"eprintid","rev_number","eprint_status","userid","importid","source","dir","datestamp","lastmod","status_changed","type","succeeds","commentary","metadata_visibility","contact_email","latitude","longitude","relation_type","relation_uri","item_issues_id","item_issues_type","item_issues_description","item_issues_timestamp","item_issues_status","item_issues_reported_by","item_issues_resolved_by","item_issues_comment","item_issues_count","sword_depositor","sword_slug","creators_name.family","creators_name.given","creators_name.lineage","creators_name.honourific","creators_id","browse_creators","contributors_type","contributors_name.family","contributors_name.given","contributors_name.lineage","contributors_name.honourific","contributors_id","corp_creators","title","ispublished","subjects","divisions","full_text_status","research_status","monograph_type","pres_type","keywords","research_method_note","note","suggestions","abstract","date","date_type","series","browse_by","rel_username_id","rel_username","rel_userid","username_browse_by","publication","volume","numeric_volume","number","publisher","place_of_pub","pagerange","pages","event_title","event_location","event_dates","event_type","id_number","patent_applicant","institution","department","thesis_type","refereed","publication_type","intervention_type","drug_type","isbn","issn","nsid","table_name","edition","item_source","date_start","date_end","organisations_organisation","organisations_role","accession_number","accession_comment","accession_status","copyright_holder","copyright_permission","copyright_granted","copyright_renewal","copyright_fee","toc_html","body_html","call_number","date_received","date_ordered","season_month","issue_title","book_title","editors_name.family","editors_name.given","editors_name.lineage","editors_name.honourific","editors_id","official_url","related_url_url","related_url_type","referencetext","funders","projects","output_media","exhibitors_name.family","exhibitors_name.given","exhibitors_name.lineage","exhibitors_name.honourific","exhibitors_id","num_pieces","composition_type","producers_name.family","producers_name.given","producers_name.lineage","producers_name.honourific","producers_id","conductors_name.family","conductors_name.given","conductors_name.lineage","conductors_name.honourific","conductors_id","lyricists_name.family","lyricists_name.given","lyricists_name.lineage","lyricists_name.honourific","lyricists_id","accompaniment","data_type","pedagogic_type","completion_time","task_purpose","skill_areas","copyright_holders","learning_level","research_dissemination","research_quantitative","research_qualitative","request_form","visible_until","doc_order_by","jv_volume","jv_pub","vol_subject_list","vol_subject_list_words","vol_subject_list_geo_words","vol_subject_list_words_last","vol_subject_list_geo_words_last","ace_words","sticky","home_hide" "28036","19","archive","5",,,"disk0/00/02/80/36","2017-10-23 09:31:39","2017-10-23 09:31:39","2017-10-23 09:31:39","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","‘My GP says I drink too much’: screening and brief intervention.","pub","BB","","public",,,,,,,,"The advent of brief interventions represented a radical realignment away from aiming for abstinence among a (relatively) few ‘alcoholics’, to reducing harm and preventing more serious problems among the bulk of non-dependent heavy drinkers (1 2). Instead of narrow and intensive, the strategy was (and remains) to spread thin and wide, deploying easily-learnt interventions delivered in a few minutes by non-specialist staff. The targets were no longer to be drinkers forced to or who chose to seek help, but the far greater number whose sub-critical consumption generated no impetus for intervention. They were to be identified by biochemical tests, a few screening questions, or clinical signs, while coming into contact with services for other reasons. The resulting package is variously known as ‘screening and brief intervention’ or ‘identification and brief advice’, a package which could be replicated so widely that even if only a minority responded to a small degree, the result would be a worthwhile improvement in health across a population of drinkers. Individuals would benefit by being diverted from yet more risky drinking, but unlike treatment, the population was the main target, not the individual.......","2017-10-03","published",,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings Hot Topic",,"October-December 2017","October-December 2017","Drug and Alcohol Findings","London",,"17 p.",,,,,,,,,,,"","aod_use_harm_reduction","alcohol",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://findings.org.uk/hot_topics.php?s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Drug and Alcohol Findings Hot Topic","BB , GC16 , HH , HZ , HZ2-2-2 , HZ26 , JG26_2_4_2 , JP10 , JT8_8_2 , TT2-12 , TT2-14 , VH4-4","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- HJ Treatment method > Psychosocial treatment method -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- HJ Treatment method > Treatment outcome -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- 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 > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Alcohol -- Drugs and alcohol disorder - Alcohol use -- Psychosocial screening and diagnostic method -- Psychosocial treatment method -- Psychosocial treatment method - Individual therapy - Brief intervention -- Treatment outcome -- Identification and screening - Identification and screening for drugs and alcohol use -- Treatment and maintenance - treatment factors -- Health care programme or facility - Community-based treatment (primary care) -- Doctor -- Nurse","Europe - United Kingdom","Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "28036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27982","18","archive","5",,,"disk0/00/02/79/82","2017-10-12 07:59:43","2017-10-12 07:59:43","2017-10-12 07:59:43","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive","Improvement knowledge and skills guide. Development Assessment Tool for all staff.","pub","JH2","","public",,,,,,,,,"2017-10","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dubiln",,"36 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GC4-6 , JB2-4 , PB6-12-2 , TT2 , TT2-12 , TT2-14","G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication > Drugs and alcohol poisoning (overdose) -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- P Demography, epidemiology, and history > Population dynamics > Drugs and alcohol related mortality / death -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Drugs and alcohol disorder - Drug use - Drug intoxication - Drugs and alcohol poisoning (overdose) -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Population dynamics - Drugs and alcohol related mortality / death -- Drug or health care worker -- Doctor -- Nurse",,"Collective Voice Collective Voice , NHS Substance Misuse Provider Alliance NHS Substance Misuse Provider Alliance","0","yes" "27814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NHS Substance Misuse Provider Alliance",,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"PB6-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27729","17","archive","5",,,"disk0/00/02/77/29","2017-08-10 07:52:30","2017-08-10 08:16:05","2017-08-10 07:52:30","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Department of Health","Hepatitis C screening. National clinical guideline no. 15. Summary.","pub","GH16-12-6-6","","public",,,,,,,,"This Summary National Clinical Guideline is relevant to all healthcare professionals, healthcare managers and policy makers working with those at increased risk of hepatitis C virus (HCV) infection. The guideline will also be of value to both statutory and voluntary bodies providing services to those groups at increased risk of HCV infection. It may also be used by those with HCV or in a risk group for HCV and by members of the public. Hepatitis C virus (HCV) is a major cause of liver disease worldwide. Globally, it is estimated that there are 115 million people who have had HCV infection, and 80 million with chronic infection. Transmission of HCV occurs through contact with the blood of an infected person. Risk factors for HCV differ globally. In developed countries like Ireland, injecting drug use (IDU) is the major risk factor. (3.1.4 People who use unprescribed or illicit drugs - page 15)","2017-08","published",,"Department of Health",,"","",,,,,,"Department of Health","Dublin",,"60 p.",,,,,,,,,,,"","","","2009-6267",,,,,,,,"","","","","","","","","","",,"

 

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27752","17","archive","5",,,"disk0/00/02/77/52","2017-08-14 07:58:35","2017-08-14 07:58:35","2017-08-14 07:58:35","article",,,"show",,,,"","","","","","","","","","",,,,"Lyons","Suzi","","","","Lyons:Suzi::","",,,,,"","","New clinical guidelines for opioid substitution treatment.","pub","BL","","public",,,,,,,,,"2017-08",,,"Lyons Suzi",,"","",,"Drugnet Ireland","Issue 62, Summer 2017",,,"Health Research Board",,"27-30",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"

New clinical guidelines for opioid substitution treatment (OST) in Ireland have been published.1 They were developed by a working group comprising the Health Service Executive (HSE), the College of Psychiatrists of Ireland, the Irish College of General Practitioners, the Pharmaceutical Society of Ireland and HSE addiction services. The group reviewed all relevant national and international guidelines and consulted stakeholders in the addiction services. Professor Michael Farrell, director of the National Drug and Alcohol Research Centre at the University of New South Wales provided expert opinion throughout the process.

 

This comprehensive document is divided into seven sections, each covering all different aspects of OST treatment: the guiding principles; rehabilitation and psychosocial components of OST; principles and key operational stages of pharmacological interventions of OST; assessment of dependence and management of OST; drug testing; OST and associated health considerations; and specific treatment situations and populations.

 

The guidelines emphasise the importance of clinical governance and standards in OST treatment. Governance looks to put the service user first, working towards delivering a quality service and maintaining patient safety (see Appendix 1, p. 70). The need for properly qualified and accredited staff to deliver the right interventions is also spelt out.

 

There is an acknowledgment of the importance of family/carers in the treatment process. The guidelines recommend that services should proactively engage with family/carers to enable them to be active partners in the treatment, with the service user’s consent. This is particularly important for teenagers. The guidelines also note that this group can have their own issues, distinct from the service user, which may need to be addressed.

 

The document includes in-depth information for prescribing buprenorphine/buprenorphine-naloxone. The guidelines state that due to the safer profile of these formulations, induction and stabilisation can be quicker. They can be commenced by Level 2 general practitioners (GPs) and HSE addiction clinic prescribers. Other recommendations include:

The guide states that evidence shows that contingency management (CM), for example using incentives such as take-home OST, is proven to improve outcomes in this patient group. However, it does have some disadvantages and it is therefore recommended that it be provided as part of a structured care plan in combination with other evidence-based interventions. The guidelines directly address the issue of diversion. They state that take-home OST as an incentive for CM should be balanced against the known positive benefits to the service user and any potential risks, such as unsafe storage in homes or diversion. The criteria for deciding whether or not a client is suitable for take-home OST is based on known risk factors, and an assessment of the individual service user and community safety, but also clinical stability. In the guidelines, clinical stability is defined as:

Contraindications to receiving take-home OST are:

A brief summary of the entire guide contents and all key points are reproduced below.

 

1. Guiding principles

Contents: good governance; therapeutic alliance; and information sharing (p. 11). The key points are:

 

2. Rehabilitation and psychosocial components of OST

Contents: OST as a component of rehabilitation; integrated care plans; psychosocial interventions; key steps involved in the integrated care pathway; (p. 13). The key points are:

 

3. Principles and key operational stages of pharmacological interventions for OST

Contents: aims and objectives of OST; legislative requirements for prescriptions and initiation of OST (including buprenorphine/naloxone); provision of information to the patient; communication between prescriber; dispensing pharmacist and multidisciplinary team; contingency management; diversion of opioid substitution medication; supervised consumption; ongoing assessment of OST; and referral procedure for change of OST location (p. 17). The key points are:

 

4. Assessment of dependence and management of OST

Contents: Phase 1 assessing dependence; Phase 2 induction phase; Phase 3 stabilisation; Phase 4 maintenance; and Phase 5 detoxification (p. 26). The key points are:

 

5. Drug testing

Contents: objectives of drug testing; rationale; procedures for testing; usefulness of drug testing; urine sample adulteration; supervision of urine samples; testing for alcohol and Z-drugs (p. 38). The key points are:

 

6. OST and associated health considerations

Contents: responses to continued drug and alcohol misuse for patients; mental health; viral infections; vaccinations; health implications for continued drug and alcohol use; pain management for drug misusers; ECG monitoring; and drug-related deaths (overdose, reducing drug-related deaths, dealing with overdose emergency) (p. 43). The key points are:

 

7. Specific treatment situations and populations

Contents: hidden harm; criminal justice system (Garda custody, Drug Treatment Court, probation, prison); opiate-dependent patients in hospital; pregnancy and neonatal care; young people; older current and ex-drug users; and palliative care and life-limiting conditions (p. 57).. The key points are:

 

1   Health Service Executive (2016) Clinical guidelines for opioid substitution treatment. Dublin: Health Service Executive. http://www.drugsandalcohol.ie/26573/

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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. 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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 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"27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH10-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"prescription",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23734","21","archive","5",,,"disk0/00/02/37/34","2015-04-08 09:02:39","2017-07-12 08:57:58","2015-04-08 09:02:39","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Alcohol matrix cell D5: Organisational functioning - safeguarding the community.","pub","BB","","public",,,,,,,,,"2017-06","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? 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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115","11","archive","5",,,"disk0/00/02/71/15","2017-04-04 10:00:21","2017-04-04 10:00:21","2017-04-04 10:00:21","guideline",,,"show",,,,"","","","","","","","","","",,,,"Schwartz","R P","","","","Schwartz:R P::","",,,,,"","","Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST.","pub","HH","","none",,,,,,,,"BACKGROUND: There is a need for screening and brief assessment instruments to identify primary care patients with substance use problems. This study's aim was to examine the performance of a two-step screening and brief assessment instrument, the TAPS Tool, compared to the WHO ASSIST. METHODS: Two thousand adult primary care patients recruited from five primary care clinics in four Eastern US states completed the TAPS Tool followed by the ASSIST. The ability of the TAPS Tool to identify moderate- and high-risk use scores on the ASSIST was examined using sensitivity and specificity analyses. RESULTS: The interviewer and self-administered computer tablet versions of the TAPS Tool generated similar results. The interviewer-administered version (at cut-off of 2), had acceptable sensitivity and specificity for high-risk tobacco (0.90 and 0.77) and alcohol (0.87 and 0.80) use. For illicit drugs, sensitivities were >0.82 and specificities >0.92. The TAPS (at a cut-off of 1) had good sensitivity and specificity for moderate-risk tobacco use (0.83 and 0.97) and alcohol (0.83 and 0.74). Among illicit drugs, sensitivity was acceptable for moderate-risk of marijuana (0.71), while it was low for all other illicit drugs and non-medical use of prescription medications. Specificities were 0.97 or higher for all illicit drugs and prescription medications. CONCLUSIONS: The TAPS Tool identified adult primary care patients with high-risk ASSIST scores for all substances as well moderate-risk users of tobacco, alcohol, and marijuana, although it did not perform well in identifying patients with moderate-risk use of other drugs or non-medical use of prescription medications. The advantages of the TAPS Tool over the ASSIST are its more limited number of items and focus solely on substance use in the past 3months.","2017-05","published",,"Schwartz R P",,"","",,"Journal of Substance Abuse Treatment","76",,,"Elsevier",,"69-76","69-76",,,,,,,,,,,"","screening","alcohol",,"1873-6483",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.sciencedirect.com/science/article/pii/S0740547216303981","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"3","76","Journal of Substance Abuse Treatment","HH , JG26_2_4_2 , JT8_8_2 , TT2-12 , TT2-14","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 programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Psychosocial screening and diagnostic method -- Identification and screening - Identification and screening for drugs and alcohol use -- Health care programme or facility - Community-based treatment (primary care) -- Doctor -- Nurse",,"Schwartz R P , McNeely J , Wu L T , Sharma G , Wahle A , Cushing C , Nordeck C D , Sharma A , O'Grady K E , Gryczynski J , Mitchell S G , Ali R L , Marsden J , Subramaniam G A","0","yes" "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McNeely","J","","",,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wu","L T","","",,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sharma","G","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wahle","A","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cushing","C","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nordeck","C D","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sharma","A","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Grady","K E","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gryczynski","J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"prescription",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mitchell","S G","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"tobacco",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ali","R L","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Marsden","J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Subramaniam","G A","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27136","10","archive","5",,,"disk0/00/02/71/36","2017-04-11 10:36:47","2017-04-11 10:36:47","2017-04-11 10:36:47","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Practitioner Health Matters Programme","Practitioner health matters programme 2015-2016.",,"TT2-12","","public",,,,,,,,"It is well recognised that using the normal healthcare pathways is often difficult for doctors, dentists and pharmacists. Treating these professionals can also be challenging. Practitioners often delay in seeking help and resort to self-management and self-medication. There are many reasons for this delayed approach and cultural issues within healthcare plays its part: admitting to being unwell, feeling stressed, difficulty coping with the workload as well as simply scheduling time off to seek medical help are all factors which contribute to poor practices. Reluctance to recognise and acknowledge a problem with mental health, alcohol or substance use can be even more difficult for practitioners: feelings of shame, guilt, stigma, fears around confidentiality and fears for their future ability to practise result in practitioners not seeking help in these circumstances. This often results in them presenting when their problems are more severe or sometimes when they are in crisis. The Practitioner Health Matters Programme is a service specifically designed to look after the needs of practitioners. It is a strictly confidential service which recognises the complexities of why practitioners may delay in declaring they have a problem and can provide the time, care and support a practitioner may need. The programme focus is to support the practitioner in difficulty rather than reporting them to their employer or regulator allowing them to access the medical help they need to restore them to full health and functioning.","2017-04",,,"Practitioner Health Matters Programme",,"","",,,,,,"Practitioner Health",,,"26 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://practitionerhealth.ie/","org",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TT2-12 , TT2-14 , VH4-2","T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Doctor -- Nurse","Europe - Ireland","Practitioner Health Matters Programme Practitioner Health Matters Programme","0","no" "27136",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27136",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052","15","archive","5",,,"disk0/00/02/70/52","2017-03-20 13:03:57","2017-03-20 13:05:48","2017-03-20 13:03:57","guideline",,,"show",,,,"","","","","","","","","","",,,,"Laporte","Catherine","","","","Laporte:Catherine::","",,,,,"","","Cannabis and young users- a brief intervention to reduce their consumption (CANABIC): a cluster randomized controlled trial in primary care.","pub","AA2","","none",,,,,,,,"PURPOSE: Brief intervention to reduce cannabis is a promising technique that could be adapted for use in primary care, but it has not been well studied in this setting. We tested the efficacy of a brief intervention conducted by general practitioners among cannabis users aged 15 to 25 years. METHODS: We performed a cluster randomized controlled trial with 77 general practitioners in France. The intervention consisted of an interview designed according to the FRAMES (feedback, responsibility, advice, menu, empathy, self-efficacy) model, while the control condition consisted of routine care. RESULTS: The general practitioners screened and followed up 261 young cannabis users. After 1 year, there was no significant difference between the intervention and control groups in the median number of joints smoked per month among all users (17.5 vs 17.5; P = .13), but there was a difference in favor of the intervention among nondaily users (3 vs 10; P = .01). After 6 months, the intervention was associated with a more favorable change from baseline in the number of joints smoked (-33.3% vs 0%, P = .01) and, among users younger than age of 18, smoking of fewer joints per month (12.5 vs 20, P = .04). CONCLUSIONS: Our findings suggest that a brief intervention conducted by general practitioners with French young cannabis users does not affect use overall. They do, however, strongly support use of brief intervention for younger users and for moderate users.","2017-03","published",,"Laporte Catherine",,"","",,"Annals of Family Medicine","15","2","2",,,"131-139",,,,,,,,,,,,"review","aod_disorder","cannabis",,"1544-1717",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.annfammed.org/content/15/2/131.full","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","15","Annals of Family Medicine","AA2 , B6 , HZ2-2-2 , JM , JT8_8_2 , TA14 , TT2-12 , TT2-14 , VH4-6","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- B Drugs and alcohol substances > Cannabis / Marijuana -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- 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 > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > France","Prevalence of drugs and alcohol use -- Cannabis / Marijuana -- Psychosocial treatment method - Individual therapy - Brief intervention -- Patient care management -- Health care programme or facility - Community-based treatment (primary care) -- Adolescent / youth (teenager / young person) -- Doctor -- Nurse","Europe - France","Laporte Catherine , Vaillant-Roussel Hélène , Pereira Bruno , Blanc Olivier , Eschalier Bénédicte , Kinouani Shérazade , Brousse Georges , Llorca Pierre-Michel , Vorilhon Philippe","0","yes" "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vaillant-Roussel","Hélène","","",,,,,,,,,,,,"B6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pereira","Bruno","","",,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Blanc","Olivier","","",,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Eschalier","Bénédicte","","",,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kinouani","Shérazade","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brousse","Georges","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Llorca","Pierre-Michel","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vorilhon","Philippe","","",,,,,,,,,,,,"VH4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869","14","archive","5",,,"disk0/00/02/68/69","2017-02-20 08:28:08","2017-02-20 08:28:08","2017-02-20 08:28:08","guideline",,,"show",,,,"","","","","","","","","","",,,,"Parkman","Tom","","","",,"",,,,,"","","Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons.","pub","BB","","none",,,,,,,,"Background: Understanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen’s Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances. Methods: Qualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months). We recruited participants from 6 EDs in London, United Kingdom. Data on socio-demographic characteristics, substance use, contact with specialist addiction and other health services, most recent ED attendance, and previous ED attendances were analysed. Results: Participants reported long-standing health problems, almost all were unemployed, and many had limited education and unstable housing. Most held positive health beliefs about EDs, despite some negative experiences. They reported limited community resources: poor social support, inaccessible primary care services, dislike or lack of information about specialist addiction services, and difficulties travelling to services. In contrast, EDs offered immediate, sympathetic care and free transport by ambulance. Participants’ perceived need for care was high, with physical injury and pain being the main reasons for ED attendance. Conclusions: Push’ and ‘pull’ factors contributed to repeated ED use. ‘Push’ factors included individual-level problems and wider community service failings. ‘Pull’ factors included positive experiences of, and beliefs about, ED care. Community services need to better engage and support people with complex drinking problems, whilst ED staff can be more effective in referring patients to community-based services.","2017-02",,,"Biomed Central",,"","",,"BMC Health Services Research","17","140","140","BioMed Central",,,,,,,,"DOI: 10.1186/s12913-017-2091-9",,,,,,"","aod_disorder","alcohol",,"1472-6963",,,,"Biomed Central",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2091-9","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","17","BMC Health Services Research","BB , GC16-4 , GC16-6 , JP10_2_2 , JQ8-2 , JT14-4 , JT8_8_2 , TT2-12 , TT2-14","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol intoxication -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Treatment and maintenance - patient attitude toward treatment -- Care by type of problem - emergency care -- Health care programme or facility - Hospital -- Health care programme or facility - Community-based treatment (primary care) -- Doctor -- Nurse",,"Parkman Tom , Neale Joanne , Day Ed , Drummond Colin","0","yes" "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Neale","Joanne","","",,,,,,,,,,,,"GC16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Day","Ed","","",,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Drummond","Colin","","",,,,,,,,,,,,"JP10_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26869",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27344","10","archive","1684",,,"disk0/00/02/73/44","2017-05-25 11:22:05","2017-09-22 13:19:21","2017-05-25 11:22:05","article",,,"show",,,,"","","","","","","","","","",,,,"Ducray","Kevin","","","","Ducray:Kevin::","",,,,,"","","Health student regard for substance-using patients as measured by the Medical Condition Regard Scale: a systematic review.",,"FR16-6-4-2","","none",,,,,,,,,"2017","published",,"Ducray Kevin",,"","",,"Irish Journal of Psychological Medicine","34",,,"Medmedia Group",,"183-196",,,,,,"DOI: https://doi.org/10.1017/ipm.2017.8",,,,,,"","","",,"0790-9667",,,,,,,"","","","","available","","","","","",,"

As clinical impartiality is an accepted basic principle of ethical practice, any proactive exercises that may inform selection, training, clinical placements, and other interventions, which promote future positive and equitable professional conduct, thus guarding against future discriminatory attitudes are germane. Within this context, the purpose of this review was to identify trends and patterns in health student, namely future practitioners’, regard for substance-using patients using the Medical Condition Regard Scale.

 

Six electronic databases were systematically searched for studies that used the Medical Condition Regard Scale as an outcome measure in assessing health student regard for drug-using patients. Academics who had published in this area were also consulted to recommend texts that would complement the above citation sourcing process. Following an elimination of duplicates, the application of inclusion and exclusion criteria, as well as conducting citation searches, 16 studies were incorporated in the final review. Although the quality of all included studies was satisfactory, no study was free from a potential source of bias.

 

This review found that patients with drug-use problems were consistently held in the lowest echelons of regard by trainee health practitioners. The impact of sex, age, year of course, and personal exposure to mental health difficulties in predicting negative regard was unclear.

 

Unless addressed, patients with drug problems may have a high potential for future treatment marginalisation by tomorrow’s health professionals. This scenario needs to be proactively managed by all stakeholders through a greater investment in educational and clinical training placement opportunities.

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","34","Irish Journal of Psychological Medicine","FR16-6-4-2 , JP10_6 , TT2-12 , TT2-14 , VA2","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 > provider attitude toward treatment -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > International aspects","Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Treatment and maintenance - provider attitude toward treatment -- Doctor -- Nurse","International aspects","Ducray Kevin , Pilch M","0","no" "27344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pilch","M","","",,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414","12","archive","5",,,"disk0/00/02/64/14","2016-11-22 14:41:19","2016-11-22 14:41:19","2016-11-22 14:41:19","article",,,"show",,,,"","","","","","","","","","",,,,"Horgan","Aine","","","","Horgan:Aine::","",,,,,"","","Depressive symptoms, college adjustment and peer support among undergraduate nursing and midwifery students.","pub","AD12-6","","none",,,,,,,,"AIM: This study aimed to identify levels of depressive symptoms, social and personal college adjustment and peer support among nursing and midwifery students. BACKGROUND: Student mental health is of international concern, particularly among students who are undertaking professional qualifications in health care. DESIGN: Cross-sectional design. METHODS: Data were collected in 2013 using the Centre for Epidemiology Depressive Symptoms Scale, two subscales of the Student Adaptation to College Questionnaire; and a subscale of the Peer Support Evaluation Inventory with 417 students in Ireland. RESULTS: Findings indicated that 34% of participants experienced depressive symptoms, 20% were poorly personally adjusted and 9% poorly socially adjusted. Most students had good levels of peer support. Statistically significant relationships were found between all key variables. Students in their second year of study had significantly higher rates of depressive symptoms. Participants who reported having poor relationships with their fathers were at higher risk and had more difficulties personally and socially adjusting to university life and study. The alcohol consumption of participants had a statistically significant relationship with depressive symptoms with higher consumption rates having a positive impact on symptoms. CONCLUSION: The mental health of undergraduates undertaking professional healthcare studies needs to be a key research, educational and clinical priority. High rates of adjustment and mental health difficulties, particularly in the second year of the programme need to be examined and more effective interventions developed.","2016-12","published",,"Horgan Aine",,"","",,"Journal of Advanced Nursing","72","12","12","Wiley",,"3081-3092",,,,,,,,,,,"TRUE","","","",,"1365-2648",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://onlinelibrary.wiley.com/doi/10.1111/jan.13074/abstract;jsessionid=E4A31C5C0F8B999BD8F7B615CE7AF2A3.f03t01","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","72","Journal of Advanced Nursing","AD12-6 , BB , GA2-4 , GD2 , LC2-14 , TN2-6 , TT2-14 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- B Drugs and alcohol substances > Alcohol -- G Health and disease > State of health > Mental health -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Peer relations -- T Demographic characteristics > Undergraduate or graduate student -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- State of health - Mental health -- Drugs and alcohol related disorder - Drugs and alcohol related mental disorder -- Interpersonal interaction and group dynamics - Peer relations -- Undergraduate or graduate student -- Nurse","Europe - Ireland","Horgan Aine , Sweeney John , Behan Laura , McCarthy Geraldine","0","yes" "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sweeney","John","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Behan","Laura","","",,,,,,,,,,,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McCarthy","Geraldine","","",,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26414",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26240","9","archive","5",,,"disk0/00/02/62/40","2016-10-13 10:40:54","2016-10-13 10:40:54","2016-10-13 10:40:54","article",,,"show",,,,"","","","","","","","","","",,,,"Kelly","Peter","","","","Kelly:Peter::","",,,,,"","","Inaugural Irish conference for nurses in addiction services.","pub","JS","","public",,,,,,,,,"2016-10","published",,"Kelly Peter",,"","",,"Drugnet Ireland","Issue 59, Autumn 2016",,,"Health Research Board",,"20",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"

The Ireland Chapter of the International Nurses Society on Addictions (IntNSA)1 held its inaugural conference in Dublin City University on 10 June 2016. The conference theme was ‘Hot topics in addiction’, where Irish and international speakers addressed several current issues, including the service user experience, chemsex, the role of the nurse in substance misuse, nurse prescribing, medically supervised injecting, and Irish and international policy developments. The conference was attended by the current president of IntNSA in the US, Dana-Murphy Parker, an Assistant Professor of Nursing at Drexel University in Philadelphia, Dr Carmel Clancy, Chair of the IntNSA International Task Force and Dr Chris Loth, President of the IntNSA Netherlands chapter who was accompanied by two Netherlands IntNSA board members.3

 

Nurses play an increasingly important role in the treatment and prevention of addictive disorders across a broad range of healthcare settings. Nursing education covers a range of academic and practical subject areas, including holistic, physical and mental healthcare, psychosocial interventions, self-awareness, ethics and pharmacology. The undergraduate nursing degree prepares nurses for practice in child health, midwifery, mental health and intellectual disability as well as general practice. Many of the skills gained before undertaking specialist postgraduate training are highly relevant in terms of meeting client needs across the spectrum of addiction treatment. Nurse’s professional registration also provides enhanced statutory protection for both employers and service users.

 

However, the diverse nature of work in the addictions field in Ireland and the lack of opportunity for specialisation outside of Dublin have meant there is some ambiguity around the role of nurses in this field and its service value. In the workplace many nurses find themselves isolated from professional support in areas where employers may be unfamiliar with their role. In 2015, nurses working in this area formed the Ireland Chapter of IntNSA, to become a part of a professional organisation founded in 1975 in the United States for nurses committed to the prevention, treatment and management of addictive disorders. These include alcohol and other drug dependencies, nicotine dependencies, eating disorders, dual diagnosis, multiple diagnosis, and process addictions, such as gambling. IntNSA’s mission is to advance excellence in nursing care for the prevention and treatment of addictions for diverse populations across all practice settings through advocacy, collaboration, education, research and policy development.

 

IntNSA is engaged in a wide range of activities internationally, which has included hosting a symposium at the International Society of Addiction Medicine (ISAM) conference in Dundee in 2015. The Ireland Chapter was the first chapter established outside the United States and now has over 50 Irish members. It aims principally to provide a professional support network for nurses and other disciplines working in the addictions field and across other areas of healthcare in Ireland. The Ireland Chapter of IntNSA also wants addiction nursing to be recognised as a discipline within nursing. Membership is open to nurses registered with the Nursing and Midwifery Board of Ireland (NMBI) and student nurses, while associate membership is open to other disciplines and service users.2 Service users and nurses from addiction treatment and academic disciplines are represented on the board. The board members are Ann McGuire, Deirdre Carmody, Deirdre Lynne, Dr Gerry Moore, John Flanagan, Niall O’Connell and Peter Kelly. Opportunities for international collaboration are increasing, as there are now IntNSA chapters in The Netherlands and in Brazil, with a UK chapter currently being established.

 

One of the main objectives of the Dublin conference, which had a capacity attendance, was to raise awareness of the value that nurses can bring right across the spectrum of treatment services and to increase dialogue with service users and other practitioners and academics in other disciplines. A panel discussion, chaired by Dr Siobhán O’Halloran, Chief Nursing Officer at the Department of Health, generated interesting discussion around the future of addiction treatment in Ireland.

 

In November 2015, representatives of the Ireland Chapter of IntNSA met with the then Minister for the National Drugs Strategy, Aodhán Ó Ríordán, and was the first nursing group to formally contribute to an Irish national drugs strategy via attendance at the Continuum of Care Focus Group. The focus for 2016/17 will be decided at our forthcoming AGM and we will explore opportunities to positively influence the nursing contribution to Irish addiction services. 

 

 

1 Further details on IntNSA’s mission, vision and values are available online at http://www.intnsa.org/

2 Information on membership of the Ireland Chapter of IntNSA and conference speakers is available online at http://groupspaces.com/IrelandChapterofIntNSA/join/

3. Information on other speakers is available at https://www.dcu.ie/snhs/news/2016/mar/international-addictions-conference.shtml

",,,,,"Issue 59, Autumn 2016",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 59, Autumn 2016","Drugnet Ireland","JS , TT2-14 , VH4-2","J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Health care delivery -- Nurse","Europe - Ireland","Kelly Peter","0","yes" "26240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "26240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25946","12","archive","5",,,"disk0/00/02/59/46","2016-08-08 07:48:12","2016-08-08 07:48:12","2016-08-08 07:48:12","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","BMA Occupational Medicine Committee","Alcohol, drugs and the workplace: the role of medical professionals.","pub","LN34","","public",,,,,,,,"This guide aims to provide practical advice to medical professionals to help you to understand and support working patients and employers to address alcohol and illicit drug use by people that work. This guidance was first published in 2014 and supplements the work published by the Board of Science on alcohol and the use of illicit drugs, and aims to provide practical advice to medical professionals to help them understand and support working patients and employers to address the use of alcohol and illicit drugs by people who work. This second edition was updated and chapter 9 added in response to a Department for Work and Pensions review into how best to support benefit claimants with addictions and potentially treatable conditions back into work. While aimed primarily at medical professionals, this booklet may also assist other health care professionals, managers, human resources specialists and employee representatives.","2016-07",,,"BMA",,"","",,,,,,"British Medical Association","London",,"40 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,"2nd edition","BMA",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LN34 , MU2-6 , TT2-12 , TT2-14 , VH4-4","L Social psychology and related concepts > Social context > Workplace context -- MP-MR Policy, planning, economics, work and social services > Labour and work > Work-related drugs and alcohol issue > Workplace drugs and alcohol policy -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Social context - Workplace context -- Labour and work - Work-related drugs and alcohol issue - Workplace drugs and alcohol policy -- Doctor -- Nurse","Europe - United Kingdom","BMA Occupational Medicine Committee BMA Occupational Medicine Committee","0","yes" "25946",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MU2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25946",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25946",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25946",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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.

Open: The 3rd national emergency department survey of alcohol identification and intervention activity

",,,,,,,,,,,"",,"http://alcoholresearchuk.org/alcohol-insights/frequent-attenders-to-accident-and-emergency-departments-a-qualitative-study-of-individuals-who-repeatedly-present-with-alcohol-related-health-conditions/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AM , BB , FR16-6-4-2 , GA2 , GC16-6 , JM , JQ8-2 , TT2 , TT2-12 , TT2-14 , TT8-2 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- 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 -- G Health and disease > State of health -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Care by type of problem > emergency 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 > Europe > United Kingdom","Drugs and alcohol effects and consequences -- Alcohol -- Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- State of health -- Drugs and alcohol disorder - Alcohol use - Alcohol dependence -- Patient care management -- Care by type of problem - emergency care -- Drug or health care worker -- Doctor -- Nurse -- Social worker","Europe - United Kingdom","Neale Joanne , Parkman Tom , Day Ed , Drummond Colin","0","yes" "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Parkman","Tom","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Day","Ed","","",,,,,,,,,,,,"FR16-6-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Drummond","Colin","","",,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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:

  1. Motivating and engaging staff
  2. Roles and responsibilities
  3. Skills and confidence
  4. Equipment
  5. Recording information
  6. Communicating with service users
  7. Interfaces with other services

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25438","13","archive","5",,,"disk0/00/02/54/38","2016-04-27 08:52:18","2016-04-27 08:52:18","2016-04-27 08:52:18","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Action on Smoking and Health UK","Briefing: Smoking and surgery.","pub","BD","","public",,,,,,,,"This briefing has been designed for health professionals and commissioners, to provide clear advice and examples of good practice in relation to smoking and surgery. Contents: • Summary of the evidence p.1 • Risks associated with smoking and surgery p.1 • Benefits of quitting smoking p.2 • Cost to the NHS p.2 • The role of health professionals p.3 • General Practitioners p.3 • Anaesthetists p.3 • Surgeons p.3 • Why hospitalisation is an opportune time to encourage patients to stop smoking p.4 • Stop smoking interventions and harm reduction p.4 • Behavioural support and stop smoking pharmacotherapies p.4 • Electronic cigarettes p.5 • What should smokers expect from the NHS ahead of surgery p.5","2016-04","published",,"ASH",,"","",,,,,,"ASH","London",,"7 p.",,,,,,,,,,,"guideline","aod_disorder","tobacco",,,,,,"ASH",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BD , GA2-2 , TT2-12 , TT2-14 , VH4-4","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- G Health and disease > State of health > Physical health -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Tobacco (cigarette smoking) -- State of health - Physical health -- Doctor -- Nurse","Europe - United Kingdom","Action on Smoking and Health UK Action on Smoking and Health UK , Royal College of Anaesthetists Royal College of Anaesthetists , Royal College of Surgeons of Edinburgh Royal College of Surgeons of Edinburgh , Faculty of Public Health Faculty of Public He","0","yes" "25438",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Royal College of Anaesthetists",,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25438",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Royal College of Surgeons of Edinburgh",,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25438",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Faculty of Public Health",,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25438",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623","13","archive","5",,,"disk0/00/02/76/23","2017-07-19 15:01:01","2017-07-19 15:01:01","2017-07-19 15:01:01","guideline",,,"show",,,,"","","","","","","","","","",,,,"Choo","Esther","","","","Choo:Esther::","",,,,,"","","""I need to hear from women who have 'been there'"": Developing a woman-focused intervention for drug use and partner violence in the emergency department.","pub","JP10","","none",,,,,,,,"OBJECTIVE: Addressing violence and linking women to community services in parallel with drug change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUD). Our objective was to develop a Web-based intervention to address violence and drug use among women patients in the ED. METHODS: The intervention was developed in a five-step process: 1) Initial intervention development based on selected theoretical frameworks; 2) In-depth interviews with the target population; 3) Intervention adaptation, with iterative feedback from further interviews; 4) Beta testing and review by an advisory committee of domestic violence advocates; 5) Acceptability and feasibility testing in a small open trial. RESULTS: Themes supported the selection of MI and empowerment models but also guided major adaptations to the intervention, including the introduction of videos and a more robust booster phone call. Participants in the open trial reported high scores for satisfaction, usability, and consistency with essential elements of motivational interviewing. CONCLUSIONS: This qualitative work with our target population of women in the ED with SUD experiencing IPV underscored the importance of connection to peers and empathetic human contact. We developed an acceptable and feasible intervention distinct from prior ED-based brief interventions for substance-using populations.","2016-04","published",,"Pubmed Central",,"","",,"Partner Abuse","7","2","2",,,"193-220",,,,,,,,,,,,"","aod_use_harm_reduction","alcohol",,"1946-6560",,,,"Pubmed Central",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040444/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","7","Partner Abuse","JP10 , JQ8-2 , MM16-2-2 , MM26 , T10-4 , TE2 , TT2-12 , TT2-14","J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- MM-MO Crime and law > Crime and violence > Drugs and alcohol related violence -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation) -- T Demographic characteristics > Woman (women / female) -- T Demographic characteristics > Gender differences -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Treatment and maintenance - treatment factors -- Care by type of problem - emergency care -- Crime and violence - Drugs and alcohol related violence -- Crime and violence - Crime against persons (assault / abuse / intimidation) -- Woman (women / female) -- Gender differences -- Doctor -- Nurse",,"Choo Esther , Guthrie K Morrow , Mello Michael , Wetle Terrie F , Ranney Megan , Tapé Chantal , Zlotnick Caron","0","yes" "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Guthrie","K Morrow","","",,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mello","Michael","","",,,,,,,,,,,,"MM16-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wetle","Terrie F","","",,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ranney","Megan","","",,,,,,,,,,,,"T10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tapé","Chantal","","",,,,,,,,,,,,"TE2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Zlotnick","Caron","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27623",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314","16","archive","1684",,,"disk0/00/02/53/14","2016-03-18 10:39:45","2016-03-18 10:39:45","2016-03-18 10:39:45","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive; College of Psychiatrists","National clinical programme for the assessment and management of patients presenting to Emergency Departments following self-harm.","pub","FS62","","public",,,,,,,,,"2016-03","published",,"Health Service Executive; College of Psychiatrists",,"","",,,,,,"The National Clinical Programme for Mental Health Clinical Programme, HSE Clinical Strategy and Programmes Division","Dublin",,"66 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

In 2014, more than 11,000 people came to Irish general hospital Emergency Departments following self-harm. From the National Self-Harm Registry Ireland, we know that up to 15% of patients who present following self-harm will leave the Emergency Department (ED) without a bio-psycho-social (BPS) assessment of risk and need, and that 17% of patients will repeat their self-harm act within 3 months (Griffin et al, 2015).

Self-harm is the single biggest risk factor for completed suicide, increasing the risk of suicide 40-fold, as compared to the general population (Owen et al, 2002; Carroll et al, 2014). Suicide is now the commonest cause of death for young men (aged 15-24 years) and middle aged men (45-54 years). Alcohol consumption is implicated in more than 37% of cases of self-harm (Griffin et al, 2015) and half of those who die by suicide have had a history of alcohol abuse in the final year of their lives (Arensman et al, 2013).

Diversity with regard to assessment procedures and management in health settings, as well as feedback from families bereaved by suicide, have led to repeated calls for the development and resourcing of an effective response for people who present to health services having engaged in self-harm.

The aim of this National Clinical Care Programme (NCP) for the Assessment and Management of Patients Presenting to Emergency Departments Following Self-harm is to develop a standardised and effective process for the assessment and management of individuals of all age ranges, including children, adolescents, adults and older adults, who present with self-harm to ED.

It refers to the mental health/bio-psycho-social assessment and initial management of both risk and need following self-harm, in the acute hospital Emergency Department, from time of presentation to discharge.

This NCP requires that all patients presenting to ED with self-harm (including suicidal ideation and intent) will receive standardised triage, bio-psycho-social assessment and assertive follow up by skilled clinicians.

Family/carers will be included in the assessment and follow up process. The quality of the programme will be monitored through a set of key metrics.

Training offered by this programme will ensure that patients and their families have access to clinicians with sufficient expertise to provide high-quality, evidence-based care and treatment. Critical to the success of this clinical programme will be the consolidation and further development of (and, in some areas, formation of) close working relationships between the ED clinical team, mental health liaison staff and community mental health teams (CMHTs) and General Practitioner (GP) services.

The objectives of this programme are to:

 Improve the assessment and management of all individuals who present to ED with self-harm

 Reduce rates of repeated self-harm

 Improve access to appropriate interventions at times of personal crisis

 Ensure rapid and timely linkage to appropriate follow-up care

 Optimise the experience of families and carers in trying to support those who present with self-harm.

",,,,,,,,,,,"",,"http://www.hse.ie/eng/about/Who/clinical/natclinprog/mentalhealthprogramme/selfharm/","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"FS62 , FS62_4 , JH10-4 , JQ8-2 , JT14-4 , TT2-12 , TT2-14 , VH4-2","F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour > suicidal behaviour / suicide -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Suicide prevention -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Specific attitude and behaviour - self-destructive behaviour -- Specific attitude and behaviour - self-destructive behaviour - suicidal behaviour / suicide -- Health-related prevention - Health information and education - Suicide prevention -- Care by type of problem - emergency care -- Health care programme or facility - Hospital -- Doctor -- Nurse","Europe - Ireland","Health Service Executive; College of Psychiatrists Health Service Executive; College of Psychiatrists","0","no" "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS62_4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129","12","archive","5",,,"disk0/00/02/51/29","2016-02-02 09:01:52","2016-02-02 09:01:52","2016-02-02 09:01:52","article",,,"show",,,,"","","","","","","","","","",,,,"Deasy","Christine","","","","Deasy:Christine::","",,,,,"","","Predictors of health of pre-registration nursing and midwifery students: findings from a cross-sectional survey.","pub","AD12-6","","none",,,,,,,,"BACKGROUND: Student nurses/midwives evidence less than exemplary lifestyle habits and poor emotional health, despite exposure to health education/promotion during their educational preparation. Knowledge of the factors that predict nursing/midwifery students' health could inform strategies to enhance their health and increase their credibility as future health promoters/educators. OBJECTIVE: To establish the predictors of nursing/midwifery student emotional health. SETTING: Cross-sectional survey took place at a university in Ireland. PARTICIPANTS: We involved a total sample (n=473) student nurses/midwives. METHODS: Participants completed the General Health Questionnaire, Lifestyle Behaviour Questionnaire and Ways of Coping Questionnaire to determine their self-reported emotional health, lifestyle behaviour and coping processes. Multivariate regression was performed to identify the predictors of student emotional health (dependent variable). The independent variables were demographics, coping, lifestyle behaviour and students' perceptions of determinants of their health. RESULTS: Many respondents reported significant emotional distress (48.71%) and unhealthy lifestyle behaviours including smoking (27.94%), physical inactivity (34.29%), alcohol consumption (91.7%) and unhealthy diet (28.05%). Multivariate regressions indicated that the predictors of emotional distress included gender, year of study, smoking, passive coping and beliefs that their student life was stressful or/and that worry stress and boredom adversely impacted their diet. CONCLUSIONS: Targeting student's beliefs regarding influences upon their health, promotion of positive lifestyles and adaptive coping is necessary to facilitate health gain of future health professionals.","2016-01","published",,"Deasy Christine",,"","",,"Nurse Education Today","36",,,"Elsevier",,"427-433",,,,,,,,,,,"TRUE","","","",,"1532-2793",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.sciencedirect.com/science/article/pii/S0260691715003962","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","36","Nurse Education Today","AD12-6 , BB , BD , FE10-4-6 , FP , TT2-14 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- B Drugs and alcohol substances > Alcohol -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Emotion -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Alcohol -- Tobacco (cigarette smoking) -- Skills - Coping skills -- Emotion -- Nurse","Europe - Ireland","Deasy Christine , Coughlan Barry , Pironom Julie , Jourdan Didier , Mannix-McNamara Patricia","0","no" "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coughlan","Barry","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pironom","Julie","","",,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jourdan","Didier","","",,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mannix-McNamara","Patricia","","",,,,,,,,,,,,"FP",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25453","12","archive","5",,,"disk0/00/02/54/53","2016-04-29 11:26:46","2016-04-29 11:26:46","2016-04-29 11:26:46","guideline",,,"show",,,,"","","","","","","","","","",,,,"Yeyashree","Katherisan","","","","Yeyashree:Katherisan::","",,,,,"","","Smoking cessation interventions for pulmonary tuberculosis treatment outcomes.","pub","BD","","none",,,,,,,,"Main results: There were no randomised controlled trials that met the eligibility criteria. A number of potentially eligible studies are underway, and we will assess them for inclusion in the next update of this review. Authors' conclusions: There is a lack of high-quality evidence, i.e. RCTs, that tests the effectiveness of cessation interventions in improving TB treatment outcomes. There is a need for good-quality randomised controlled trials that assess the effect of SCIs on TB treatment outcomes in both the short and long term. Establishing such an evidence base would be an essential step towards the implementation of SCIs in TB control programmes worldwide.","2016-01","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews",,"1","1","John Wiley & Sons, Ltd","London",,,,,,,"DOI: 10.1002/14651858.CD011125.pub2",,,,,,"review","aod_use_harm_reduction","tobacco",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011125.pub2/full","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Cochrane Database of Systematic Reviews","BD , GA2-2 , HK2-6 , TT2-12 , TT2-14","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- G Health and disease > State of health > Physical health -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Tobacco (cigarette smoking) -- State of health - Physical health -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use -- Doctor -- Nurse",,"Yeyashree Katherisan , Kathirvel Soundappan , Shewade Hemant D , Kaur Harpreet , Gaul Sono","0","yes" "25453",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kathirvel","Soundappan","","",,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25453",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Shewade","Hemant D","","",,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25453",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kaur","Harpreet","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25453",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gaul","Sono","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25450","12","archive","5",,,"disk0/00/02/54/50","2016-04-29 11:11:58","2016-04-29 11:11:58","2016-04-29 11:11:58","guideline",,,"show",,,,"","","","","","","","","","",,,,"Zeng","Linmiao","","","","Zeng:Linmiao::","",,,,,"","","Interventions for smoking cessation in people diagnosed with lung cancer.","pub","BD","","none",,,,,,,,"Authors' conclusions: There were no RCTs that determined the effectiveness of any type of smoking cessation programme for people with lung cancer. There was insufficient evidence to determine whether smoking cessation interventions are effective for people with lung cancer and whether one programme is more effective than any other. People with lung cancer should be encouraged to quit smoking and offered smoking cessation interventions. However, due to the lack of RCTs, the efficacy of smoking cessation interventions for people with lung cancer cannot be evaluated and concluded. This systematic review identified a need for RCTs to explore these.","2015-12","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews",,"12","12","John Wiley & Sons, Ltd","London",,,,,,,"DOI: 10.1002/14651858.CD011751.pub2",,,,,,"review","aod_use_harm_reduction","tobacco",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011751.pub2/full","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Cochrane Database of Systematic Reviews","BD , GA2-2 , HK2-6 , TT2-12 , TT2-14","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- G Health and disease > State of health > Physical health -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Tobacco (cigarette smoking) -- State of health - Physical health -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use -- Doctor -- Nurse",,"Zeng Linmiao , Yu Xiaolian , Yu Tingting , Xiao Jianhong , Huang Yushang","0","yes" "25450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Yu","Xiaolian","","",,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Yu","Tingting","","",,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Xiao","Jianhong","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Huang","Yushang","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24636","13","archive","5",,,"disk0/00/02/46/36","2015-10-19 13:46:14","2016-08-12 10:53:35","2015-10-19 13:46:14","article",,,"show",,,,"","","","","","","","","","",,,,"Dunne","Mary","","","","Dunne:Mary::","",,,,,"","","Nursing in contexts of marginalised health.","pub","ND2-10","","public",,,,,,,,,"2015-10","published",,"Dunne Mary",,"","",,"Drugnet Ireland","Issue 55, Autumn 2015",,,"Health Research Board",,"19",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"

The first Nursing in Contexts of Marginalised Health Conference took place in Dublin City University on 11 September 2015. This timely event, which brought together nurses from public health, addiction, academia, policy, and other sectors, coincided with the move of the Drugs Programmes and Policy Unit in the Department of Health from Primary Care to the Office of the Chief Nursing Officer.

 

In the morning session, Susan Kent, Deputy Chief Nursing Officer, spoke about the important, though often invisible, role of nurses and midwives in shaping healthcare policy and practice. Diane Nurse, national planning specialist in the HSE’s Social Inclusion Unit, provided an overview of activities within the Social Inclusion Unit, where three of six staff deal primarily with issues of homelessness and drugs. It is hoped in the future that services will not be based on specific, often marginalised, groups but on a more holistic approach, which recognises the people as individuals with particular needs. One of the challenges of those working in social inclusion is defining and demonstrating outcomes. Commissioning must be evidence- and needs-based, but outcomes tend to be long-term.

 

This theme was continued in the afternoon session by Linda O'Driscoll, Drug Treatment Court Nurse Liaison. The aim of the Drug Court is to prevent recidivism. Although only a small proportion graduate from the programme, Linda sees improvements in everyone who takes part. Many have chaotic lives, so demonstrating changes in their behaviour and better management of their daily lives is a positive outcome that may not be officially recognised. The Liaison Nurse supports clients through her role as advocate and expert to the team and Judge in all aspects of treatment.

 

Aoife O’Driscoll, policy officer at the National Adult Literacy Agency (NALA), spoke about removing barriers in healthcare, especially the medical language used by health practitioners when speaking to clients. She advocates using plain English rather than medical ‘jargon’ whenever possible and ensuring that clients understand their treatment plans.

 

The panel discussion that closed the conference acknowledged the complexities inherent in managing concurrent marginalisations. Participants believed that poor information-sharing, large caseloads and professional isolation were having negative impacts on their nursing work. It was agreed to maintain the momentum generated at the conference by creating a website and uploading the conference presentations and setting up a forum, and it is hoped to develop a nurses group that will continue to advocate for change on behalf of the marginalised in society.

 

The HRB’s National Drugs Library presented a poster at the conference to show those working with marginalised groups that the National Drugs Library is a physical library that is open to the public with access to our books, journals and databases, though most people access our resources through our website www.drugsandalcohol.ie

  

   1. Mairea Nelson, Mary Dunne, Brian Galvin from the HRB's national drugs library

",,,,,"Issue 55, Autumn 2015",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 55, Autumn 2015","Drugnet Ireland","ND2-10 , ND2-6 , TT2-14 , VH4-2","N Communication, information and education > Information transfer > Information dissemination -- N Communication, information and education > Information transfer > Information transfer from research to practice -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Information transfer - Information dissemination -- Information transfer - Information transfer from research to practice -- Nurse","Europe - Ireland","Dunne Mary , Nelson Mairea","0","yes" "24636",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nelson","Mairea","","",,,,,,,,,,,,"ND2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24636",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24636",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711","20","archive","5",,,"disk0/00/02/47/11","2015-10-29 10:10:38","2015-10-29 10:10:38","2015-10-29 10:10:38","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","No One Left Out: Solutions Ltd","Creating a psychologically informed environment. implementation and assessment.","pub","FE10-4-6","","public",,,,,,,,"A Psychologically Informed Environment (PIE) “... is one that takes into account the psychological makeup – the thinking, emotions, personalities and past experience - of its participants in the way that it operates.” It’s an approach to supporting people out of homelessness, in particular those who have experienced complex trauma3 or are diagnosed with a personality disorder. It also considers the psychological needs of staff: developing skills and knowledge, increasing motivation, job satisfaction and resilience. Many of the clients homeless services work with seem to have difficulty managing their emotions, appear impulsive and do not consider the consequences of their actions. Some may be withdrawn, isolated and reluctant to engage or exhibit anti-social behaviour. The purpose of a PIE is to help staff understand where these behaviours are coming from and therefore work more creatively and constructively with challenging behaviours. A PIE has 5 key elements: 1. Relationships 2. Staff support and training 3. The physical environment and social spaces 4. A psychological framework 5. Evidence generating practice","2015-10","published",,"MEAM",,"","",,,,,,"Westminster City Council","London",,"17 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"MEAM",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FE10-4-6 , FR , FS , JA8-4 , JA8-6-4 , LN12 , MQ6-2 , TT2 , TT2-14 , TT4-4 , TT8-2 , VH4-4-2","F Concepts in psychology > Skills > Coping skills -- F Concepts in psychology > Attitude and behaviour -- F Concepts in psychology > Specific attitude and behaviour -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment > Community needs assessment -- L Social psychology and related concepts > Social context > Community environment -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Counsellor / Therapist -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom > England","Skills - Coping skills -- Attitude and behaviour -- Specific attitude and behaviour -- Risk and needs assessment - Needs assessment -- Risk and needs assessment - Needs assessment - Community needs assessment -- Social context - Community environment -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Counsellor / Therapist -- Social worker","Europe - United Kingdom - England","No One Left Out: Solutions Ltd No One Left Out: Solutions Ltd","0","yes" "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8-6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24711",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24172","14","archive","1684",,,"disk0/00/02/41/72","2015-06-25 10:26:32","2015-06-25 11:35:13","2015-06-25 10:26:32","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Service Executive","Child and adolescent mental health services standard operating procedure.","pub","JQ6-8","","public",,,,,,,,,"2015-06","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,"76 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281","16","archive","5",,,"disk0/00/02/42/81","2015-07-13 08:04:21","2015-07-13 08:04:21","2015-07-13 08:04:21","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","The Royal College of Emergency Medicine","Alcohol: a toolkit for improving care.","pub","BB","","public",,,,,,,,"The aims of the toolkit are: 1. Promotion of best practice in the area of alcohol management - methods of screening and complete management of the patient with alcohol related illness and injury in EDs. 2. Advancement of safe and effective care in this area - advising on approaches on how to care for this subset of patients and sharing best practice with the use of medications. 3. Education and training of Emergency Medicine doctors - by provision of guidelines and advocating training.","2015-06",,,"The Royal College of Emergency Medicine",,"","",,,,,,"The Royal College of Emergency Medicine","London",,"47 p.",,,,,,,,,,,"guideline","aod_disorder_treatment_method","alcohol",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , GC16-4 , JG26_2_4_2 , JM , JQ8-2 , JT14-4 , TT2-12 , TT2-14 , VH4-4","B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication -- 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 > Hospital -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol intoxication -- 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 - Hospital -- Doctor -- Nurse","Europe - United Kingdom","The Royal College of Emergency Medicine The Royal College of Emergency Medicine","0","yes" "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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. 

",,,,,,,,,,,"","http://www.nhs.uk/Livewell/drugs/Pages/Drugsoverview.aspx","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AM , B6 , BJ2-2 , BJ2-8-2 , BJ6-1 , BK , TT2 , TT2-14 , TT6 , TT8-2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Cannabis / Marijuana -- B Drugs and alcohol substances > CNS stimulants > Amphetamines -- B Drugs and alcohol substances > CNS stimulants > MDMA > Ecstasy -- B Drugs and alcohol substances > CNS stimulants > Synthetic cathinones > Mephedrone -- B Drugs and alcohol substances > Cocaine -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker",,"Drugs and alcohol effects and consequences -- Cannabis / Marijuana -- CNS stimulants - Amphetamines -- CNS stimulants - MDMA - Ecstasy -- CNS stimulants - Synthetic cathinones - Mephedrone -- Cocaine -- Drug or health care worker -- Nurse -- Prevention worker -- Social worker",,"NHS Choices NHS Choices","0","yes" "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"B6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","psychoactive",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BK",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24129","15","archive","5",,,"disk0/00/02/41/29","2015-06-19 07:49:30","2015-06-19 07:49:30","2015-06-19 07:49:30","guideline",,,"show",,,,"","","","","","","","","","",,,,"McEwen","Andy","","","",,"",,,,,"","","Smoking cessation: a briefing for midwifery staff.","pub","BD","","public",,,,,,,,"Smoking in pregnancy poses significant health risks to the mother and to the baby. For the mother, smoking in pregnancy carries with it all the health risks associated with smoking but with some additional pregnancy-related health risks, including ectopic pregnancy, placenta praevia and pre-eclampsia; pregnant women are also at increased risk of deep vein thrombosis.","2015-05",,,"Public Health England",,"","",,,,,,"National Centre for Smoking Cessation and Training and Public Health England","London",,"32 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","tobacco",,,,,"2nd edition","Public Health England",,,"","","","","","","","","","",,,,,,,,,"Bauld","Linda","","","",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BD , ED4-12 , HK2-6 , T10-4-2 , TT2-14 , VH4-4","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- E Concepts in biomedical areas > Pregnancy -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Tobacco (cigarette smoking) -- Pregnancy -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use -- Pregnant woman -- Nurse","Europe - United Kingdom","McEwen Andy , Bauld Linda , Hermon Yvonne","0","yes" "24129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hermon","Yvonne","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25684","12","archive","5",,,"disk0/00/02/56/84","2016-06-16 13:56:12","2016-06-16 13:56:31","2016-06-16 13:56:12","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","The Office of the Nursing and Midwifery Service Director","Clinical supervision framework for nurses working in mental health services.","pub","JU10","","public",,,,,,,,"Clinical supervision has emerged both internationally and in Ireland as a means of using reflective practice and shared experiences to support continuous professional development. The HSE published national supervision guidance (HSE HR Circular 002/2015) to support and strengthen the quality of care and staff engagement with the goal of improving and maintaining safe, quality, effective and efficient care for services users3. This Clinical supervision framework for nurses working within the Mental Health services compliments these HSE National supervision guidelines and specifically directs the development and delivery of a clinical supervision system for the nursing profession working in Mental Health services. Clinical supervision is a process of professional support and learning in which nurses are assisted in developing their practice through regular discussion time with experienced and knowledgeable colleagues4. Butterworth and Faugier5 describe clinical supervision as a major force in improving clinical standards and enhancing the quality of care. Supervision promotes personal and professional development in a supportive relationship that occurs between equals . It is increasingly being recommended as a means of supporting professional practice and is fundamental to safeguarding standards, developing professional expertise, and improving the delivery of quality care. Clinical supervision fits well in the clinical governance framework, whilst helping to ensure better outcomes for service users and improving nursing practice. There is potential for clinical supervision to contribute to the development of a more articulate and skilled workforce which in turn can contribute positively to organisational objectives.","2015-04","published",,"The Office of the Nursing and Midwifery Service Director",,"","",,,,,,"Health Service Executive","Dublin",,"28 p.",,,,,,,,,,,"","","","978-1-906218-87-4",,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JU10 , MQ6-2 , TT2-14 , VH4-2","J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Health care administration - Health care quality control -- Organisational development - Workforce / staff skills and training -- Nurse","Europe - Ireland","The Office of the Nursing and Midwifery Service Director The Office of the Nursing and Midwifery Service Director","0","yes" "25684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292","25","archive","5",,,"disk0/00/02/42/92","2015-07-15 08:08:09","2015-07-15 08:08:09","2015-07-15 08:08:09","guideline",,,"show",,,,"","","","","","","","","","",,,,"Abdulrahim","D","","","",,"",,,,,"","Novel Psychoactive Treatment UK Network","Guidance on the clinical management of acute and chronic harms of club drugs and novel psychoactive substances.","pub","AM","","public",,,,,,,,"For the purposes of this document, ‘club drugs’ is a short-hand term used for convenience to refer to a group of psychoactive substances typically used in dance venues, house parties, music festivals and sometimes in a sexual context. The term therefore describes a diverse group of substances with different actions. They include substances with primarily stimulant effects, those with primarily hallucinogenic effects, as well as some central nervous system depressants and synthetic cannabinoids. Club drugs include substances well established in the UK such as MDMA (ecstasy), as well as the rapidly expanding range of novel psychoactive substances (NPS) such as synthetic cannabinoids, synthetic cathinones and a range of other amphetamine-type stimulants. Some club drugs are sold on the illicit market, whilst others are sold as so-called ‘legal highs’. This document provides guidance on the clinical management of harms resulting from acute intoxication and from the harmful and dependent use of club drugs and NPS. It categorises club drugs broadly according to their clinical effects: depressant; stimulant; hallucinogenic. In addition, the synthetic cannabinoids are treated as a separate category, largely for reasons relating to their clinical management but also because they do not fit neatly into that threefold categorisation. The guidance is based on available evidence and clinical consensus. It is a response to the current gap in knowledge and experience in the management of these drugs across the UK and beyond. Guidance is aimed in particular at clinicians in a range of settings, specifically: • specialist drug treatment services • hospital emergency departments (EDs) • general practice/ primary care • sexual health clinics This document provides guidance, not guidelines. Together with the recommendations of its reviews, technical appraisals and standards, national guidelines produced by the National Institute for Health and Care Excellence (NICE) determine the wider principles within which treatment and care should be provided within drug services, EDs, primary care, sexual health and mental health services in the UK. However, these guidelines do not relate specifically to NPS. NEPTUNE guidance must be used within the wider principles of national guidelines. Non-UK readers of this document should contact their local, regional or national poisons information service for up–to-date advice and guidance on the management of acute club drug intoxication and withdrawal.","2015-03",,,"Public Health England",,"","",,,,,,"NEPTUNE","London",,"335 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","psychoactive",,,,,,"Public Health England",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AM , BE4 , BH , BJ , BJ2-8-2 , BJ6-1 , BK , BN , GA2-2 , JM , JQ8-2 , JS , JT8_8_2 , LN , LN4 , TT2-12 , TT2-14 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Cannabis product (synthetic cannabinoids) -- B Drugs and alcohol substances > Sedatives or tranquillisers (CNS depressants) -- B Drugs and alcohol substances > CNS stimulants -- B Drugs and alcohol substances > CNS stimulants > MDMA > Ecstasy -- B Drugs and alcohol substances > CNS stimulants > Synthetic cathinones > Mephedrone -- B Drugs and alcohol substances > Cocaine -- B Drugs and alcohol substances > New psychoactive substances -- G Health and disease > State of health > Physical health -- 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 delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care) -- L Social psychology and related concepts > Social context -- L Social psychology and related concepts > Social context > Context encouraging drugs and alcohol use -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > United Kingdom","Drugs and alcohol effects and consequences -- Cannabis product (synthetic cannabinoids) -- Sedatives or tranquillisers (CNS depressants) -- CNS stimulants -- CNS stimulants - MDMA - Ecstasy -- CNS stimulants - Synthetic cathinones - Mephedrone -- Cocaine -- New psychoactive substances -- State of health - Physical health -- Patient care management -- Care by type of problem - emergency care -- Health care delivery -- Health care programme or facility - Community-based treatment (primary care) -- Social context -- Social context - Context encouraging drugs and alcohol use -- Doctor -- Nurse","Europe - United Kingdom","Abdulrahim D , Bowden-Jones O , Novel Psychoactive Treatment UK Network Novel Psychoactive Treatment UK Network","0","yes" "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bowden-Jones","O","","",,,,,,,,,,,,"BE4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BK",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24292",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24715","8","archive","1684",,,"disk0/00/02/47/15","2015-10-29 14:49:00","2015-10-29 14:49:00","2015-10-29 14:49:00","article",,,"show",,,,"","","","","","","","","","",,,,"Chandrakumar","Sreejith","","","","Chandrakumar:Sreejith::","",,,,,"","","Attitudes to smoking and smoking cessation among nurses.","pub","BD","","none",,,,,,,,"This article presents a literature review on smoking rates among nurses and the nursing role in promoting smoking cessation worldwide. Findings included wide variations between countries in smoking rates among nurses, and the important influence of peers and family members on smoking behaviours. Several studies indicated that nurses would value more education on techniques to promote smoking cessation.","2015","published",,"Chandrakumar Sreejith",,"","",,"Nursing Standard","30","9","9",,,"36-40",,,,,,,,,,,"TRUE","","","",,"2047-9018",,,,,,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","30","Nursing Standard","BD , TT2-14 , VA2","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- T Demographic characteristics > Nurse","VA Geographic area > International aspects","Tobacco (cigarette smoking) -- Nurse","International aspects","Chandrakumar Sreejith , Adams John","0","yes" "24715",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Adams","John","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24715",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25683","16","archive","5",,,"disk0/00/02/56/83","2016-06-16 13:43:44","2016-06-16 13:47:56","2016-06-16 13:43:44","monograph",,,"show",,,,"","","","","","","","","","",,,,"Higgins","A","","","","Higgins:A::","",,,,,"","","Best practice principles for risk assessment and safety planning for nurses working in mental health services.","pub","JA8-2","","public",,,,,,,,"The clinical role and responsibilities of the nurse has developed significantly to meet the changing nature and context of mental health care. Risk assessment and safety planning constitutes a significant component of the role of every nurse working in a recovery focused way in contemporary services and is particularly significant for those working in specialist and advanced practice roles in areas such as Liaison, Self Harm, Suicide Crisis Assessment and Community Mental Health. These principles are a resource for all nurses and provide a benchmark for the delivery of care. This document and these principles relate to the specific area of risk assessment and safety planning of an individual’s care. It is internationally accepted that risk and safety planning is an integral part of a standardised, comprehensive mental health bio psychosocial assessment of care which every individual will have when accessing mental health services. However, the profession requires a more in-depth knowledge and expertise in the area of risk assessment and safety planning. How risk is defined, classified and responded to needs to be evidence-based and consistent across all clinical settings and locations where care is being delivered nationally.","2015",,,"Higgins A",,"","",,,,,,"Health Service Executive","Dublin",,"24 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JA8-2 , JM , JQ6-8 , JU10 , TT2-14 , VH4-2","J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Risk and needs assessment - Risk assessment -- Patient care management -- Care by type of problem - Mental health care -- Health care administration - Health care quality control -- Nurse","Europe - Ireland","Higgins A , Morrissey J , Doyle L , Bailey J , Gill A","0","yes" "25683",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Morrissey","J","","",,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25683",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Doyle","L","","",,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25683",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bailey","J","","",,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25683",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gill","A","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "25683",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24716","10","archive","1684",,,"disk0/00/02/47/16","2015-10-29 15:09:51","2015-10-29 15:21:44","2015-10-29 15:09:51","article",,,"show",,,,"","","","","","","","","","",,,,"Murphy","JFA","","","","Murphy:JFA::","",,,,,"","","Assaults on medical, nursing and paramedical staff.","pub","GC16","","none",,,,,,,,,"2015","published",,"Murphy JFA",,"","",,"Irish Medical Journal","108","9","9","Irish Medical Organisation",,,,,,,,,,,,,"FALSE","","","",,"0332-3102",,,,,,,"","","","","electronic_only","","","","","",,"

There has been recently yet another account of a physical assault by a patient towards a doctor. The scenario is a familiar one, a drunken male in the emergency department with a minor injury. A tirade of verbal abuse and racist slurs was followed by physical violence against the doctor. The account highlights a problem that we have lived with for a long time. One of the most difficult situations faced by doctors is being threatened, abused, or physically harmed by one of their patients. Young doctors who are still in training and on the front line are most at risk of injury.

",,,,,,,,,,,"","http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=15859","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","108","Irish Medical Journal","GC16 , GC2 , MM26 , TT2-12 , TT2-14","G Health and disease > Drugs and alcohol disorder > Alcohol use -- G Health and disease > Drugs and alcohol disorder > Drug use -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation) -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Drugs and alcohol disorder - Alcohol use -- Drugs and alcohol disorder - Drug use -- Crime and violence - Crime against persons (assault / abuse / intimidation) -- Doctor -- Nurse",,"Murphy JFA","0","no" "24716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131","17","archive","5",,,"disk0/00/02/31/31","2014-12-10 14:39:26","2014-12-10 14:39:26","2014-12-10 14:39:26","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Public Health England","Young people’s hospital alcohol pathways. Support pack for A&E departments.","pub","BB","","public",,,,,,,,"This document shows how local pathways can work for young people who present to A&E with alcohol-related conditions. It builds on similar publications by the National Institute for Health and Care Excellence (NICE)1 and Alcohol Concern. The pack includes a set of key questions for local professionals in the UK to help them develop effective care pathways within A&E and into other relevant services. It will be most relevant for A&E clinicians, hospital managers, substance misuse and young people’s commissioners. It may also have wider interest for local authority children’s services and organisations that are part of the pathway, such as substance misuse services and other young people’s support agencies.","2014-12","published",,"Public Health England",,"","",,,,,,"Public Health England","London",,"13 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Public Health England",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BB , JG26_2_4_2 , JM , JQ8-2 , JS , JT14-4 , TA14 , TL4-6-2 , TT2-12 , TT2-14","B Drugs and alcohol substances > Alcohol -- 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 delivery -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Underage drinker -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"Alcohol -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Care by type of problem - emergency care -- Health care delivery -- Health care programme or facility - Hospital -- Adolescent / youth (teenager / young person) -- Underage drinker -- Doctor -- Nurse",,"Public Health England Public Health England","0","yes" "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "23131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476","16","archive","5",,,"disk0/00/02/44/76","2015-09-04 08:24:54","2015-09-04 08:26:00","2015-09-04 08:24:54","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health and Safety Authority","Guide to the European Union (Prevention of Sharps Injuries in the Healthcare Sector) Regulations 2014.","pub","JH10-6","","public",,,,,,,,"The purpose of this guide is to provide practical information on the implementation of the European Union (Prevention of Sharps Injuries in the Healthcare Sector) Regulations 2014, hereafter referred to as ‘’the Regulations’’. The information is aimed at employers, managers, employees, safety representatives, health and safety practitioners and other interested parties in the healthcare sector.","2014",,,"HSA",,"","",,,,,,"Health and Safety Authority","Dublin",,"16 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","opioid",,,,,,"HSA",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.hsa.ie/eng/Legislation/New_Legislation/S_I_135_of_2014.pdf","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JH10-6 , JH10-6-4 , JM , TT2-12 , TT2-14 , VH4-2 , VQ6","J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Communicable disease control -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Communicable disease control > Needle distribution and exchange -- J Health care, prevention and rehabilitation > Patient care management -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe > European Union","Health-related prevention - Health information and education - Communicable disease control -- Health-related prevention - Health information and education - Communicable disease control - Needle distribution and exchange -- Patient care management -- Doctor -- Nurse","Europe - Ireland -- Europe - European Union","Health and Safety Authority Health and Safety Authority","0","yes" "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH10-6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.hpsc.ie/A-Z/MicrobiologyAntimicrobialResistance/InfectionControlandHAI/EducationConferencesrelatingtoInfectionControl/2015RCSIHPSCFoundationCourseonInfectionPreventionControl/CoursePresentations/",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24476",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22248","13","archive","1684",,,"disk0/00/02/22/48","2014-07-04 13:29:24","2014-07-04 15:31:20","2014-07-04 13:29:24","article",,,"show",,,,"","","","","","","","","","",,,,"Latham","Linda","","","","Latham:Linda::","",,,,,"","","Alcohol misuse and the family.","pub","AD12-6","","none",,,,,,,,"Nurses are ideally placed to spot the signs of alcohol abuse and should be prepared to open a conversation about the issue with family members. Starting a conversation about alcohol misuse, whether it be with a spouse, a family or with friends, is a culturally awkward endeavour in Ireland. Despite the fact that Irish society tolerates a high level of alcohol consumption, it is a conversation that should be encouraged well before children start experimenting with alcohol. This conversation should be initiated tentatively by nurses, whether at work, in the community or in their own homes. Some estimates suggest that nurses misuse drugs and alcohol at nearly the same rate (10-15%) as the rest of the population. The American Nurses Association estimates that 6-8% of nurses use alcohol or drugs to an extent that is sufficient to impair professional performance. It may be very uncomfortable for us to consider that a nurse can be high functioning and high achieving though suffering from a substance-use disorder such as alcoholism. Therefore, it makes sense that the conversation starts with us.....","2014","published",,"Latham Linda",,"","",,"World of Irish Nursing & Midwifery","22","5","5","Medmedia Group",,"55-56",,,,,,,,,,,"FALSE","","","",,"1393-8088",,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"","http://www.inmo.ie/7914","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","22","World of Irish Nursing Midwifery","AD12-6 , HZ2-2-2 , LG2 , TT2-14 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol -- T Demographic characteristics > Nurse -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Psychosocial treatment method - Individual therapy - Brief intervention -- Marital relations - Family and kinship - Family and drugs and alcohol -- Nurse -- Child of drugs and alcohol user","Europe - Ireland","Latham Linda","0","no" "22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681","17","archive","5",,,"disk0/00/02/76/81","2017-07-27 08:07:48","2017-07-27 08:07:48","2017-07-27 08:07:48","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Drug and Alcohol Research Centre","Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals.",,"ED4-12","","public",,,,,,,,,"2014","published",,"NDARC",,"","",,,,,,"National Drug and Alcohol Research Centre","Sydney",,"32 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol",,,,,,"NDARC",,,"","","","","","","","","","",,"

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

",,,,,,,,,,,"","https://ndarc.med.unsw.edu.au/resource/supporting-pregnant-women-who-use-alcohol-or-other-drugs-guide-primary-health-care","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"ED4-12 , GJ , GJ2-16-2-4-6 , LG14-10-2 , T10-4-2 , TT2 , TT2-14 , TT8-2 , TW2-10-4 , VK2","E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Australia and Oceania > Australia","Pregnancy -- Disorder by cause - Developmental disorder -- Disorder by cause - Developmental disorder - Foetal (fetal) alcohol syndrome -- Marital relations - Family and kinship - Family structure - Family support - Parental support -- Pregnant woman -- Drug or health care worker -- Nurse -- Social worker -- Child of drugs and alcohol user","Australia and Oceania - Australia","National Drug and Alcohol Research Centre National Drug and Alcohol Research Centre","0","yes" "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24143","21","archive","5",,,"disk0/00/02/41/43","2015-06-19 10:28:03","2015-06-19 10:29:01","2015-06-19 10:28:03","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Institute for Health and Care Excellence","Drug misuse overview.","pub","B6","","none",,,,,,,,,"2014","published",,"NICE",,"","",,,,,,"National Institute for Health and Care Excellence","London",,,,,,,"NICE Pathways",,,,,,"","aod_disorder","alcohol_drugs_in_general",,,,,,"NICE",,,"","","","","","","","","","",,"

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "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:

",,,,,,,,,,,"","http://www.nhs.uk/conditions/Addictions/Pages/Introduction.aspx","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FS38-6-2 , GC , GC6 , JA6-6 , JP10 , TT2 , TT2-14 , TT8-2","F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- G Health and disease > Drugs and alcohol disorder -- G Health and disease > Drugs and alcohol disorder > Drug use > Drug dependence -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker",,"Specific attitude and behaviour - risk-taking behaviour -- Drugs and alcohol disorder -- Drugs and alcohol disorder - Drug use - Drug dependence -- Risk and protective factors - risk factors -- Treatment and maintenance - treatment factors -- Drug or health care worker -- Nurse -- Social worker",,"NHS Choices NHS Choices","0","yes" "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16588","15","archive","5",,,"disk0/00/01/65/88","2011-12-19 15:54:49","2017-02-16 12:45:28","2011-12-19 15:54:49","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Hill Rice","Virginia","","","",,"",,,,,"","","Nursing interventions for smoking cessation.","pub","HK2","","none",,,,,,,,,"2013-08","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews","7",,,"John Wiley & Sons, Ltd","London",,,,,,,"DOI: 10.1002/14651858.CD001188.pub4",,,,,,"review","aod_disorder_drug_therapy","tobacco",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","not_in_collection","","","","","",,"

Does support and intervention from nurses help people to stop smoking?

 

Background

Most smokers want to quit, and may be helped by advice and support from healthcare professionals. Nurses are the largest healthcare workforce, and are involved in virtually all levels of health care. The main aim of this review was to determine if nursing-delivered interventions can help adult smokers to stop smoking.

 

Study characteristics

This review of clinical trials covered 49 studies in which nurses delivered a stop smoking intervention to smokers. More than 17,000 participants were included in the main analysis, including hospitalized adults and adults in the general community. The most recent search was conducted in June 2013. All studies reported whether or not participants had quit smoking at six months or longer.

 

Results and quality of evidence

This review found moderate quality evidence that advice and support from nurses could increase people's success in quitting smoking, especially in a hospital setting. There was moderate evidence which found similar advice and encouragement given by nurses at health checks or prevention activities seems to be less effective, but may still have some impact. Results were not consistent across all studies and in some cases there were not very many studies contributing to comparisons.

",,,,,,,,,,,"","http://onlinelibrary.wiley.com/enhanced/doi/10.1002/14651858.CD001188.pub4","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","7","Cochrane Database of Systematic Reviews","HK2 , TT2-14 , BD , HK2-6","HJ Treatment method > Drugs and alcohol disorder treatment method -- T Demographic characteristics > Nurse -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use",,"Drugs and alcohol disorder treatment method -- Nurse -- Tobacco (cigarette smoking) -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use",,"Hill Rice Virginia , Hartmann-Boyce Jamie , Stead Lindsay F","0","yes" "16588",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hartmann-Boyce","Jamie","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16588",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Stead","Lindsay F","","",,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16588",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20048","15","archive","5",,,"disk0/00/02/00/48","2013-06-18 09:49:03","2013-06-18 09:51:42","2013-06-18 09:49:03","article",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Editorial Board","Fitness to practise inquiries 2006 – 2010. Drug and alcohol abuse cases – what can be learned?","pub","AA2-4","","public",,,,,,,,"From 1 January 2006 to 31 December 2010, 115 Fitness to Practise inquiries were carried out by the Irish Nursing and Midwifery Board. These inquiries were analysed in order to identify patterns and trends and, in particular, to look at what registrants and employers might learn from that analysis. Of the 115 inquiries between 2006 and 2010, 28 cases involved drug abuse and 11 cases involved alcohol abuse. This represents one-third of all cases. In all of these cases, there were also allegations of professional misconduct. Combined alcohol and drug abuse was rare.","2013-06","published",,"Editorial Board",,"","",,"Regulation Matters","4",,,"Bord Altranais agus Cnáimhseachais na hÉireann: Nursing And Midwifery Board Of Ireland",,"2-3",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

 

",,,,,,,,,,,"",,"http://www.nursingboard.ie/en/regulation-matters.aspx","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","4","Regulation Matters","AA2-4 , TT2-14 , VH4-2 , MQ6-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Nurse -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Problem drugs and alcohol use -- Nurse -- Organisational development - Workforce / staff skills and training","Europe - Ireland","Editorial Board Editorial Board","0","yes" "20048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20792","17","archive","5",,,"disk0/00/02/07/92","2013-10-24 12:32:32","2015-08-06 13:13:59","2013-10-24 12:32:32","article",,,"show",,,,"","","","","","","","","","","0",,,"Holloway","Aisha S","","","","Holloway:Aisha S::","",,,,,"","","Alcohol education and training in pre-registration nursing: A national survey to determine curriculum content in the United Kingdom (UK).","pub","VH4-4-8","","none",,,,,,,,,"2013","published",,"Holloway Aisha S",,"","",,"Nurse Education Today","33","9","9","Elsevier",,"992-997",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

Background: Alcohol-related harm impacts significantly on the health of the population. Nurses are often among the first health professionals that many patients with alcohol-related problems come into contact with and have been identified as playing a key role but may be ill-prepared to respond. Future nurses need to have the skills, knowledge and clinical confidence to respond to patients suffering from alcohol-related harm. A pre-registration curriculum that ensures a nursing workforce fit for practice in responding to alcohol-related harm is necessary.

Objectives: To determine the level of alcohol education and training content in the pre-registration curriculum for nursing in the United Kingdom (UK). To establish whether there are variations in the pre-registration curriculum content across the UK.

Design: A descriptive study. Setting: All 68 UK Higher Education Institutions offering a total of 111 pre-registration courses for nurses were invited to participate in the study.

Participants: Twenty nine completed questionnaires were returned, a response rate of 26%. The largest number of identified responders were from England (n=15), with 3 from Scotland and 1 each from Wales and Northern Ireland. Nine Universities chose not to identify themselves.

Methods: An online semi-structured questionnaire survey was used to collect the study data.

Results: Teaching of alcohol and alcohol related harm was mainly delivered during the second year of a pre-registration nursing programme provided mainly to adult and mental health students. Overall, the majority of alcohol related content that is provided within the responding pre-registration nursing courses relates to biophysiology, aetiology, and pharmacological and non-pharmacological interventions.

Conclusion: This study highlights the need for a greater and more relevant focus of alcohol education to pre-registration nursing students of all fields of practice incorporating an integrated approach across all years of study.

",,,,,,,,,,,"",,"http://www.sciencedirect.com/science/article/pii/S0260691712003632","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","33","Nurse Education Today","VH4-4-8 , TT2-14 , VH4-4 , BB , NF16-2 , MQ6-2","T Demographic characteristics > Nurse -- B Drugs and alcohol substances > Alcohol -- N Communication, information and education > Education by subject > AOD education -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training","VA Geographic area > Europe > Northern Ireland -- VA Geographic area > Europe > United Kingdom","Nurse -- Alcohol -- Education by subject - AOD education -- Organisational development - Workforce / staff skills and training","Europe - Northern Ireland -- Europe - United Kingdom","Holloway Aisha S , Webster Brian J","0","yes" "20792",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Webster","Brian J","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20792",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20792",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20792",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20792",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20901","14","archive","1684",,,"disk0/00/02/09/01","2013-11-14 11:29:54","2013-11-14 11:29:54","2013-11-14 11:29:54","article",,,"show",,,,"","","","","","","","","","","0",,,"Latham","Linda","","","","Latham:Linda::","",,,,,"","","Complexity of care: management of alcohol issues by the practice nurse.","pub","TT2-14","","none",,,,,,,,"Practice nurses are ideally placed to identify the signs of harmful alcohol consumption which impacts on all areas of health.","2013","published",,"Latham Linda",,"","",,"World of Irish Nursing & Midwifery","21","5","5",,,"37-38",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","21","World of Irish Nursing Midwifery","TT2-14 , JG26_2_4_2 , GA4 , BB , AD12-6","T Demographic characteristics > Nurse -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- G Health and disease > Public health -- B Drugs and alcohol substances > Alcohol -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption",,"Nurse -- Identification and screening - Identification and screening for drugs and alcohol use -- Public health -- Alcohol -- Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption",,"Latham Linda","0","no" "20901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24132","13","archive","5",,,"disk0/00/02/41/32","2015-06-19 08:37:18","2015-06-19 08:37:18","2015-06-19 08:37:18","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","NHS Choices","Alcohol misuse overview.","pub","AD12-6","","none",,,,,,,,,"2013","published",,"NHS Choices",,"","",,,,,,"NHS Choices","London",,,,,,,,,,,,,"","aod_disorder_treatment_method","alcohol",,,,,,"NHS Choices",,,"","","","","","","","","","",,"

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",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20383","19","archive","1684",,,"disk0/00/02/03/83","2013-08-06 12:32:58","2015-04-02 13:29:17","2013-08-06 12:32:58","article",,,"show",,,,"","","","","","","","","","","0",,,"Power","John","","","","Power:John::","",,,,,"","","Development of a short-stay unit in an emergency department.","pub","VH4-4-8","","none",,,,,,"The journal of the RCN Accident and Emergency Nursing Association",,"In 2009, the Royal Victoria Hospital, Belfast, established a nine-bed, short-stay unit in its emergency department. This article explains the rationale for the model of care delivery adopted, and the importance of developing and working with integrated care pathways. It also discusses four areas essential to the effective running of the unit: interdisciplinary collaboration, training for clinical nurse leaders, management of change and leadership.","2013","published",,"Power John",,"","",,"Emergency Nurse","21","2","2","RCN Publishing Company",,"18-22",,,,,,,,,,,,"","","",,"1354-5752",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","21","Emergency Nurse","VH4-4-8 , TT2-14 , GC4-6 , FS62 , JQ8-2 , BB","T Demographic characteristics > Nurse -- G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication > Drugs and alcohol poisoning (overdose) -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- B Drugs and alcohol substances > Alcohol","VA Geographic area > Europe > Northern Ireland","Nurse -- Drugs and alcohol disorder - Drug use - Drug intoxication - Drugs and alcohol poisoning (overdose) -- Specific attitude and behaviour - self-destructive behaviour -- Care by type of problem - emergency care -- Alcohol","Europe - Northern Ireland","Power John , McManus Olivia","0","yes" "20383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McManus","Olivia","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18851","23","archive","5",,,"disk0/00/01/88/51","2012-11-28 11:50:23","2014-04-09 22:04:37","2012-11-28 11:50:23","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","School of Nursing and Midwifery, NUI Galway","Research evaluation of the suicide crisis assessment nurse (SCAN) service.","pub","JH10-4","","public",,"other",,,,,,"Contents • Executive summary • Introduction • Aims and objectives • Methodology • Part 1. Focussed literature review • Part 2. Qualitative evaluation of SCAN • Part 3. Quantitative evaluation of SCAN • Part 4. Economic evaluation of SCAN • Integrated findings from evaluation of SCAN • Recommendations • References • Appendix 1 This research evaluates the impact of the fast track priority referral and assessment system for individuals experiencing a suicidal crisis, known as Suicide Crisis Assessment Nurse (SCAN) Service; operated in Cluain Mhuire and Wexford. The research utilised a mixed method, exploratory sequential design. A focused literature review concluded that any suicide prevention strategy needs to be investigated comprehensively and methodically to ascertain the potential benefits of risk assessment and collaborative working between primary and secondary care. Without SCAN, all professionals recognised that referral and/or admission to mental health services was often a ‘default’ position; necessitated more by lack of appropriate community based facilities than by clinical need. Clinicians were frustrated by the delays and uncertainty that regularly accompanied the process of referral/admission, whilst navigating a cumbersome process and the de facto development of a possibly inappropriate psychiatric history could be the outcome for clients. GPs, clients and CMHTs described SCAN as providing a valuable, accessible and timely gateway between primary care and mental health services; allowing for expedited admission, referral for on-going mental health intervention in the community or management in primary care. Alongside this gateway role, SCAN was found to have a therapeutic value that was identified as pivotal by clients; apparently contributing to the perception that they were being ‘taken seriously’. Recommendations: • GP training sessions in suicide/self-harm should be embedded into continuous professional development programmes provided by their primary care organisation. • Clear guidelines/protocols need to be in place to identify what are, and are not, appropriate referrals to SCAN and how the referral process should be managed. • Clear guidelines/protocols need to be in place to identify who is responsible for follow up following SCAN assessment • The full range of demands on SCAN staff need to be acknowledged and top level management commitment to appropriate governance, support and supervision needs to be maintained and regularly reviewed. • The maintenance of adequate staffing levels for SCAN needs to be prioritised, including appropriate administrative support.","2012-11","published",,"School of Nursing and Midwifery, NUI Galway",,"","",,,,,,"National Office for Suicide Prevention","Dublin",,"178 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JH10-4 , RD2-10 , TT2-14 , MQ8-10 , FS62_4 , VH4-2-24","J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Suicide prevention -- R Research > Type of research study > Empirical study > Survey -- T Demographic characteristics > Nurse -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme evaluation -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour > suicidal behaviour / suicide","VA Geographic area > Europe > Ireland > Wexford","Health-related prevention - Health information and education - Suicide prevention -- Type of research study - Empirical study - Survey -- Nurse -- Programme planning, implementation, and evaluation - Programme evaluation -- Specific attitude and behaviour - self-destructive behaviour - suicidal behaviour / suicide","Europe - Ireland - Wexford","School of Nursing and Midwifery, NUI Galway School of Nursing and Midwifery, NUI Galway","0","yes" "18851",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RD2-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18851",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18851",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18851",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS62_4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18851",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404","22","archive","5",,,"disk0/00/01/84/04","2012-09-18 09:45:24","2014-04-09 22:03:42","2012-09-18 09:45:24","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Drug and Alcohol Findings","Effectiveness Bank Bulletin [Brief advice from the practice nurse to cardiovascular patients]","pub","TT2-14","","public",,,,,,,,"Improving lifestyle and risk perception through patient involvement in nurse-led cardiovascular risk management: a cluster-randomized controlled trial in primary care. Koelewijn-van Loon M.S., van der Weijden T., Ronda G. et al. Preventive Medicine: 2010, 50, p. 35–44. General practice patients in the Netherlands at risk of cardiovascular disease did not further reduce their risks (including drinking and smoking) in response to brief advice from the practice nurse intended to be delivered in accordance with motivational interviewing principles. Summary: Most patients at risk of cardiovascular diseases could benefit from various non-pharmacological risk-reduction options such as giving up smoking, exercising more, eating more healthily, and cutting their alcohol intake. However, it is not clear if programmes intended to foster these lifestyle changes are effective in the primary prevention of cardiovascular diseases. A systematic review of trials found no significant effects, though a recent trial showed that a nurse-coordinated programme achieved healthier lifestyle changes among patients at high risk. The IMPALA study used a new intervention to reduce cardiovascular risk, in which general practice nurses play a central role. Key elements are risk assessment, risk communication, use of a patient decision support tool, and adapted motivational interviewing. Risk communication and the patient decision support tool inform patients about their risk of cardiovascular disease and options for risk reduction, and are also used to correct inappropriate risk perceptions. Motivational interviewing is used to help patients articulate their views and personal values regarding cardiovascular risk reduction and to build motivation for lifestyle change. In this study the intervention was delivered by practice nurses trained over two days and occupied two 20-minute face-to-face consultations (intended to give patients time to reflect on the information received in the first consultation) plus a further 10-minute telephone or face-to-face consultation to initiate the follow-up. An earlier study found no impact a year after intervention but it was thought there might have been some shorter-term impacts, a possibility tested by the featured study. The study randomly allocated 25 general practices to the IMPALA intervention or to a control group whose nurses were trained for just two hours in risk assessment and apart from this merely applied usual care. One practice had to leave the study leaving 13 allocated to the intervention and 11 to the control group. Altogether they recruited 615 adult patients to the study who were eligible for cardiovascular risk assessment due to their blood pressure, cholesterol level, smoking, diabetes, family history or obesity. All but 67 were followed up 12 weeks later. They averaged about 57 years of age and 45% were men.","2012-09-19","published",,"Drug and Alcohol Findings",,"","",,"Effectiveness Bank Bulletin","19 Sep",,,"Drug and Alcohol Findings",,,,,,,,,,,,,,"review","aod_use_harm_reduction","tobacco",,,,,,"Drug and Alcohol Findings",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://findings.org.uk/docs/bulletins/Bull_19_09_12.php","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","19 Sep","Effectiveness Bank Bulletin","TT2-14 , JB6 , GA2-2 , HZ2-2-2 , VH4-8-2 , JH2 , JB2-4","T Demographic characteristics > Nurse -- J Health care, prevention and rehabilitation > Prevention outcome -- G Health and disease > State of health > Physical health -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction","VA Geographic area > Europe > Netherlands","Nurse -- Prevention outcome -- State of health - Physical health -- Psychosocial treatment method - Individual therapy - Brief intervention -- Health-related prevention - Health information and education -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction","Europe - Netherlands","Drug and Alcohol Findings Drug and Alcohol Findings","0","yes" "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651","24","archive","5",,,"disk0/00/01/66/51","2011-12-20 15:46:51","2015-12-22 09:52:45","2011-12-20 15:46:51","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Carson","Kristin V","","","",,"",,,,,"","","Training health professionals in smoking cessation.","pub","HK2","","none",,,,,,,,"The objectives were to determine the effectiveness of training health care professionals in the delivery of smoking cessation interventions to their patients, and to assess the additional effects of training characteristics such as intervention content, delivery method and intensity. Authors' conclusion: Training health professionals to provide smoking cessation interventions had a measurable effect on the point prevalence of smoking, continuous abstinence and professional performance. The one exception was the provision of nicotine gum or replacement therapy, which did not differ between groups.","2012-05","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews",,"3","3","John Wiley & Sons, Ltd","London",,,,,,,"DOI: 10.1002/14651858.CD000214.pub2.",,,,,,"review","aod_disorder_treatment_method","tobacco",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000214.pub2/abstract","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Cochrane Database of Systematic Reviews","HK2 , JG10-4 , TT2-12 , TT2-14 , BD , HK2-6 , MQ6-2","HJ Treatment method > Drugs and alcohol disorder treatment method -- J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training",,"Drugs and alcohol disorder treatment method -- Prevention approach - Prevention through information and education -- Doctor -- Nurse -- Tobacco (cigarette smoking) -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use -- Organisational development - Workforce / staff skills and training",,"Carson Kristin V , Verbiest Marjolein EA , Crone Mathilde R , Brinn Malcolm P , Esterman Adrian J , Assendelft Willem JJ , Smith Brian J","0","yes" "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Verbiest","Marjolein EA","","",,,,,,,,,,,,"JG10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Crone","Mathilde R","","",,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brinn","Malcolm P","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Esterman","Adrian J","","",,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Assendelft","Willem JJ","","",,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "16651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smith","Brian J","","",,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17784","23","archive","5",,,"disk0/00/01/77/84","2012-06-21 09:29:15","2014-04-09 22:02:28","2012-06-21 09:29:15","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","","Effectiveness Bank Bulletin. [Clinical guidelines & nurses' screening for alcohol and other substance use]","pub","NM6","","public",,,,,,,,"Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use? Tran D.T., Stone A.M., Fernandez R.S. et al. Contemporary Nurse: 2009, 33(1), p. 13–19. Hospital nurses in Sydney in Australia were trained to implement a new screening and intervention policy aiming to upgrade the identification of hazardous drinkers and other substance users among medical and surgical inpatients. Disappointing results highlight the need to do more than inform and exhort if practice is to change. Summary To improve nurses' screening of patients for substance use problems during routine admission procedures, a large metropolitan health service in Sydney in Australia developed a clinical guideline titled Substance Use Screen Policy which was distributed to all its facilities and implemented through an in-service education programme. Half-day workshops covered topics such as managing withdrawal, intoxication and overdose. Training in brief interventions included 'safe' levels of smoking or drinking, smoking cessation techniques, illicit drug use, access to needle exchange programmes, and patient education pamphlets. Nurses who could not attend were given education packages with workshop handouts. The featured study investigated the effectiveness of this dissemination effort. Data for the study was derived from medical record audits conducted in selected medical and surgical wards of two metropolitan hospitals prior to and three months following implementation of the guideline. According to the new policy, records for newly admitted patients should document whether they had been asked about smoking, drinking and drug use, their substance use, withdrawal symptoms, any related treatment given, and whether any further actions or plans had been agreed. A preliminary audit found that only 20% of admission records had complete substance use histories. Implementation of the guideline was expected to raise this to 50%.","2012-03-28","published",,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings","28 Mar",,,"Drug and Alcohol Findings",,,,,,,,,,,,,,"review","screening","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"","http://findings.org.uk/docs/bulletins/Bull_28_03_12.php","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","28 Mar","Drug and Alcohol Findings","NM6 , JG26_2_4_2 , VK2 , HC , HH , TT2-14","N Communication, information and education > Recommendations or guidelines -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- T Demographic characteristics > Nurse","VA Geographic area > Australia and Oceania > Australia","Recommendations or guidelines -- Identification and screening - Identification and screening for drugs and alcohol use -- Medical screening and diagnostic method -- Psychosocial screening and diagnostic method -- Nurse","Australia and Oceania - Australia",,"0","yes" "17784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17929","18","archive","1684",,,"disk0/00/01/79/29","2012-07-03 15:04:40","2012-07-31 13:31:02","2012-07-03 15:04:39","article",,,"show",,,,"","","","","","","","","","","0",,,"Conlon","Mary","","","","Conlon:Mary::","",,,,,"","","Measuring emergency department nurses’ attitudes towards deliberate self-harm using the Self-Harm Antipathy Scale.","pub","VH4-2","","none",,,,,,,,"The emergency department is an important gateway for the treatment of self-harm patients. Nurses’ attitudes towards patients who self-harm can be negative and often nurses experience frustration, helplessness, ambivalence and antipathy. Patients are often dissatisfied with the care provided, and meeting with positive or negative attitudes greatly influences whether they seek additional help. A quantitative design was utilised to measure emergency department nurses’ attitudes towards deliberate self-harm. The ‘Self-Harm Antipathy Scale’, a validated questionnaire, was administered to a random sample of nurses in four emergency departments in the Republic of Ireland. A total of 87 questionnaires were returned (87% response rate). Results reveal that nurses show slightly negative antipathy overall, indicating positive attitudes towards self-harming patients. Attitudes were significantly different in accordance with a nurse’s age. Education and social judgment also contribute to the way nurses view, interact and make moral decisions regarding self-harm patients. Evidence indicates there is need to improve the training, supervision and support of nurses caring for patients who self-harm, and that practical strategies should be implemented to manage the alienation process and inform practice.","2012","published",,"Conlon Mary",,"","",,"International Emergency Nursing","20","1","1","Elsevier Science",,"3-13",,,,,,,,,,,,"","","",,"1878-013X",,,,,,,"","","","","not_in_collection","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","20","International Emergency Nursing","VH4-2 , JQ8-2 , JP10_6 , TT2-14 , FR16 , JT14-4","J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- J Health care, prevention and rehabilitation > Treatment and maintenance > provider attitude toward treatment -- T Demographic characteristics > Nurse -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital","VA Geographic area > Europe > Ireland","Care by type of problem - emergency care -- Treatment and maintenance - provider attitude toward treatment -- Nurse -- Attitude and behaviour - Attitude toward drugs and alcohol -- Health care programme or facility - Hospital","Europe - Ireland","Conlon Mary , O'Tuathail Claire","0","no" "17929",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Tuathail","Claire","","",,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17929",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10_6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17929",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17929",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17929",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404","16","archive","5",,,"disk0/00/02/44/04","2015-08-11 09:24:35","2015-08-11 09:25:25","2015-08-11 09:24:35","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Health Information and Quality Authority","National standards for safer better healthcare.","pub","JM","","public",,,,,,,,"The National Standards for Safer Better Health will provide the building blocks for a standards-driven health service, creating a common understanding of quality and safety. The standards will give healthcare providers a structure to systematically and continuously improve the safety and quality of services delivered. The National Standards will: • place patients at the heart of the care process • be a benchmark for change for safety • give patients a clear expectation of the standard of care they can expect to receive • ensure services will be clear on what is expected of them • provide a strategic approach to improving safety, quality and reliability in our health service","2012",,,"HIQA",,"","",,,,,,"Health Information and Quality Authority","Dublin",,"168 p.",,,,,,,,,,,"guideline","education_and_training","",,,,,,"HIQA",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.hiqa.ie/standards/health/safer-better-healthcare","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JM , JS , JU10 , MQ6 , MQ6-2 , TT2 , TT2-12 , TT2-14","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 -- T Demographic characteristics > Doctor -- T Demographic characteristics > Nurse",,"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 -- Doctor -- Nurse",,"Health Information and Quality Authority Health Information and Quality Authority","0","yes" "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24404",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389","30","archive","1684",,,"disk0/00/01/73/89","2012-04-20 08:51:30","2016-06-01 10:39:17","2012-04-20 08:51:30","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Office of the Nursing & Midwifery Services Director","A guiding framework for education and training in screening and brief intervention for problem alcohol use: for nurses and midwifes in acute, primary and community care settings.","pub","VH4-2","","public",,"other",,,,,,"This guiding framework supports the development and evaluation of education and training in screening and brief intervention utilising a step by step skills based approach. The framework was developed in partnership with the Office of the Nursing and Midwifery Services Director (ONMSD), Nursing and Midwifery Planning and Development Unit (NMPDU), Centres of Nursing and Midwifery Education, Substance Misuse Services, Acute Hospitals, Health Promotion Service, Social Inclusion Service, Integrated Services Directorate, healthcare professionals and educators with expertise in Screening and Brief Intervention. We are grateful to the health service organisations whose education, practice development and clinical staff, involved in screening and brief intervention, gave of their time, expertise and educational material, which in turn facilitated the development of this framework.","2012",,,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,"52 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol",,,,,,"Health Service Executive",,,"","","","","electronic_only","","","","","",,"

See also HSE Alcohol screening and brief intervention project for resources

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"VH4-2 , BB , JF8 , TT2-14 , NF , JT14-4 , JT8_8_2 , MQ6-2","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- T Demographic characteristics > Nurse -- N Communication, information and education > Education and training -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- 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","VA Geographic area > Europe > Ireland","Alcohol -- Prevention by sponsor or setting - Community-based prevention -- Nurse -- Education and training -- Health care programme or facility - Hospital -- Health care programme or facility - Community-based treatment (primary care) -- Organisational development - Workforce / staff skills and training","Europe - Ireland","Office of the Nursing & Midwifery Services Director Office of the Nursing & Midwifery Services Director","0","no" "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679","27","archive","5",,,"disk0/00/01/76/79","2012-06-08 09:49:37","2012-06-08 09:49:37","2012-06-08 09:49:37","article",,,"show",,,,"","","","","","","","","","","0",,,"Kiernan","Claire","","","","Kiernan:Claire::","",,,,,"","","Nurses' role in managing alcohol misuse among adolescents.","pub","AA2-4","","none",,,,,,"PMID: 22585075",,"Over the past decade, there has been an increase in the amount of alcohol consumed by young people, aged 11-17 years, in the UK and Ireland, which has implications for all health professionals caring for adolescents. Alcohol misuse is increasingly common among adolescents and is a significant concern for families, communities and society. Health professionals need to be aware of the dangers involved with underage drinking, how to recognise the signs of alcohol misuse, and how to intervene appropriately. Over the past few years, there has been a noticeable increase in the number of adolescents presenting to emergency departments (EDs) owing to alcohol-related injuries. This increase means that all nurses and other health professionals are suitably placed to provide education and support to adolescents who are consuming excessive alcohol. Regular alcohol misuse can lead to adverse health outcomes, and therefore nurses need to take an active role in health promotion to ensure that adolescents are aware of the associated dangers. This article summarises the harmful effects of underage drinking, the influencing factors and outlines the current guidelines on alcohol misuse in young people. It discusses strategies that nurses can use in the ED setting, and all healthcare settings, to motivate adolescents to change health-damaging behaviours.","2012","published",,"Kiernan Claire",,"","",,"British Journal of Nursing","21","8","8","MA Healthcare",,"474-478",,,,,,,,,,,,"","","",,,,,,,,,"","","","","not_in_collection","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","21","British Journal of Nursing","AA2-4 , TA14 , VH4-2 , JG26_2_4_2 , JM , JQ8-2 , JB2-4 , TT2-14 , GC16","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- 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 > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- T Demographic characteristics > Nurse -- G Health and disease > Drugs and alcohol disorder > Alcohol use","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use - Problem drugs and alcohol use -- Adolescent / youth (teenager / young person) -- Identification and screening - Identification and screening for drugs and alcohol use -- Patient care management -- Care by type of problem - emergency care -- Drugs and alcohol prevention - Drugs and alcohol use harm reduction -- Nurse -- Drugs and alcohol disorder - Alcohol use","Europe - Ireland","Kiernan Claire , Ni Fhearail Aislinn , Coyne Imelda","0","no" "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ni Fhearail","Aislinn","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coyne","Imelda","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096","20","archive","5",,,"disk0/00/01/80/96","2012-07-18 09:00:19","2012-07-18 09:00:19","2012-07-18 09:00:19","article",,,"show",,,,"","","","","","","","","","","0",,,"Burke","Eimear","","","","Burke:Eimear::","",,,,,"","","The lifestyle behaviours and exercise beliefs of undergraduate student nurses. A descriptive study.","pub","VH4-2","","none",,,,,,,,"Purpose – Only limited published research is available exploring the lifestyle practices of student nurses. The purpose of this paper is to explore the lifestyle behaviours and exercise beliefs of Irish student nurses. Design/methodology/approach – A descriptive survey design was used. First-year and third-year undergraduate student nurses (n ¼ 182) studying at one Irish university participated. Data were collected by administering self-report questionnaires. Findings – A total of 20 per cent of the students smoked, 95 per cent consumed alcohol and 19 per cent of the females reported that they exceeded the recommended weekly safe level for alcohol consumption. In total, 73 per cent of the students reported exercising two to five times per week, and walking was the most popular exercise undertaken. The male students reported significantly higher fitness levels and exercised more on a weekly basis than the females. The students identified a range of benefits of and barriers to exercising. Research limitations/implications – There are a number of study limitations, including: only one university setting was used; a descriptive survey approach was employed; and data were collected using self-report questionnaires. Further studies need to be conducted with additional data collection methods to explore students’ lifestyle and physical activity behaviours. Practical implications – The university, as a setting for health promotion, must increase awareness, facilitate and encourage student nurses to engage in healthy lifestyle behaviours. Originality/value – This survey revealed the lifestyle and exercise behaviours of Irish student nurses. Lower levels of smoking and higher levels of physical activity were found amongst these student nurses than those reported elsewhere in the literature.","2011","published",,"Burke Eimear",,"","",,"Health Education","111","3","3","Emerald",,"230-240",,,,,,"DOI 10.1108/09654281111123501",,,,,,"","","",,,,,,,,,"","","","","not_in_collection","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","111","Health Education","VH4-2 , NG6-2 , AD12-6 , TT2-14 , LL4 , GC16 , TN2-6 , BD","N Communication, information and education > Educational level > Undergraduate or graduate level -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- T Demographic characteristics > Nurse -- L Social psychology and related concepts > Lifestyle -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- T Demographic characteristics > Undergraduate or graduate student -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Europe > Ireland","Educational level - Undergraduate or graduate level -- Prevalence of drugs and alcohol use - Drugs and alcohol use behaviour - Alcohol consumption -- Nurse -- Lifestyle -- Drugs and alcohol disorder - Alcohol use -- Undergraduate or graduate student -- Tobacco (cigarette smoking)","Europe - Ireland","Burke Eimear , McCarthy Bernard","0","yes" "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McCarthy","Bernard","","",,,,,,,,,,,,"NG6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18096",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13033","17","archive","5",,,"disk0/00/01/30/33","2010-04-20 13:17:11","2014-10-22 10:42:21","2010-04-20 13:17:11","article",,,"show",,,,"","","","","","","","","","","0",,,"Lyons","Suzi","","","","Lyons:Suzi::","",,,,,"","","Drug Treatment Centre Board pioneers nurse prescribing in addiction in Ireland.","pub","TT2-14","","public",,,,,,,,,"2010-04-19","published",,"Lyons Suzi",,"","",,"Drugnet Ireland","Issue 33, Spring 2010",,,"Health Research Board",,"21",,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"

On 15 December 2009 the Drug Treatment Centre Board announced the graduation of two of its nurses as Nurse Prescribers in Addiction.1 This treatment centre is the first addiction service in Ireland to have qualified nurse prescribers. Making the announcement, the Board's general manager, Sheila Heffernan, said: 'Our range of services, specialist teams and dedication to excellence has positioned us perfectly to become the first to introduce nurse prescribing in addiction nationally.'  

The 1998 report, Review of scope of practice for nursing and midwifery,2produced by An Bord Altranais recommended that nurse prescribing be introduced in Ireland. Internationally, this practice has been seen to improve the quality of patient care when used in appropriate circumstances. The advantages of nurse prescribing in addiction services include increased access to services for clients, improved continuity of care, reduced waiting times and improved quality of service and care.3
 
In May 2007, the Minister for Health signed the legislation to provide the legal authority for nurses and midwives to prescribe medication: Irish Medicines Board (Miscellaneous Provisions) Act 2006 (Commencement) Order 2007 (SI No. 194 of 2007), Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2007 (SI No. 201 of 2007) and Misuse of Drugs (Amendment) Regulations 2007 (SI No. 200 of 2007).4 
 
The first cohort of qualified nurse prescribers in Ireland was registered in January 2008.5 Prospective nurse prescribers must complete an approved six-month course and adhere to a set of practice standards and competencies for prescribing. In addition, An Bord Altranais requires any health facility employing nurse prescribers to have certain support structures in place. Currently, nurse prescribers cannot prescribe methadone. However, they can, where appropriate, prescribe certain controlled drugs under specific conditions of the Misuse of Drugs Regulations, including drugs for the purpose of midwifery, such as pethidine, or drugs for palliative care, such as morphine sulphate.4 
 
1. Drug Treatment Centre Board (2009) The Drug Treatment Centre Board pioneers first nurse prescribers in addiction in Ireland. DTCB online news report dated 15 December 2009. Accessed 19 February 2010 at www.dtcb.ie/news
2. An Bord Altranais (2000) Review of scope of practice for nursing and midwifery: final report. Dublin: An Bord Altranais. 
3. Gallagher J, O'Gara C, Sessay M and Luty J (2006) Nurse prescribing in addiction services: client benefits. Nursing Standard, 20(48): 42–44.
4. For further information please see An Bord Altranais website at www.nursingboard.ie
5. An Bord Altranais (2008) First registered nurse prescribers. An Bord Altranais News, 20(1): 1.
",,,,,"Issue 33, Spring 2010",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 33, Spring 2010","Drugnet Ireland","TT2-14 , VH4-2 , BT6-2","T Demographic characteristics > Nurse -- E Concepts in biomedical areas > Drugs and alcohol substance by legal status > Prescription drug (medicine / medication)","VA Geographic area > Europe > Ireland","Nurse -- Drugs and alcohol substance by legal status - Prescription drug (medicine / medication)","Europe - Ireland","Lyons Suzi","0","no" "13033",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13033",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BT6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13035","17","archive","5",,,"disk0/00/01/30/35","2010-04-20 13:16:30","2014-10-22 10:48:19","2010-04-20 13:16:30","article",,,"show",,,,"","","","","","","","","","","0",,,"Lyons","Suzi","","","","Lyons:Suzi::","",,,,,"","","Report on nursing in the Irish Prison Service.","pub","JT8_10_4","","public",,,,,,,,,"2010-04-19","published",,"Lyons Suzi",,"","",,"Drugnet Ireland","Issue 33, Spring 2010",,,"Health Research Board",,"23",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,"

Nurses first began working in the Irish Prison Service (IPS) in 1999. The IPS and the Nursing and Midwifery Planning and Development Unit (NMPUDU) of the HSE Eastern Region collaborated in a recent study exploring the opportunities for the development of nursing services in prisons.  The results of that study have now been published.1  

The study included a literature review on the role of nurses in prison healthcare, a descriptive review of the IPS and the professional framework for nursing in Ireland, and a quantitative questionnaire completed by nurses and medical orderlies working in the IPS (32% response rate). The qualitative components were participant observation and semi-structured interviews with key informants, including prison management and those internally and externally involved in prison healthcare. Focus groups were held with three groups of nurses and three groups of prisoners. Data collection took place between November 2005 and December 2007. 
 
The findings of the study covered a wide range of health and professional issues; this article will focus only on the results related to substance misuse and addiction. In the quantitative questionnaire, care related to substance misuse featured in the 14 most frequently performed clinical tasks, and was carried out on a daily basis by 50% or more of respondents to the questionnaire. More than half of the nurse respondents identified addiction as one of the areas where specialist training should be developed.
 
In the qualitative part of the study, participants highlighted addiction and its consequences as an important healthcare problem. Participants reported that cannabis, benzodiazepines and heroin were the most common illicit substances used in prisons, although availability varied between prison sites. While methadone maintenance treatment was available in most prisons, the need for improved treatment for problem use of other substances, in particular benzodiazepines and alcohol, was raised by many participants. Treatment for addiction was reported to be inconsistent, with a lack of counselling services2 and there was 'some confusion in relation to approaches to detoxification, methadone dose and access to treatment' (p. 82). Most participants reported a need for improved education and training in addiction care for nurses. Prisoners also highlighted the need for peer support and improved discharge planning in relation to addiction care. 
 
Mental health problems among prisoners, especially those who had a dual diagnosis (both a mental health issue and a substance use disorder), were identified as a significant and challenging health issue by all participant groups.  
 
The authors conclude that nurses have a very important role in addressing the health needs of prisoners. They found that there was a strong awareness of the importance of prison healthcare and that nurses did receive recognition and support from all the stakeholders involved. However, they also found that nurses could be used more effectively within the IPS.
 
The report sets out 16 goals for the future development of prison nursing and healthcare in Ireland, each with its own set of recommendations. The authors state that many of the recommendations do not require additional resources or funding, but restructuring and integration of existing services and resources and effective collaboration at all levels.
 
The goals are:
 
1.  Nursing and Midwifery, Planning and Development Unit & the Irish Prison Service (2009) Nursing in the Irish Prison Service: working together to meet the healthcare needs of prisoners. Dublin: Health Service Executive.
2. Since 2008 Merchants Quay Ireland has provided national prison-based addiction counselling services to 13 prisons.
",,,,,"Issue 33, Spring 2010",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 33, Spring 2010","Drugnet Ireland","JT8_10_4 , TT2-14 , VH4-2","J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Health care programme or facility - Prison-based health service -- Nurse","Europe - Ireland","Lyons Suzi","0","no" "13035",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "13035",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24336","11","archive","1684",,,"disk0/00/02/43/36","2015-07-27 11:41:56","2015-08-05 14:30:03","2015-07-27 11:41:56","article",,,"show",,,,"","","","","","","","","","",,,,"Nash","M J","","","","Nash:M J::","",,,,,"","","An exploration of mental health nursing students' experiences and attitudes towards using cigarettes to change client's behaviour.","pub","BD","","none",,,,,,,,"There are ethical and moral dilemmas around using lifestyle risk factors as rewards or using client's nicotine addiction as a means of controlling behaviour. The question of whether this intervention should ever be used, given its associated health risk, requires more critical debate in clinical practice.","2010","published",,"Nash M J",,"","",,"Journal of Psychiatric and Mental Health Nursing","17","8","8","Wiley-Blackwell",,"683-691",,,,,,,,,,,"TRUE","","","",,"1351-0126",,,,,,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","17","Journal of Psychiatric and Mental Health Nursing","BD , FR , JM , TN2-6 , TT2-14 , VH4-2","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- F Concepts in psychology > Attitude and behaviour -- J Health care, prevention and rehabilitation > Patient care management -- T Demographic characteristics > Undergraduate or graduate student -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Tobacco (cigarette smoking) -- Attitude and behaviour -- Patient care management -- Undergraduate or graduate student -- Nurse","Europe - Ireland","Nash M J , Romanos M T","0","yes" "24336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Romanos","M T","","",,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102","25","archive","5",,,"disk0/00/01/41/02","2010-10-28 13:56:33","2012-11-06 11:13:41","2010-10-28 13:56:33","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Watson","Hazel","","","",,"",,,,,"","","Involvement of nurses and midwives in screening and brief interventions for hazardous and harmful use of alcohol and other psychoactive substances.","pub","HZ2-2-2","","public",,,,,,,,"This report provides details of a review of the literature on the involvement of nurses and midwives in screening and brief interventions for hazardous and harmful use of alcohol and other psychoactive substances.","2010","published",,"WHO",,"","",,,,,,"World Health Organization","Geneva",,"99 p.",,,,,"WHO/HRH/HPN/10-6",,,,,,"review","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"WHO",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.who.int/substance_abuse/publications/psychoactives/en/index.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"HZ2-2-2 , JG26_2_4_2 , JU10 , BN , HH , TT2-14 , HZ , BA","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 administration > Health care quality control -- B Drugs and alcohol substances > New psychoactive substances -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- T Demographic characteristics > Nurse -- HJ Treatment method > Psychosocial treatment method -- B Drugs and alcohol substances > Drugs and alcohol in general",,"Psychosocial treatment method - Individual therapy - Brief intervention -- Identification and screening - Identification and screening for drugs and alcohol use -- Health care administration - Health care quality control -- New psychoactive substances -- Psychosocial screening and diagnostic method -- Nurse -- Psychosocial treatment method -- Drugs and alcohol in general",,"Watson Hazel , Munro Alison , Wilson Marsha , Kerr Susan , Godwin Jon","0","no" "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Munro","Alison","","",,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","alcohol",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wilson","Marsha","","",,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kerr","Susan","","",,,,,,,,,,,,"BN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Godwin","Jon","","",,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14440","17","archive","1684",,,"disk0/00/01/44/40","2011-01-12 09:40:15","2012-02-06 15:10:15","2011-01-12 09:40:15","article",,,"show",,,,"","","","","","","","","","","0",,,"Grogan","Anne","","","","Grogan:Anne::","",,,,,"","","Side effects of treatment in patients with hepatitis C - implications for nurse specialist practice.","pub","GH16-12-6-6","","none",,,,,,,,"Objective To identify patients’ perceptions of the side effects of Hepatitis C treatment. Design The research used a self‑reporting postal survey design to identify reported side effects, related to hepatitis C treatment, suffered by patients attending a specialist nurse clinic. Setting The setting for this study was an outpatient hepatology clinic in a large general hospital in Ireland.","2009",,,"Grogan Anne",,"","",,"Australian Journal of Advanced Nursing","27","2","2",,,"70-77",,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","27","Australian Journal of Advanced Nursing","GH16-12-6-6 , TL4-10-4 , AA2-4 , TT2-14 , VH4-2","G Health and disease > Disorder by cause > Communicable disease > Hepatitis C -- T Demographic characteristics > Intravenous / injecting drug user -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Ireland","Disorder by cause - Communicable disease - Hepatitis C -- Intravenous / injecting drug user -- Prevalence of drugs and alcohol use - Problem drugs and alcohol use -- Nurse","Europe - Ireland","Grogan Anne , Timmins Fiona","0","no" "14440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Timmins","Fiona","","",,,,,,,,,,,,"TL4-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "14440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791","45","archive","5",,,"disk0/00/01/57/91","2011-08-25 14:30:41","2017-06-22 13:11:56","2011-08-25 14:30:41","monograph",,,"show",,,,"","","","","","","","","","","0",,,"O'Shea","James","","","","O'Shea:James::","",,,,,"","","SAOR model. Screening and brief interventions for problem alcohol use in the emergency department & acute care settings.","pub","NM6-2","","public",,"other",,,,,,"This publication details an innovative model for the delivery of Screening and Brief Intervention (SBI) to people with hazardous/harmful alcohol use who present to acute hospital settings. The World Health Organization (WHO) has identified alcohol use as a leading cause of mortality and disability, ranking it in the top five risk factors for disease burden. In Ireland it is suggested that that between 20% and 50% of all presentations to Emergency Departments (EDs) are alcohol related, with the figure rising to over 80% at peak weekend periods. The second report of the Strategic Task Force on Alcohol (2004) advocates the use of SBI across a range of health care settings including primary care, community services and general hospitals. It is well recognised that Nurses and other health care professionals can play a central role in the delivery of these interventions. The SAOR model provides an evidence-based practical step by step guide to the delivery of SBI for hazardous/harmful alcohol use in acute care settings. It incorporates all the key components of SBI including the common elements of screening, assessment, intervention and referral. This model has been utilised in a comprehensive training and development programme for Emergency Nurses here in the south-east of Ireland. It is anticipated that it will now contribute to the development of both regional and national training programmes on SBI for hazardous/harmful alcohol use in Emergency Departments and Acute Care settings.","2009","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Waterford",,"33 p.",,,,,,,,,,,"report","aod_disorder","alcohol","978-874218-78-4",,,,,"Health Service Executive",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"NM6-2 , VH4-2 , HZ2-2-2 , JQ8-2 , BB , HH , TT2-14 , HZ , GC16 , JT14-4","N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- J Health care, prevention and rehabilitation > Care by type of problem > emergency care -- B Drugs and alcohol substances > Alcohol -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- T Demographic characteristics > Nurse -- HJ Treatment method > Psychosocial treatment method -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital","VA Geographic area > Europe > Ireland","Recommendations or guidelines - Practice / clinical guidelines -- Psychosocial treatment method - Individual therapy - Brief intervention -- Care by type of problem - emergency care -- Alcohol -- Psychosocial screening and diagnostic method -- Nurse -- Psychosocial treatment method -- Drugs and alcohol disorder - Alcohol use -- Health care programme or facility - Hospital","Europe - Ireland","O'Shea James , Goff Paul","0","no" "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Goff","Paul","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "15791",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520","29","archive","4",,,"disk0/00/01/25/20","2009-10-21 11:29:34","2014-04-09 21:52:25","2009-10-21 11:29:34","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Health Service Executive. Nursing & Midwifery Planning & Development Unit","Nursing in the Irish prison service: working together to meet the healthcare needs of prisoners.","pub","MO4-12-2","","public",,"other",,,,,,,"2009","published",,"Health Service Executive. Nursing & Midwifery Planning & Development Unit",,"","",,,,,,"Health Services Executive","Dublin",,"148 p.",,,,,,,,,,,"","","","978-1-906218-28-7",,,,,,,,"","","4735","","available","","","","","",,,"MO4.12.2.2, JT8.10.4",,,,,,,,,,"",,"http://www.hse.ie","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MO4-12-2 , JT8_10_4 , GA2 , TT2-14 , VH4-2 , TU8-8-4 , JS","MM-MO Crime and law > Justice system > Correctional system and facility > Prison -- J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service -- G Health and disease > State of health -- T Demographic characteristics > Nurse -- T Demographic characteristics > Prison Inmate (prisoner) -- J Health care, prevention and rehabilitation > Health care delivery","VA Geographic area > Europe > Ireland","Justice system - Correctional system and facility - Prison -- Health care programme or facility - Prison-based health service -- State of health -- Nurse -- Prison Inmate (prisoner) -- Health care delivery","Europe - Ireland","Health Service Executive. Nursing & Midwifery Planning & Development Unit Health Service Executive. Nursing & Midwifery Planning & Development Unit","0","no" "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_10_4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17934","16","archive","5",,,"disk0/00/01/79/34","2012-07-03 15:47:03","2012-07-04 09:43:50","2012-07-03 15:47:03","article",,,"show",,,,"","","","","","","","","","","0",,,"O'Donovan","Geraldine","","","","O'Donovan:Geraldine::","",,,,,"","","Smoking prevalence among qualified nurses in the Republic of Ireland and their role in smoking cessation.","pub","TT2-14","","none",,,,,,,,"BACKGROUND: Smoking is the leading preventable cause of premature mortality, killing approximately 6000 people in Ireland each year. On 29 March 2004, the Republic of Ireland became the first country in the world to ban smoking in all workplaces, including bars and restaurants. This study took place after the introduction of this smoking ban. An admission to hospital provides an opportunity to help people stop smoking. Nurses' role and wide availability puts them in a prime position to encourage people to quit smoking. AIM: To examine the smoking prevalence among qualified nurses at a large university teaching hospital in Cork Southern Ireland and their role in smoking cessation. METHODS: This was a descriptive cross-sectional study using a calculated sample of 430 qualified nurses (with a 70% response rate). A structured questionnaire was used. FINDINGS: It was found that 21% (n = 63) of nurses were smokers, 23% (n = 70) were ex-smokers and 56% (n = 167) were non-smokers. The highest prevalence of smokers was found in the age groups 20-25 years (28%, n = 17) and 26-30 years (34%, n = 21). Nurses working within psychiatric care (47.4%) and coronary care (33.3%) had the highest smoking prevalence among the nurses who smoked. The study found that there was a significant difference between the attitudes of smokers and non-smokers, 89% (n = 211) of non-smokers strongly agreed that cigarette smoke represents a major risk to health in comparison with only 65% (n = 41) of smokers. Only 14% (n = 43) of the nurses surveyed had received training in smoking cessation. Lack of time (74%) and lack of training (65%) were the two main reasons given by nurses for not giving smoking cessation advice to patients. CONCLUSION: Nurses' potential in preventive health care has been largely under-utilized. Lack of time and training are major factors inhibiting nurses' role in smoking cessation with their patients.","2009","published",,"O'Donovan Geraldine",,"","",,"International Nursing Review","56","2","2","Wiley",,"230-236",,,,,,"DOI: 10.1111/j.1466-7657.2008.00700.x",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

 

",,,,,,,,,,,"",,"http://onlinelibrary.wiley.com/doi/10.1111/j.1466-7657.2008.00700.x/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+on+7+July+from+10%3A00-12%3A00+BST+%2805%3A00-07%3A00+EDT%29+for+essential+maintenance","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","56","International Nursing Review","TT2-14 , VH4-2 , HK2-6 , BD","T Demographic characteristics > Nurse -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Europe > Ireland","Nurse -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use -- Tobacco (cigarette smoking)","Europe - Ireland","O'Donovan Geraldine","0","yes" "17934",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17934",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17934",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455","24","archive","5",,,"disk0/00/01/94/55","2013-03-08 09:17:18","2014-04-09 22:05:44","2013-03-08 09:17:17","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Center for Substance Abuse Treatment","Buprenorphine: a guide for nurses.","pub","NM6-2","","public",,,,,,,,"This guide is intended to provide nurses with general information about buprenorphine products—Suboxone® (buprenorphine and naloxone) and Subutex® (buprenorphine)—for the pharmacological treatment of opioid addiction. The guide can also serve as a resource to help nurses working with community physicians to improve treatment outcomes for individuals receiving office-based treatment for opioid addiction.","2009","published",,"SAMHSA, US",,"","",,,,,,"Substance Abuse and Mental Health Services Administration","Rockville, MD",,"119 p.",,,,,"Technical Assistance Publication (TAP) Series 30",,,,,,"guideline","aod_disorder_drug_therapy","opioid",,,,,,"SAMHSA, US",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://kap.samhsa.gov/products/manuals/taps/index.htm","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"NM6-2 , JM , EE , VD , BL2-3 , TT2-14 , HK2-10-2-2 , HK2-10","N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- J Health care, prevention and rehabilitation > Patient care management -- E Concepts in biomedical areas > Pharmacology and toxicology -- B Drugs and alcohol substances > Opioids (opiates) > Buprenorphine -- T Demographic characteristics > Nurse -- 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 disorder drug therapy","VA Geographic area > United States","Recommendations or guidelines - Practice / clinical guidelines -- Patient care management -- Pharmacology and toxicology -- Opioids (opiates) - Buprenorphine -- Nurse -- Drugs and alcohol disorder treatment method - Drugs and alcohol replacement method (substitution) -- Drugs and alcohol disorder treatment method - Drugs and alcohol disorder drug therapy","United States","Center for Substance Abuse Treatment Center for Substance Abuse Treatment","0","yes" "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"EE",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2-3",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899","46","archive","5",,,"disk0/00/01/28/99","2010-02-26 13:25:54","2014-04-09 21:53:08","2010-02-26 13:25:54","monograph",,,"show",,,,"","","","","","","","","","","0",,,"O'Mahony Carey","Sinead","","","","O'Mahony Carey:Sinead::","",,,,,"","Health Service Executive South","A guide to substance misuse for medical professionals.","pub","BK","","public",,"other",,,,,,"Contents: Section 1 - drug category Section 2 - recognising drug use Section 3 - facts about drugs Section 4 - drug dangers Section 5 - drugs and the law Section 6 - the jargon","2008-07","published",,"O'Mahony Carey Sinead",,"","",,,,,,"Health Service Executive","Tipperary",,"95 p.",,,,,,,,,,,"","","","1-874218-72-2",,,,"1.2",,,,"","","","","electronic_only","","","","","",,,"GC2",,,,,,,,,,"",,"http://www.hse.ie/eng/services/Publications/services/addiction/substanceabusemedprof.html","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BK , BG , VH4-2 , BB , BH , TT2-12 , BT , B6 , BJ2-6 , TT2-14 , BJ2-2 , BA , BJ5 , BL , BF , AM","B Drugs and alcohol substances > Cocaine -- B Drugs and alcohol substances > Inhalants and solvents -- B Drugs and alcohol substances > Alcohol -- B Drugs and alcohol substances > Sedatives or tranquillisers (CNS depressants) -- T Demographic characteristics > Doctor -- E Concepts in biomedical areas > Drugs and alcohol substance by legal status -- B Drugs and alcohol substances > Cannabis / Marijuana -- B Drugs and alcohol substances > CNS stimulants > Methamphetamine -- T Demographic characteristics > Nurse -- B Drugs and alcohol substances > CNS stimulants > Amphetamines -- B Drugs and alcohol substances > Drugs and alcohol in general -- B Drugs and alcohol substances > CNS stimulants > BZP (Benzylpiperazine) (other piperazines) -- B Drugs and alcohol substances > Opioids (opiates) -- B Drugs and alcohol substances > Hallucinogens -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Cocaine -- Inhalants and solvents -- Alcohol -- Sedatives or tranquillisers (CNS depressants) -- Doctor -- Drugs and alcohol substance by legal status -- Cannabis / Marijuana -- CNS stimulants - Methamphetamine -- Nurse -- CNS stimulants - Amphetamines -- Drugs and alcohol in general -- CNS stimulants - BZP (Benzylpiperazine) (other piperazines) -- Opioids (opiates) -- Hallucinogens -- Drugs and alcohol effects and consequences","Europe - Ireland","O'Mahony Carey Sinead , Health Service Executive South Health Service Executive South","0","no" "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BT",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"B6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BF",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "12899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606","19","archive","1684",,,"disk0/00/01/86/06","2012-10-16 10:39:55","2012-10-17 14:16:43","2012-10-16 10:39:55","article",,,"show",,,,"","","","","","","","","","","0",,,"Lambe","Barry","","","","Lambe:Barry::","",,,,,"","","The determinants of lifestyle counselling among practice nurses in Ireland.","pub","TT2","","none",,,,,,,,"To assess the practice of lifestyle counselling among practice nurses (PNs) by measuring the frequency, perceived effectiveness and barriers to lifestyle counselling. Methods: A survey questionnaire was sent to all 77 PNs in an Irish health service administrative area (response rate = 69%). A focus group was subsequently conducted with ten PNs from this sample. Results: 43.8% (n = 21) and 45.8% (n = 22) 'always' promote physical activity and healthy eating with patients, respectively. Conversely, 29.2% (n = 14) of respondents stated they 'rarely' or 'never' counsel patients on risky drinking. Furthermore, a large number of PNs perceived themselves to be 'minimally effective' or 'ineffective' at helping patients to address smoking and risky drinking (47.6%, n = 20 and 63.6%, n = 28, respectively). Practice nurses perceived themselves to be the most appropriate people to provide lifestyle counselling. Education and the provision of accurate information is a key strategy used with patients. Insufficient time, however, was cited as the main barrier to lifestyle counselling by 73.8% (n = 31) of PNs. Conclusion: The traditional health education approach to lifestyle counselling predominates in practice nursing. And whilst practice nurses remain positive about lifestyle counselling, they require further support to address behaviours such as smoking and risky drinking in general practice.","2008","published",,"Lambe Barry",,"","",,"International Journal of Health Promotion and Education","46","3","3","Taylor & Francis",,"94-99",,,,,,,,,,,,"","","",,"1463-5240",,,,,,,"","","","","electronic_only","","","","","",,"

 

",,,,,,,,,,,"","http://rian.ie/en/item/view/53539.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","46","International Journal of Health Promotion and Education","TT2 , AA2-4 , TT2-14 , VH4-2 , GA2-2 , GA4 , BD","T Demographic characteristics > Drug or health care worker -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Nurse -- G Health and disease > State of health > Physical health -- G Health and disease > Public health -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Europe > Ireland","Drug or health care worker -- Prevalence of drugs and alcohol use - Problem drugs and alcohol use -- Nurse -- State of health - Physical health -- Public health -- Tobacco (cigarette smoking)","Europe - Ireland","Lambe Barry , Connolly Claire , McEvoy Rachel","0","yes" "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Connolly","Claire","","",,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McEvoy","Rachel","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17516","21","archive","1684",,,"disk0/00/01/75/16","2012-05-04 14:08:06","2015-03-24 15:44:18","2012-05-04 14:08:06","article",,,"show",,,,"","","","","","","","","","","0",,,"McCarten","B","","","","McCarten:B::","",,,,,"","","Attitudes of Irish dental, dental hygiene and dental nursing students and newly qualified practitioners to tobacco use cessation: a national survey.","pub","JQ6","","none",,,,,,,,"Background: Ireland has some of the strictest smoking regulations in the world. Little is known of the attitudes of student Irish dental healthcare workers towards tobacco control and tobacco use cessation. This study aimed at determining the knowledge and attitudes of these students towards the deleterious effects of tobacco in the mouth and towards tobacco use cessation in dental practice. Method: A questionnaire survey was distributed to 654 students (including newly qualified) on dentistry, dental hygiene and dental nursing programmes in Irish dental schools. Information sought included college, course, year of study, sex, age, nationality, smoking status, knowledge of effects of tobacco in the mouth and attitudes towards tobacco use cessation in dental practice and towards the Irish smoking bans. Main Findings: There was a 90% response rate. In all, 12% of dental students, 25% of dental hygiene students and 31% of dental nursing students were current smokers. Newly qualified dental hygienists were as knowledgeable about tobacco effects in the mouth as newly qualified dentists. Overall, the majority in each student category believed that all three groups could be effective tobacco counsellors and should provide tobacco use cessation counselling to patients, although less than half of evening course dental nursing students felt that dental nurses could be effective counsellors or should provide counselling. There was overwhelming support for the Irish smoking ban. Only a minority of dental students and dental nursing students had received instruction in tobacco use cessation counselling. Conclusions: There are strong positive attitudes to tobacco use cessation counselling in dental practice among these young dental healthcare students. This is true even amongst those who have not received specific instruction in tobacco use cessation counselling.","2008",,,"McCarten B",,"","",,"European Journal of Dental Education","12","1","1","Munsgaard",,"17-22",,,,,,,,,,,,"","","",,"1396-5883",,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","12","European Journal of Dental Education","JQ6 , VH4-2 , TT2-14 , GA4 , BD , AM","J Health care, prevention and rehabilitation > Care by type of problem -- T Demographic characteristics > Nurse -- G Health and disease > Public health -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Care by type of problem -- Nurse -- Public health -- Tobacco (cigarette smoking) -- Drugs and alcohol effects and consequences","Europe - Ireland","McCarten B , McCreary C , Healy C","0","yes" "17516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McCreary","C","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Healy","C","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368","40","archive","5",,,"disk0/00/01/83/68","2012-09-13 10:21:06","2012-12-19 12:35:12","2012-09-13 10:21:06","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Mental Health and Drug and Alcohol Office","Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues.","pub","GC4","","public",,,,,,,,"These guidelines provide nurses and midwives with support and a benchmark for quality drug and alcohol use assessment and care in daily practice. Table of contents: 1 Principles of practice ....................... 7 2 Overview and general guidelines .............. 8 3 Communication and special population groups....11 4 Drug and alcohol use assessment .......... 16 5 Opportunistic intervention ................... 20 6 Managing intoxication ........................ 21 7 Managing overdose ............................ 26 8 Managing withdrawal .......................... 29 9 The drugs .....................................32 9.1 Alcohol 9.2 Opioids (heroin, methadone etc) 9.3 Benzodiazepines (diazepam – valium, oxazepam – serepax etc) 9.4 Psychostimulants (amphetamines – speed, methamphetamines – ice, crystal etc) 9.5 Cannabis 9.6 Tobacco 9.7 Hallucinogens 9.8 Solvents (inhalants, volatile substances) 9.9 Ketamine 9.10 Gamma hydroxybutyrate (GHB) 9.11 Anabolic androgenic steroids (AAS) 10. Pharmacotherapies for dependence ...... 67 10.1 Opioid pharmacotherapies • Methadone • Buprenorphine • Naltrexone 10.2 Alcohol pharmacotherapies • Acamprosate • Naltrexone • Disulfiram Appendices ............................... 73 Appendix 1. Glasgow Coma Scale Appendix 2. Clinical Institute Withdrawal Assessment for Alcohol (revised) (CIWA-Ar) Appendix 3. Alcohol Withdrawal Scale (AWS) Appendix 4. Clinical Opiate Withdrawal Assessment Scale (COWS) Appendix 5. Cannabis Withdrawal Assessment Scale Appendix 6. Street names of drugs Appendix 7. Drug interactions with methadone Screening Tools, Handouts .......................... 83 Alcohol use disorders identification test screening instrument (AUDIT) Drug Quiz — ASSIST (Cannabis) Drug Quiz — ASSIST (Psychostimulants) Drug Quiz — ASSIST (Heroin) Making changes Minimising harm from alcohol or other drug use","2008","published",,"NSW Department of Health",,"","",,,,,,"NSW Department of Health","Sydney",,"113 p.",,,,,,,,,,,"guideline","aod_disorder_treatment_method","psychoactive",,,,,,"NSW Department of Health",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.health.nsw.gov.au/policies/gl/2008/GL2008_001.html","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GC4 , NM6-2 , ED4-12 , HK2 , JG26_2_4_2 , GC4-6 , JM , VK2 , GC16-4 , JS , HC , JU10 , HH , TT2-14 , BA , JT8_8_2","G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication -- N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- E Concepts in biomedical areas > Pregnancy -- HJ Treatment method > Drugs and alcohol disorder treatment method -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication > Drugs and alcohol poisoning (overdose) -- J Health care, prevention and rehabilitation > Patient care management -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication -- J Health care, prevention and rehabilitation > Health care delivery -- HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- HA Screening, identification, and diagnostic method > Psychosocial screening and diagnostic method -- T Demographic characteristics > Nurse -- B Drugs and alcohol substances > Drugs and alcohol in general -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)","VA Geographic area > Australia and Oceania > Australia","Drugs and alcohol disorder - Drug use - Drug intoxication -- Recommendations or guidelines - Practice / clinical guidelines -- Pregnancy -- Drugs and alcohol disorder treatment method -- Identification and screening - Identification and screening for drugs and alcohol use -- Drugs and alcohol disorder - Drug use - Drug intoxication - Drugs and alcohol poisoning (overdose) -- Patient care management -- Drugs and alcohol disorder - Alcohol use - Alcohol intoxication -- Health care delivery -- Medical screening and diagnostic method -- Health care administration - Health care quality control -- Psychosocial screening and diagnostic method -- Nurse -- Drugs and alcohol in general -- Health care programme or facility - Community-based treatment (primary care)","Australia and Oceania - Australia","Mental Health and Drug and Alcohol Office Mental Health and Drug and Alcohol Office","0","yes" "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.health.nsw.gov.au/mhdao/cgnmp/cgnm_training.asp",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening","inhale_solvent",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder","cns_stimulants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_drug_therapy","alcohol",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation","prescription",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training","tobacco",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cns_depressants",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HC",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "18368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431","34","archive","5",,,"disk0/00/02/04/31","2013-08-13 14:30:32","2013-08-13 14:30:32","2013-08-13 14:30:32","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Mental Health and Drug and Alcohol Office","Nursing & midwifery clinical guidelines - identifying & responding to drug & alcohol issues.","pub","GC8","","public",,,,,,,,"These guidelines provide nurses and midwives with support and a benchmark for quality drug and alcohol use assessment and care in daily practice. Each clinician needs to use these guidelines within the context of their role and scope of practice, and update their knowledge by accessing new research and clinical guidelines as they emerge. Chapters 1 to 8 outline general principles and guidelines for drug and alcohol assessment, intervention, communication with patients, and managing intoxication, overdose and withdrawal. Chapter 9 provides specific information on commonly used substances, with details of symptoms, signs, management and risks. Chapter 10 provides additional information on pharmacotherapies for dependence on alcohol and on opioids. The Appendices provide withdrawal assessment scales and other useful information. The Handouts section contains handouts on selected drugs that you can photocopy and give to your patients. The Glossary describes terms used in these guidelines related to drug and alcohol issues.","2008","published",,"NSW Department of Health",,"","",,,,,,"New South Wales Department of Health","Sydney",,"113 p.",,,,,,,,,,,"guideline","aod_disorder_treatment_method","alcohol_drugs_in_general",,,,,,"NSW Department of Health",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GC8 , NM6-2 , JG26_2_4_2 , GC4-6 , BB , VK2 , GC16-4 , B6 , BJ2-6 , TT2-14 , BJ2-2 , BL , BH2-2 , BD","G Health and disease > Drugs and alcohol disorder > Drug use > Drug withdrawal syndrome -- N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines -- J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- G Health and disease > Drugs and alcohol disorder > Drug use > Drug intoxication > Drugs and alcohol poisoning (overdose) -- B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication -- B Drugs and alcohol substances > Cannabis / Marijuana -- B Drugs and alcohol substances > CNS stimulants > Methamphetamine -- T Demographic characteristics > Nurse -- B Drugs and alcohol substances > CNS stimulants > Amphetamines -- B Drugs and alcohol substances > Opioids (opiates) -- B Drugs and alcohol substances > Sedatives or tranquillisers (CNS depressants) > Benzodiazepine -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Australia and Oceania > Australia","Drugs and alcohol disorder - Drug use - Drug withdrawal syndrome -- Recommendations or guidelines - Practice / clinical guidelines -- Identification and screening - Identification and screening for drugs and alcohol use -- Drugs and alcohol disorder - Drug use - Drug intoxication - Drugs and alcohol poisoning (overdose) -- Alcohol -- Drugs and alcohol disorder - Alcohol use - Alcohol intoxication -- Cannabis / Marijuana -- CNS stimulants - Methamphetamine -- Nurse -- CNS stimulants - Amphetamines -- Opioids (opiates) -- Sedatives or tranquillisers (CNS depressants) - Benzodiazepine -- Tobacco (cigarette smoking)","Australia and Oceania - Australia","Mental Health and Drug and Alcohol Office Mental Health and Drug and Alcohol Office","0","yes" "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NM6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG26_2_4_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"B6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BJ2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BH2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994","19","archive","5",,,"disk0/00/01/79/94","2012-07-06 11:33:34","2015-08-06 13:24:14","2012-07-06 11:33:34","article",,,"show",,,,"","","","","","","","","","","0",,,"Wilson","Julie S","","","","Wilson:Julie S::","",,,,,"","","Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial.","pub","TT2-14","","none",,,,,,,,"BACKGROUND: Smoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD). SETTING: A Regional Respiratory Centre (RRC) out-patient department in Northern Ireland. METHODS: A randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months. PARTICIPANTS: Ninety-one cigarette smokers with COPD were enrolled in the study (mean age 61 years, 47 female). RESULTS: After 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03-0.006). No changes in subjects' motivation or dyspnoea were detected over the 12 months. CONCLUSION: Patients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.","2008","published",,"Wilson Julie S",,"","",,"International Journal of Nursing Studies","45","4","4","Elsevier",,"508-517",,,,,,,,,,,,"","","",,,,,,,,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","45","International Journal of Nursing Studies","TT2-14 , VH4-4-8 , JM , HZ2-2-2 , GA2-2 , BD , HK2-6","T Demographic characteristics > Nurse -- J Health care, prevention and rehabilitation > Patient care management -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- G Health and disease > State of health > Physical health -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use","VA Geographic area > Europe > Northern Ireland","Nurse -- Patient care management -- Psychosocial treatment method - Individual therapy - Brief intervention -- State of health - Physical health -- Tobacco (cigarette smoking) -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use","Europe - Northern Ireland","Wilson Julie S , Fitzsimons Donna , Bradbury Ian , Elborn J Stuart","0","yes" "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fitzsimons","Donna","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bradbury","Ian","","",,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Elborn","J Stuart","","",,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17994",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440","25","archive","5",,,"disk0/00/01/94/40","2013-03-06 16:39:43","2014-11-25 09:58:32","2013-03-06 16:39:43","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Whitter","Melanie","","","",,"",,,,,"","","Strengthening professional identity: challenges of the addictions treatment workforce. A framework for discussion.","pub","MQ6","","public",,,,,,,,"This report from the United States summarizes trends in addictions treatment and the challenges that confront the treatment workforce. The recommendations in this report reflect some of the best thinking in the field and are intended to provide momentum for ongoing discussions among stakeholders about specific implementation strategies. This document focuses on all professionals who provide addictions treatment and recovery support services—addictions counselors, physicians, psychologists, nurses, outreach and intake workers, case managers, social workers, marriage and family therapists, recovery support workers and clergy.","2006-12","published",,"ATTC Network",,"","",,,,,,"Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration","Rockville, MD",,"96 p.",,,,,,,,,,,"report","education_and_training","alcohol_drugs_in_general",,,,,,"ATTC Network",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MQ6 , MQ6-2 , TT2 , TT2-14 , TT4-4 , TT8-2 , VD","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","VA Geographic area > United States","Organisational development -- Organisational development - Workforce / staff skills and training -- Drug or health care worker -- Nurse -- Counsellor / Therapist -- Social worker","United States","Whitter Melanie","0","yes" "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "19440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17991","12","archive","5",,,"disk0/00/01/79/91","2012-07-06 11:03:06","2012-07-06 11:03:06","2012-07-06 11:03:06","article",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","","Nurses' smoking behaviour related to cessation practice.","pub","VH4-4-8","","none",,,,,,,,"AIM: To examine the smoking behaviour, knowledge and attitudes of nurses, their willingness to provide smoking cessation support to patients, the accessibility of training in this area and their willingness to undertake future training in this area. METHOD: A randomised sample of qualified nurses (n = 1,074) in statutory, private and voluntary sectors and across a variety of specialties were surveyed by postal questionnaire. Four focus groups were conducted in various settings before and after the survey. RESULTS: Of those who took part in the survey, 55% had never smoked, 19% were ex-smokers and 26% were smokers. Most agreed that nurses have a responsibility to help those who want to quit smoking. However, nurses who smoked rated their ability to help patients and their effectiveness as a role model lower than nurses who were ex-smokers or non-smokers. CONCLUSION: Smoking prevalence among nurses is no greater than in the general female population. Nurses who smoke are less motivated to provide cessation support for patients, have less positive attitudes to the value of smoking cessation, are less likely to have received smoking cessation training and are less likely to want further training. These results have implications for nurses' own smoking status, as well as their attitudes to cessation training, health promotion practice and future research.","2006","published",,"EMAP",,"","",,"Nursing Times","102","19","19","EMAP",,"32-37",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"

 

",,,,,,,,,,,"","http://www.nursingtimes.net/nursing-practice-clinical-research/nurses-smoking-behaviour-related-to-cessation-practice/203232.article","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","102","Nursing Times","VH4-4-8 , TT2-14 , BD , HK2-6","T Demographic characteristics > Nurse -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use","VA Geographic area > Europe > Northern Ireland","Nurse -- Tobacco (cigarette smoking) -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use","Europe - Northern Ireland",,"0","yes" "17991",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17991",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17991",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841","28","archive","5",,,"disk0/00/01/18/41","2009-04-09 10:14:25","2014-04-09 21:50:55","2009-04-09 10:14:25","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Lamb","Stephn","","","","Lamb:Stephn::","",,,,,"","","Accident & Emergency nursing assessment of deliberate self harm. Exploring the impact of introducing a suicide education programme and a suicide intent scale into A&E/MAU nursing practice: a pilot study.","pub","VH4-2","","public",,"other",,,,,,"A proposal to pilot nursing assessment of self harm in Accident and Emergency Departments (A&E) was developed by key stakeholders in nurse education and suicide prevention in the South East and submitted to the National Council for the Professional Development of Nursing and Midwifery in April 2002.The proposal included the introduction of a suicide intent scale. Following an initial training programme, a suicide intent scale was utilised by nursing staff in A&E and the Medical Assessment Unit (MAU),Wexford General Hospital and evaluated over a period of nine months. Four months into the study the National Suicide Research Foundation (NSRF) was invited to collaboratively prepare a successful submission to the Health Research Board (HRB) as part of ‘Building Partnerships for a Healthier Future Research Awards 2004’. The NSRF undertook independent scientific evaluation of the outcomes of the suicide awareness programme. The study is in line with priorities determined by Reach Out, the National Strategy for Action on Suicide Prevention 2005-2014 (HSE, 2005) and the HSE-South East Suicide Prevention Programme through raising nursing staff awareness of the public health issue of suicide/deliberate self harm and by improving the efficiency and quality of nursing services offered to persons who present to acute hospitals with deliberate self harm. The study findings indicate evidence to positively support nursing assessment of DSH using a suicide intent scale in terms of assessing behavioural characteristics of individual clients and their suicide risk. Enhanced confidence levels of nursing personnel in caring for suicidal clients was demonstrated by staff who participated in an education programme related to risk assessment and specifically the use of a suicide intent scale.","2006","published",,"Lamb Stephn",,"","",,,,,,"Health Service Executive, National Suidice Research Foundation","Cork",,"40 p.",,,,,,,,,,,"","","",,,,,,,,,"","","4584","","available","","","","","",,,"FS62, FV24.6",,,,,,,,,,"",,"http://www.nsrf.ie/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"VH4-2 , TT2-14 , FS62 , JA8 , JH2 , JT14-4 , MQ8","T Demographic characteristics > Nurse -- F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour -- J Health care, prevention and rehabilitation > Risk and needs assessment -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education -- J Health care, prevention and rehabilitation > Health care programme or facility > Hospital -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation","VA Geographic area > Europe > Ireland","Nurse -- Specific attitude and behaviour - self-destructive behaviour -- Risk and needs assessment -- Health-related prevention - Health information and education -- Health care programme or facility - Hospital -- Programme planning, implementation, and evaluation","Europe - Ireland","Lamb Stephn , Arensman Ella","0","no" "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Arensman","Ella","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "11841",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6746","36","archive","1",,,"disk0/00/00/67/46","2008-12-15","2015-04-10 14:14:05","2008-12-15 09:01:30","article",,,"show",,,,"","","","","","","","","","","0",,,"Scully","Mike","","","","Scully:Mike::","",,,,,"","","Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland.","pub","TT2-14","","public",,,,,,"Reprinted from Journal of Substance Abuse Treatment 26(1)Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland (2004), with permission from Elsevier",,"The health needs of pregnant opioid dependent women are increasingly being recognized by health care professionals. These women generally receive limited antenatal care. Maternal and neonatal outcomes are also poorer compared to non-drug using women. The number of pregnant opioid dependent women accessing drug treatment services in the Irish Republic has increased. A specialist Drug Liaison Midwife service was created in March 1999 to liase between the three Dublin Maternity hospitals and the Drug Treatment Services. This paper surveys the first year of operation of one of these posts. It documents socio-demographic background, substance use, and medical histories of these women in addition to maternal and neonatal outcomes. Higher maternal methadone dose was associated with an increased risk of neonatal withdrawals among these women. The experience of this specialist liaison service indicates that it is possible to build effective working relationships between opioid dependent pregnant women and the Obstetric and Drug services involved in their care.","2004-01","published","","Scully Mike",,"","",,"Journal of Substance Abuse Treatment","26","1","1","Elsevier Science","","27-33",,,,,,,,,,,,"","","",,,"398","tbljArticle",,,,,"","","","","electronic_only","Elsevier","yes","24/01/2006","No","n.a.",,,,,,"1",,,,,,,"",,"http://www.elsevier.com/wps/find/journaldescription.cws_home/525475/description#description","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","26","Journal of Substance Abuse Treatment","TT2-14 , ED4-12 , VH4-2-5 , T10-4-2 , BL , JS","T Demographic characteristics > Nurse -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- B Drugs and alcohol substances > Opioids (opiates) -- J Health care, prevention and rehabilitation > Health care delivery","VA Geographic area > Europe > Ireland > Dublin","Nurse -- Pregnancy -- Pregnant woman -- Opioids (opiates) -- Health care delivery","Europe - Ireland - Dublin","Scully Mike , Geoghegan Noreen , Corcoran Paul , Tiernan Marika , Keenan Eamon","0","no" "6746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Geoghegan","Noreen","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","Paul","","",,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tiernan","Marika","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Keenan","Eamon","","",,,,,,,,,,,,"BL",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "5405","12","archive","1",,,"disk0/00/00/54/05","2003-03-31 10:46:42","2011-11-16 16:21:12","2008-12-11 09:36:03","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Focus Ireland","Homelessness and health: a series of 10 modules for the nursing degree programmes.","pub","GA2","","none",,"other",,"AOD use, abuse, and dependence, general concepts of health and disease, homelessness, Ireland",,"Includes bibliographical references.",,,"2003","published","","Focus Ireland",,"","",,"","",,"","Focus Ireland","Dublin",,"114 p.",,,,,,,,,,,"","","",,,"558","tblReport",,,,,"","","1517","Closed Document List","available","","","","","",,,"MK10.6, GA2, VH4.2",,,"","",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"GA2 , VH4-2 , TT2-14 , TU8-10","G Health and disease > State of health -- T Demographic characteristics > Nurse -- T Demographic characteristics > Homeless person","VA Geographic area > Europe > Ireland","State of health -- Nurse -- Homeless person","Europe - Ireland","Focus Ireland Focus Ireland","0","no" "5405",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2254","Closed Document List","available",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "5405",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "5405",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24339","8","archive","1684",,,"disk0/00/02/43/39","2015-07-27 12:05:31","2015-07-27 12:05:31","2015-07-27 12:05:31","article",,,"show",,,,"","","","","","","","","","",,,,"McKenna","Hugh","","","","McKenna:Hugh::","",,,,,"","","The role of stress, peer influence and education levels on the smoking behaviour of nurses.","pub","BD","","none",,,,,,,,"Smoking kills yet a substantial number of qualified nurses continue to smoke. Stress, peer influence and education levels have been cited as influencing prevalence levels among nurses. A self-completed questionnaire was used to survey qualified nurses' perceptions of smoking prevalence, attitudes, and reasons for smoking. The respondents were composed of a random sample (n=1074) of qualified nurses employed in Northern Ireland. Results show that 25.8% of the sample smoked. Factors influencing smoking behaviour and reasons for continuing smoking are explored. This paper discusses the implications of these findings for nursing and nurses' health promotion activities.","2003","published",,"McKenna Hugh",,"","",,"International Journal of Nursing Studies","40","4","4",,,"359-366",,,,,,,,,,,"TRUE","","","",,"1873-491X",,,,,,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","40","International Journal of Nursing Studies","BD , TT2-14 , VH4-4-8","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- T Demographic characteristics > Nurse","VA Geographic area > Europe > Northern Ireland","Tobacco (cigarette smoking) -- Nurse","Europe - Northern Ireland","McKenna Hugh , Slater Paul , McCance Tanya , Bunting Brendan , Spiers Arlene , McElwee Gerry","0","yes" "24339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Slater","Paul","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McCance","Tanya","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bunting","Brendan","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Spiers","Arlene","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "24339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McElwee","Gerry","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20503","18","archive","1684",,,"disk0/00/02/05/03","2013-09-04 13:23:13","2014-06-05 09:07:08","2013-09-04 13:23:13","article",,,"show",,,,"","","","","","","","","","","0",,,"Bennett","Jennifer","","","","Bennett:Jennifer::","",,,,,"","","Substance misuse among health care workers.","pub","TT2","","none",,,,,,,,"Substance misuse by healthcare professionals raises many concerns, including the threat to patient care. This review summarizes the recent literature concerning misuse by doctors (physicians), nurses, dentists, undergraduates and other healthcare workers. Self-medication is common among doctors. Specific specialities are noted to be at higher risk, including emergency medicine, psychiatry, anaesthetics, and nurses in high stress specialities. Most studies are descriptive cross-sectional prevalence studies of self-reported substance use. Dedicated treatment programmes are reviewed, including specific treatment services for addicted professionals created at national, regional and local levels. A recognition of the risk of substance misuse should be explicitly included early in the training of healthcare workers. Specialist treatment programmes should be holistic in approach, and should not concentrate solely on substance misuse issues but include the treatment of depression, anxiety, sexual disorders and adjustment disorders.","2001",,,"Bennett Jennifer",,"","",,"Current Opinion in Psychiatry","14",,,"Kluwer",,"195-199",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://aran.library.nuigalway.ie/xmlui/handle/10379/2607","http://aran.library.nuigalway.ie/xmlui/handle/10379/2607","pubn",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","14","Current Opinion in Psychiatry","TT2 , TT2-14 , VH4-2 , TT2-12 , JA6-6","T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Doctor -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors","VA Geographic area > Europe > Ireland","Drug or health care worker -- Nurse -- Doctor -- Risk and protective factors - risk factors","Europe - Ireland","Bennett Jennifer , O'Donovan Diarmuid","0","yes" "20503",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Donovan","Diarmuid","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20503",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20503",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "20503",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17514","21","archive","1684",,,"disk0/00/01/75/14","2012-05-04 13:50:05","2012-10-02 12:07:24","2012-05-04 13:50:05","article",,,"show",,,,"","","","","","","","","","","0",,,"Condell","SL","","","","Condell:SL::","",,,,,"","","Young women's smoking and body image: a discussion paper for Irish nurses.","pub","VH4-2","","none",,,,,,,,"This paper reviews the research to date on women's smoking in Ireland. It continues by exploring the context of the behaviour with specific reference to the influence of popular culture and the linking of smoking with body image. The manipulation of that link by tobacco companies and the implications for health promotion are discussed. The relevance to Irish nursing is a deeper understanding of women's tobacco use, thus raising awareness of the issues involved for nurses as consumers of the product and as health promoters.","2001",,,"Condell SL",,"","",,"All Ireland Journal of Nursing and Midwifery","1","5","5","TM & D Press",,"167-170",,,,,,,,,,,,"","","",,"1471-0854",,,,,,,"","","","","not_in_collection","","","","","",,"

 

",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","1","All Ireland Journal of Nursing and Midwifery","VH4-2 , JA6-6 , TT2-14 , JH2-2 , T10-4 , BD","J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- T Demographic characteristics > Nurse -- J Health care, prevention and rehabilitation > Health-related prevention > Health information and education > Health promotion -- T Demographic characteristics > Woman (women / female) -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Europe > Ireland","Risk and protective factors - risk factors -- Nurse -- Health-related prevention - Health information and education - Health promotion -- Woman (women / female) -- Tobacco (cigarette smoking)","Europe - Ireland","Condell SL","0","yes" "17514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JH2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17963","17","archive","5",,,"disk0/00/01/79/63","2012-07-05 10:11:36","2012-10-02 11:59:10","2012-07-05 10:11:36","article",,,"show",,,,"","","","","","","","","","","0",,,"McKenna","Hugh","","","","McKenna:Hugh::","",,,,,"","","Qualified nurses' smoking prevalence: their reasons for smoking and desire to quit.","pub","VH4-4-8","","none",,,,,,,,"AIM AND RATIONALE: The preventable nature of smoking related diseases places a major responsibility for health promotion on all health professionals. This study used a questionnaire to survey qualified nurses in Northern Ireland as to smoking prevalence and their desire to quit the habit. It also explores their knowledge base relating to smoking related diseases and their motivation to act as health promoters with patients who smoke. METHODS: A random sample (n=1074) of qualified nurses employed by the Health and Social Services Trusts, private, and voluntary organizations in the province were surveyed. RESULTS: Results show that 25.8% were smokers, 19% were ex-smokers and 55.2% were nonsmokers. Three quarters expressed a wish to stop within 6-months. Almost all smokers and half of ex-smokers had taken up the habit prior to commencing nursing. 'Addiction' and 'enjoyment' were given as the principle reasons for continued smoking. Health reasons were paramount in smokers' desire to stop smoking. CONCLUSIONS: These findings suggest that smoking prevalence among qualified nurses in no greater than that reported by females in the general Northern Ireland population. Results also indicate that those nurses who smoke were less willing to take on the role of a health promoter with patients who smoke. Implications and recommendations for practice, education and research are explored.","2001","published",,"McKenna Hugh",,"","",,"Journal of Advanced Nursing","35","5","5","Wiley",,"769-775",,,,,,"DOI: 10.1046/j.1365-2648.2001.01909.x",,,,,,"","","",,,,,,,,,"","","","","not_in_collection","","","","","",,"

 

",,,,,,,,,,,"",,"http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.2001.01909.x/abstract?systemMessage=Wiley+Online+Library+will+be+disrupted+on+7+July+from+10%3A00-12%3A00+BST+%2805%3A00-07%3A00+EDT%29+for+essential+maintenance","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","35","Journal of Advanced Nursing","VH4-4-8 , TT2-14 , FR16 , JA6-6 , BD , HK2-6","T Demographic characteristics > Nurse -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- B Drugs and alcohol substances > Tobacco (cigarette smoking) -- HJ Treatment method > Drugs and alcohol disorder treatment method > Cessation of drugs and alcohol use","VA Geographic area > Europe > Northern Ireland","Nurse -- Attitude and behaviour - Attitude toward drugs and alcohol -- Risk and protective factors - risk factors -- Tobacco (cigarette smoking) -- Drugs and alcohol disorder treatment method - Cessation of drugs and alcohol use","Europe - Northern Ireland","McKenna Hugh , Slater Paul , McCance Tanya , Bunting Brendan , Spiers Arlene , McElwee Gerry","0","yes" "17963",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Slater","Paul","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17963",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McCance","Tanya","","",,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17963",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bunting","Brendan","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17963",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Spiers","Arlene","","",,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "17963",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McElwee","Gerry","","",,,,,,,,,,,,"HK2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607","33","archive","1",,,"disk0/00/00/66/07","2008-12-15","2015-12-22 15:40:21","2008-12-15 08:59:20","article",,,"show",,,,"","","","","","","","","","","0",,,"Melby","V","","","","Melby:V::","",,,,,"","","Acquired immunodeficiency syndrome: knowledge and attitudes of nurses in Northern Ireland.","pub","GH16-12-20-2-2","","public",,,,,,"abstract from pubmed.",,"The number of people suffering from conditions associated with HIV infection is growing steadily. These people require care from nurses who should be well trained to undertake all the various aspects of nursing care. Surveys have indicated that health professionals associate AIDS with minority groups such as homosexuals, drug-abusers and prostitutes. Incidents of sub-optimal nursing care of AIDS patients, or suspected AIDS patients belonging to these minority groups, have been well documented. Surveys have revealed much ignorance and confusion among the general public as well as among health professionals with regard to this controversial syndrome. This study aimed to measure nurses' knowledge and attitudes towards homosexuals, drug-abusers and prostitutes, who through their lifestyle are at increased risk for HIV infection. Questionnaires were distributed to a random sample of 800 nurses in Northern Ireland. The sample was stratified by several demographic variables. A response rate of almost 60% was achieved. Nurses appeared to have a moderate knowledge of issues related to HIV infection, but there were large gaps in their knowledge of the terminology used in HIV infection. Nurses were not extremely worried about AIDS itself. However, homosexuals, prostitutes and drug-abusers were seen to be at least partly responsible for their own illness. Implications for nursing care and for nurse education are discussed.","1992-09","published","","Melby V",,"","",,"Journal of Advanced Nursing","17","9","9","Wiley-Blackwell","","1068-1077",,,,,,,,,,,,"","","",,,"161","tbljArticle",,,,,"","","","","","","yes","23/11/2007","Yes","£18 p.p.",,,,,,,,,,,,,"",,"http://www3.interscience.wiley.com/journal/118486802/toc","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","do_not_display",,"1","17","Journal of Advanced Nursing","GH16-12-20-2-2 , VH4-4-8 , TT2-14 , MM22-4 , FR16-6-4-2 , TL4 , TF4","G Health and disease > Disorder by cause > Communicable disease > Acquired immunodeficiency syndrome (AIDS) -- T Demographic characteristics > Nurse -- MM-MO Crime and law > Vice crime > prostitution -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- T Demographic characteristics > Drug user -- T Demographic characteristics > Homosexual, bisexual or lesbian","VA Geographic area > Europe > Northern Ireland","Disorder by cause - Communicable disease - Acquired immunodeficiency syndrome (AIDS) -- Nurse -- Vice crime - prostitution -- Attitude and behaviour - Attitude toward drugs and alcohol - Attitude toward drugs and alcohol addict or user -- Drug user -- Homosexual, bisexual or lesbian","Europe - Northern Ireland","Melby V , Boore JRP , Murray M","0","no" "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Boore","JRP","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Murray","M","","",,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM22-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16-6-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "6607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TF4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,