte","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988","13","archive","5",,,"disk0/00/02/59/88","2016-08-17 14:19:05","2016-08-17 14:19:05","2016-08-17 14:19:05","article",,,"show",,,,"","","","","","","","","","",,,,"Galvin","Brian","","","","Galvin:Brian::","",,,,,"","","Shared measurement of personal outcomes in recovery.","pub","AH18","","public",,,,,,,,,"2016-08","published",,"Galvin Brian",,"","",,"Drugnet Ireland","Issue 58, Summer 2016",,,"Health Research Board",,"26-27",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"In April 2016 a number of drugs and alcohol taskforce coordinators and other staff along with representatives of various drugs projects participated in a workshop on shared measurement of personal outcomes in recovery. The purpose of the workshop was to help services identify common outcomes and work towards a shared system of measurement for interventions in rehabilitation and social reintegration.
The workshop was hosted by the HRB National Drugs Library, which seeks to encourage the use of research-based evidence in decision-making and to contribute to learning in drugs and alcohol taskforces and addiction services.
The workshop facilitators have compiled a report based on the discussions at the workshop, the findings from a survey of taskforces and interviews with a number of taskforce coordinators. The report comprises three sections:
To use the shared measurement framework, services need to identify three to five outcomes, match these outcomes to the shared outcomes in the framework and identify the recommended measurement that accompanies that shared outcome. This is the first step in deciding on and using common outcomes. The framework recommends established questionnaires and psychometric scales to measure these outcomes. Services will need training in using these questionnaires to gather data and a technical infrastructure to facilitate data management and analysis. Understanding how shared outcomes data are aggregated and compared will help to determine the relative effectiveness of interventions. Results must be presented in a way that allows services to learn about what is and is not working in recovery services and to make the necessary changes and improvements.
Responding to the needs of those recovering from addiction is multi-faceted and demanding work, requiring knowledge, personal skills and determination. Good service is built by selecting interventions which are known to be effective, monitoring the implementation of these services and responding to information gained through rigorous evaluation and sharing of knowledge. In this way good practice is identified and spread, resources are used effectively and services developed in a shared learning environment.
Housing, education and employment have been identified as key elements in reintegrating those overcoming addiction into their communities. Recovering drug users need social and emotional support beyond the initial treatment period to develop their capacity to participate in the housing, education and employment spheres. Recovery is multi-faceted but this project is particularly concerned with the measurement of personal outcomes in this process, the types of change in outlook and self-perception that enable progress along the recovery path.
The HRB’s evidence review on social capital in recovery1 looked at the role played by friends and families in helping the service user to develop a secure social network, to find examples of success and to develop the confidence to plan their own lives. The review found good evidence that social and human capital contribute to recovery. It identified a number of areas for future work so that service providers can understand how needs change over the course of the recovery process and how needs differ from person to person.
There is an evidence gap in this area and a lack of consistency when it comes to evaluating recovery interventions. Shared measurement of the impact services have on recovering drug users would help to lessen this gap, improve services and make achievements in this work more apparent. It would lead to better outcomes for the people using services and provide evidence that taskforces play an integral and valuable part in responding to problem drug use in Ireland. Deciding on appropriate personal outcomes in recovery, which services can recognise as milestones in the achievement of their goals, and agreeing on indicators to measure these outcomes are important first steps in building knowledge, sharing it and using it to spread good practice.
Over the coming weeks a number of taskforces will work on the next phase in the development of the outcomes framework and seek to ensure that it is relevant and meaningful to services users, making it more likely to be implemented and used effectively. Service user consultation will encourage a sense of ownership of the measurement system, ensure the measurements used are proportionate and the service user experience is clearly and accurately articulated.
1 Munton T, Wedlock E and Gomersall A (2014) The role of social and human capital in recovery from drug and alcohol addiction. HRB Drug and Alcohol Evidence Review 1. Dublin: Health Research Board. http://www.drugsandalcohol.ie/23078/
",,,,,"Issue 58, Summer 2016",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 58, Summer 2016","Drugnet Ireland","AH18 , HZ26 , JB6 , JS , TL4 , TT2 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Prevention outcome -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug user -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Natural history of drugs and alcohol use - Drugs and alcohol recovery -- Treatment outcome -- Prevention outcome -- Health care delivery -- Drug user -- Drug or health care worker","Europe - Ireland","Galvin Brian","0","yes" "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25988",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716","20","archive","5",,,"disk0/00/02/57/16","2016-06-24 07:51:51","2016-06-24 07:51:51","2016-06-24 07:51:51","guideline",,,"show",,,,"","","","","","","","","","",,,,"Thom","Betsy","","","","Thom:Betsy::","",,,,,"","","Delivering alcohol IBA in housing, probation and social work settings: opportunities and constraints.","pub","AD12-6","","public",,,,,,,,,"2016-06",,,"Alcohol Research UK",,"","",,,,,,"Alcohol Research UK and Drug and Alcohol Research Centre, Middlesex University","Middlesex",,"76 p.",,,,,,,,,,,"report","aod_disorder_treatment_method","alcohol",,,,,,"Alcohol Research UK",,,"","","","","","","","","","",,"Identification and Brief Advice (IBA) has been advocated by health organisations such as NICE to promote and a range of lifestyle health behaviours, for example physical activity and smoking cessation, and to encourage early intervention in risky or problem behaviours, including alcohol use (NICE 2013; 2006). Other related terms are SBI (Screening and Brief Intervention), OBI (Opportunistic Brief Intervention) and ABI (Alcohol Brief Interventions). Typically alcohol IBA includes use of a validated screening tool such as AUDIT - Alcohol Use Disorder Identification Test (Babor et al., 2001), followed by brief advice: ‘a short, evidence-based, structured conversation with a patient/service user that seeks in a non-confrontational way to motivate and support the individual to think about and/or plan a change in their behaviour’ (NHS Health Scotland 2011).
As alcohol IBA has been found effective in medical/clinical/specialist settings (Kaner et al., 2007; 2013), there has been a drive to expand its use beyond these contexts into a range of other settings, to encourage wider groups of professionals – such as pharmacists, educationalists, youth workers, social workers and criminal justice professionals to incorporate IBA approaches into their everyday practice. However, whilst there is good evidence for its use and effectiveness within general practice and hospital settings, its acceptability and effectiveness in a wider range of contexts is less clear, and there are continuing problems implementing IBA even within the traditional health care contexts.
As part of a larger study, we conducted three case studies to examine the issues that arise in attempting to introduce and sustain the delivery of IBA into everyday practice in housing, probation and social work contexts.
",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AD12-6 , BB , HH , HZ2-2-2 , JG26_2_4_2 , MK10-6-1 , MN36-6-10-2 , MV , TT2 , TT8-2 , TU8-10 , VH4-4","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 -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- MA-ML Social science, culture and community > Social condition > Homelessness > Homeless services -- MM-MO Crime and law > Criminal penalty > Community service (penalty) > Probation or parole -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Homeless person","VA Geographic area > Europe > United Kingdom","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- Psychosocial screening and diagnostic method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Social condition - Homelessness - Homeless services -- Criminal penalty - Community service (penalty) - Probation or parole -- Social services -- Drug or health care worker -- Social worker -- Homeless person","Europe - United Kingdom","Thom Betsy , Herring Rachel , Bayley Marianna , Hafford-Letchfield Trish","0","yes" "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Herring","Rachel","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bayley","Marianna","","",,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hafford-Letchfield","Trish","","",,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MN36-6-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483","26","archive","5",,,"disk0/00/02/24/83","2014-08-14 12:31:50","2016-09-07 08:11:17","2014-08-14 12:31:50","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell B1: Practitioners - screening and brief intervention.","pub","BB","","public",,,,,,,,,"2016-06",,,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,,,,,,,,,,,,"","psychosocial_treatment_method","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell B1 about?
As described more fully in the cell A1 bite, screening and brief interventions are usually seen as public health measures, aiming to reduce alcohol-related harm across a population of drinkers rather than focusing on dependent individuals seeking treatment. Screening programmes aim to identify people at risk of or experiencing substance use problems who are not seeking help. Many are not at the stage where treatment is appropriate or desired, so the typical response is brief advice – the 'brief intervention'. This cell is however not about the content of the intervention (for which see cell A1), but whether its impact depends on the interpersonal style and other features of the person doing the advising – a much less commonly researched topic.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Alcohol/B1.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16-6 , HC , HH , HZ2-2-2 , JG26_2_4_2 , JM , JQ8-2 , JT8_8_2 , TT2 , TT2-12 , TT2-14 , TT8-2","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker",,"Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Medical screening and diagnostic method -- Psychosocial screening and diagnostic method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Care by type of problem - emergency care -- Health care programme or facility - Community-based treatment (primary care) -- Drug or health care worker -- Doctor -- Nurse -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22483",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484","22","archive","5",,,"disk0/00/02/24/84","2014-08-14 12:37:48","2017-07-12 09:13:53","2014-08-14 12:37:48","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell C1: Management/supervision - screening and brief intervention.","pub","BB","","public",,,,,,,,,"2016-06","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings",,,"4 p.",,,,,,,,,,,"","psychosocial_treatment_method","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell C1 about?
As described more fully in the cell A1 bite, screening and brief interventions are usually seen as public health measures, aiming to reduce alcohol‐related harm across a population of drinkers. Screening programmes aim to identify people at risk of or experiencing substance use problems who are not seeking help. Many are not at the stage where treatment is appropriate or desired, so the typical response is brief counselling/advice – the 'brief intervention'. This cell is however not about the content of the intervention (for which see cell A1), but how implementation and impact are affected by the management functions of selecting, training and managing staff and managing the intervention programme – much less commonly researched, but crucial, because these procedures are implemented by practitioners who often neither see 'normal' drinking nor public health as their core business. Getting them to put their time and their hearts in to this activity is seen as the key task by people convinced that, given a chance, the interventions can work.
",,,,,,,,,,,"","http://findings.org.uk/docs/Matrix/Alcohol/C1_findings.pdf","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16-6 , HC , HH , HZ2-2-2 , JG26_2_4_2 , JS , MQ6-2 , TT2","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- J Health care, prevention and rehabilitation > Health care delivery -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Medical screening and diagnostic method -- Psychosocial screening and diagnostic method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Health care delivery -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759","15","archive","1684",,,"disk0/00/02/57/59","2016-07-04 14:26:01","2016-10-24 10:53:27","2016-07-04 14:26:01","monograph",,,"show",,,,"","","","","","","","","","",,,,"Morton","Sarah","","","","Morton:Sarah::","",,,,,"","","Community based low threshold substance use services: practitioner approaches and challenges.","pub","AD","","public",,,,,,,,"Low threshold services are typically provided within community or city settings, either by statutory or community organisations. Services may be staffed by counsellors, key workers or support workers who would normally seek to engage informally with clients and deliver brief, harm reduction focused interventions. In addition, low threshold services often depend on volunteers for staffing and provide new drugs workers who may require high levels of supervision with an entry point into drugs work. A range of issues have emerged in relation to low threshold service provision including high volumes of clients accessing a service, variation in approach and aims of low threshold services and health and safety implications for workers and clients in regard to service users being severely intoxicated, using substances on the premises or overdosing.","2016-06","published",,"Morton Sarah",,"","",,,,,,"Ballymun Youth Action Project","Dublin",,"48 p.",,,,,,,,,,,"","","","ISBN 978-1-78280-851-0",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AD , GA2-4 , JT8_8_2 , MK10-6 , TT2 , TT4-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- MA-ML Social science, culture and community > Social condition > Homelessness -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Counsellor / Therapist","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour -- State of health - Mental health -- Health care programme or facility - Community-based treatment (primary care) -- Social condition - Homelessness -- Drug or health care worker -- Counsellor / Therapist","Europe - Ireland","Morton Sarah , O'Reilly Laura","0","no" "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Reilly","Laura","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471","26","archive","5",,,"disk0/00/02/54/71","2016-05-05 07:44:45","2016-05-05 07:50:17","2016-05-05 07:44:45","guideline",,,"show",,,,"","","","","","","","","","",,,,"Neale","Joanne","","","",,"",,,,,"","","Frequent attenders to accident and emergency departments: a qualitative study of individuals who repeatedly present with alcohol-related health conditions.","pub","AM","","public",,,,,,,,"Key findings • People who frequently attend Accident and Emergency (A&E) departments for alcohol-related reasons tend to experience alcohol dependence associated with multiple and complex needs, but also report diverse patterns of drinking and other substance use, and varied health and social problems. • Although A&E staff are generally sympathetic to the needs of people with complex drinking and related problems, they do not have the resources or training to provide the kind of personalised support that people who frequently attend A&E for alcohol-related reasons often need. • Assertive outreach – a treatment model that offers intensive, individualised, caseworker support for patients in the community – seems to offer good potential for helping people who frequently attend A&E for alcohol-related reasons.","2016-05","published",,"Alcohol Research UK",,"","",,,,,,"Alcohol research UK","London",,"5 p.",,,,,"Alcohol Insight Number 0134",,,,,,"report","aod_disorder","alcohol",,,,,,"Alcohol Research UK",,,"","","","","","","","","","",,"
Supplemental material:
Download a copy of the Survey Report.
Download the Patient Leaflet used in this study.
The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell A1 about?
Screening and brief interventions are usually seen as public health measures, aiming to reduce alcohol-related harm across a population of drinkers rather than focusing on dependent individuals seeking treatment. Screening programmes aim to identify people at risk of or experiencing substance use problems who are not seeking help and would otherwise not be identified. Many are not at the stage where treatment is appropriate or desired, so the typical response is brief advice – the 'brief intervention'.
For a population-level impact a high proportion of risky-drinkers must be reached. In Britain, GPs' surgeries are the principal venue, but programmes are also mounted in other generic medical settings (eg, emergency departments) and have been tried in non-medical settings such as probation offices.
Typically a few standard questions are asked of all adult patients/clients or those in certain categories (eg, new patients, having health checks, suffering possibly alcohol-related conditions) to identify risky drinking. Those whose responses indicate hazardous/harmful drinking are then advised for what may be just a few minutes or one or two longer sessions. Patients whose scores indicate very serious problems may instead be more fully assessed and offered treatment.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Alcohol/A1.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , HC , HH , HZ2-2-2 , JG26_2_4_2 , JM , JQ8-2 , JT8_8_2 , TT2","B Drugs and alcohol substances > Alcohol -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Drug or health care worker",,"Alcohol -- Medical screening and diagnostic method -- Psychosocial screening and diagnostic method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Care by type of problem - emergency care -- Health care programme or facility - Community-based treatment (primary care) -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545","17","archive","5",,,"disk0/00/02/55/45","2016-05-25 10:28:09","2016-05-25 10:28:42","2016-05-25 10:28:09","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","NHS England","Improving the physical health of people with serious mental illness. A practical toolkit.","pub","GA2-2","","public",,,,,,,,,"2016-05","published",,"NHS England",,"","",,,,,,"NHS England","London",,"23 p.",,,,,"Gateway ref no. 04999",,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,"Between 2014 and 2016, NHS England worked with staff and patients in four mental health trusts to improve the cardiovascular (CVD) health outcomes and reduce premature mortality in people with serious mental illness. CVD is the biggest cause of premature death in this patient group. This toolkit is designed to help other mental health trusts implement the Lester tool, using a combination of detailed case studies, short examples and supporting documents provided by each pilot site. By sharing the pilot sites’ own material (such as physical health policies, example job descriptions and lists of equipment), we hope that other trusts will be able to use these as the basis for their own materials – without needing to start from scratch.
The materials included in this toolkit are all practical, local resources and some may still be work in progress. Readers are encouraged to consider, adopt or adapt the content as locally appropriate, and to acknowledge and reference the relevant trust accordingly. These sites own the intellectual property rights for their materials and are provided on an ‘as is’ basis.
The Royal College of Psychiatrists were commissioned to carry out an independent evaluation, which looked at how the Lester tool had been implemented in each of the four trusts. This identified a number of ‘causal mechanisms’ which based on the pilot sites’ experience are the key to bringing about change:
This toolkit deals with each causal mechanism in turn, providing guidance, supporting documents and case studies to illustrate how trusts can address each factor when implementing the Lester tool.
",,,,,,,,,,,"",,"https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/05/serious-mental-hlth-toolkit-may16.pdf","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-2 , GA2-4 , JQ6-8 , JS , JU10 , TT2 , TT2-12 , TT2-14 , VH4-4-2","G Health and disease > State of health > Physical health -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom > England","State of health - Physical health -- State of health - Mental health -- Care by type of problem - Mental health care -- Health care delivery -- Health care administration - Health care quality control -- Drug or health care worker -- Doctor -- Nurse","Europe - United Kingdom - England","NHS England NHS England","0","yes" "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25377","12","archive","5",,,"disk0/00/02/53/77","2016-04-12 08:12:54","2016-04-12 08:12:54","2016-04-12 08:12:54","guideline",,,"show",,,,"","","","","","","","","","",,,,"Moriarty","Jo","","","","Moriarty:Jo::","",,,,,"","","The effectiveness of social work with adults. A systematic scoping review.",,"JS","","public",,,,,,,,"This report is based on a scoping review into the effectiveness of social work with adults undertaken to help inform the work of the Chief Social Worker for Adults. The Chief Social Worker for Adults is responsible for leading the reform of adult social work at government level in England. It is based on systematic searches of a number of electronic bibliographic databases, websites, and reference harvesting the bibliographies of key published studies in order to identify material that had not come up in the searches. ‘Effectiveness’ refers to how well a particular intervention, approach, or policy performs under ‘real world’ conditions. However, it is accepted that definitions of effectiveness depend upon what is being measured and who is doing the measuring. The review took a broad approaching to defining effectiveness, including cost effectiveness, impact on service users and carers (for example, changes to quality of life), and user and carer views. • Overall, the review concluded that, although the evidence base for social work with adults is mixed and uneven, the results are broadly positive. • Social workers’ effectiveness seems to rest most on their ability to combine a number of roles, including assessment, local knowledge, and being able to provide counselling and/or ongoing support. • The evidence base for studies about care management and health care social work appears to be largest. • There is considerable satisfaction with palliative care social workers among service users and carers but there is evidence of unmet demand. • We seem to know least about effectiveness of social work with adults with learning disabilities. • We need to know more about the inter relationships between structural arrangements, workload, worker satisfaction and effectiveness.","2016-03",,,"Moriarty Jo",,"","",,,,,,"King’s College London","London",,"51 p.",,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JS , JU10 , MV , TT2 , TT8-2","J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker",,"Health care delivery -- Health care administration - Health care quality control -- Social services -- Drug or health care worker -- Social worker",,"Moriarty Jo , Manthorpe Jill","0","yes" "25377",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Manthorpe","Jill","","",,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25377",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25377",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25377",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552","16","archive","5",,,"disk0/00/02/55/52","2016-05-26 08:50:10","2017-02-27 11:36:43","2016-05-26 08:50:10","article",,,"show",,,,"","","","","","","","","","",,,,"Simpson","Alan","","","","Simpson:Alan::","",,,,,"","","Recovery-focused care planning and coordination in England and Wales: a cross-national mixed methods comparative case study.","pub","AH18","","none",,,,,,,,"BACKGROUND: In the UK, concerns about safety and fragmented community mental health care led to the development of the care programme approach in England and care and treatment planning in Wales. These systems require service users to have a care coordinator, written care plan and regular reviews of their care. Processes are required to be collaborative, recovery-focused and personalised but have rarely been researched. We aimed to obtain the views and experiences of stakeholders involved in community mental health care and identify factors that facilitate or act as barriers to personalised, collaborative, recovery-focused care. METHODS: We conducted a cross-national comparative study employing a concurrent transformative mixed-methods approach with embedded case studies across six service provider sites in England and Wales. The study included a survey of views on recovery, empowerment and therapeutic relationships in service users (n = 448) and recovery in care coordinators (n = 201); embedded case studies involving interviews with service providers, service users and carers (n = 117) and a review of care plans (n = 33). Quantitative and qualitative data were analysed within and across sites using inferential statistics, correlations and framework method. RESULTS: Significant differences were found across sites for scores on therapeutic relationships. Variation within sites and participant groups was reported in experiences of care planning and understandings of recovery and personalisation. Care plans were described as administratively burdensome and were rarely consulted. Carers reported varying levels of involvement. Risk assessments were central to clinical concerns but were rarely discussed with service users. Service users valued therapeutic relationships with care coordinators and others, and saw these as central to recovery. CONCLUSIONS: Administrative elements of care coordination reduce opportunities for recovery-focused and personalised work. There were few common understandings of recovery which may limit shared goals. Conversations on risk appeared to be neglected and assessments kept from service users. A reluctance to engage in dialogue about risk management may work against opportunities for positive risk-taking as part of recovery-focused work. Research to investigate innovative approaches to maximise staff contact time with service users and carers, shared decision-making in risk assessments, and training designed to enable personalised, recovery-focused care coordination is indicated.","2016-03","published",,"Simpson Alan",,"","",,"BMC Psychiatry","16","1","1","BioMed Central",,"147",,,,,,,,,,,"TRUE","","","",,"1471-244X",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868048/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","16","BMC Psychiatry","AH18 , HZ26 , JA8-2 , JP10 , JP10_2_2 , JP10_6 , JS , MQ6 , TT2 , VH4-4-12 , VH4-4-2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care delivery -- MP-MR Policy, planning, economics, work and social services > Organisational development -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > United Kingdom > Wales -- VA Geographic area > Europe > United Kingdom > England","Natural history of drugs and alcohol use - Drugs and alcohol recovery -- Treatment outcome -- Risk and needs assessment - Risk assessment -- Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Health care delivery -- Organisational development -- Drug or health care worker","Europe - United Kingdom - Wales -- Europe - United Kingdom - England","Simpson Alan , Hannigan Ben , Coffey Michael , Barlow Sally , Cohen Rachel , Jones Aled , Všetečková Jitka , Faulkner Alison , Thornton Alexandra , Cartwright Martin","0","yes" "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hannigan","Ben","","",,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coffey","Michael","","",,,,,,,,,,,,"JA8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Barlow","Sally","","",,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cohen","Rachel","","",,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jones","Aled","","",,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Všetečková","Jitka","","",,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Faulkner","Alison","","",,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Thornton","Alexandra","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cartwright","Martin","","",,,,,,,,,,,,"VH4-4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205","15","archive","5",,,"disk0/00/02/52/05","2016-02-17 08:57:13","2016-02-17 08:57:13","2016-02-17 08:57:13","guideline",,,"show",,,,"","","","","","","","","","",,,,"Carter","Meredith","","","",,"",,,,,"","","Capacity building & change management. A guide for community services.","pub","JS","","public",,,,,,,,"There have been significant challenges in recent years in the not-for-profit sector. In particular, change is a constant along with increasing recognition of the ongoing need to examine and develop the capacity of our people and organisations. In this new manual VAADA has sought to provide the field with a resource which can be used widely across the not-for-profit sector and particularly in agencies delivering primary health and community care services. Not least of the current challenges faced by many agencies are funding constraints and increasing service demands. Consumers often present with a range of complex and co-existing issues. More and more both consumers and funders look to agencies to provide a holistic response to these issues. In addition increasingly they look to agencies to involve consumers, their families and carers in determining how their problems would best be managed. Strong partnerships between agencies to enhance capacity, enable best practice and deliver holistic responses to consumer needs are critical. This manual aims to equip agencies to meet these challenges. It offers useful strategies which are practical to implement. It also provides step by step guidance and templates to assist agencies to translate them into practice.","2016-02",,,"VAADA",,"","",,,,,,"Victorian Anti & Drug Association","Victoria",,"57 p.",,,,,,,,,,,"manual","aod_disorder","alcohol_drugs_in_general",,,,,,"VAADA",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JS , JT , ML2 , MQ6 , MQ6-2 , TT2 , VK2","J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility -- MA-ML Social science, culture and community > Community action > Community development -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Australia and Oceania > Australia","Health care delivery -- Health care programme or facility -- Community action - Community development -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker","Australia and Oceania - Australia","Carter Meredith , Moreton Jane","0","yes" "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Moreton","Jane","","",,,,,,,,,,,,"JT",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ML2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164","30","archive","5",,,"disk0/00/02/51/64","2016-02-05 11:19:31","2016-02-05 11:19:31","2016-02-05 11:19:31","guideline",,,"show",,,,"","","","","","","","","","",,,,"Breckon","Jonathan","","","","Breckon:Jonathan::","",,,,,"","","Using research evidence: a practice guide.","pub","MQ6-2","","public",,,,,,,,"Research evidence can help you understand what works, where, why and for whom. It can also tell you what doesn’t work, and you can avoid repeating the failures of others by learning from evaluations of unsuccessful programmes. Evidence also challenges what we might think is common sense. Whether it’s in a police station, a school classroom or the boardroom of a charity, evidence can help you make better decisions. It is helpful not only in frontline service-delivery, but also in creating smarter organisations Contents: Introduction 4 Section A: What is evidence-informed decision-making, and why focus on research? 6 Section B: When can evidence help you? 13 Section C: ‘Horses for courses’ – What evidence should you choose? 18 • Part 1: Different types of research methods, designs and approaches 20 • Part 2: How do you judge the quality of research? 29 Section D: Where should you look for evidence? 38 Section E: How should you communicate your findings? 46 Summary 49 Appendix 1: Rationales for evidence and types of evidence required for policymakers 50 Appendix 2: Experimental designs for evaluating complex interventions 51 Appendix 3: Guidance on evidence quality, designs and methods 52","2016-01",,,"Breckon Jonathan",,"","",,,,,,"Nesta and Alliance for Useful Evidence","London",,"58 p.",,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MQ6-2 , ND2-6 , RA14-6 , RC , TT2 , TT2-12 , TT2-14 , TT6 , TT8-2","MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- N Communication, information and education > Information transfer > Information transfer from research to practice -- R Research > Research outcome > Policy implications of research -- R Research > Research and evaluation method -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Organisational development - Workforce / staff skills and training -- Information transfer - Information transfer from research to practice -- Research outcome - Policy implications of research -- Research and evaluation method -- Drug or health care worker -- Doctor -- Nurse -- Prevention worker -- Social worker",,"Breckon Jonathan , Roberts Isobel","0","yes" "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Roberts","Isobel","","",,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RA14-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25022","14","archive","5",,,"disk0/00/02/50/22","2016-01-11 11:46:41","2016-01-11 11:46:41","2016-01-11 11:46:41","guideline",,,"show",,,,"","","","","","","","","","",,,,"Davis","June","","","","Davis:June::","",,,,,"","","Inclusion health: education and training for health professionals. Executive summary.","pub","LW4","","public",,,,,,,,"The concept of Inclusion Health is founded on the premise that not all UK citizens have access to the highest standards of healthcare. Meeting the health needs of a small group of socially excluded individuals and their communities remains a challenge. This population has poorer predicted health outcomes1 and a shorter life expectancy than the average population. The National Inclusion Health programme for England was launched in March 2010 as a cross-government programme led by the Department of Health. It provides a framework for driving improvements in health outcomes for socially excluded groups. The rationale for setting up this framework is to increase the understanding and visibility of the health needs and health outcomes of socially excluded groups. The framework will also ensure that the services which support this population continue to improve, including continuity of care and building capability and capacity. One key activity within the framework is to recognise the achievements of professionals in this field and to build connections across disciplines between health and social care.","2016-01",,,"Davis June",,"","",,,,,,"Department of Health","London",,"20 p.",,,,,,,,,,,"report","aod_disorder_treatment_method","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.gov.uk/government/publications/educating-health-professionals-to-support-vulnerable-groups","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LW4 , MK10-6-1 , TT2 , TT6 , TT8-2 , VH4-4","L Social psychology and related concepts > Inclusion and exclusion -- MA-ML Social science, culture and community > Social condition > Homelessness > Homeless services -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Inclusion and exclusion -- Social condition - Homelessness - Homeless services -- Drug or health care worker -- Prevention worker -- Social worker","Europe - United Kingdom","Davis June , Lovegrove Mary","0","yes" "25022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lovegrove","Mary","","",,,,,,,,,,,,"MK10-6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25068","13","archive","5",,,"disk0/00/02/50/68","2016-01-22 15:31:56","2016-01-22 15:31:56","2016-01-22 15:31:56","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Houses of the Oireachtas Joint Committee on Health and Children","Report on the role of advocacy in health and social care services in Ireland.","pub","JS","","public",,"government_publication",,,,,,"The cross-party report aims to explain the role of advocates in an Irish health service context; examines different models of advocacy; and makes some recommendations to improve access to advocacy services for Irish patients and users of social services. Some of the recommendations include: • The lack of statutory powers for advocates can prevent them from accessing or supporting vulnerable clients. Consideration should be given to commencing the relevant sections of the Citizens’ Information Act 2007 to resolve this issue. • The HSE should consider giving more formal recognition to the role of advocates who are working to support vulnerable clients. • Elected representatives have experienced difficulties making representations to hospitals and other health services on behalf of constituents, and these issues should be resolved. • The Committee supports moves to extend the remit of the Office of the Ombudsman to clinical cases. Ideally, there should be a single streamlined pathway for complaints in the Irish health service. The Committee supports the further development of the www.healthcomplaints.ie website to help achieve this. • Any new patient advocacy service should be independent of the Health Service Executive. Funding should be ring-fenced and independent of the service provider to support its activities and to ensure its independence. • A Code of Practice for advocacy services should be developed by agreement between key national stakeholders. This would ensure that all professional and voluntary advocates operate to the same ethical and legal standards.","2016-01","published",,"Houses of the Oireachtas Joint Committee on Health and Children",,"","",,,,,,"Houses of the Oireachtas","Dublin",,"36 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JS , JU10 , MP14-10 , TT2 , VH4-2","J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Health care delivery -- Health care administration - Health care quality control -- Political process - Advocacy -- Drug or health care worker","Europe - Ireland","Houses of the Oireachtas Joint Committee on Health and Children Houses of the Oireachtas Joint Committee on Health and Children","0","no" "25068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25519","12","archive","1684",,,"disk0/00/02/55/19","2016-05-16 08:36:36","2016-05-16 08:51:40","2016-05-16 08:36:36","article",,,"show",,,,"","","","","","","","","","",,,,"Ho","SY","","","","Ho:SY::","",,,,,"","","Exploring the views of healthcare professionals on increasing smoking cessation advice for patients.","pub","BD","","none",,,,,,,,,"2016",,,"Ho SY",,"","",,"RCSI Student Medical Journal","9","1","1","Royal College of Surgeons of Ireland",,"27-32",,,,,,,,,,,"TRUE","","","",,,,,,,,,"","","","","electronic_only","","","","","",,"Background: Smoking cessation advice provided by healthcare professionals can be effective in increasing smoking cessation among patients. Any successful intervention will require staff knowledge of local barriers to implementation. However, the views of Irish healthcare professionals on increasing the provision of smoking cessation advice and the associated barriers remain unexplored.
Aims: To explore the views of Irish healthcare professionals on barriers to increasing smoking cessation advice for patients in a large Irish university teaching hospital.
Method: Semi-structured interviews were conducted separately with 16 healthcare professionals in a large Irish university teaching hospital.
Results: The main barriers identified were patient and staff attitudes, time and service constraints, information not readily available, and issues and opinions on a smoke-free campus policy in a hospital setting.
Conclusion: Our results revealed several barriers, expressed by Irish healthcare professionals, to providing smoking cessation advice to patients. This supports the need to implement a multi-component intervention in a hospital setting to improve the rate of provision of smoking cessation advice in patients by healthcare professionals.
",,,,,,,,,,,"","http://epubs.rcsi.ie/medart/72/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","9","RCSI Student Medical Journal","BD , JT14-4 , TT2 , TT2-12 , TT2-14 , VH4-2-5","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland > Dublin","Tobacco (cigarette smoking) -- Health care programme or facility - Hospital -- Drug or health care worker -- Doctor -- Nurse","Europe - Ireland - Dublin","Ho SY , McElvaney NG , Balfem M , Doyle Frank","0","yes" "25519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McElvaney","NG","","",,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Balfem","M","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Doyle","Frank","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387","17","archive","5",,,"disk0/00/02/53/87","2016-04-13 15:05:50","2016-04-13 15:05:51","2016-04-13 15:05:50","guideline",,,"show",,,,"","","","","","","","","","",,,,"Murdoch","Jim","","","","Murdoch:Jim::","",,,,,"","","A handbook for prison staff with focus on the prevention of ill-treatment in prison.","pub","JT8_10_4","","public",,,,,,,,"In Europe, the old adage that individuals are sent to prison as punishment rather than for punishment has now been supplemented by a further maxim: that prisoners retain all civil rights other than those that are incompatible with the very fact of loss of liberty. Prisoners retain their human rights, and the scope of these rights is increasing. For example, a plethora of decisions and judgments of the European Court of Human Rights has helped spell out the content of rights relating to communication with the outside world and exercise of the franchise. In Europe at least, prisons are changing in how the legal system engages with the treatment of prisoners. This text examines one particular aspect of this protection: the prohibition of ill-treatment in prison. It focuses upon what this prohibition entails, and the emergence of positive obligations and new expectations in respect of the responsibilities of prison services towards those entrusted to its care. It also examines the development of new obligations in respect of combating the impunity of those who use ill-treatment in places of detention. It seeks to provide a basic awareness of European standards, both in terms of legal obligations under the European Convention on Human Rights (ECHR) and in respect of standard-setting by allied bodies (in particular, by the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT), but also by the Committee of Ministers of the Council of Europe). It also highlights examples of good practice in domestic systems that may be worthy of emulation elsewhere. Working in prisons is not without significant challenge. The intention is that this text will help those concerned with this area of public provision achieve a more humane and open service. In this regard, it seeks to help realisation of Rule 81(4) of the Committee of Ministers Recommendation Rec. R(2006)2 on the European Prison Rules. This provides that “The training of all staff shall include instruction in the international and regional human rights instruments and standards, especially by ECHR and the European Convention for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT Convention), as well as in the application of the European Prison Rules.” This text is designed for practitioners. It provides a guide to these legal instruments and standards in an accessible way. It follows upon a multilateral meeting held in Strasbourg in spring 2015 which helped bring together management and leadership from prison services from across Europe to address issues of common concern. It was clear from the discussions during the two days of the meeting that not only do many countries face the same set of problems, but also that “good practice” does exist across Europe, and that discussion not only of these challenges but also of possible solutions can be of real assistance. Following the meeting, representatives were asked to highlight further instances of “good practice” in their countries that could be of use elsewhere across Europe. Many good ideas were highlighted. In the space available, only a handful of these could be included.","2016",,,"Murdoch Jim",,"","",,,,,,"Council of Europe","Brussels",,"92 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JT8_10_4 , MN10-2-2 , MO4-12-2 , MP14-10 , TT2 , TT8-2 , TU8-8-4 , VH","J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service -- MM-MO Crime and law > Legal rights > Rights of drugs and alcohol users -- MM-MO Crime and law > Justice system > Correctional system and facility > Prison -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Prison Inmate (prisoner)","VA Geographic area > Europe","Health care programme or facility - Prison-based health service -- Legal rights - Rights of drugs and alcohol users -- Justice system - Correctional system and facility - Prison -- Political process - Advocacy -- Drug or health care worker -- Social worker -- Prison Inmate (prisoner)","Europe","Murdoch Jim , Jiricka Vaclav","0","yes" "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jiricka","Vaclav","","",,,,,,,,,,,,"MN10-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128","20","archive","5",,,"disk0/00/02/61/28","2016-09-21 08:44:31","2016-09-21 08:46:49","2016-09-21 08:44:31","guideline",,,"show",,,,"","","","","","","","","","",,,,"Marel","Christina","","","","Marel:Christina::","",,,,,"","","Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings.","pub","GA2-4","","public",,,,,,,,"These Guidelines aim to provide alcohol and other drug (AOD) workers with evidence-based information to assist with the management of co-occurring, or comorbid, AOD and mental health conditions. They represent an update and revision of the first edition of these Guidelines published in 2009. Population estimates indicate that more than one-third of individuals with an AOD use disorder have at least one comorbid mental health disorder; however, the rate is even higher among those in AOD treatment programs. Additionally, there are a large number of people who present to AOD treatment who display symptoms of disorders while not meeting criteria for a diagnosis of a disorder. The high prevalence of comorbidity means that AOD workers are frequently faced with the need to manage complex psychiatric symptoms that may interfere with their ability to treat clients’ AOD use. Furthermore, clients with comorbid mental health conditions often have a variety of other medical, family, and social problems (e.g., housing, employment, welfare, legal problems). As such, it is important that AOD workers adopt a holistic approach to the management and treatment of comorbidity that is based on treating the person, not the illness (see Chapter B1). The first step in responding to comorbidity is being able to identify the person’s needs (see Chapters B2 and B3). Despite high rates of comorbidity among clients of AOD services, it is not unusual for comorbid mental health conditions to go unnoticed. This is mostly because AOD workers are not routinely looking for them. It is a recommendation of these Guidelines that all clients of AOD treatment services should be screened and assessed for comorbidity as part of routine clinical care. Once identified, symptoms of mental health conditions may be effectively managed while the person is undergoing AOD treatment (see Chapters B5 and B6). The goal of management is to allow AOD treatment to continue without mental health symptoms disrupting the treatment process, and to retain clients in treatment who might otherwise discontinue such treatment. Comorbidity is not an insurmountable barrier to treating people with AOD use disorders. Indeed, research has shown that clients with comorbid mental health conditions can benefit just as much as those without comorbid conditions from usual AOD treatment. Some clients with comorbidity may require additional treatment for their mental health problems (see Chapter B6). Some interventions have been designed for the treatment of specific comorbidities; however, these interventions generally have not been well researched. Where there is an absence of specific research on comorbid disorders, it is recommended that best practice is to use the most effective treatments for each disorder. Both psychosocial and pharmacological interventions have been found to have some benefit in the treatment of many comorbidities. Consideration should also be given to the use of e-health interventions, physical activity, and complementary and alternative therapies, as an adjunct to traditional treatments. In addition to mental health services, AOD workers may need to engage with a range of other services to meet clients’ needs, including housing, employment, education, training, community, justice, and other support services. A broad, multifaceted, and co-ordinated approach is needed in order to address all of these issues effectively, and it is important that AOD services and workers develop links with a range of local services (see Chapter B4).","2016",,,"NDARC",,"","",,,,,,"Australia: Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol","Sydney",,"446 p.",,,,,,,,,,,"review","aod_disorder","alcohol_drugs_in_general",,"978-0-7334-3609-3",,,,"NDARC",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , GC12 , GD2 , HJ2 , HZ26 , JP10 , JQ6-8 , TT2 , TT2-12 , TT2-14 , TT8-2 , VK2","G Health and disease > State of health > Mental health -- G Health and disease > Drugs and alcohol related disorder > Dual diagnosis (comorbidity) -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- HJ Treatment method > General treatment method concepts -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker","VA Geographic area > Australia and Oceania > Australia","State of health - Mental health -- Drugs and alcohol related disorder - Dual diagnosis (comorbidity) -- Drugs and alcohol related disorder - Drugs and alcohol related mental disorder -- General treatment method concepts -- Treatment outcome -- Treatment and maintenance - treatment factors -- Care by type of problem - Mental health care -- Drug or health care worker -- Doctor -- Nurse -- Social worker","Australia and Oceania - Australia","Marel Christina , Mills Katherine L , Kingston Rosemary , Gournay Kevin , Deady Mark , Kay-Lambkin Frances , Baker Amanda , Teesson Maree","0","yes" "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mills","Katherine L","","",,,,,,,,,,,,"GC12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kingston","Rosemary","","",,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gournay","Kevin","","",,,,,,,,,,,,"HJ2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Deady","Mark","","",,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kay-Lambkin","Frances","","",,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Baker","Amanda","","",,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Teesson","Maree","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26965","12","archive","5",,,"disk0/00/02/69/65","2017-03-06 09:01:46","2017-03-06 09:01:46","2017-03-06 09:01:46","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Health & Social Care Professions Office","Health and social care professions education and development strategy 2016 – 2019.",,"MQ6-2","","public",,,,,,,,"Health and Social Care Professions (HSCP) is a term used to encompass a diverse, highly educated and skilled range of professionals with significant contributions to make to the health, care, wellbeing and quality of life of the population. HSCP are well positioned and have the skills to support the goals outlined in the HSE Corporate Plan 2015 - 2017. The aim of this current HSCP Education and Development Strategy is to support achievement of the Corporate Plan and the People Strategy 2015-2018.","2016",,,"National Health & Social Care Professions Office",,"","",,,,,,"Health Service Executive","Dublin",,"27 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MQ6-2 , TT2 , TT2-14 , TT8-2 , VH4-2","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 > Social worker","VA Geographic area > Europe > Ireland","Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Social worker","Europe - Ireland","National Health & Social Care Professions Office National Health & Social Care Professions Office","0","yes" "26965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681","21","archive","1684",,,"disk0/00/02/66/81","2017-02-02 15:20:53","2017-03-01 15:26:01","2017-02-02 15:20:53","monograph",,,"show",,,,"","","","","","","","","","",,,,"Nic Gabhainn","Saoirse","","","","Nic Gabhainn:Saoirse::","",,,,,"","","Scoping review of case management in the treatment of drug and alcohol misuse, 2003–2013.","pub","HK2","","public",,,,,,,,"This is the final report of a scoping review commissioned by the HRB National Drugs Library. The objective of the review was to examine the peer-reviewed non-experimental literature on case management and substance use published between 2003 and 2013, and to answer specific research questions based on the literature. These comprised questions on the nature of case management, the outcomes that have been studied, and gaps in the literature.","2016","published",,"Nic Gabhainn Saoirse",,"","",,,,,,"Health Research Board","Dublin",,"64 p.",,,,,"HRB drug and alcohol evidence review 3",,,,,,"","","","ISSN: 2009-7948 Online",,,,,,,,"","","5311","","available","","","","","",,,"HRB library",,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"HK2 , JM , JS , ML8-2 , MQ8 , MQ8-2 , TT2 , TT6 , TT8-2 , VA2","HJ Treatment method > Drugs and alcohol disorder treatment method -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- MA-ML Social science, culture and community > Community action > Community involvement > AOD task forces -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme planning (strategy) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > International aspects","Drugs and alcohol disorder treatment method -- Patient care management -- Health care delivery -- Community action - Community involvement - AOD task forces -- Programme planning, implementation, and evaluation -- Programme planning, implementation, and evaluation - Programme planning (strategy) -- Drug or health care worker -- Prevention worker -- Social worker","International aspects","Nic Gabhainn Saoirse , D'Eath M , Keane Martin , Sixsmith Jane","0","no" "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"D'Eath","M","","",,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Keane","Martin","","",,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sixsmith","Jane","","",,,,,,,,,,,,"ML8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24798","13","archive","5",,,"disk0/00/02/47/98","2015-11-11 15:03:08","2015-11-11 15:03:08","2015-11-11 15:03:08","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Information and Quality Authority","Guidance for providers of health and social care services for children. Communicating in plain English with children and their families.","pub","JH2","","public",,"government_publication",,,,,,"Communicating in plain English with children and their families; this guide will help you to communicate more clearly with children, their parents or other caregivers, and friends. It will help you to think about how you present information so that children and others will understand it the first time they read or hear it.","2015-11",,,"Health Information and Quality Authority",,"","",,,,,,"Health Information and Quality Authority","Dublin",,"52 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.hiqa.ie/publications/guidance-providers-health-and-social-care-services-children","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JH2 , ND2-10 , TT2 , TT6 , TT8-2 , VH4-2","J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- N Communication, information and education > Information transfer > Information dissemination -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Health-related prevention - Health information and education -- Information transfer - Information dissemination -- Drug or health care worker -- Prevention worker -- Social worker","Europe - Ireland","Health Information and Quality Authority Health Information and Quality Authority","0","no" "24798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898","17","archive","5",,,"disk0/00/02/48/98","2015-12-07 10:37:21","2015-12-07 10:37:21","2015-12-07 10:37:21","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Tusla Child and Family Agency","Assessment, consultation and therapy service annual report 2014 and service plan 2015.","pub","MM6-6","","public",,"annual_report",,,,,,"ACTS is a national specialist clinical service which provides multidisciplinary consultation, assessment and focused interventions to young people who have high risk behaviours associated with complex clinical needs. ACTS also supports other professionals in their ongoing work with young people and their families. This includes: • On-site therapeutic services to young people in secure settings in Ireland (Special Care and the Children Detention Schools); • Ongoing support when young people return to community settings to help them to reengage with mainstream services, as appropriate; • Support through some of the difficult transitions in young people’s lives; • Consultation in the community for young people at significant risk of placement in secure settings. ACTS provides multidisciplinary interventions supported by evidence based research literature; clinically informed practice based evidence; best international practice and in accordance with relevant legislation, policy and guidelines. The aim of the service is to facilitate the provision of more therapeutic environments in the national Special Care Units and Children Detention Schools and to work in partnership with others to improve outcomes for the most vulnerable young people in Ireland. This document outlines the purpose and vision of this service as well as a set of core values. Together these inform the strategic focus of the service and form the basis for service development priorities for 2015.","2015-11",,,"Tusla Child and Family Agency",,"","",,,,,,"Tusla","Dublin",,"32 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.tusla.ie/publications","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MM6-6 , MO4-14 , MV14 , MV14-4 , TA12 , TA14 , TT2 , TT8-2 , TW2-10-4 , VH4-2","MM-MO Crime and law > Criminality > Juvenile delinquency (youth offending) -- MM-MO Crime and law > Justice system > Community anti-crime or legal assistance programme -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- 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 -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Criminality - Juvenile delinquency (youth offending) -- Justice system - Community anti-crime or legal assistance programme -- Social services - Services for family and children -- Social services - Services for family and children - Services for children of drugs and alcohol users -- Child -- Adolescent / youth (teenager / young person) -- Drug or health care worker -- Social worker -- Child of drugs and alcohol user","Europe - Ireland","Tusla Child and Family Agency Tusla Child and Family Agency","0","no" "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485","23","archive","5",,,"disk0/00/02/24/85","2014-08-14 12:42:28","2016-07-28 07:26:54","2014-08-14 12:42:28","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol Matrix cell D1: Organisational functioning - Screening and brief intervention.","pub","BB","","public",,,,,,,,,"2015-10","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","psychosocial_treatment_method","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
What is cell D1 about?
As described more fully in the cell A1 bite, screening and brief interventions are usually seen as public health measures, aiming to reduce alcohol-related harm across a population of drinkers. Screening programmes aim to identify people at risk of or experiencing substance use problems who are not seeking help. Many are not at the stage where treatment is appropriate or desired, so the typical response is brief advice – the 'brief intervention'.
But this cell is not about the content of the intervention (for which see cell A1), but how implementation and impact are affected by the ways and degree to which the organisation responsible for the programme supports managers, supervisors and staff, and offers an environment conducive to screening and brief intervention.
Though not commonly researched, such issues are crucial, because these procedures are often implemented by organisations for which 'normal' drinking and public health are not their core business. Without prioritisation and backing from the organisation, it's likely that screening and brief intervention will be sidelined or of poor quality.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Alcohol/D1.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16-6 , HC , HH , JG26_2_4_2 , JS , JT8_8_2 , JU , MQ6 , MQ6-2 , TT2","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- 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 -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- J Health care, prevention and rehabilitation > Health care administration -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Medical screening and diagnostic method -- Psychosocial screening and diagnostic method -- Identification and screening - Identification and screening for drugs and alcohol use -- Health care delivery -- Health care programme or facility - Community-based treatment (primary care) -- Health care administration -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22485",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582","14","archive","1684",,,"disk0/00/02/45/82","2015-10-06 11:47:58","2015-10-06 11:47:58","2015-10-06 11:47:58","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","European Drug Prevention Quality Standards","European Drug Prevention Quality Standards (EDPQS) toolkits to support quality in prevention.","pub","MP18-2","","none",,,,,,,,"As a result of a 2-year project to develop practical tools which could support practitioners, policy-makers and other members of the prevention community to achieve quality in prevention based on the EDPQS.","2015-10","published",,"European Drug Prevention Quality Standards",,"","",,,,,,,,,,,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://prevention-standards.eu/launch-of-edpqs-toolkits-to-support-quality-in-prevention/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MP18-2 , NF , NF16 , NF24 , TT2 , TT6 , TT8-2 , VA2","MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol -- N Communication, information and education > Education and training -- N Communication, information and education > Education by subject -- N Communication, information and education > Educational environment (school / college) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > International aspects","Policy - Policy on drugs and alcohol -- Education and training -- Education by subject -- Educational environment (school / college) -- Drug or health care worker -- Prevention worker -- Social worker","International aspects","European Drug Prevention Quality Standards European Drug Prevention Quality Standards","0","no" "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966","16","archive","5",,,"disk0/00/02/69/66","2017-03-06 09:24:54","2017-03-06 09:24:54","2017-03-06 09:24:54","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Social Care Institute for Excellence","Co-production in social care: what it is and how to do it.","pub","FR16-6-4-2","","public",,,,,,,,"In its simplest essence, to co-produce is to make something together. Co-production is not just a word, it's not just a concept, it is a meeting of minds coming together to find shared solutions. Key messages: • Co-production is about developing more equal partnerships between people who use services, carers and professionals. • It is important to have an agreed definition between everyone taking part in any co-production activity. • There are key principles for co-production around equality, diversity, access and reciprocity. • Co-production can help make the best use of resources, deliver better outcomes for people who use services and carers, build stronger communities and develop citizenship. • To do co-production, organisations need to make changes to their culture, structure and practice and to regularly review progress.","2015-10","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,,,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.scie.org.uk/co-production/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FR16-6-4-2 , JS , MP14-10 , MQ6-2 , TT2 , TT6 , TT8-2 , VH4-4","F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- J Health care, prevention and rehabilitation > Health care delivery -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- 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 > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Health care delivery -- Political process - Advocacy -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Prevention worker -- Social worker","Europe - United Kingdom","Social Care Institute for Excellence Social Care Institute for Excellence","0","yes" "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24961","7","archive","5",,,"disk0/00/02/49/61","2015-12-22 12:40:32","2015-12-22 12:40:32","2015-12-22 12:40:32","article",,,"show",,,,"","","","","","","","","","",,,,"Hardiman","Ann-Marie","","","","Hardiman:Ann-Marie::","",,,,,"","","Physician, heal thyself.","pub","TT2","","none",,,,,,,,"The Practitioner Health Matters Programme, launching this September, aims to support and care for dentists and other health professionals who may have a substance misuse problem or mental health issue. Formerly the Sick Doctors Scheme, which supported doctors for over 25 years, the new Programme has been updated to reflect international best practice in practitioner health, and for the first time is also open to dentists and pharmacists. Dr Íde DeLargy, a GP based in Blackrock in Dublin, is Clinical Lead for the new Programme, having been involved with the Sick Doctor Scheme since 2008. She explained the particular issues that affect health practitioners. ""Doctors, dentists and pharmacists are very slow to come forward to declare that they might have a problem with mental health issues and alcohol or substance issues. Therefore, what we find is that they present very late and usually in crisis."".....","2015-09",,,"Hardiman Ann-Marie",,"","",,"Journal of the Irish Dental Association","61","4","4","Irish Dental Association",,"169-70",,,,,,,,,,,,"","","",,"0021-1133",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.dentist.ie/_fileupload/JIDA/pdfs%20of%20Journal/2015/2015%20No_%204%20-%20August%20September.pdf","http://www.dentist.ie/journal.5621.html","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","61","Journal of the Irish Dental Association","TT2 , TT2-12 , VH4-2","T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor","VA Geographic area > Europe > Ireland","Drug or health care worker -- Doctor","Europe - Ireland","Hardiman Ann-Marie","0","yes" "24961",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24961",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470","16","archive","1684",,,"disk0/00/02/44/70","2015-09-03 11:16:48","2015-09-03 11:16:48","2015-09-03 11:16:48","guideline",,,"show",,,,"","","","","","","","","","",,,,"McEvoy","Olivia","","","","McEvoy:Olivia::","",,,,,"","","A practical guide to including seldom-heard children and young people in decision making.","pub","JA8-4","","public",,,,,,,,,"2015-09","published",,"McEvoy Olivia",,"","",,,,,,"Government Publications","Dublin",,"204 p.",,,,,,,,,,,"guideline","education_and_training","alcohol_drugs_in_general",,"ISBN 978-1-4064-2875-9",,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JA8-4 , MP14-10 , TA14 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Risk and needs assessment - Needs assessment -- Political process - Advocacy -- Adolescent / youth (teenager / young person) -- Drug or health care worker -- Prevention worker -- Social worker -- Child of drugs and alcohol user","Europe - Ireland","McEvoy Olivia","0","yes" "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24624","10","archive","5",,,"disk0/00/02/46/24","2015-10-15 07:58:45","2015-10-15 07:58:45","2015-10-15 07:58:45","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Public Health England","Health matters: smoking and quitting in England.","pub","BD","","none",,,,,,,,"Public Health England (PHE) wants to see a tobacco-free generation by 2025. Despite a continuing decline in smoking rates, nearly 1 in 5 adults still smoke and there are around 90,000 regular smokers aged between 11 and 15. The following shows what we know works to help people stop smoking. Smoking and the harm it causes aren’t evenly distributed. People in more deprived areas are more likely to smoke and are less likely to quit. Smoking is increasingly concentrated in more disadvantaged groups and is the main contributor to health inequalities in England. Men and women from the most deprived groups have more than double the death rate from lung cancer compared with those from the least deprived. Smoking is twice as common in people with longstanding mental health problems. There are relatively high smoking levels among certain demographic groups, including Bangladeshi, Irish and Pakistani men and among Irish and Black Caribbean women. Smoking in pregnancy increases the risks of miscarriage, stillbirth or having a sick baby, and is a major cause of child health inequalities.","2015-09","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,,,,,,,,,,,,"report","aod_prevention","tobacco",,,,,,"Public Health England",,,"","","","","","","","","","",,"Other useful resources:
The CLeaR self-assessment tool is an evidence based improvement model which helps local authorities to review their current efforts and develop further action to reduce smoking prevalence.
We recommend use of the NICE tobacco return on investment tool, which evaluates a variety of tobacco control interventions and models the economic returns that can be expected from each. Different interventions can be mixed and matched to see which package provides the best value for money and ROI.
A number of organisations have come together to create the ASH Local Toolkit for tobacco control. This provides a set of materials to help ensure that tackling tobacco use is high on the local public health agenda.
",,,,,,,,,,,"","https://www.gov.uk/government/publications/health-matters-smoking-and-quitting-in-england/smoking-and-quitting-in-england","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BD , BD6 , TT2 , TT6 , VH4-4","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- B Drugs and alcohol substances > Tobacco (cigarette smoking) > Tobacco smoke (cigarette law / policy) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","Tobacco (cigarette smoking) -- Tobacco (cigarette smoking) - Tobacco smoke (cigarette law / policy) -- Drug or health care worker -- Prevention worker","Europe - United Kingdom","Public Health England Public Health England","0","yes" "24624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24624",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24412","16","archive","5",,,"disk0/00/02/44/12","2015-08-13 13:36:16","2015-08-13 13:36:16","2015-08-13 13:36:16","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Canadian Centre on Substance Abuse","Competencies for the youth substance use prevention workforce: youth substance use competencies report.","pub","MQ6","","public",,,,,,,,"This report is the first resource of its kind to provide a set of measurable skills, knowledge, attitudes and values that support and enhance the delivery of effective youth health promotion and drug use prevention in Canada. The Prevention Workforce Competencies Report also identifies principles that should drive effective youth substance use prevention activities and initiatives. Those working in youth health promotion and substance abuse prevention face knowledge gaps, inconsistencies in recommended evidence and practice, a lack of understanding of and support for successful youth engagement, and a lack of common terminology and language. These challenges affect their ability to work effectively with youth and with the community, and what works with adults does not necessarily work with youth. Research indicates that working with youth requires a specialized focus on issues, needs, considerations and approaches. These points were carefully considered during research and validation for the report. The most effective youth substance use prevention activities and initiatives feature a holistic, integrated, respectful, flexible and strength-based approach informed by evidence about what works. Such initiatives are youth-driven and foster the development and maintenance of positive, collaborative relationships among youth and the community of those who care for and about them. The Prevention Workforce Competencies Report sets out 11 competencies that reflect the principles for working effectively with youth and provides a description of each competency. The four levels of proficiency — introductory, developing, intermediate and advanced — provided for each competency support health promotion, youth outreach and other workers, including health professionals, throughout the progression of their careers.","2015-08",,,"CCSA",,"","",,,,,,"Canadian Centre on Substance Abuse","Ottawa",,"34 p.",,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,,,,,"CCSA",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MQ6 , MQ6-2 , TA14 , TT2 , TT6 , VC4","MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker","VA Geographic area > Canada","Organisational development -- Organisational development - Workforce / staff skills and training -- Adolescent / youth (teenager / young person) -- Drug or health care worker -- Prevention worker","Canada","Canadian Centre on Substance Abuse Canadian Centre on Substance Abuse","0","yes" "24412",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24412",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24412",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24412",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24412",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VC4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434","18","archive","5",,,"disk0/00/02/44/34","2015-08-20 14:14:33","2015-08-20 14:14:33","2015-08-20 14:14:33","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive","Health A-Z. Drug misuse.","pub","B6","","none",,,,,,,,"The HSE provides all of Ireland's public health services, in hospitals and communities across Ireland. Use their health A-Z to learn about hundreds of medical conditions and treatments including drug misuse.","2015-08","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Health Service Executive",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.hse.ie/portal/eng/health/az/D/Drug-misuse/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"B6 , BF , BJ , BJ2-2 , BK , BL2 , FS38-6-2 , JQ8-2 , TT2 , TT6 , TT8-2 , VH4-2","B Drugs and alcohol substances > Cannabis / Marijuana -- B Drugs and alcohol substances > Hallucinogens -- B Drugs and alcohol substances > CNS stimulants -- B Drugs and alcohol substances > CNS stimulants > Amphetamines -- B Drugs and alcohol substances > Cocaine -- B Drugs and alcohol substances > Opioids (opiates) > Heroin -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Cannabis / Marijuana -- Hallucinogens -- CNS stimulants -- CNS stimulants - Amphetamines -- Cocaine -- Opioids (opiates) - Heroin -- Specific attitude and behaviour - risk-taking behaviour -- Care by type of problem - emergency care -- Drug or health care worker -- Prevention worker -- Social worker","Europe - Ireland","Health Service Executive Health Service Executive","0","yes" "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BK",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"prescription",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24434",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24242","10","archive","5",,,"disk0/00/02/42/42","2015-07-07 14:23:48","2015-07-07 14:23:48","2015-07-07 14:23:48","article",,,"show",,,,"","","","","","","","","","",,,,"Hardy","Ruth","","","","Hardy:Ruth::","",,,,,"","","How good is the social care sector at building an evidence base?","pub","JA2","","none",,,,,,,,,"2015-07-07",,,"Hardy Ruth",,"","",,"Guardian Social Care Network",,,,"The Guardian",,,,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"“Social workers need the time and space to find, use and share research. That’s difficult to do when you have so much work that you don’t feel able to stop and think,” says Gerry Nosowska, a former social worker and manager who now supports social workers to use evidence in practice. “We need a culture in our organisations that encourages and values social workers reading, discussing and reflecting.”
It is not just social workers who need the time and resources to be able to base their decisions on evidence; people at all levels of social care, from policymakers and commissioners down to frontline staff, should be grounding their conclusions on solid, up-to-date research.
But, for various reasons, social care has struggled with developing a robust evidence base. A report from the National Audit Office last year stated that “compared with healthcare, evidence is weaker on which ways of commissioning and providing services are the most cost-effective”. In a time of major cutbacks in council budgets, this matters; we need to be sure that the money we do have is being spent in the most effective ways.
This standard operating procedure is for the Child and Adolescent Mental Health Services (CAMHS) – Community Teams. It provides information for team members and for other services about CAMHS provision and the care processes in the following areas:
»» Clinical Governance
»» Core Business of CAMHS
»» Referrals, Triage and Flow Chart
»» Diagnosis
»» Integrated Care Planning
»» Clinical Reviews
»» Service User Involvement
»» Management of DNAs (did not attend)
»» Transition to Adult Mental Health Services.
",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JQ6-8 , TA12 , TA14 , TT2-14 , TT8-2 , VH4-2","J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Care by type of problem - Mental health care -- Child -- Adolescent / youth (teenager / young person) -- Nurse -- Social worker","Europe - Ireland","Health Service Executive Health Service Executive","0","no" "24172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166","23","archive","5",,,"disk0/00/02/41/66","2015-06-24 08:07:08","2015-06-24 08:07:08","2015-06-24 08:07:08","monograph",,,"show",,,,"","","","","","","","","","",,,,"Hope","Ann","","","","Hope:Ann::","",,,,,"","","Research evidence to prevent alcohol-related harm: what communities can do in Ireland.","pub","BB","","public",,,,,,,,"A practical guide that supports communities to tackle alcohol-related harm has been developed by Galway Healthy Cities Alcohol Forum. It guides communities through evidence-based solutions that can be undertaken in local areas– and provides clear references so that people can know what is proven to work to improve health and social problems. The booklet – Research evidence to prevent alcohol-related harm: What communities can do in Ireland - translates the science into a format that can be easily understood starting with the policy areas with the strongest scientific evidence and providing practical community action opportunities. Dr Hope stressed that “key areas of supply, such as price, availability and marketing; and demand, such as early intervention need to be addressed to prevent and reduce alcohol problems”. The HSE recently announced a new policy on alcohol-related education and communications programmes, which formally separates HSE public health advice from partnership with the alcohol industry, a decision which was supported by the evidence provided in this new guide. Cate Hartigan concluded: ‘The overall approach to alcohol action across the health and community sector is informed by our collective responsibility to protect health, and to promote evidence-based alcohol policy. This new guide is an excellent example of how we can work together to reduce alcohol-related harm, and support a population to be more informed on how alcohol affects our health and wellbeing, our work and relationships, our children and our society’.","2015-06","published",,"Hope Ann",,"","",,,,,,"Galway Healthy Cities: Galway City Alcohol Strategy to Prevent and Reduce Alcohol-Related Harm (2013-2017).","Galway",,"24 p.",,,,,,,,,,,"","","","978-1-898098-67-6",,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.galwayalcoholstrategy.ie/","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BB , GC16-6 , JA2 , JB2-4 , JF8 , LC2-4 , ML2 , MP18-2-8-16 , ND2-6 , TT2 , TT2-14 , TT6 , TT8-2 , VH4-2-6","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MA-ML Social science, culture and community > Community action > Community development -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol > Harm reduction policy -- N Communication, information and education > Information transfer > Information transfer from research to practice -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland > Galway","Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Health services, drugs and alcohol research -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Prevention by sponsor or setting - Community-based prevention -- Interpersonal interaction and group dynamics - Social support -- Community action - Community development -- Policy - Policy on drugs and alcohol - Harm reduction policy -- Information transfer - Information transfer from research to practice -- Drug or health care worker -- Nurse -- Prevention worker -- Social worker","Europe - Ireland - Galway","Hope Ann","0","no" "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ML2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2-8-16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247","17","archive","5",,,"disk0/00/02/42/47","2015-07-08 07:25:36","2015-07-08 07:26:14","2015-07-08 07:25:36","monograph",,,"show",,,,"","","","","","","","","","",,,,"O'Dwyer","Patricia","","","","O'Dwyer:Patricia::","",,,,,"","","Evaluation of the contribution of the child protection public health nurse to inter-professional working in child protection. An integrated health and social care model of child protection.","pub","GA4","","public",,"other",,,,,,,"2015-06","published",,"O'Dwyer Patricia",,"","",,,,,,"Child and Family Agency South Lee Cork","Cork",,"58 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"Recommendation 1
- There is a role for child protection public health nurses to work within the Child and Family Agency, to provide clinical expertise in the area of child health and development and to be the link between the Agency and local primary care teams.
- Alternatively, there is a role for a designated child protection public health nurses within primary care to support, supervise and strengthen the child protection aspect of the role of the public health nurse and to link with the Child and Family Agency.
- With the development of the Meitheal model there is also a role for the designated child protection public health nurse to liaise with the local coordinator of this initiative in respect of the cases that involve young children who require this specific support.
Recommendation 2 - Public health nurses should make use of the Child and Family Health Needs Assessment Record when making referrals to the Child and Family Agency. The assessment should cover issues specific to how parents’ problems are impacting on the health and development of a child/children.
Recommendation 3 - Social work teams should work at a local level with the public health nursing service, to promote and better understand the child protection referral and assessment process and the threshold for referral to the Agency.
Recommendation 4 - Social work teams should continue to work at a local level with the public health nursing service, so as to ensure prompt communication and follow-up following referral, thus ensuring that the child does not remain vulnerable and the public health nurse does not retain an unacceptable level of responsibility.
Recommendation 5 - There should be protocols in place to guide best practice in consulting with the child protection public health nurse in South Lee social work department.
Recommendation 6 - A course in court room skills should form part of the induction to the role of child protection public health nurse.
Recommendation 7 - A strategy should be developed to support assistant directors of public health nursing in developing skills in supervision so as to enable them to keep pace with the increasing complexity of child welfare and protection cases.
Recommendation 8 - The Child and Family Agency should ensure that the arrangements for the supervision of the child protection public health nurse are clearly understood and robust.
Recommendation 9 - The Child and Family Agency and the public health nursing service should take every opportunity to promote and publicise interdisciplinary training opportunities.
Recommendation 10 - The South Lee social work department should organise succession planning for the post of Child protection public health nurse.
",,,,,,,,,,,"",,"http://www.tusla.ie/staff/research/links-to-research","org",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"GA4 , JS , JT8_8_2 , MQ6-2 , MV , TA12 , TA14 , TT2-14 , TT8-2 , VH4-2-3","G Health and disease > Public health -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland > Cork","Public health -- Health care delivery -- Health care programme or facility - Community-based treatment (primary care) -- Organisational development - Workforce / staff skills and training -- Social services -- Child -- Adolescent / youth (teenager / young person) -- Nurse -- Social worker","Europe - Ireland - Cork","O'Dwyer Patricia , Cahalane Sheila , Pelican-Kelly Susanne","0","yes" "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cahalane","Sheila","","",,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pelican-Kelly","Susanne","","",,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-3",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134","15","archive","5",,,"disk0/00/02/41/34","2015-06-19 08:46:42","2015-06-19 08:47:03","2015-06-19 08:46:42","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","NHS Choices","The effects of drugs.","pub","AM","","none",,,,,,,,,"2015-05","published",,"NHS Choices",,"","",,,,,,"NHS Choices","London",,,,,,,,,,,,,"","aod_prevention","cannabis",,,,,,"NHS Choices",,,"","","","","","","","","","",,"Drug abuse can be harmful to your health. We look at some of the most commonly taken illegal drugs, what they are, and how they can affect you.
The HSE's Performance Report (PR) provides an overall analysis of key performance data from Divisions, such as Acute, Mental Health, Social Care, Primary Care, Health and Wellbeing as well as Finance and HR. The activity data reported is based on Performance Activity and Key Performance Indicators outlined in the current National Service Plan.
P.53 Opioid substitution treatment access (see also p.48 & p.50)
The number of clients in receipt of opioid substitution treatment (outside of prison) (Target 9,400 Monthly)
The number of clients in receipt of opioid substitution treatment (in prison) (Target 490 Monthly)
P.56 – financial figures for methadone treatment
For more details see 'HSE data report' pages 17 & 42
P.43 Tobacco Control intensive cessation support data includes support provided within hospital groups, community services and the QUIT team. Since 1st January the QUIT team now provide an integrated support service over the phone, online, through social media, and by SMS and email. The online service includes the interactive QUIT.ie website, talking to the QUIT team via Live Chat, and using our online QUITplan. This complements the face-to face HSE QUIT services provided in hospitals and community services around the country, providing one-to-one and group support for smokers.
P.6 The tobacco control programme provided 979 smokers with intensive smoking cessation support
Brief Intervention Training for Smoking Cessation
38 front line staff received training in Brief Intervention Smoking Cessation in the first month of 2015 compared to 95 (target was 50) for the same period in 2014 (24% below target). Attendance at training is seasonal with higher uptake in mid-spring and mid-Autumn traditionally. Additional training courses are scheduled for February and March
",,,,,,,,,,,"",,"http://www.hse.ie/eng/services/publications/corporate/performancereports/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BL , HK2-10-2-2 , HK2-10-2-2-2 , JS , JU10 , TT2 , VH4-2","B Drugs and alcohol substances > Opioids (opiates) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Opioids (opiates) -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) - Methadone maintenance -- Health care delivery -- Health care administration - Health care quality control -- Drug or health care worker","Europe - Ireland","Health Service Executive Health Service Executive","0","no" "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23741",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303","14","archive","5",,,"disk0/00/02/43/03","2015-07-17 13:57:44","2015-07-17 13:57:44","2015-07-17 13:57:44","guideline",,,"show",,,,"","","","","","","","","","",,,,"Miller","Robin","","","",,"",,,,,"","","An adult social care compendium of approaches and tools for organisational change.","pub","JS","","none",,,,,,,,"The purpose of this compendium is to support managers working in adult social care to be more knowledgeable about and confident in the application of different approaches and tools relevant to managing change in their organisations. In the compendium an ‘approach to change’ is used to denote an ‘overarching framework that can guide a change process’ and ‘change management tools’ as ‘techniques or templates to understand or support a specific aspect of the change process’. Examples of the latter would be stakeholder mapping exercises, organisational diagnostic methodologies, engagement processes, and direct team based interventions. The compendium does not provide detailed guidance on how to apply each approach and tool, but presents an accessible overview of what each entails, the thinking that lies behind them, and (where available) a reflection on the empirical evidence of their application in practice. Having access to this information will help to demystify the often confusing and intimidating terminology that surrounds change approaches, and in doing so will enable managers to identify the approaches most relevant to a change they are leading and explore in more depth. Understanding the method being followed will also support individuals who access services and their families to engage on a more equal playing field within a change process. This includes people who access services and their families. While potentially relevant to social care managers working at all levels of an organisation, the compendium is specifically designed for those responsible for a single service (e.g. home care team, residential care home) or team (e.g. care management team), and those who directly manage service and team managers. Section 1: Fictional case studies which illustrate how four key approaches to could be deployed within adult social care. These case studies also illustrate how other change management tools could be incorporated within such a change process. Further details and supporting resources for each approach and tool are provided in Section 2. Section 2: A directory of change approaches and change management tools based on a review of current literature including available empirical research and the views of people who have experienced and led change. A short commentary on the application of the social care change principles through these approaches is also provided.","2015-04","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,"136 p.",,,,,,,,,,,"report","education_and_training","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.download.bham.ac.uk/socsci/hsmc/hsmc-flip-book/ssrc-hsmc_flip.html#p=1","http://www.scie.org.uk/publications/elearning/organisational-change-in-social-care/resource/index.html?utm_campaign=5884182_SCIE+E+Bulletin+01+July+2015&utm_campaign=5943712_SCIE+ebulletin+17+July+2015&utm_medium=email&utm_source=SCIE&utm_sfid=%20&utm_sfi","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JS , JU10 , LC2-4 , MQ6 , MV , TT2 , TT8-2 , VH4-4","J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Health care delivery -- Health care administration - Health care quality control -- Interpersonal interaction and group dynamics - Social support -- Organisational development -- Social services -- Drug or health care worker -- Social worker","Europe - United Kingdom","Miller Robin , Freeman Tim , Davidson Deborah , Glasby Jon","0","yes" "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Freeman","Tim","","",,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Davidson","Deborah","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Glasby","Jon","","",,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23293","15","archive","5",,,"disk0/00/02/32/93","2015-01-20 09:22:05","2015-01-20 09:22:05","2015-01-20 09:22:05","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Substance Misuse Skills Consortium","Peer support toolkit.","pub","LC2-14","","public",,,,,,,,"There is a strong tradition of peer support in the drug and alcohol field. The people involved go by various names – recovery champions, buddies, peer mentors and more – but the gist remains the same: that people themselves in recovery from drug and alcohol use can be authentic and effective voices in supporting others along their own journeys. This toolkit brings together information for peer supporters and their managers.","2015-01",,,"Public Health England",,"","",,,,,,"Substance Misuse Skills Consortium","London",,"25 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LC2-14 , LC2-4 , TA14 , TT2 , TT6 , VH4-4","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 -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","Interpersonal interaction and group dynamics - Peer relations -- Interpersonal interaction and group dynamics - Social support -- Adolescent / youth (teenager / young person) -- Drug or health care worker -- Prevention worker","Europe - United Kingdom","Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "23293",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23293",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23293",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23293",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23293",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785","19","archive","5",,,"disk0/00/02/47/85","2015-11-10 09:39:05","2015-11-10 09:39:05","2015-11-10 09:39:05","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","International HIV/AIDS Alliance","Step by step toolkit. Preparing for work with children and young people who inject drugs.","pub","JB2-4","","public",,,,,,,,"Globally, the protection and care of children and young people who inject drugs receives little attention. It is a controversial and often misunderstood issue and one that is severely underfunded. Global research presents shocking figures and evidence of restrictive laws preventing young people from accessing harm reduction. Rarely are services developed with children under 18 in mind, and organisations often lack capacity to attend to this highly vulnerable group. Young people also report experiencing significant barriers to accessing harm reduction services when they are under 18 due to a number of factors, including staff attitudes and organisational policies and practices. This tool is a product of a partnership between Harm Reduction International (HRI), Youth Rise, International HIV/AIDS Alliance and Save the Children and was developed in response to HRI research on injecting drug use among under 18s globally that highlighted gaps in the response for this group. This resource is intended for harm reduction service providers with limited experience of working with children and young people who inject drugs. It sets out a process that you can go through quickly, with little cost, to prepare for work with children and young people who are under 18. It is designed to help your organisation and staff to feel safe in commencing this work, and to support you in thinking through the challenging situations and decisions that you face. In some cases, it may lead you to decide that you are not yet ready to go ahead with this work.","2015","published",,"Harm Reduction International",,"","",,,,,,"International HIV/AIDS Alliance","London",,"52 p.",,,,,,,,,,,"report","aod_use_harm_reduction","opioid",,,,,,"Harm Reduction International",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.ihra.net/contents/1660","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JB2-4 , JF8 , MQ6 , MQ6-2 , TA12 , TA14 , TL4-10-4 , TT2 , TT6 , TT8-2 , VH4-4","J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Intravenous / injecting drug user -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Prevention by sponsor or setting - Community-based prevention -- Organisational development -- Organisational development - Workforce / staff skills and training -- Child -- Adolescent / youth (teenager / young person) -- Intravenous / injecting drug user -- Drug or health care worker -- Prevention worker -- Social worker","Europe - United Kingdom","International HIV/AIDS Alliance International HIV/AIDS Alliance , Harm Reduction International Harm Reduction International , Save the Children Save the Children , Youth RISE Youth RISE","0","yes" "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Harm Reduction International",,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Save the Children",,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Youth RISE",,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24830","15","archive","1684",,,"disk0/00/02/48/30","2015-11-18 14:07:26","2015-11-18 14:07:26","2015-11-18 14:07:26","guideline",,,"show",,,,"","","","","","","","","","",,,,"Manning","Joanna","","","","Manning:Joanna::","",,,,,"","","Help me understand.","pub","LG18-2","","public",,,,,,,,,"2015","published",,"Manning Joanna",,"","",,,,,,"The Children's Society","London",,,,,,,,,,,,,"manual","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,"A booklet to help children, young people and workers talk about an adult’s alcohol and drug treatment.
",,,,,,,,,,,"",,"http://www.childrenssociety.org.uk/","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-2 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Marital relations - Family and kinship - Family relations - Parent-child relations -- Drug or health care worker -- Prevention worker -- Social worker -- Child of drugs and alcohol user","Europe - United Kingdom","Manning Joanna , Horst Caroline","0","yes" "24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Horst","Caroline","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832","18","archive","1684",,,"disk0/00/02/38/32","2015-04-22 11:06:02","2015-04-22 12:42:28","2015-04-22 11:06:02","monograph",,,"show",,,,"","","","","","","","","","",,,,"McMonagle","Helen","","","","McMonagle:Helen::","",,,,,"","","Alcohol-related brain injury a guide for professionals.","pub","AM","","none",,"other",,,,"Please contact the Alcohol Forum for full guide info@alcoholforum.org",,"Our over-arching aim of this guide is to improve the overall quality of care individuals with Alcohol- Related Brain Injury (ARBI) receive during their contact with services. By encouraging a chain of intra and inter-professional dialogue around ARBI we hope to cultivate a multi-disciplinary cross-tier approach to the identification, assessment, treatment and rehabilitation of this disorder.","2015",,,"McMonagle Helen",,"","",,,,,,"Alcohol forum","Letterkenny",,"11 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://af.mannadev.com/wp-content/uploads/2015/04/ARBI-Prof-for-website-.pdf","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AM , BB , GA2-2 , GD , JS , TT2 , TT2-12 , TT2-14 , TT8-2 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- G Health and disease > State of health > Physical health -- G Health and disease > Drugs and alcohol related disorder -- J Health care, prevention and rehabilitation > Health care delivery -- 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 > Ireland","Drugs and alcohol effects and consequences -- Alcohol -- State of health - Physical health -- Drugs and alcohol related disorder -- Health care delivery -- Drug or health care worker -- Doctor -- Nurse -- Social worker","Europe - Ireland","McMonagle Helen , Hogan Mark , Morrissey Anne Marie , Mills Fiona , McMonagle Caroline , Tolan Sinead , O Domhnaill Sean , Butler Mary","0","no" "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hogan","Mark","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Morrissey","Anne Marie","","",,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mills","Fiona","","",,,,,,,,,,,,"GD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McMonagle","Caroline","","",,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tolan","Sinead","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O Domhnaill","Sean","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Butler","Mary","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23833","13","archive","5",,,"disk0/00/02/38/33","2015-04-22 13:31:19","2015-04-22 13:31:19","2015-04-22 13:31:19","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Tusla Child and Family Agency","Meitheal toolkit.","pub","LG14-10","","public",,"other",,,,,,"The Meitheal Toolkit is intended for use by practitioners using Meitheal – A National Practice Model for all agencies working with children, young people and their families. It provides direction, guidance and advice on all stages of the Meitheal process and as such can be used as a roadmap for undertaking a Meitheal effectively. The toolkit is a practical resource that will: • inform and guide practitioners through the Meitheal process; • provide direction, advice and guidance on how best to undertake the Meitheal process; • provide support and guidance to Lead Practitioners to undertake their role effectively in the Meitheal process; • identify how to store and share information safely as part of the Meitheal process; • provide Meitheal documentation and guidance on how to complete Meitheal Forms; • provide guidance on facilitating meetings as part of the Meitheal process. The Meitheal Toolkit has been developed as a resource that practitioners can use either in its entirety to get an overall understanding of the Meitheal process and how it works in practice, or that practitioners can dip in and out of in accordance with the stage of the Meitheal process they are currently working on. The list of Contents is a useful tool to aid your navigation through the toolkit. The toolkit is also designed in order to be located online on the Tusla website (www.tusla.ie). For this reason, when you are reading it in the form of one complete document, you may find some repetition.","2015",,,"Tusla Child and Family Agency",,"","",,,,,,"Tusla",,,"168 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.tusla.ie/publications","http://www.tusla.ie/uploads/content/Meitheal_Parents_Information_Leaflet.pdf","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG14-10 , MV14 , TT2 , TT8-2 , VH4-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Marital relations - Family and kinship - Family structure - Family support -- Social services - Services for family and children -- Drug or health care worker -- Social worker","Europe - Ireland","Tusla Child and Family Agency Tusla Child and Family Agency","0","yes" "23833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.tusla.ie/uploads/content/Meitheal_Children_and_Young_Peoples_Information_Leaflet.pdf",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725","21","archive","5",,,"disk0/00/02/37/25","2015-04-08 07:48:31","2015-04-08 07:55:40","2015-04-08 07:48:31","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug matrix cell B5: Practitioners - safeguarding the community.","pub","AN","","public",,,,,,,,,"2014-11","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings","London",,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is this cell about? As described in cell A2’s bite, whether medical or psychosocial, chosen positively or under pressure, among the ‘common factors’ affecting treatment’s success is the patient’s relationships with treatment staff. This cell explores research on the client-worker relationship and on the attributes of the worker which affect their clients’ progress in criminal justice and allied settings, where treatment is offered or imposed not because it has been sought by the client, but because it is thought that treating their substance use could reduce offending or otherwise benefit the community. Though across psychotherapy now seen as of at least as much importance, the interpersonal style and other features of staff are much less commonly researched than the intervention they are delivering. From the small number of documents in this cell, you will see this lack is particularly apparent in criminal justice and allied settings. In the expectation that the influences exerted by practitioners in these settings may not differ too much from those elsewhere, for more studies we can refer you back to the other cells dealing with practitioner influences: cell B1 for harm reduction, cell B2 for treatment studies in general, cell B3 for medical treatments, and cell B4 for psychosocial therapies.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/B5.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AN , FR16-6-4-2 , JP10_2_2 , JP10_6 , LN12 , MK12-2 , MQ6-2 , TT2 , TT2-12 , TT2-14 , TT4-4 , TT8-2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol related societal (social) problems -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- L Social psychology and related concepts > Social context > Community environment -- MA-ML Social science, culture and community > Social costs and benefits > Social costs and benefits of drugs and alcohol -- 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 > Counsellor / Therapist -- T Demographic characteristics > Social worker",,"Drugs and alcohol related societal (social) problems -- Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Social context - Community environment -- Social costs and benefits - Social costs and benefits of drugs and alcohol -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Doctor -- Nurse -- Counsellor / Therapist -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"FR16-6-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23725",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726","19","archive","5",,,"disk0/00/02/37/26","2015-04-08 07:53:19","2015-04-08 08:10:50","2015-04-08 07:53:19","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug matrix cell C5: Management/supervision - safeguarding the community.","pub","FR16-6-4-2","","public",,,,,,,,,"2014-11","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is this cell about? Therapy (cell A5)and therapists (cell B5) matter of course, but so do the management functions of selecting, training and managing staff, and managing the intervention programme. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether staff are able to develop and maintain appropriate attitudes and knowledge, depend on management and supervision. This cell is about the role played by these functions in treatment organised and/or funded by criminal justice and other authorities, when treatment is offered or imposed not because it has been sought by the patient, but because it is thought that treating their substance use problems could cut crime or otherwise benefit the community, including the drugtaker’s family. Studies which document the community and family impacts of treatment in general may also be found in this cell.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/C5.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FR16-6-4-2 , JP10_2_2 , JP10_6 , LN12 , MQ6 , MQ6-2 , TT2 , TT2-14 , TT4-4 , TT8-2","F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- L Social psychology and related concepts > Social context > Community environment -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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",,"Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Social context - Community environment -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Counsellor / Therapist -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727","16","archive","5",,,"disk0/00/02/37/27","2015-04-08 08:02:06","2015-04-08 08:09:12","2015-04-08 08:02:06","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug matrix cell D5: Organisational functioning - safeguarding the community.","pub","JP","","public",,,,,,,,,"2014-11","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium",,,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is this cell about? As well as concrete things like staff, management committees, resources, and an institutional structure, organisations have links with other organisations, histories, values, priorities, and an ethos, determining whether they offer an environment in which staff and patients/clients can maximise their potential. For these and other reasons, agencies differ in how keenly and effectively they seek and incorporate knowledge and implement evidence-based practices. This cell is about the role organisational contexts play in treatment organised and/or funded by criminal justice and other authorities which offer or impose treatment, not because it has been sought by the patient, but because it could cut crime or otherwise benefit the community. At this distance from the preoccupation with interventions, research is scarce and rarely of the gold-standard, randomised controlled trial format. Instead, researchers usually look for patterns in what naturally happens rather than manipulating it to test the consequences. Those patterns may reflect the presumed cause and effect mechanisms, but they may instead reflect unmeasured variables which randomisation eliminates from the effectiveness equation. In the expectation that organisational influences in these settings may not differ too much from those in criminal justice and child protection, we can also refer you back to the relevant cells in respect of harm reduction, generically across treatment, medical treatments, and psychosocial therapies.
",,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/D5.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JP , JT , JT14-4-12-4 , MQ6 , MQ6-2 , TT2 , TT2-14 , TT8-2","J Health care, prevention and rehabilitation > Treatment and maintenance -- J Health care, prevention and rehabilitation > Health care programme or facility -- J Health care, prevention and rehabilitation > Health care programme or facility > Drugs and alcohol disorder treatment unit -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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 > Social worker",,"Treatment and maintenance -- Health care programme or facility -- Health care programme or facility - Drugs and alcohol disorder treatment unit -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JT",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23727",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052","22","archive","5",,,"disk0/00/02/30/52","2014-11-27 15:48:25","2014-11-27 15:49:16","2014-11-27 15:48:25","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive","Health service national service plan 2015.","pub","BD6","","public",,"annual_report",,,,,,,"2014-11","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,"128 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"PDF P.29 Tobacco control and substance misuse
P.31 - Develop joint protocols for integrated care planning between mental health services and drug and alcohol services.
P.33 2015 Budget - Primary Care €m726.0 + Drugs Task Force €m21.6 = TOTAL €m747.6
P.36-37 Social inclusion - Key priorities with actions to deliver in 2015
HIGHLIGHTS OF NSP 2015
Patient Quality and Safety
The HSE placed a significant focus on quality and patient safety during 2014. This focus will be further strengthened in 2015, to ensure that quality and patient safety remains at the heart of health service delivery. This emphasis aims to ensure that people’s experience of the health service is not only safe and of high quality, but also caring and compassionate.
To enable the health services to deliver on this objective, the HSE has redesigned its National Quality and Patient Safety function to give it an enhanced role in relation to both quality improvement and quality assurance, within an environment where patients, service users and staff are involved, their opinions sought and their voice is heard. The HSE has established a Quality and Patient Safety Enablement Programme which will give effect to these changes and this is included as a Schedule in the National Service Plan.
Accountability Framework
The HSE recognises the critical importance of good governance and of continually enhancing its accountability arrangements. In this regard and in the context of the establishment of the Hospital Groups and Community Health Organisations, the HSE is strengthening its accountability arrangements and is putting in place a new Accountability Framework.
This enhanced governance and accountability framework makes explicit the responsibilities of all managers to deliver on the targets set out in the Service Plan across the Balanced Score Card in relation to access to services, the quality and safety of those services, finances and workforce. The process involves the introduction of a formal escalation, support and intervention process for underperforming services which will include a range of sanctions for significant or persistent underperformance.
In this regard, any over run from 2015 onwards will fall to be dealt with by the HSE in the subsequent financial year. This places further emphasis on the need for managers of services to operate within their allocated resource limit in 2015. Failure to achieve this will result in having to deal with any overrun as a first charge on their resources the following year.
Dealing with Delayed Discharges
The numbers applying for support under the Nursing Home Support Scheme continues to grow which is impacted by the growing number of older persons in Ireland. The over-80 years population, with the greatest need for health services, is growing by some 4% annually. The NSP has allocated €25m to begin to address delayed discharges. This funding will be targeted at, among other initiatives, the provision of intensive home care packages, long term care beds and intermediate care beds. Approximately €10m of this relates to the Nursing Home Support Scheme (Fair Deal), which provides for an additional 300 long-stay beds.
Mental Health
An additional €35m is provided as part of Programme for Government funding. In addition, €23m is provided for both 2013 and 2014 posts. There will be a continued focus by the Mental Health Services on mental health promotion and suicide prevention throughout 2015. Furthermore, community services will continue to be strengthened with improved access to CAMHS and counselling/psychotherapy interventions.
Disability Services
An additional €20m funding has been provided for disability services for 2015. It is expected that additional day services will be provided for up to 1,400 young people who are due to leave school and rehabilitative training. Furthermore, there will be a progression of disability services for children and young people. Funding is provided for transitioning 150 people from congregated settings to the community.
Staffing Levels
Greater autonomy has been delegated to the HSE to manage its staffing levels within the overall pay Framework. This is an important development as it will assist the health services in placing a focus on quality and patient safety across its services and in reducing agency costs.
Information Technology
The NSP has provided for €55m for ICT capital. This will be used to support the maintenance and development of the HSE infrastructure. This will include investment in both acute and community based systems.
",,,,,,,,,,,"",,"http://www.hse.ie/eng/services/Publications/corporate/serviceplans/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BD6 , GA4 , HK2-10-2-2-2 , JP10 , JS , JU10 , JV , MP18-2-8-16 , TT2 , VH4-2","B Drugs and alcohol substances > Tobacco (cigarette smoking) > Tobacco smoke (cigarette law / policy) -- G Health and disease > Public health -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- J Health care, prevention and rehabilitation > Health care economics -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol > Harm reduction policy -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Tobacco (cigarette smoking) - Tobacco smoke (cigarette law / policy) -- Public health -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) - Methadone maintenance -- Treatment and maintenance - treatment factors -- Health care delivery -- Health care administration - Health care quality control -- Health care economics -- Policy - Policy on drugs and alcohol - Harm reduction policy -- Drug or health care worker","Europe - Ireland","Health Service Executive Health Service Executive","0","no" "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2-8-16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923","13","archive","5",,,"disk0/00/02/29/23","2014-11-06 12:11:38","2014-11-06 12:11:38","2014-11-06 12:11:38","article",,,"show",,,,"","","","","","","","","","",,,,"Curtin","Margaret","","","","Curtin:Margaret::","",,,,,"","","Supporting children in families experiencing mental health difficulties.","pub","JQ6-8","","public",,,,,,,,,"2014-10",,,"Curtin Margaret",,"","",,"Drugnet Ireland","Issue 51, Autumn 2014",,,"Health Research Board",,"21-22",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"In June 2014 Barnardos published a report outlining the experiences of children of parents with mental health difficulties, reviewing current levels of support and making recommendations for enhancing services.1 The report reviews the relevant literature and draws on discussions with parents, carers and professionals in the mental health area.
The report emphasises that parental mental health difficulties alone present little risk of harm to children but that a lack of appropriate supports can compromise a child’s ability to cope. However, parental mental health difficulties are often associated with other risk factors such as poverty or addiction, which can have a huge impact on family life. As a result, a child’s social, emotional and cognitive development can be adversely affected. Children are affected by their parents’ mood and can become anxious and unsettled, particularly if the situation has not been explained to them by a supportive adult in an age-appropriate way. Moreover, many children take on an unrecognised caring role in the family.
Entrenched societal attitudes and discrimination mean that parents are often reluctant to ask for help as they fear that their capacity to parent their children will be questioned. Moreover, the current, predominantly medical, approach to mental health leads to a reliance on medication and does not adequately address broader family support needs. As a result, parents and children can feel isolated and the root cause of the distress can be overlooked. Side-effects of medication can further compound problems, for example when parents who are taking benzodiazepines or other medication experience drowsiness and slowed reactions which compromise their ability to respond to their children’s needs.
The report calls for a holistic approach to supporting families facing complex challenges, whereby each family member is heard and their needs considered. Barnardos believe that the present family, health and child support systems need to move from a traditional approach of working in isolation to an integrated inter-agency working model which recognises patients as parents and sees parents and children in a family context, i.e. a family model approach. Key recommendations include:
1 Barnardos (2014) Patients. parents. people. Towards integrated supports and services for families experiencing mental health difficulties. Dublin: Barnardos. www.drugsandalcohol.ie/22129
",,,,,"Issue 51, Autumn 2014",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 51, Autumn 2014","Drugnet Ireland","JQ6-8 , LG14-10 , LG18-12 , TA12 , TT8-2 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Care by type of problem - Mental health care -- Marital relations - Family and kinship - Family structure - Family support -- Marital relations - Family and kinship - Family relations - Family role -- Child -- Social worker -- Child of drugs and alcohol user","Europe - Ireland","Curtin Margaret","0","yes" "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718","18","archive","5",,,"disk0/00/02/27/18","2014-10-01 10:22:39","2014-10-01 10:22:39","2014-10-01 10:22:39","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell B4: Practitioners - psychosocial therapies.","pub","HZ","","public",,,,,,,,,"2014-10","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"report","psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell B4 about?
Every treatment involves direct or indirect human interaction, but this cell is about ‘psychosocial’ therapies in which interaction is intended to be the main active ingredient. These range in form (see cell A4 for more) from brief advice and counselling to extended therapies based on psychological theories, and all-embracing residential communities where clients stay for months. Of course, what is done in therapy matters, but as long as this is a well structured, bona fide treatment which ‘makes sense’, the ‘common factors’ shared by different therapies seem more critical to their success. For the patient, the main embodiment of these factors is how the therapist relates to them, the influence of which we have already seen generally in treatment and in respect of medical treatments. Unsurprisingly, the evidence is stronger still when the structured enactment of that relationship is the treatment. In this cell we focus on the client-worker relationship, and on whether some therapists are more successful because they more strongly forge the right kind of relationships – ‘therapeutic’ relationships.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/B4.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HZ , HZ12 , HZ2-6-6 , HZ26 , HZ8-4 , JP10 , JP10_2_2 , JP10_6 , TT2 , TT4-4","HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Behaviour therapy -- HJ Treatment method > Psychosocial treatment method > Group therapy -- HJ Treatment method > Treatment outcome -- HJ Treatment method > Directive and nondirective therapy > Psychoanalytic therapy -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Counsellor / Therapist",,"Psychosocial treatment method -- Behaviour therapy -- Psychosocial treatment method - Group therapy -- Treatment outcome -- Directive and nondirective therapy - Psychoanalytic therapy -- Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Drug or health care worker -- Counsellor / Therapist",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HZ12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787","16","archive","5",,,"disk0/00/02/27/87","2014-10-15 08:16:12","2014-10-15 08:22:37","2014-10-15 08:16:12","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell C4: Management/supervision - psychosocial therapies.","pub","HZ","","public",,,,,,,,,"2014-10","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell C4 about?
About managing services which deliver psychosocial therapies. Every treatment involves direct or indirect human interaction, but this cell is about ‘psychosocial’ therapies in which interaction is intended to be the main ingredient. These range in form from brief advice and counselling to extended therapies based on psychological theories, and all-embracing residential communities where clients stay for months. The content and approach of therapy and the qualities of the staff matter of course, but these exert their influence within a context set by the management functions of selecting, training and managing staff, and managing the intervention programme, including deciding treatment goals and which patients are offered which therapies. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether staff are able to develop and maintain appropriate attitudes and knowledge, depend on management and supervision.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/C4.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HZ , HZ26 , JP10 , JS , JU10 , MQ6 , MQ6-2 , TT2 , TT4-4","HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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 > Counsellor / Therapist",,"Psychosocial treatment method -- Treatment outcome -- Treatment and maintenance - treatment factors -- Health care delivery -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Counsellor / Therapist",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22788","13","archive","5",,,"disk0/00/02/27/88","2014-10-15 08:22:08","2014-10-15 08:22:08","2014-10-15 08:22:08","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell D4: Organisational functioning - psychosocial therapies.","pub","HZ","","public",,,,,,,,,"2014-10","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell D4 about?
As well as concrete things like staff, management committees, resources, and an institutional structure, organisations have links with other organisations, histories, values, priorities, and an ethos, determining whether they offer an environment in which staff and patients/clients can maximise their potential. For these and other reasons, agencies differ in how keenly and effectively they seek and incorporate knowledge and implement evidence-based practices. The best might have effective procedures for monitoring performance and to identify when and what improvements are needed, facilitate staff learning, forge links with other organisations, and submit to external accreditation and quality assurance. Research cited in this cell is about the impact of these attributes on the human interactions involved in ‘psychosocial’ therapies, ranging from brief advice and counselling to extended therapies based on psychological theories. At this remove from the preoccupation with intervention effectiveness, research is scarce, and generic sources (incorporated in Australian guidance) beyond the scope of the matrices become more important.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/D4.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HZ , JS , JU , MQ6 , MQ6-2 , TT2","HJ Treatment method > Psychosocial treatment method -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Psychosocial treatment method -- Health care delivery -- Health care administration -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619","18","archive","5",,,"disk0/00/02/26/19","2014-09-10 13:06:18","2014-09-25 07:54:06","2014-09-10 13:06:18","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell E3: Treatment systems - medical treatment.","pub","HK2","","public",,,,,,,,,"2014-09","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell E3 about?
The roles of medical services and interventions within treatment systems implemented across an administrative area; in particular, their role in creating an effective and cost-effective mix of services which offers patients/clients attractive access points and appropriate options for moving between services or using them in parallel. Involves commissioning, contracting and purchasing decisions to meet local needs in the context of resource constraints and national policy.
Activities include: needs assessment; restructuring or re-tendering services; contractual requirements on services to demonstrate evidence-based practice, meet standards, and implement performance monitoring; and financial or other rewards/sanctions linked to activity, quality or outcomes. At this distance from the preoccupation with intervention effectiveness, research is scarce, and rarely of the ‘gold standard’ randomised controlled trial format. Work focusing on medical services is rarer still, but we can fall back on the studies and reviews which deal with similar issues across drug treatment, to be found in cell E2
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/E3.htm&format=open","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HK2 , HZ26 , JP10 , JS , JU , JU10 , MQ6 , MQ6-2 , ND2-6 , TT2","HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- N Communication, information and education > Information transfer > Information transfer from research to practice -- T Demographic characteristics > Drug or health care worker",,"Drugs and alcohol disorder treatment method -- Treatment outcome -- Treatment and maintenance - treatment factors -- Health care delivery -- Health care administration -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Information transfer - Information transfer from research to practice -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22619",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584","14","archive","5",,,"disk0/00/02/25/84","2014-09-01 16:25:34","2014-09-01 16:25:34","2014-09-01 16:25:34","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive","Open your eyes. HSE elder abuse services 2013.","pub","AA2","","public",,"other",,,,,,"P.55 - Issues and Interventions for the Person Causing Concern In 2013 there were 440 alleged perpetrators that were listed by the Senior Case Worker as having at least one possible health issue reported. A summary of health issues is presented in figure 17 (p.55)- alcohol and mental health issues predominate. “Other issues” continue to be internal family issues and carer stress. (Drugs 6% and alcohol 28%). P.58 - Self neglect Currently, there are 191 cases open - representing 36% of all self neglect cases with results on a par with 2012. The provision of services and supports to individuals that are neglecting themselves, does not involve legal or Garda involvement to the same extent as elder abuse cases more generally. Garda consultation occurred in 4%, Garda notification in 9% and legal action in 3% of cases. In total, 62% of clients availed of a service, a further 27% declined the service offered while the balance 11% were not offered any service. Home support and monitoring were the dominant services offered. Of particular significance to the older person is the fact that, when looking at overall service provision, the provision of residential care has increased from 8% in 2012 to 12% in 2013. “Other services” related to addiction and cleaning services. Within this group 161 clients had a documented health issue - these related to physical, mental health, dementia and alcohol(p.59). In comparison to cases of elder abuse the impact of alcohol issues is highly significant in self neglect (18% Vs 5%). (Drugs 1% alcohol 18%)","2014-09","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,"68 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AA2 , JS , JU10 , MV , TA16-6 , TT8-2 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Elderly / Older person -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use -- Health care delivery -- Health care administration - Health care quality control -- Social services -- Elderly / Older person -- Social worker","Europe - Ireland","Health Service Executive Health Service Executive","0","no" "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22584",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480","17","archive","5",,,"disk0/00/02/24/80","2014-08-14 11:59:38","2014-08-14 11:59:38","2014-08-14 11:59:38","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell A3: Interventions - medical treatment.","pub","BL2-3","","public",,,,,,,,,"2014-08","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell A3 about?
About the treatment of dependence on illegal drugs in a medical context and/or involving medical care, typically by GPs or by drug treatment or psychiatric units in hospitals. Clinical staff are responsible for medications, so the centrality of these to an intervention distinguishes it most clearly as medical. Medications may be intended to help patients withdraw from drugs more comfortably and with a greater chance of completing the process, to sustain longer term abstinence (eg, the opiate-blocking drug naltrexone), or to substitute a safer and medically controlled drug of the same kind more conducive to social stabilisation, such as methadone for dependent heroin users. But medications are never all there is to medical care. Ideally, they promote a stable space free of drug effects and/or the need to chase illicit supplies during which patients can find other ways to cope and construct lives incompatible with a return to dependent illegal drug use. Drug-based treatments also include potentially therapeutic interactions with clinical and other staff and ways to encourage patients to take medications, sometimes enlisting family and others. Medical treatment for drug dependence may consist entirely of advice and medical and psychosocial support.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/A3.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BL2-3 , HJ2 , HK2 , HK2-10-2-2 , HK2-10-2-2-2 , HZ26 , JM , JP10 , TT2 , TT2-12","B Drugs and alcohol substances > Opioids (opiates) > Buprenorphine -- HJ Treatment method > General treatment method concepts -- HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor",,"Opioids (opiates) - Buprenorphine -- General treatment method concepts -- Drugs and alcohol disorder treatment method -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) - Methadone maintenance -- Treatment outcome -- Patient care management -- Treatment and maintenance - treatment factors -- Drug or health care worker -- Doctor",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HJ2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530","16","archive","5",,,"disk0/00/02/25/30","2014-08-21 09:14:19","2014-08-21 09:14:19","2014-08-21 09:14:19","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell B3: Practitioners - medical treatment.","pub","HZ26","","public",,,,,,,,,"2014-08",,,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","aod_disorder_drug_therapy","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell B3 about?
About the treatment of dependence on illegal drugs in a medical context and/or involving medical care, typically by GPs or hospital drug treatment units. Clinical staff are responsible for medications, so the centrality of these to an intervention distinguishes it most clearly as medical. Medications may be intended to help patients withdraw from drugs, sustain longer term abstinence, or to substitute a safer and medically controlled drug of the same kind more conducive to social stabilisation. But medications are never all there is to medical care. Drug-based treatments require the collaboration of patients to take medications and stay in or complete treatment, and interactions with staff are in themselves potentially therapeutic.
Medical treatment may consist entirely of advice and psychosocial support. All the seminal and key studies in this cell attest to the influence of relationships, even in such a powerful pharmacological intervention as prescribing methadone to substitute for heroin. The relationship-forming qualities of treatment staff are much less easily manipulated by researchers and less commonly researched than the intervention. Studies often have to rely on an association between retention or substance use and relationship quality or staff attributes, rather than deliberately allocating patients to workers known to differ along these dimensions. This makes it difficult to be confident that relationship quality or staff attributes actually caused any differences in outcomes, rather than the reverse, or both being related to other factors.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/B3.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HZ26 , JP10 , JP10_6 , JT8_8_2 , MQ6-2 , TT2 , TT2-12 , TT2-14 , TT4-4","HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- 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 > Counsellor / Therapist",,"Treatment outcome -- Treatment and maintenance - treatment factors -- Treatment and maintenance - provider attitude toward treatment -- Health care programme or facility - Community-based treatment (primary care) -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Doctor -- Nurse -- Counsellor / Therapist",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564","16","archive","5",,,"disk0/00/02/25/64","2014-08-28 08:42:28","2014-08-28 08:42:28","2014-08-28 08:42:28","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell C3: Management/supervision - medical treatment.","pub","HK2-10-2-2","","public",,,,,,,,,"2014-08","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell C3 about?
About the treatment of drug dependence in a medical context and/or involving medical care. Medications are the main distinguishing feature, but treatment also entails potentially therapeutic interactions with clinical and other staff. All these processes are themselves affected by the management functions of selecting, training and managing staff, and managing the intervention programme. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether staff (see cell B3) are able to develop and maintain appropriate attitudes and knowledge, depend on management and supervision. Within this topic, the most researched has been the management of opiate substitute prescribing programmes.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/C3.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HK2-10-2-2 , HK2-10-2-2-2 , JS , JU10 , MQ6 , MQ6-2 , TT2 , TT2-12","HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- 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",,"Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) - Methadone maintenance -- Health care delivery -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Doctor",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22564",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478","14","archive","5",,,"disk0/00/02/24/78","2014-08-14 11:49:26","2014-08-14 11:49:26","2014-08-14 11:49:26","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell D2: organisational functioning - generic and cross-cutting issues.","pub","JP10","","public",,,,,,,,,"2014-08","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
As well as concrete things like staff, management committees, resources, and an institutional structure, organisations have links with other organisations, histories, values, priorities, and an ethos, determining whether they offer an environment in which staff and patients/clients can maximise their potential. For these and other reasons, agencies differ in how keenly and effectively they seek and incorporate knowledge and implement evidence-based practices. The best might, for example, have effective procedures for monitoring performance and to identify when and what improvements are needed, facilitate staff learning from research and from each other, and forge learning or service provision links with other organisations. Research cited in this cell is about the impact of these attributes and about identifying and developing them. At this distance from the preoccupation with intervention effectiveness, research is scarce, and generic sources (incorporated for example in Australian guidance) beyond the scope of the matrices become more important.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/D2.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JP10 , JS , JU , JU10 , MQ6 , MQ6-2 , TT2","J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Treatment and maintenance - treatment factors -- Health care delivery -- Health care administration -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479","20","archive","5",,,"disk0/00/02/24/79","2014-08-14 11:53:59","2014-08-14 11:53:59","2014-08-14 11:53:59","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell E2: Treatment systems - Generic and cross-cutting issues.","pub","AH18","","public",,,,,,,,,"2014-08","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
How across an administrative area to engineer an effective and cost-effective mix of services which offers patients/clients appropriate options for entering and moving between services or using them in parallel. Involves commissioning, contracting and purchasing decisions to meet local needs in the context of resource constraints and national policy. Activities include: needs assessment; restructuring or re-tendering services; contractual requirements on services to demonstrate evidence-based practice, meet standards, and implement performance monitoring; and financial or other rewards/sanctions linked to activity, quality or outcomes. Research on whole treatment systems is rarely of the ‘gold standard’ randomised controlled trial format (there is just one example in this cell). Instead researchers often have to interpret how things happen in the messy real world, attempting to isolate what may have been the active ingredients among a complex set of variables not under their control. The key limitation of such methodologies is the difficulty of being sure what (if anything) was cause and what effect.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/E2.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AH18 , HJ2 , HZ26 , JP10 , JP24-4 , JS , JU , JU10 , MQ6 , MQ6-2 , TT2","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > General treatment method concepts -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Rehabilitation -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker",,"Natural history of drugs and alcohol use - Drugs and alcohol recovery -- General treatment method concepts -- Treatment outcome -- Treatment and maintenance - treatment factors -- Rehabilitation -- Health care delivery -- Health care administration -- Health care administration - Health care quality control -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"HJ2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537","18","archive","5",,,"disk0/00/02/25/37","2014-08-22 07:14:09","2014-08-22 07:14:09","2014-08-22 07:14:09","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Scottish Goverment","The quality principles: standard expectations of care and support in drug and alcohol services.","pub","AH18","","public",,,,,,,,"The Quality Principles are central to the implementation of the Scottish Government’s Quality Improvement Framework for drug and alcohol treatment and support services. The Quality Improvement Framework is made up of: • a set of Quality Principles supported by the Recovery Philosophy – developed in collaboration with current service users, those in longer-term recovery and staff working within services; • revised planning and reporting arrangements for Alcohol and Drug Partnerships (ADPs); • a programme of development for the drug and alcohol workforce – that is anyone who has a role in improving outcomes for individuals, families or communities affected by problematic drug and alcohol use; • the development of a single integrated data collection system for drugs and alcohol (DAISy); and • support and guidance for ADPs – including commissioning guidance, supported self-evaluation and the Quality Principles Toolkit. The Quality Improvement Framework should support and drive a culture of self-assessment whereby services are commissioned based on evidence of meeting these principles of care, which will be measured by a range of tools including an agreed set of quality indicators of recovery, and are open to being supported to make improvements to the quality of the service.","2014-08","published",,"Scottish Government",,"","",,,,,,"Scottish Government","Edinburgh",,"26 p.",,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,"978-1-78412-498-4",,,,"Scottish Government",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://scotgov.publishingthefuture.info/publication/the-quality-principles-standard-expectations-of-care-and-support-in-drug-and-alcohol","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AH18 , JP10_6 , JS , JU10 , MP18-2 , MQ6 , MQ6-2 , TT2 , VH4410","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > United Kingdom > Scotland","Natural history of drugs and alcohol use - Drugs and alcohol recovery -- Treatment and maintenance - provider attitude toward treatment -- Health care delivery -- Health care administration - Health care quality control -- Policy - Policy on drugs and alcohol -- Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker","Europe - United Kingdom - Scotland","Scottish Goverment Scottish Goverment","0","yes" "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22537",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476","14","archive","5",,,"disk0/00/02/24/76","2014-08-14 11:39:59","2014-08-14 11:39:59","2014-08-14 11:39:59","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell B2: practitioners: generic and cross-cutting issues.","pub","JP10","","public",,,,,,,,,"2014-07","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell B2 about?
As described in the cell A2 bite, whether medical or psychosocial, chosen positively or under pressure, among the ‘common factors’ affecting treatment’s success is the relationship between patients and treatment staff. Relationships affect whether people want to enter and stay in treatment and the services they receive. In these ways among others (see Key studies for examples), ultimately relationships can affect the degree to which treatment helps patients overcome their drug problems and improve their lives. The interpersonal style and other features of treatment staff are much less commonly researched than the intervention programme; many studies even try to eliminate these influences from the analysis in order to focus on the intervention. In respect particularly of counselling and psychosocial therapies, this risks eliminating what matters, in order to focus on what (see cell A4) very often does not.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/B2.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JP10 , JP10_2_2 , JP10_6 , MQ6-2 , TT2 , TT4-4 , TT8-2","J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- 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 > Counsellor / Therapist -- T Demographic characteristics > Social worker",,"Treatment and maintenance - treatment factors -- Treatment and maintenance - patient attitude toward treatment -- Treatment and maintenance - provider attitude toward treatment -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Counsellor / Therapist -- Social worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477","14","archive","5",,,"disk0/00/02/24/77","2014-08-14 11:45:15","2014-08-14 11:45:15","2014-08-14 11:45:15","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Drug Matrix cell C2: management/supervision - generic and cross-cutting issues.","pub","JP10","","public",,,,,,,,,"2014-07","published",,"Drug and Alcohol Findings",,"","",,,,,,"Drug and Alcohol Findings and the Substance Misuse Skills Consortium","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,"The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (another deals with alcohol-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of local area treatment systems. Down the rows are the major intervention types implemented at these levels.
What is cell C2 about?
This entire row focuses on generic processes common to treatment whatever the setting or modality. Patients have to decide to get or accept help, find their way to treatment, decisions made about the form, intensity and duration of care, relationships forged, and attention paid to psychological problems and social circumstances which affect the chances of a sustained end to dependent substance use. The current cell narrows in on how these processes are affected by the management functions of selecting, training and managing staff, and managing the intervention programme. In highly controlled studies, it may be possible to divorce the impact of interventions from the management of the service delivering them, but in everyday practice, whether interventions get adopted and adequately implemented, and whether practitioners are able to maintain recovery-generating attitudes and knowledge, depend on management and supervision. Research on these issues is scarce, but also exciting and inspirational, for it is at this level that whole organisations can be transformed from merely going through the motions, to enthusiastic client-engagers.
",,,,,,,,,,,"","http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/C2.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JP10 , JS , JU , MQ6 , MQ6-2 , ND2-6 , TT2","J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- N Communication, information and education > Information transfer > Information transfer from research to practice -- T Demographic characteristics > Drug or health care worker",,"Treatment and maintenance - treatment factors -- Health care delivery -- Health care administration -- Organisational development -- Organisational development - Workforce / staff skills and training -- Information transfer - Information transfer from research to practice -- Drug or health care worker",,"Drug and Alcohol Findings Drug and Alcohol Findings , Substance Misuse Skills Consortium Substance Misuse Skills Consortium","0","yes" "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Substance Misuse Skills Consortium",,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22477",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22366","16","archive","5",,,"disk0/00/02/23/66","2014-07-22 07:58:04","2014-07-22 07:58:08","2014-07-22 07:58:08","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Substance Misuse Non-Medical Prescribing Forum","Non-medical prescribing in the management of substance misuse.","pub","HK2","","public",,,,,,,,"Non-medical prescribing (NMP) – namely, the prescribing of medicines by health professionals who are not doctors – allows for increased availability and responsiveness of prescribing interventions. The non-medical management of substance misuse in the UK was revolutionised by 2012’s change to allow non-media prescribers to independently prescribe for the treatment of drug dependence. PHE’s new document is intended for non-medical prescribers and all those with an interest in NMP including aspiring non-medical prescribers, consultants and clinical leads, service managers, NMP leads, colleagues from different professions (eg, doctors, psychologists, and social workers) and service commissioners. Non-medical prescribing in the management of substance misuse was prepared by an expert group convened by PHE alcohol, drugs and tobacco and the National Substance Misuse Non-Medical Prescribing Forum (NSMNMPF). The document defines clear parameters within which non-medical prescribing can be delivered safely and effectively within recovery-orientated drug and alcohol treatment systems.","2014-07","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,"25 p.",,,,,"PHE publications gateway number: 2014205",,,,,,"report","aod_disorder_drug_therapy","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HK2 , HK2-10 , JM , JS , TT2 , VH4-4","HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol disorder drug therapy -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > United Kingdom","Drugs and alcohol disorder treatment method -- Drugs and alcohol disorder treatment method - Drugs and alcohol disorder drug therapy -- Patient care management -- Health care delivery -- Drug or health care worker","Europe - United Kingdom","National Substance Misuse Non-Medical Prescribing Forum National Substance Misuse Non-Medical Prescribing Forum","0","yes" "22366",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22366",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22366",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22366",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22366",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235","30","archive","5",,,"disk0/00/01/72/35","2012-03-27 09:44:11","2015-06-10 09:00:16","2012-03-27 09:44:11","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Mentor ADEPSIS","‘Legal highs’ and novel psychoactive substances. Alcohol and drug prevention briefing paper.","pub","BN","","public",,,,,,,,,"2014-06","published",,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"6 p.",,,,,,,,,,,"other","aod_prevention","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","electronic_only","","","","","",,"The growing popularity of Novel Psychoactive Substances (NPS) is causing wide confusion among the public. This briefing paper is intended to provide basic information for teachers and practitioners willing to include these substances in their alcohol and drug education programme.
For further information on ‘legal highs’ you can also take a look at our previous briefing paper.
This briefing paper is part of a series produced by Mentor ADEPIS on alcohol and drug education and prevention, for teachers and practitioners.
",,,,,,,,,,,"",,"http://mentor-adepis.org/legal-highs-and-novel-psychoactive-substances-nps/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BN , JG10-4 , JH2 , LY4 , NF16-2 , TT6 , VH4-4","B Drugs and alcohol substances > New psychoactive substances -- 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 -- L Social psychology and related concepts > Legal availability or accessibility -- N Communication, information and education > Education by subject > AOD education -- T Demographic characteristics > Prevention worker","VA Geographic area > Europe > United Kingdom","New psychoactive substances -- Prevention approach - Prevention through information and education -- Health-related prevention - Health information and education -- Legal availability or accessibility -- Education by subject - AOD education -- Prevention worker","Europe - United Kingdom","Mentor ADEPSIS Mentor ADEPSIS","0","yes" "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LY4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070","19","archive","5",,,"disk0/00/02/40/70","2015-06-10 09:07:00","2015-06-10 09:49:36","2015-06-10 09:07:00","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Alcohol and Drug Education and Prevention Information Service","Efficient needs assessment in schools.","pub","JA8-4","","public",,,,,,,,,"2014-03","published",,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"6 p.",,,,,"Alcohol and drug prevention briefing paper.",,,,,,"","aod_prevention","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,"An effective programme of alcohol and drug education needs to be tailored to meet pupils’ requirements and priorities, meaning that both pupils’ needs and learning processes must be regularly assessed.
This paper outlines the different and complementary ways to make an assessment, exploring the following questions:
Further information on needs assessment can be found here.
",,,,,,,,,,,"",,"http://mentor-adepis.org/efficient-needs-assessment-schools/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JA8-4 , JB2 , JF10-10 , LN36 , NF24-2-2 , TN , TN2-4-2 , TT2 , TT6 , TT8-2 , VH4-4","J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- 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 > Educational environment (school / college) > Drugs and alcohol use in the educational environment > School drugs and alcohol policy -- T Demographic characteristics > Student (secondary level) -- T Demographic characteristics > Student (primary level) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Risk and needs assessment - Needs assessment -- Drugs and alcohol prevention -- Prevention by sponsor or setting - School-based prevention -- Social context - School context -- Educational environment (school / college) - Drugs and alcohol use in the educational environment - School drugs and alcohol policy -- Student (secondary level) -- Student (primary level) -- Drug or health care worker -- Prevention worker -- Social worker","Europe - United Kingdom","Alcohol and Drug Education and Prevention Information Service Alcohol and Drug Education and Prevention Information Service","0","yes" "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "21419","20","archive","5",,,"disk0/00/02/14/19","2014-02-19 08:36:16","2014-02-19 08:36:16","2014-02-19 08:36:16","article",,,"show",,,,"","","","","","","","","","","0",,,"Twomey","C","","","","Twomey:C::","",,,,,"","","Steps towards effective teamworking in community mental health teams.","pub","TT2","","none",,,,,,,,,"2014-03",,,"Twomey C",,"","",,"Irish Journal of Psychological Medicine","31","1","1","Medmedia Group",,"51-59",,,,,,"doi:10.1017/ipm.2013.62",,,,,,"","","",,"0790-9667",,,,,,,"","","","","","","","","","",,"Objectives: This paper aims to show how effective teamworking can be achieved in Community Mental Health Teams (CMHTs), in the context of recovery-focused care.
To prevent poor pregnancy outcomes, including conditions like Fetal Alcohol Spectrum Disorders, we must do more to provide treatment to pregnant women with problematic substance use. There is clear evidence that heavy and frequent use of alcohol or other drugs and associated lifestyle factors contribute to significant harm during pregnancy.
Health care professionals can make a substantial difference to the health of women and their babies by identifying and supporting women who use alcohol or other drugs during pregnancy. This Guide is intended for a range of primary health care professionals including GPs, midwives, nurses, practice nurses, Aboriginal health care workers and sexual health workers. It is applicable to a wide range of health care settings. In any health care setting where pregnant women are seen, they should be asked, without judgement, about their alcohol, tobacco and other drug use and provided with access to appropriate treatment and support.
Evidence shows that well-coordinated and comprehensive support with early access to antenatal care and specialist alcohol or drug treatment can reduce harm and improve outcomes for pregnant women who have problematic alcohol and drug use, and their babies.
Women can also benefit from preconception counselling to address problematic substance use prior to pregnancy. All women with problematic alcohol or drug use should be provided with advice about contraception.
The clinical information in this Guide is largely drawn from NSW Clinical Guidelines for the Management of Substance Use during Pregnancy, Birth and the Postnatal Period, which is the latest clinical guidance for management of drug and alcohol use in pregnancy in Australia. Health professionals should also consult relevant State legislation, policy and clinical guidelines. This Guide also draws on a range of evidence from Australian and international studies about the best strategies to reduce the harms to women and children from alcohol and drug use in pregnancy.
See also, 3 short videos on the NDARC website page
This pathway covers psychosocial interventions and opioid detoxification for drug misuse.
The pathway makes recommendations for the use of psychosocial interventions in the treatment of people who misuse opioids, stimulants and cannabis in the healthcare and criminal justice systems. It also covers treatment of people who are undergoing detoxification for opioid dependence arising from the misuse of illicit drugs. Opioid detoxification refers to the process by which the effects of opioid drugs are eliminated from dependent opioid users in a safe and effective manner, such that withdrawal symptoms are minimised.
This pathway should be used in conjunction with 'Drug misuse and dependence – UK guidelines on clinical management: update 2007', also known as the 'Orange Book', which provides advice to healthcare professionals on the delivery and implementation of a broad range of interventions for drug misuse, including those interventions covered in the present guideline.
",,,,,,,,,,,"","http://pathways.nice.org.uk/pathways/drug-misuse","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"B6 , BJ , BL , HK2 , HK2-10 , HK2-10-2-2-2 , HK2-4 , HZ , JG26_2_4_2 , JM , LG14-10 , TT2 , TT2-14 , TT6 , TT8-2","B Drugs and alcohol substances > Cannabis / Marijuana -- B Drugs and alcohol substances > CNS stimulants -- B Drugs and alcohol substances > Opioids (opiates) -- HJ Treatment method > Drugs and alcohol disorder treatment method -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol disorder drug therapy -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- HJ Treatment method > Drugs and alcohol disorder treatment method > Detoxification method -- HJ Treatment method > Psychosocial treatment method -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- J Health care, prevention and rehabilitation > Patient care management -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Cannabis / Marijuana -- CNS stimulants -- Opioids (opiates) -- Drugs and alcohol disorder treatment method -- Drugs and alcohol disorder treatment method - Drugs and alcohol disorder drug therapy -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) - Methadone maintenance -- Drugs and alcohol disorder treatment method - Detoxification method -- Psychosocial treatment method -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Marital relations - Family and kinship - Family structure - Family support -- Drug or health care worker -- Nurse -- Prevention worker -- Social worker",,"National Institute for Health and Care Excellence National Institute for Health and Care Excellence","0","yes" "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793","17","archive","5",,,"disk0/00/02/27/93","2014-10-16 07:27:40","2014-10-16 07:27:40","2014-10-16 07:27:40","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Public Health England","A framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals.","pub","BB","","public",,,,,,,,"This framework has been developed to underpin the UK national programme to maximise nurses, midwives, health visitors (HVs) and allied health professionals (AHPs) impact on improving health outcomes and reducing inequalities. The framework supports and shapes health promoting practice and embeds personalised care and population health across all ages, care places and with individuals, families and communities. It is a resource to support practitioners’ access to best evidence for practice and to support nurse managers and commissioners to develop services which use the knowledge and skills that nurses, midwives, HVs and AHPs use to deliver the best health outcomes for the populations they serve. There are six key areas of population health activity in the framework. In each population health activity area are one or more worked examples on national health priority areas that illustrate how the framework should be used. • Wider determinants of health • Health improvement • Health protection • Healthcare public health • Health, wellbeing & independence • Lifecourse [Alcohol section on page 32-36; also contains references to smoking throughout the document]","2014","published",,"Public Health England",,"","",,,,,,"Department of Health","London",,"82 p.",,,,,,,,,,,"report","aod_prevention","alcohol",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , ED4-12 , GA4 , JH2-2 , JM , JS , TT2 , TT2-14 , TT8-2 , VH4-4","B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > Public health -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Health promotion -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Alcohol -- Pregnancy -- Public health -- Health-related prevention - Health information and education - Health promotion -- Patient care management -- Health care delivery -- Drug or health care worker -- Nurse -- Social worker","Europe - United Kingdom","Public Health England Public Health England","0","yes" "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","tobacco",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22793",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072","20","archive","5",,,"disk0/00/02/40/72","2015-06-10 09:17:59","2015-06-10 09:18:00","2015-06-10 09:17:59","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Adfam","Identifying and supporting children affected by parental substance misuse – Resource for schools.","pub","LC2-4","","public",,,,,,,,"How can schools identify and support pupils affected by parental substance misuse? This resource has been developed for the Alcohol and Drug Education and Prevention Information Service (ADEPIS) by Adfam, the national umbrella organisation for those working with and for families affected by drugs and alcohol, and is intended to be a useful tool to help schools in safeguarding their pupils. The purpose of this resource: When schools and teachers think about ‘drugs’, they may often initially focus on incidents on school grounds and how to respond to them, students at risk of using substances, or perhaps about drug education. However, substance use can impact the lives of young people in many ways, especially if they are affected by problematic drug or alcohol use in their own homes. This resource aims to summarise the key issues for children affected by parental substance use, and how schools can consider supporting them. It is aimed primarily at school governors and headteachers, but will also be relevant to members of staff with particular pastoral care duties, including school nurses, Education Welfare Officers, and anyone identified as a Designated Senior Person (DSP) for child protection in schools. Key messages: • Parental substance use is not a problem that schools can ‘solve’ alone, nor is it an issue they should turn a blind eye to • Schools have both the responsibility and the ability to support children affected by parental substance use • Safeguarding is a matter of child welfare, not drug and alcohol expertise • Existing structures/policies cover most of this work already, but added focus is needed","2013-11","published",,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"11 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://mentor-adepis.org/identifying-supporting-children-affected-parental-substance-use-resource-schools/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LC2-4 , LG14-10 , LG18-2 , LN36 , NF24-2-2 , TA14 , TN , TN2-4-2 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-4","L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Social context > School context -- N Communication, information and education > Educational environment (school / college) > Drugs and alcohol use in the educational environment > School drugs and alcohol policy -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Student (secondary level) -- T Demographic characteristics > Student (primary level) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Interpersonal interaction and group dynamics - Social support -- Marital relations - Family and kinship - Family structure - Family support -- Marital relations - Family and kinship - Family relations - Parent-child relations -- Social context - School context -- Educational environment (school / college) - Drugs and alcohol use in the educational environment - School drugs and alcohol policy -- Adolescent / youth (teenager / young person) -- Student (secondary level) -- Student (primary level) -- Drug or health care worker -- Prevention worker -- Social worker -- Child of drugs and alcohol user","Europe - United Kingdom","Adfam Adfam","0","yes" "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130","16","archive","5",,,"disk0/00/02/41/30","2015-06-19 08:33:01","2015-06-19 08:38:43","2015-06-19 08:33:01","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","NHS Choices","Addiction overview.","pub","FS38-6-2","","none",,,,,,,,,"2013-10","published",,"NHS Choices",,"","",,,,,,"NHS Choices","London",,,,,,,,,,,,,"","aod_disorder_treatment_method","alcohol",,,,,,"NHS Choices",,,"","","","","","","","","","",,"Addiction is a strong, uncontrollable need to take drugs, drink alcohol or carry out a particular activity such as gambling.
It becomes the most important thing in your life and leads to problems at home, work and school.
There's no single reason why addictions develop. Regularly drinking alcohol or using other substances, or spending time gambling or on the internet (including porn sites), may be pleasurable or relaxing. Some people experience these feelings particularly intensely and have a strong desire to repeat them more often.
You're more at risk of developing an addiction if:
Alcohol misuse means drinking excessively - more than the recommended limits of alcohol consumption (see website).
This can lead to a number of harmful physical and psychological effects, such as alcohol poisoning, cirrhosis of the liver, inability to work and socialise and destructive behaviours, such as drink-driving.
Your risk of developing problems increases with the amount of alcohol you drink. The three main risk categories based on how much you drink, that can be used to help judge your own level of risk, are lower-risk, increasing-risk and higher-risk.
",,,,,,,,,,,"","http://www.nhs.uk/Conditions/Alcohol-misuse/Pages/Introduction.aspx","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AD12-6 , BB , FS38-6-2 , GC16-6 , JA6-6 , TT2 , TT2-14 , TT8-2","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 -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker",,"Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- Specific attitude and behaviour - risk-taking behaviour -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Risk and protective factors - risk factors -- Drug or health care worker -- Nurse -- Social worker",,"NHS Choices NHS Choices","0","yes" "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930","16","archive","5",,,"disk0/00/02/09/30","2013-11-20 09:19:20","2015-12-22 13:52:57","2013-11-20 09:19:20","guideline",,,"show",,,,"","","","","","","","","","","0",,,"van Ginneken","Nadja","","","",,"",,,,,"","","Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries.","pub","TT2","","none",,,,,,,,"Background: In developing countries, most people with mental, neurological and substance-abuse (MNS) disorders do not receive adequate care mainly because of a lack of mental health professionals. Non-specialist health workers, but also other professionals with health roles, such as teachers, may therefore have an important role to play in delivering MNS health care. Researchers in The Cochrane Collaboration carried out a review of the effects of using non-specialist health workers or other professionals with health roles to help people with MNS disorders in developing countries. After searching for all relevant studies in scientific databases, they found 38 studies published before October 2012. Their findings are summarised below. What is a non-specialist health worker? Any type of health worker (like a doctor, nurse or lay health worker) who is not a specialist in mental health or neurology but who may have had some training in these fields. We also looked at teachers, as they can be particularly important in the care of children and youths. What the research says: The studies in this review were from 22 developing countries. In most studies, lay health workers delivered the mental health care, and addressed depression or anxiety (or both), or post-traumatic stress disorder. The review shows that the use of non-specialist health workers, compared with usual healthcare services: · may increase the number of adults who recover from depression or anxiety (or both) two to six months after treatment; · may slightly reduce symptoms formothers with depression; · may slightly reduce the symptoms of adults with post-traumatic stress disorder (non-specialists and teachers were used in one study); · probably slightly improves the symptoms of people with dementia; · probably improves/slightly improves the mental well-being, burden and distress of carers of people with dementia; · may decrease the quantity of alcohol consumed by problem drinkers. It is uncertain whether lay health workers or teachers reducepost-traumatic stress disorder symptoms among children. There were too few studies to draw any conclusions about the cost-effectiveness of using non-specialist health workers or teachers, or about their impact on people with other MNS conditions such as epilepsy, schizophrenia, and alcohol and drug abuse problems. In addition, very few studies measured unintended consequences of non-specialist health worker-led care - such effects could impact on the appropriateness and quality of care. Quality of the evidence: Overall, non-specialist health workers and teachers have some promising benefits in improving people's outcomes for general and perinatal depression, post-traumatic stress disorder and alcohol-use disorders, and patient and carer outcomes for dementia. However, this evidence is of low or very low quality in some areas, and for some issues no evidence is available. Therefore, we cannot make conclusions about which specific interventions using non-specialist health workers to help people with MNS disorders are more effective.","2013","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews","11",,,"John Wiley & Sons, Ltd","London",,,,,,,"Art. No.: CD009149. DOI: 10.1002/14651858.CD009149.pub2",,,,,,"review","aod_disorder_treatment_method","alcohol_drugs_in_general",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009149.pub2/abstract;jsessionid=EFBAC44296508CA904157AAF362FEB85.f02t03","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","11","Cochrane Database of Systematic Reviews","TT2 , JQ6-8 , VA2 , GD2","T Demographic characteristics > Drug or health care worker -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder","VA Geographic area > International aspects","Drug or health care worker -- Care by type of problem - Mental health care -- Drugs and alcohol related disorder - Drugs and alcohol related mental disorder","International aspects","van Ginneken Nadja , Tharyan Prathap , Lewin Simon , Rao Girish N , Meera SM , Plan Jessica , Chandrashekar Sudha , Patel Vikram","0","yes" "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tharyan","Prathap","","",,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lewin","Simon","","",,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rao","Girish N","","",,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Meera","SM","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Plan","Jessica","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Chandrashekar","Sudha","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Patel","Vikram","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966","27","archive","5",,,"disk0/00/01/89/66","2012-12-11 09:43:47","2014-04-09 22:04:50","2012-12-11 09:43:47","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","British Association of Social Workers","Mental health & substance use. Essential information for social workers.","pub","GA2-4","","public",,,,,,,,"This guide seeks to support Social Workers in their practice with people who use substances and who experience mental distress. It will also be relevant for other social and health care professionals. The information in the guide should be supplemented by further reading and learning. Contents: 3 Policy framework 5 Links between mental health & substance use 6 Impact on mental health 8 Cannabis & mental health 9 Medication & mental health 10 Assessment 12 Risk assessment 13 Intervention 14 Partnership practice 15 Resources 16 Local contact information","2012-12",,,"Alcohol Policy UK",,"","",,,,,,"British Association of Social Workers","Birmingham",,"16 p.",,,,,"A BASW pocket guide",,,,,,"guideline","aod_use_harm_reduction","cannabis",,,,,,"Alcohol Policy UK",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , JQ6-8 , MV , TT8-2 , B6 , GD2 , VH4-4 , BA , AM","G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Social worker -- B Drugs and alcohol substances > Cannabis / Marijuana -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- B Drugs and alcohol substances > Drugs and alcohol in general -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > United Kingdom","State of health - Mental health -- Care by type of problem - Mental health care -- Social services -- Social worker -- Cannabis / Marijuana -- Drugs and alcohol related disorder - Drugs and alcohol related mental disorder -- Drugs and alcohol in general -- Drugs and alcohol effects and consequences","Europe - United Kingdom","British Association of Social Workers British Association of Social Workers","0","yes" "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"B6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18782","17","archive","5",,,"disk0/00/01/87/82","2012-11-14 13:32:37","2012-11-14 13:32:37","2012-11-14 13:32:37","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Health Information and Quality Authority","What you should know about data quality. A guide for health and social care staff.","pub","TT2","","public",,"other",,,,,,"The scope of this document is to provide a broad overview of data quality issues around personal health information in the Irish health and social care setting. This document is aimed at all health and social care staff members, and is a first step in raising awareness of the importance of data quality as part of the process of providing safe and effective services. Contents: • What is data quality? 6 • Who uses the data you collect? 7 • How do you benefit from data quality? 10 • What are the factors determining data quality? 11 • How is the data you collect used for decision-making? 19 • What can your organisation do to make data quality a success? 22 • What can you do to make data quality a success? 26 • What are the relevant legal requirements? 27 • How can you assess data quality? 28 • Key points 30","2012-11","published",,"Health Information and Quality Authority",,"","",,,,,,"Health Information and Quality Authority","Cork",,"32 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TT2 , VH4-2 , JH2 , JU10 , RP , ND14","T Demographic characteristics > Drug or health care worker -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- R Research > Data collection method -- N Communication, information and education > Information use and impact","VA Geographic area > Europe > Ireland","Drug or health care worker -- Health-related prevention - Health information and education -- Health care administration - Health care quality control -- Data collection method -- Information use and impact","Europe - Ireland","Health Information and Quality Authority Health Information and Quality Authority","0","yes" "18782",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18782",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18782",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18782",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18782",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ND14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18661","19","archive","5",,,"disk0/00/01/86/61","2012-12-03 10:46:07","2012-12-04 12:14:56","2012-12-03 10:46:07","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Carpenter","John","","","",,"",,,,,"","","Effective supervision in social work and social care.","pub","JU","","public",,,,,,,,"Key messages •Research has demonstrated that good supervision is associated with job satisfaction, commitment to the organisation and retention. • Supervision appears to help reduce staff turnover and is significantly linked to employees’ perceptions of the support they receive from the organisation. • Good supervision is correlated with perceived worker effectiveness. There is some evidence that group supervision can increase critical thinking. • Supervision works best when it pays attention to task assistance, social and emotional support and that workers have a positive relationship with supervisors. • The emotionally charged nature of the work can place particular demands on people in the field. It is important to provide opportunities for reflective supervision. • In an inter-professional context, workers relate job satisfaction and professional development to their supervisor’s expert knowledge, regardless of whether respondents shared the same professional background. • The impact of supervision on outcomes for service users and carers has rarely been investigated. Anecdotal evidence suggests that supervision may promote empowerment, fewer complaints and more positive feedback. • Overall, the empirical basis for supervision in social work and social care in the UK is weak. Most of the evidence is correlational and derives from child welfare services in the US","2012-10",,,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,"24 p.",,,,,,,,,,,"review","rehabilitation","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.scie.org.uk/publications/briefings/briefing43/?dm_i=4O5,10M3S,4IEVRL,33MW7,1","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JU , MV , LC2-4 , VH4-4 , TT8-2 , MQ6-2","J Health care, prevention and rehabilitation > Health care administration -- MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Social worker -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training","VA Geographic area > Europe > United Kingdom","Health care administration -- Social services -- Interpersonal interaction and group dynamics - Social support -- Social worker -- Organisational development - Workforce / staff skills and training","Europe - United Kingdom","Carpenter John , Webb Caroline , Bostock Lisa , Coomber Caroline","0","yes" "18661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Webb","Caroline","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bostock","Lisa","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coomber","Caroline","","",,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18661",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774","41","archive","5",,,"disk0/00/01/77/74","2012-06-20 14:16:10","2014-04-09 22:02:27","2012-06-20 14:16:10","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Shannon","Geoffrey","","","","Shannon:Geoffrey::","",,,,,"","","Report of the Independent Child Death Review Group 2000-2010.","pub","MV","","public",,"other",,,,,,"The report, authored by Dr. Geoffrey Shannon and Norah Gibbons, gives details of the 196 children who died over the period 2000-10, both of natural and unnatural causes. The children in the report include children who were in the care of the state at the time of their death, young adults who were in aftercare and other children who were not in care but were known to the HSE. Speaking at the publication of the report, Minister Fitzgerald said; “Before this Government took office; there was conflicting data about the numbers of children who died in state care. The lack of transparency and the lack of accountability, shocked. It was utterly unacceptable that the state could not even tell how many children had died in state care. The Minister stated that this report now gives clarity on this vital issue. There were 112 children who died of unnatural causes; 17 of whom were in care, 27 of whom were in receipt of aftercare and 68 of whom were not in care, but were in some way known to the HSE child and family services. The children and young adults in this report died from a range of causes. Some died from a range of illnesses, 4 died of accidental drowning; 5 died in house fires; 17 died from road traffic accidents; 16 were unlawfully killed; and at least 28 died by suicide. The Minister stated: “I wish to extend my deepest sympathy, and that of the state, to all those touched by a loss in this report. No parent should expect to lose a child. I do not expect today’s report to bring closure. Indeed, I am sure it will, for many, bring fresh pain. But this work shines a light on a dark, often unexamined and tragic corner of Irish life. The authors have done a professional and painstaking job in making real and understandable the lives and deaths of children who are no longer with us.” Responding to the report the Minister stated: “The findings of this report are deeply disturbing. We read of children and young people and families, often vulnerable, often in crisis, who needed support. We read of services often willing, but fragmented and not comprehensive in their response. The question must arise how, after a period of such unprecedented economic prosperity, we were left with a child protection service in need of such reform. “If ever evidence was required of the scale of the challenge which this Government and I have had to face into, then this report is it. If ever evidence was required of why we need an utterly reformed system of state care and intervention, then this report is it. And if ever evidence was required of the need to take child protection away from the HSE, wherein up until recently, it was lost, and to set up a new agency; the Child and Family Support Agency, then this report is it. The report highlighted system failings in the Irish child protections services including • Poor risk assessment • Poor co-ordination between services • Poor flows of information • Limited access to specialist assessment and therapeutic services • Limited interagency work for children and families with complex needs. • A lack of early intervention and family support services responding proportionately to the needs of children at risk and families in crisis. Commenting on these failings Minister Fitzgerald stated: “if the system had done a better job, outcomes for some of these children might well have been very different. The key to a successful child protection service is early intervention. This concept must become part of our national psyche. Parachuting in a service at a late stage is not the most efficient or effective way to help the child, or to help the family. Responding to the report Minister Fitzgerald stated that “the current government reform programme is an essential response to this report, in particular the establishment of the Child and Family Support Agency led by CEO Designate Gordon Jeyes. Already, under Gordon’s leadership we are seeing implementation of a ‘change agenda’ in children and families services which will continue and be accelerated under the new agency; and will be further informed by the recommendations of this report. Key element of the ‘change agenda’ in children and families services include: • A service delivery model that will address a multi-agency, albeit differentiated, approach to managing the child welfare and protection system; • A nationwide consistency of approach in practice and implementation of Children First and child welfare and protection services generally; • Use of standardised definitions, criteria and thresholds for reporting and referrals including prioritisation of cases; • Greater reliance on real-time data on social work referrals and alternative care collated through HSE performance management indicators and the ongoing development of the National Child Care Information System; • Improved resource allocation responsive to changing needs; • Clearer management and budgetary accountability; • Better workforce planning, training and induction of new staff.” The Minister added: “The Task Force which I established in September 2011 to advise on the new Agency, will present its final report by the end of this month and I look forward to addressing its recommendations relating to vision, governance and scope-of-services, such that the Agency is established and up-and-running next January 2013.” In the report the authors remark that “a key issue to be emphasised is the vulnerability of these children”. The Minister responded stating: “Many of these individuals had extremely complex needs. There is no doubt that children in these circumstances sometimes have little to draw on, in terms of their own resilience, and limited positive experiences to allow them to cope with even the ordinary challenges they subsequently had to deal with. “The role of alcohol and drugs in Irish society plays heavily in the lives and deaths of many of the children and young people in this report, highlighting in the most serious way, our national problems with alcohol and drug abuse. I am committed to working with Minister Roisin Shortall and the relevant agencies on progressing a fresh new approach to identifying and addressing the hidden harm posed by substance misuse. Responding to the report Minister Fitzgerald also announced a number of other measures. The Minister accepted the essential criteria set out in the Report on developing an independent child death review structure and confirmed that she will be making an announcement on this in September. The Minister announced that HIQA will next month publish new National Standards for the Protection and Welfare of Children which will lay-out a new standards-led approach to enforcing a new culture of quality, effectiveness and accountability in Ireland’s child protection services. The Minister also commented on the concerns raised on aftercare in this report: “Young people with a need for aftercare should; and must, receive the support they require when they leave care. I believe the law needs to be strengthened in this regard, and with advice from the Attorney General, I will be proposing legislative change later this year, in the bill to establish the Child and Family Support Agency.” The Minister confirmed that along with Gordon Jeyes she is working to extend access to 24 hour social work assistance: “Child protection crises arise 24-7. So why should child protections services operate any differently?” The Minister concluded saying: “today is an especially difficult day for the families of the children in this report. We cannot change things for their children. However, I hope it is clear that already a great many changes have been put in train for other children because of what happened. I hope it is clear that this Government is committed to transparency and honesty about the challenges in getting children’s services right. Child protection remains a high priority on our agenda and changes at every level – policy, law, structures and individual practitioner - have happened and will continue to happen; and will make a difference for the future.”","2012-06","published",,"Shannon Geoffrey",,"","",,,,,,"Government Publications","Dublin",,"476 p.",,,,,,,,,,,"","","","978-1-4064-2692-2",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , TA14 , VH4-2 , JA8-2 , TT8-2 , JA6-6 , TA12 , JS , JU10 , LG14-10 , MV14","MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment -- T Demographic characteristics > Social worker -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children","VA Geographic area > Europe > Ireland","Social services -- Adolescent / youth (teenager / young person) -- Risk and needs assessment - Risk assessment -- Social worker -- Risk and protective factors - risk factors -- Child -- Health care delivery -- Health care administration - Health care quality control -- Marital relations - Family and kinship - Family structure - Family support -- Social services - Services for family and children","Europe - Ireland","Shannon Geoffrey , Gibbons Norah","0","no" "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gibbons","Norah","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16877","16","archive","5",,,"disk0/00/01/68/77","2012-02-03 16:44:46","2012-02-03 16:44:46","2012-02-03 16:44:46","article",,,"show",,,,"","","","","","","","","","","0",,,"Keane","Martin","","","mkeane@hrb.ie","Keane:Martin::","",,,,,"","","Service providers accredited in Community Reinforcement Approach.","pub","JU10","","public",,,,,,,,,"2012-01","published",,"Keane Martin",,"","",,"Drugnet Ireland","Issue 40, Winter 2011",,,"Health Research Board",,"16",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"On Friday 7 October 2011, 83 front-line service providers working in the substance use field received accreditation as trained practitioners in the delivery of a number of evidence-based positive reinforcement approaches that address substance use: 52 received accreditation in the Community Reinforcement Approach (CRA), 19 in the Adolescent Community Reinforcement Approach (ACRA) and 12 in Community Reinforcement and Family Training (CRAFT).
",,,,,,,,,,,"",,"http://www.midirs.org/digest","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","20","MIDIRS Midwifery Digest","TT2 , VH4-2 , ED4-12 , T10-4-2 , JQ6-4 , AM , JS","T Demographic characteristics > Drug or health care worker -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- J Health care, prevention and rehabilitation > Care by type of problem > Medical care -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- J Health care, prevention and rehabilitation > Health care delivery","VA Geographic area > Europe > Ireland","Drug or health care worker -- Pregnancy -- Pregnant woman -- Care by type of problem - Medical care -- Drugs and alcohol effects and consequences -- Health care delivery","Europe - Ireland","Carmody Deirdre , Geoghegan Noreen , Sheppard Rose , Keenan Eamon , O'Connell M","0","no" "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Geoghegan","Noreen","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sheppard","Rose","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Keenan","Eamon","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Connell","M","","",,,,,,,,,,,,"JQ6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505","31","archive","1684",,,"disk0/00/01/65/05","2011-12-09 15:54:46","2014-11-25 09:54:05","2011-12-09 15:54:46","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","European Monitoring Centre for Drugs and Drug Addiction","EMCDDA manuals no 7. European drug prevention quality standards. A manual for prevention professionals.","pub","JA2","","public",,,,,,,,"The common view of drug prevention, particularly in lay audiences, is that it consists of informing (generally warning) young people about the effects (most commonly the dangers) of drug use. Prevention is then often equated with (mass media)campaigns. However, there is currently no evidence to suggest that the sole provision of information on drug effects has an impact on drug use behaviour, or that mass media campaigns are cost-effective. In reality, the challenge of prevention lies in helping young people to adjust their behaviour, capacities, and wellbeing in fields of multiple influences such as social norms, interaction with peers, living conditions, and their own personality traits. This view is also reflected in current prevention approaches. To provide a simplified overview, environmental prevention strategies target social norms, universal prevention targets skills development and interaction with peers and social life, selective prevention focuses on living and social conditions, and indicated prevention facilitates dealing and coping with individual personality traits and psychopathology.","2011",,,"European Monitoring Centre for Drugs and Drug Addiction",,"","",,,,,,"Publications Office of the European Union","Luxembourg",,,,,,,,,,,,,"manual","aod_prevention","alcohol_drugs_in_general",,"ISBN: 978-92-9168-487-8",,,,"European Monitoring Centre for Drugs and Drug Addiction",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JA2 , JB2 , JG , MQ6-2 , NM6-2 , TT2 , VH","J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- J Health care, prevention and rehabilitation > Prevention approach -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe","Health services, drugs and alcohol research -- Drugs and alcohol prevention -- Prevention approach -- Organisational development - Workforce / staff skills and training -- Recommendations or guidelines - Practice / clinical guidelines -- Drug or health care worker","Europe","European Monitoring Centre for Drugs and Drug Addiction European Monitoring Centre for Drugs and Drug Addiction","0","no" "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"guideline","education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16505",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13490","25","archive","5",,,"disk0/00/01/34/90","2010-07-28 07:04:35","2014-11-25 09:51:36","2010-07-28 07:04:35","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Office of the Minister for Children and Youth Affairs","National quality standards framework (NQSF) for youth work.","pub","JF10-12-4","","public",,"other",,,,,,"The NQSF is intended to be both practical and developmental, in that it will enable youth work organisations to assess service provision and to identify areas for development. As engagement in the NQSF is a continuous process, it is not expected that all organisations will be able to immediately and fully achieve all the standards as set out in this document. Neither is it the intention that the NQSF would require uniformity of provision. Rather, it aims to ensure that youth work providers continue to offer a rich and varied service, and commit to a process of continuous development through engagement in the NQSF. The NQSF is primarily a support and development tool for youth work organisations. Self-assessment is fundamental to the process. In addition, there is also an external assessment function, which serves to validate the self-assessment process and which is performed by VEC (Youth/Liaison) Officers for local youth work services or by the NQSF Standards Officer for national youth work organisations.","2010-07-27","published",,"Office of the Minister for Children and Youth Affairs",,"","",,,,,,"Office of the Minister for Children and Youth Affairs","Dublin",,"58 p.",,,,,,,,,,,"","","","9-781406-425161",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.omc.gov.ie/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JF10-12-4 , MQ6 , NM6 , TA14 , TT2 , VH4-2","J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention -- MP-MR Policy, planning, economics, work and social services > Organisational development -- N Communication, information and education > Recommendations or guidelines -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker","VA Geographic area > Europe > Ireland","Prevention by sponsor or setting - Youth-club / cafe based prevention -- Organisational development -- Recommendations or guidelines -- Adolescent / youth (teenager / young person) -- Drug or health care worker","Europe - Ireland","Office of the Minister for Children and Youth Affairs Office of the Minister for Children and Youth Affairs","0","no" "13490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19448","12","archive","5",,,"disk0/00/01/94/48","2013-03-07 13:19:07","2013-03-07 13:19:07","2013-03-07 13:19:07","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Canadian Centre on Substance Abuse","Competencies for Canada’s substance abuse workforce.","pub","TT2","","public",,,,,,,,"This report forms a supportive resource that identifies the technical and behavioural competencies required to perform effectively in the substance abuse field (from health promotion, support and outreach, counselling, withdrawal management, and supervision to administration and senior management). The competencies also apply to allied professionals (e.g., primary health care providers, enforcement officials, Elders, volunteers, and social workers) interacting with individuals who have substance abuse issues. National competencies for the specialized substance abuse field were identified as a critical need in the first-ever survey of the Canadian addiction treatment workforce in 2004. In response, the Canadian Centre on Substance Abuse, under the guidance of the National Advisory Group on Workforce Development, undertook to identify the technical and behavioural competencies needed by the substance abuse workforce. The goal of this project—comprised of Technical Competencies for Canada’s Substance Abuse Workforce, Behavioural Competencies for Canada’s Substance Abuse Workforce, and supporting tools—is to enhance professionalism in the field by providing resources to: • identify knowledge and skill sets for the substance abuse workforce and allied professionals • support employers in hiring, retention, and staff development • assist educators and trainers in developing strategies for learning • provide Canadians with a more consistent quality of service delivery from the substance abuse workforce.","2010","published",,"Canadian Centre on Substance Abuse",,"","",,,,,,"Canadian Centre on Substance Abuse","Ottawa",,"14 p.",,,,,,,,,,,"report","education_and_training","alcohol_drugs_in_general",,,,,,"Canadian Centre on Substance Abuse",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.ccsa.ca/Eng/Priorities/Workforce/Competencies/Pages/default.aspx#resources","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"TT2 , MQ6-2 , VC4","T Demographic characteristics > Drug or health care worker -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training","VA Geographic area > Canada","Drug or health care worker -- Organisational development - Workforce / staff skills and training","Canada","Canadian Centre on Substance Abuse Canadian Centre on Substance Abuse","0","yes" "19448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VC4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13502","21","archive","4",,,"disk0/00/01/35/02","2010-08-03 07:17:43","2013-01-30 14:19:00","2010-08-03 07:17:43","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Doyle","Joe","","","","Doyle:Joe::","",,,,,"","National Drugs Rehabilitation Implementation Committee","National drugs rehabilitation framework document.","pub","TT2","","public",,"other",,,,,,,"2010",,,"Doyle Joe",,"","",,,,,,"Health Services Executive","Dublin",,"37 p.",,,,,,,,,,,"","","","978-1-906218-34-8",,,,,,,,"","","4892","","available","","","","","",,,"JP24.2, VH4.2",,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TT2 , VH4-2 , JP24-4 , JT , JS","T Demographic characteristics > Drug or health care worker -- J Health care, prevention and rehabilitation > Rehabilitation -- J Health care, prevention and rehabilitation > Health care programme or facility -- J Health care, prevention and rehabilitation > Health care delivery","VA Geographic area > Europe > Ireland","Drug or health care worker -- Rehabilitation -- Health care programme or facility -- Health care delivery","Europe - Ireland","Doyle Joe , Ivanovic Jelena , National Drugs Rehabilitation Implementation Committee National Drugs Rehabilitation Implementation Committee","0","no" "13502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ivanovic","Jelena","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14579","20","archive","4",,,"disk0/00/01/45/79","2011-01-27 12:11:43","2016-03-01 16:32:10","2011-01-27 12:11:43","article",,,"show",,,,"","","","","","","","","","","0",,,"Loughran","Hilda","","","","Loughran:Hilda::","",,,,,"","","Predictors of role legitimacy and role adequacy of social workers working with substance-using clients.","pub","GA2-4","","none",,,,,,,,"Role adequacy (feeling knowledgeable about one's work) and role legitimacy (believing that one has the right to address certain client issues) have long been key theoretical constructs regarding explanations why various helping professionals are reluctant to address drug misuse problems with clients. This study examines these concepts in a sample of social workers and social work students. Using regression analysis, it was determined that the social workers who had more clients with drug problems, had taken a course in drug work and had support for their role were more likely to feel legitimate in their work with drug-using clients. Training in drug use identification and intervention, being male, having more clients with drug problems and role support predicted role adequacy. Having a Master's degree, work setting and job function were not related to role adequacy or role legitimacy. Implications for social work education are discussed.","2010","published",,"Loughran Hilda",,"","",,"British Journal of Social Work","40","1","1","Oxford",,"239-256",,,,,,,,,,,"TRUE","","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://bjsw.oxfordjournals.org/content/40/1/239.short","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","40","British Journal of Social Work","GA2-4 , MV , JQ6-8 , VH4-2 , NF , TT8-2","G Health and disease > State of health > Mental health -- MP-MR Policy, planning, economics, work and social services > Social services -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- N Communication, information and education > Education and training -- T Demographic characteristics > Social worker","VA Geographic area > Europe > Ireland","State of health - Mental health -- Social services -- Care by type of problem - Mental health care -- Education and training -- Social worker","Europe - Ireland","Loughran Hilda , Hohman Melinda , Finnegan Daniel","0","no" "14579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hohman","Melinda","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Finnegan","Daniel","","",,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13988","25","archive","5",,,"disk0/00/01/39/88","2010-10-14 07:54:12","2014-11-25 09:51:04","2010-10-14 07:54:12","article",,,"show",,,,"","","","","","","","","","","0",,,"Moore","Joan","","","","Moore:Joan::","",,,,,"","","From Drugnet Europe.","pub","JB2","","public",,,,,,,,,"2010","published",,"Moore Joan",,"","",,"Drugnet Ireland","Issue 35, Autumn 2010",,,"Health Research Board",,"28",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,"
Drugs and prison: improving our understanding
Cited from article by Linda Montanari and Dagmar Hedrich in Drugnet Europe No. 71, July–September 2010