info:oai:generic.eprints.org:28036info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/28036/ ‘My GP says I drink too much’: screening and brief intervention. Alcohol Alcohol use Psychosocial screening and diagnostic method Psychosocial treatment method Brief intervention Treatment outcome Identification and screening for drugs and alcohol use Treatment factors Community-based treatment (primary care) Doctor Nurse United Kingdom 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....... Drug and Alcohol Findings 2017-10-03 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/28036/1/Hot-Topic_My_GP_alc_BI_findings.pdf Drug and Alcohol Findings. (2017) ‘My GP says I drink too much’: screening and brief intervention. London: Drug and Alcohol Findings. Drug and Alcohol Findings Hot Topic (October-December 2017) 17 p. http://findings.org.uk/hot_topics.php?s=ebinfo:oai:generic.eprints.org:27982info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27982/ Improvement knowledge and skills guide. Development Assessment Tool for all staff. Health information and education Organisational development Workforce / staff skills and training Information use and impact Information transfer from research to practice Drug or health care worker Doctor Nurse Prevention worker Social worker Ireland Health Service Executive 2017-10 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27982/1/HSE_Improvement-Guide.pdf Health Service Executive. (2017) Improvement knowledge and skills guide. Development Assessment Tool for all staff. Dubiln: Health Service Executive. http://www.hse.ie/eng/about/Who/QID/Improvement-Knowledge-and-SkillsGuide/info:oai:generic.eprints.org:27951info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27951/ Health Matters: preventing ill health from alcohol and tobacco use. Alcohol Alcohol use Patient care management Health care delivery Drug or health care worker Nurse Prevention worker United Kingdom Public Health England 2017-10 Evidence resource NonPeerReviewed Public Health England. (2017) Health Matters: preventing ill health from alcohol and tobacco use. London: Public Health England. https://www.gov.uk/government/publications/health-matters-preventing-ill-health-from-alcohol-and-tobacco/health-matters-preventing-ill-health-from-alcohol-and-tobacco-useinfo:oai:generic.eprints.org:28025info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/28025/ Role of nurses in alcohol and drug treatment services. Alcohol use Care by type of problem Health care delivery Drugs and alcohol disorder treatment unit Drug or health care worker Nurse United Kingdom Public Health England 2017-10 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/28025/1/Role_of_nurses_in_alcohol_and_drug_services.pdf Royal College of Nursing, Association of Nurses in Substance Abuse, National Substance Misuse Non-Medical Prescribing Forum, Public Health England. (2017) Role of nurses in alcohol and drug treatment services. London: Public Health England. 32 p. info:oai:generic.eprints.org:27903info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27903/ Do we all agree what "good health care" looks like? Views from those who are "seldom heard" in health research, policy and service improvement. Ryan, Sara Hislop, Jenny Ziebland, Sue Patient care management Patient attitude toward treatment Mental health care Health care delivery Health care quality control Drug user Drug or health care worker Doctor Nurse United Kingdom 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. Wiley 2017-10 Evidence resource PeerReviewed Ryan, Sara <http://www.drugsandalcohol.ie/view/people/Ryan=3ASara=3A=3A.html> and Hislop, Jenny <http://www.drugsandalcohol.ie/view/people/Hislop=3AJenny=3A=3A.html> and Ziebland, Sue <http://www.drugsandalcohol.ie/view/people/Ziebland=3ASue=3A=3A.html> . (2017) Do we all agree what "good health care" looks like? Views from those who are "seldom heard" in health research, policy and service improvement. Wiley. Health Expectations, 20 (5) 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.info:oai:generic.eprints.org:28029info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/28029/ WHO alcohol brief intervention training manual for primary care. Alcohol Alcohol dependence Psychosocial treatment method Brief intervention Identification and screening for drugs and alcohol use Patient care management Community-based treatment (primary care) Drug or health care worker Doctor Nurse Prevention worker Social worker 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 WHO Regional Office for Europe 2017-10 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/28029/1/WHO_Alcohol-training-manual-final-edit-LSJB-290917.pdf WHO Regional Office for Europe. [WHO] (2017) WHO alcohol brief intervention training manual for primary care. Copenhagan: WHO Regional Office for Europe. 117 p. http://www.euro.who.int/en/health-topics/disease-prevention/alcohol-use/publications/2017/who-alcohol-brief-intervention-training-manual-for-primary-care-2017info:oai:generic.eprints.org:22466info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22466/ Drug Matrix cell B1: practitioners - reducing harm. Drugs and alcohol use harm reduction Patient care management Patient attitude toward treatment Provider attitude toward treatment Health care delivery Harm reduction policy Drug or health care worker Doctor Nurse Counsellor / Therapist Social worker Drug and Alcohol Findings 2017-09 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22466/1/Drug_Matrix_B1_findings.pdf Drug and Alcohol Findings. (2017) Drug Matrix cell B1: practitioners - reducing harm. London: Drug and Alcohol Findings. http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/B1.htm&s=ebinfo:oai:generic.eprints.org:27814info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27814/ Improving clinical responses to drug-related deaths. A summary of best practice and innovations from drug treatment providers. Drugs and alcohol poisoning (overdose) Drugs and alcohol use harm reduction Drugs and alcohol related mortality / death Drug or health care worker Doctor Nurse Collective Voice and the NHS Substance Misuse Provider Alliance 2017-08 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27814/1/Improving-clinical-responses-to-DRDs-August-2017.pdf Collective Voice, NHS Substance Misuse Provider Alliance. (2017) Improving clinical responses to drug-related deaths. A summary of best practice and innovations from drug treatment providers. London: Collective Voice and the NHS Substance Misuse Provider Alliance. info:oai:generic.eprints.org:27729info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27729/ Hepatitis C screening. National clinical guideline no. 15. Summary. Hepatitis C Communicable disease control Patient care management Health care delivery Intravenous / injecting drug user Drug or health care worker Doctor Nurse 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) Department of Health 2017-08 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27729/1/HepC-NCG-15_Summary_v8.pdf Department of Health. (2017) Hepatitis C screening. National clinical guideline no. 15. Summary. Dublin: Department of Health. http://health.gov.ie/national-patient-safety-office/ncec/national-clinical-guidelines/prevention/info:oai:generic.eprints.org:27752info:ofi/fmt:xml:xsd:journalLyonsSuziLyons, Suzi <http://www.drugsandalcohol.ie/view/people/Lyons=3ASuzi=3A=3A.html>Issue 62, Summer 2017August 2017New clinical guidelines for opioid substitution treatment.Drugnet Ireland27-30articleinfo:oai:generic.eprints.org:27679info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27679/ Better care for people with co-occurring mental health and alcohol/drug use conditions. A guide for commissioners and service providers. Christie, Emma Dual diagnosis (comorbidity) Drugs and alcohol related mental disorder Mental health care Health care delivery Drug or health care worker Doctor Nurse Social worker United Kingdom It is very common for people to experience problems with their mental health and alcohol/drug use (co-occurring conditions) at the same time. Research shows that mental health problems are experienced by the majority of drug (70%) and alcohol (86%) of alcohol users in community substance misuse treatment. Death by suicide is also common, with a history of alcohol or drug use being recorded in 54% of all suicides in people experiencing mental health problems. Other evidence tells us that people with co-occurring conditions have a heightened risk of other health problems and early death. We also know that in spite of the shared responsibility that NHS and local authority commissioners have to provide treatment, care and support, people with co-occurring conditions are often excluded from services. This Public Health England (PHE) guide, developed with the support of NHS England, seeks to address this disparity. It should be used by the commissioners and providers of mental health and alcohol and drug treatment services, to inform the commissioning and provision of effective care for people with co-occurring mental health and alcohol/drug use conditions. It also has relevance for all other services that have contact with people with co-occurring conditions, including people experiencing mental health crisis. It is an action for PHE from the Crisis Care Concordati national action plan. It has been co-produced with members of the expert reference group for co-existing substance misuse with mental health issues, and in consultation with experts through experience, service providers, practitioners, commissioners and policy leads. It supports implementation of the Five Year Forward View for Mental Health, including current and forthcoming development of a comprehensive set of evidence-based treatment pathways (EBTPs). It aims to support local areas to commission timely and effective responses for people with co-occurring conditions. It encourages commissioners and service providers to work together to improve access to services which can reduce harm, improve health and enhance recovery, enabling services to respond effectively and flexibly to presenting needs and prevent exclusion. Public Health England 2017-07 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27679/1/PHE_Co-occurring_mental_health_and_alcohol_drug_use_conditions.pdf Christie, Emma <http://www.drugsandalcohol.ie/view/people/Christie=3AEmma=3A=3A.html> [Public Health England] . (2017) Better care for people with co-occurring mental health and alcohol/drug use conditions. A guide for commissioners and service providers. London: Public Health England. 66 p. info:oai:generic.eprints.org:27595info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27595/ Drug misuse and dependence. UK guidelines on clinical management. State of health Drugs and alcohol disorder treatment method Drugs and alcohol replacement method (substitution) Methadone maintenance Psychosocial treatment method Treatment outcome Drugs and alcohol use harm reduction Communicable disease control Health promotion Patient care management Treatment factors Health care delivery Community-based treatment (primary care) Health care quality control Drug user Drug or health care worker Doctor Nurse United Kingdom 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 Department of Health 2017-07 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27595/1/Drug_Misuse_clinical_guidelines_2017.pdf Clinical Guidelines on Drug Misuse and Dependence Update 2017 Independent Expert Working Group. [Public Health England] (2017) Drug misuse and dependence. UK guidelines on clinical management. London: Department of Health. 317 p. info:oai:generic.eprints.org:23734info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23734/ Alcohol matrix cell D5: Organisational functioning - safeguarding the community. Alcohol Community needs assessment Crime prevention Community anti-crime or legal assistance programme Organisational development Workforce / staff skills and training Drug or health care worker Nurse Social worker Drug and Alcohol Findings 2017-06 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23734/1/D5_findings_Alcohol_Matrix.pdf Drug and Alcohol Findings. (2017) Alcohol matrix cell D5: Organisational functioning - safeguarding the community. London: Drug and Alcohol Findings. 4 p. http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/D5.htm&s=ebinfo:oai:generic.eprints.org:23731info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23731/ Alcohol matrix cell B5: Practitioners - safeguarding the community. Alcohol Attitude toward drugs and alcohol addict or user Patient attitude toward treatment Provider attitude toward treatment Drug or health care worker Doctor Nurse Counsellor / Therapist Social worker Drug and Alcohol Findings 2017-05 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23731/1/B5_findings_Alcohol_Matrix.pdf Drug and Alcohol Findings. (2017) Alcohol matrix cell B5: Practitioners - safeguarding the community. London: Drug and Alcohol Findings. 4 p. http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B5.htm&s=ebinfo:oai:generic.eprints.org:15311info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/15311/ EMCDDA Best practice portal. Drugs and alcohol disorder treatment method Treatment outcome Health services, drugs and alcohol research Drugs and alcohol prevention Drugs and alcohol use harm reduction Prevention outcome Prevention approach Health care delivery Health care quality control Information transfer from research to practice Recommendations or guidelines Research outcome Drug or health care worker Doctor Nurse Prevention worker Social worker 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.' European Monitoring Centre for Drugs and Drug Addiction 2017-05 Evidence resource NonPeerReviewed European Monitoring Centre for Drugs and Drug Addiction. [EMCDDA] (2017) EMCDDA Best practice portal. Lisbon: European Monitoring Centre for Drugs and Drug Addiction. http://www.emcdda.europa.eu/best-practiceinfo:oai:generic.eprints.org:27115info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27115/ Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST. 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 Psychosocial screening and diagnostic method Identification and screening for drugs and alcohol use Community-based treatment (primary care) Doctor Nurse 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. Elsevier 2017-05 Evidence resource NonPeerReviewed Schwartz, R P <http://www.drugsandalcohol.ie/view/people/Schwartz=3AR_P=3A=3A.html> and McNeely, J <http://www.drugsandalcohol.ie/view/people/McNeely=3AJ=3A=3A.html> and Wu, L T <http://www.drugsandalcohol.ie/view/people/Wu=3AL_T=3A=3A.html> and Sharma, G <http://www.drugsandalcohol.ie/view/people/Sharma=3AG=3A=3A.html> and Wahle, A <http://www.drugsandalcohol.ie/view/people/Wahle=3AA=3A=3A.html> and Cushing, C <http://www.drugsandalcohol.ie/view/people/Cushing=3AC=3A=3A.html> and Nordeck, C D <http://www.drugsandalcohol.ie/view/people/Nordeck=3AC_D=3A=3A.html> and Sharma, A <http://www.drugsandalcohol.ie/view/people/Sharma=3AA=3A=3A.html> and O'Grady, K E <http://www.drugsandalcohol.ie/view/people/O=27Grady=3AK_E=3A=3A.html> and Gryczynski, J <http://www.drugsandalcohol.ie/view/people/Gryczynski=3AJ=3A=3A.html> and Mitchell, S G <http://www.drugsandalcohol.ie/view/people/Mitchell=3AS_G=3A=3A.html> and Ali, R L <http://www.drugsandalcohol.ie/view/people/Ali=3AR_L=3A=3A.html> and Marsden, J <http://www.drugsandalcohol.ie/view/people/Marsden=3AJ=3A=3A.html> and Subramaniam, G A <http://www.drugsandalcohol.ie/view/people/Subramaniam=3AG_A=3A=3A.html> . (2017) Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST. Elsevier. Journal of Substance Abuse Treatment, 76 69-76. info:oai:generic.eprints.org:27136info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27136/ Practitioner health matters programme 2015-2016. Doctor Nurse Ireland 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. Practitioner Health 2017-04 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27136/1/Practitioner_health_PH-annual-report2016.pdf Practitioner Health Matters Programme. (2017) Practitioner health matters programme 2015-2016. Practitioner Health. info:oai:generic.eprints.org:26953info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26953/ Novel Psychoactive Substances: important information for health professionals. Sumnall, Harry Hamilton, Ian Monaghan, Mark Drugs and alcohol effects and consequences New (novel) psychoactive substances Drug or health care worker Doctor Nurse Prevention worker Social worker 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.......... Minervation Ltd 2017-03-03 Evidence resource NonPeerReviewed Sumnall, Harry <http://www.drugsandalcohol.ie/view/people/Sumnall=3AHarry=3A=3A.html> and Hamilton, Ian <http://www.drugsandalcohol.ie/view/people/Hamilton=3AIan=3A=3A.html> and Monaghan, Mark <http://www.drugsandalcohol.ie/view/people/Monaghan=3AMark=3A=3A.html> . (2017) Novel Psychoactive Substances: important information for health professionals. Oxford: Minervation Ltd. The Mental Elf Blog (3 March 2017) https://www.nationalelfservice.net/mental-health/substance-misuse/novel-psychoactive-substances-important-information-for-health-professionals/info:oai:generic.eprints.org:22525info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22525/ Alcohol Matrix cell B4: Practitioners - psychosocial therapies. Alcohol Psychosocial treatment method Treatment outcome Patient care management Treatment factors Patient attitude toward treatment Provider attitude toward treatment Workforce / staff skills and training Drug or health care worker Nurse Counsellor / Therapist Drug and Alcohol Findings and the Substance Misuse Skills Consortium 2017-03 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22525/1/Alcohol_Matrix_B4_findings.pdf Drug and Alcohol Findings. (2017) Alcohol Matrix cell B4: Practitioners - psychosocial therapies. London: Drug and Alcohol Findings and the Substance Misuse Skills Consortium. 7 p. http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B4.htm&s=ebinfo:oai:generic.eprints.org:27052info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27052/ Cannabis and young users- a brief intervention to reduce their consumption (CANABIC): a cluster randomized controlled trial in primary care. Laporte, Catherine Vaillant-Roussel, Hélène Pereira, Bruno Blanc, Olivier Eschalier, Bénédicte Kinouani, Shérazade Brousse, Georges Llorca, Pierre-Michel Vorilhon, Philippe Prevalence of drugs and alcohol use Cannabis / Marijuana Brief intervention Patient care management Community-based treatment (primary care) Adolescent / youth (teenager / young person) Doctor Nurse France 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 Evidence resource NonPeerReviewed Laporte, Catherine <http://www.drugsandalcohol.ie/view/people/Laporte=3ACatherine=3A=3A.html> and Vaillant-Roussel, Hélène <http://www.drugsandalcohol.ie/view/people/Vaillant-Roussel=3AH=E9l=E8ne=3A=3A.html> and Pereira, Bruno <http://www.drugsandalcohol.ie/view/people/Pereira=3ABruno=3A=3A.html> and Blanc, Olivier <http://www.drugsandalcohol.ie/view/people/Blanc=3AOlivier=3A=3A.html> and Eschalier, Bénédicte <http://www.drugsandalcohol.ie/view/people/Eschalier=3AB=E9n=E9dicte=3A=3A.html> and Kinouani, Shérazade <http://www.drugsandalcohol.ie/view/people/Kinouani=3ASh=E9razade=3A=3A.html> and Brousse, Georges <http://www.drugsandalcohol.ie/view/people/Brousse=3AGeorges=3A=3A.html> and Llorca, Pierre-Michel <http://www.drugsandalcohol.ie/view/people/Llorca=3APierre-Michel=3A=3A.html> and Vorilhon, Philippe <http://www.drugsandalcohol.ie/view/people/Vorilhon=3APhilippe=3A=3A.html> . (2017) Cannabis and young users- a brief intervention to reduce their consumption (CANABIC): a cluster randomized controlled trial in primary care. Annals of Family Medicine, 15 (2) http://www.annfammed.org/content/15/2/131.fullinfo:oai:generic.eprints.org:26869info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26869/ Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. Parkman, Tom Neale, Joanne Day, Ed Drummond, Colin Alcohol Alcohol intoxication Alcohol dependence Patient attitude toward treatment emergency care Hospital Community-based treatment (primary care) Doctor Nurse 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. BioMed Central 2017-02 Evidence resource NonPeerReviewed Parkman, Tom <http://www.drugsandalcohol.ie/view/people/Parkman=3ATom=3A=3A.html> and Neale, Joanne <http://www.drugsandalcohol.ie/view/people/Neale=3AJoanne=3A=3A.html> and Day, Ed <http://www.drugsandalcohol.ie/view/people/Day=3AEd=3A=3A.html> and Drummond, Colin <http://www.drugsandalcohol.ie/view/people/Drummond=3AColin=3A=3A.html> [Biomed Central] . (2017) Qualitative exploration of why people repeatedly attend emergency departments for alcohol-related reasons. BioMed Central. BMC Health Services Research, 17 (140) DOI: 10.1186/s12913-017-2091-9 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2091-9 DOI: 10.1186/s12913-017-2091-9info:oai:generic.eprints.org:27344info:ofi/fmt:xml:xsd:journalDucrayKevinDucray, Kevin <http://www.drugsandalcohol.ie/view/people/Ducray=3AKevin=3A=3A.html>PilchMPilch, M <http://www.drugsandalcohol.ie/view/people/Pilch=3AM=3A=3A.html>3420170790-9667Health student regard for substance-using patients as measured by the Medical Condition Regard Scale: a systematic review.Irish Journal of Psychological Medicine183-196articleinfo:oai:generic.eprints.org:26414info:ofi/fmt:xml:xsd:journalHorganAineHorgan, Aine <http://www.drugsandalcohol.ie/view/people/Horgan=3AAine=3A=3A.html>SweeneyJohnSweeney, John <http://www.drugsandalcohol.ie/view/people/Sweeney=3AJohn=3A=3A.html>BehanLauraBehan, Laura <http://www.drugsandalcohol.ie/view/people/Behan=3ALaura=3A=3A.html>McCarthyGeraldineMcCarthy, Geraldine <http://www.drugsandalcohol.ie/view/people/McCarthy=3AGeraldine=3A=3A.html>1272December 20161365-2648Depressive symptoms, college adjustment and peer support among undergraduate nursing and midwifery students.Journal of Advanced Nursing3081-3092articleinfo:oai:generic.eprints.org:26624info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26624/ How does older people’s drinking appear in the daily work of home care professionals? Koivula, Riitta Tigerstedt, Christoffer Vilkko, Anni Kuussaari, Kristiina Pajala, Satu Alcohol consumption Drugs and alcohol effects and consequences Alcohol Alcohol intoxication Patient care management Social support Elderly / Older person Drug or health care worker Nurse Finland 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. De Gruyter 2016-12 Evidence resource NonPeerReviewed Koivula, Riitta <http://www.drugsandalcohol.ie/view/people/Koivula=3ARiitta=3A=3A.html> and Tigerstedt, Christoffer <http://www.drugsandalcohol.ie/view/people/Tigerstedt=3AChristoffer=3A=3A.html> and Vilkko, Anni <http://www.drugsandalcohol.ie/view/people/Vilkko=3AAnni=3A=3A.html> and Kuussaari, Kristiina <http://www.drugsandalcohol.ie/view/people/Kuussaari=3AKristiina=3A=3A.html> and Pajala, Satu <http://www.drugsandalcohol.ie/view/people/Pajala=3ASatu=3A=3A.html> . (2016) How does older people’s drinking appear in the daily work of home care professionals? De Gruyter. Nordic Studies on Alcohol and Drugs, 33 (5-6) 537-50. https://www.degruyter.com/view/j/nsad.2016.33.issue-5-6/nsad-2016-0044/nsad-2016-0044.xml?format=INTinfo:oai:generic.eprints.org:22520info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22520/ Alcohol Matrix cell B3: Practitioners - medical treatment. Alcohol Treatment factors Patient attitude toward treatment Provider attitude toward treatment Health care delivery Drug or health care worker Doctor Nurse Drug and Alcohol Findings and the Substance Misuse Skills Consortium 2016-11 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22520/1/Alcohol_Matrix_B3_findings.pdf Drug and Alcohol Findings. (2016) Alcohol Matrix cell B3: Practitioners - medical treatment. London: Drug and Alcohol Findings and the Substance Misuse Skills Consortium. 3 p. http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B3.htm&s=ebinfo:oai:generic.eprints.org:26240info:ofi/fmt:xml:xsd:journalKellyPeterKelly, Peter <http://www.drugsandalcohol.ie/view/people/Kelly=3APeter=3A=3A.html>Issue 59, Autumn 2016October 2016Inaugural Irish conference for nurses in addiction services.Drugnet Ireland20articleinfo:oai:generic.eprints.org:26057info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26057/ Alcohol Matrix cell B2: Practitioners; generic and cross-cutting issues. Alcohol consumption Alcohol Attitude toward drugs and alcohol addict or user Treatment outcome Treatment factors Patient attitude toward treatment Provider attitude toward treatment Drug or health care worker Doctor Nurse Prevention worker Social worker Drug and Alcohol Findings 2016-09 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/26057/1/Alcohol-matrix-B2_findings.pdf Drug and Alcohol Findings. (2016) Alcohol Matrix cell B2: Practitioners; generic and cross-cutting issues. London: Drug and Alcohol Findings. 4 p. http://findings.org.uk/PHP/dl.php?file=Matrix/Alcohol/B2.htm&format=open&s=ebinfo:oai:generic.eprints.org:25980info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25980/ 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. Platt, Lucy Melendez-Torres, GJ O'Donnell, Amy Bradley, Jennifer Newbury-Birch, Dorothy Kaner, Eileen Ashton, Charlotte Alcohol consumption Alcohol Psychosocial treatment method Brief intervention Health care delivery Drug or health care worker Nurse BMJ Publishing 2016-08 Evidence resource NonPeerReviewed Platt, Lucy <http://www.drugsandalcohol.ie/view/people/Platt=3ALucy=3A=3A.html> and Melendez-Torres, GJ <http://www.drugsandalcohol.ie/view/people/Melendez-Torres=3AGJ=3A=3A.html> and O'Donnell, Amy <http://www.drugsandalcohol.ie/view/people/O=27Donnell=3AAmy=3A=3A.html> and Bradley, Jennifer <http://www.drugsandalcohol.ie/view/people/Bradley=3AJennifer=3A=3A.html> and Newbury-Birch, Dorothy <http://www.drugsandalcohol.ie/view/people/Newbury-Birch=3ADorothy=3A=3A.html> and Kaner, Eileen <http://www.drugsandalcohol.ie/view/people/Kaner=3AEileen=3A=3A.html> and Ashton, Charlotte <http://www.drugsandalcohol.ie/view/people/Ashton=3ACharlotte=3A=3A.html> [BMJ Open] . (2016) 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. BMJ Publishing. BMJ Open, 6 (e011473) 10.1136/bmjopen-2016-011473 <http://dx.doi.org/10.1136/bmjopen-2016-011473> http://bmjopen.bmj.com/content/6/8/e011473.short?rss=1 doi:10.1136/bmjopen-2016-011473info:oai:generic.eprints.org:25946info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25946/ Alcohol, drugs and the workplace: the role of medical professionals. Workplace context Workplace drugs and alcohol policy Doctor Nurse United Kingdom 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. British Medical Association 2016-07 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25946/1/Alcohol%20and%20drugs%20in%20the%20workplace%20July%202016.pdf BMA Occupational Medicine Committee. [BMA] (2016) Alcohol, drugs and the workplace: the role of medical professionals. London: British Medical Association. 40 p. info:oai:generic.eprints.org:22483info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22483/ Alcohol Matrix cell B1: Practitioners - screening and brief intervention. Alcohol Alcohol dependence Medical screening and diagnostic method Psychosocial screening and diagnostic method Brief intervention Identification and screening for drugs and alcohol use Patient care management emergency care Community-based treatment (primary care) Drug or health care worker Doctor Nurse Social worker Drug and Alcohol Findings 2016-06 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22483/1/Alcohol_matrix_B1.pdf Drug and Alcohol Findings. (2016) Alcohol Matrix cell B1: Practitioners - screening and brief intervention. London: Drug and Alcohol Findings. http://findings.org.uk/count/downloads/download.php?file=Matrix/Alcohol/B1.htminfo:oai:generic.eprints.org:25471info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25471/ Frequent attenders to accident and emergency departments: a qualitative study of individuals who repeatedly present with alcohol-related health conditions. Neale, Joanne Parkman, Tom Day, Ed Drummond, Colin Drugs and alcohol effects and consequences Alcohol Attitude toward drugs and alcohol addict or user State of health Alcohol dependence Patient care management emergency care Drug or health care worker Doctor Nurse Social worker United Kingdom 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. Alcohol research UK 2016-05 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25471/1/AlcoholInsight_0134_emergency_departments.pdf Neale, Joanne <http://www.drugsandalcohol.ie/view/people/Neale=3AJoanne=3A=3A.html> and Parkman, Tom <http://www.drugsandalcohol.ie/view/people/Parkman=3ATom=3A=3A.html> and Day, Ed <http://www.drugsandalcohol.ie/view/people/Day=3AEd=3A=3A.html> and Drummond, Colin <http://www.drugsandalcohol.ie/view/people/Drummond=3AColin=3A=3A.html> [Alcohol Research UK] . (2016) Frequent attenders to accident and emergency departments: a qualitative study of individuals who repeatedly present with alcohol-related health conditions. London: Alcohol research UK. 5 p. Alcohol Insight Number 0134 Alcohol Insight Number 0134info:oai:generic.eprints.org:25545info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25545/ Improving the physical health of people with serious mental illness. A practical toolkit. Physical health Mental health Mental health care Health care delivery Health care quality control Drug or health care worker Doctor Nurse England NHS England 2016-05 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25545/1/NHS_serious-mental-hlth-toolkit-may16.pdf NHS England. (2016) Improving the physical health of people with serious mental illness. A practical toolkit. London: NHS England. 23 p. Gateway ref no. 04999 Gateway ref no. 04999info:oai:generic.eprints.org:25438info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25438/ Briefing: Smoking and surgery. Tobacco (cigarette smoking) Physical health Doctor Nurse United Kingdom 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 ASH 2016-04 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25438/1/ASH_Smoking_Surgery.pdf Action on Smoking and Health UK, Royal College of Anaesthetists, Royal College of Surgeons of Edinburgh, Faculty of Public Health. [ASH] (2016) Briefing: Smoking and surgery. London: ASH. 7 p. info:oai:generic.eprints.org:27623info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27623/ "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. Choo, Esther Guthrie, K Morrow Mello, Michael Wetle, Terrie F Ranney, Megan Tapé, Chantal Zlotnick, Caron Treatment factors emergency care Drugs and alcohol related violence Crime against persons (assault / abuse / intimidation) Woman (women / female) Gender differences Doctor Nurse 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 Evidence resource NonPeerReviewed Choo, Esther <http://www.drugsandalcohol.ie/view/people/Choo=3AEsther=3A=3A.html> and Guthrie, K Morrow <http://www.drugsandalcohol.ie/view/people/Guthrie=3AK_Morrow=3A=3A.html> and Mello, Michael <http://www.drugsandalcohol.ie/view/people/Mello=3AMichael=3A=3A.html> and Wetle, Terrie F <http://www.drugsandalcohol.ie/view/people/Wetle=3ATerrie_F=3A=3A.html> and Ranney, Megan <http://www.drugsandalcohol.ie/view/people/Ranney=3AMegan=3A=3A.html> and Tapé, Chantal <http://www.drugsandalcohol.ie/view/people/Tap=E9=3AChantal=3A=3A.html> and Zlotnick, Caron <http://www.drugsandalcohol.ie/view/people/Zlotnick=3ACaron=3A=3A.html> [Pubmed Central] . (2016) "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. Partner Abuse, 7 (2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040444/info:oai:generic.eprints.org:25314info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25314/ National clinical programme for the assessment and management of patients presenting to Emergency Departments following self-harm. self-destructive behaviour suicidal behaviour / suicide Suicide prevention emergency care Hospital Doctor Nurse Ireland The National Clinical Programme for Mental Health Clinical Programme, HSE Clinical Strategy and Programmes Division 2016-03 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25314/1/nationalclinicalprogselfharm.pdf Health Service Executive; College of Psychiatrists. (2016) National clinical programme for the assessment and management of patients presenting to Emergency Departments following self-harm. Dublin: The National Clinical Programme for Mental Health Clinical Programme, HSE Clinical Strategy and Programmes Division. info:oai:generic.eprints.org:25164info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25164/ Using research evidence: a practice guide. Breckon, Jonathan Roberts, Isobel Workforce / staff skills and training Information transfer from research to practice Policy implications of research Research and evaluation method Drug or health care worker Doctor Nurse Prevention worker Social worker 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 Nesta and Alliance for Useful Evidence 2016-01 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25164/1/Using-Research-Evidence-for-Success-A-Practice-Guide.pdf Breckon, Jonathan <http://www.drugsandalcohol.ie/view/people/Breckon=3AJonathan=3A=3A.html> and Roberts, Isobel <http://www.drugsandalcohol.ie/view/people/Roberts=3AIsobel=3A=3A.html> . (2016) Using research evidence: a practice guide. London: Nesta and Alliance for Useful Evidence. 58 p. info:oai:generic.eprints.org:25129info:ofi/fmt:xml:xsd:journalDeasyChristineDeasy, Christine <http://www.drugsandalcohol.ie/view/people/Deasy=3AChristine=3A=3A.html>CoughlanBarryCoughlan, Barry <http://www.drugsandalcohol.ie/view/people/Coughlan=3ABarry=3A=3A.html>PironomJuliePironom, Julie <http://www.drugsandalcohol.ie/view/people/Pironom=3AJulie=3A=3A.html>JourdanDidierJourdan, Didier <http://www.drugsandalcohol.ie/view/people/Jourdan=3ADidier=3A=3A.html>Mannix-McNamaraPatriciaMannix-McNamara, Patricia <http://www.drugsandalcohol.ie/view/people/Mannix-McNamara=3APatricia=3A=3A.html>36January 20161532-2793Predictors of health of pre-registration nursing and midwifery students: findings from a cross-sectional survey.Nurse Education Today427-433articleinfo:oai:generic.eprints.org:25453info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25453/ Smoking cessation interventions for pulmonary tuberculosis treatment outcomes. Yeyashree, Katherisan Kathirvel, Soundappan Shewade, Hemant D Kaur, Harpreet Gaul, Sono Tobacco (cigarette smoking) Physical health Cessation of drugs and alcohol use Doctor Nurse 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. John Wiley & Sons, Ltd 2016-01 Evidence resource NonPeerReviewed Yeyashree, Katherisan <http://www.drugsandalcohol.ie/view/people/Yeyashree=3AKatherisan=3A=3A.html> and Kathirvel, Soundappan <http://www.drugsandalcohol.ie/view/people/Kathirvel=3ASoundappan=3A=3A.html> and Shewade, Hemant D <http://www.drugsandalcohol.ie/view/people/Shewade=3AHemant_D=3A=3A.html> and Kaur, Harpreet <http://www.drugsandalcohol.ie/view/people/Kaur=3AHarpreet=3A=3A.html> and Gaul, Sono <http://www.drugsandalcohol.ie/view/people/Gaul=3ASono=3A=3A.html> [The Cochrane Library] . (2016) Smoking cessation interventions for pulmonary tuberculosis treatment outcomes. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews (1) DOI: 10.1002/14651858.CD011125.pub2 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011125.pub2/full DOI: 10.1002/14651858.CD011125.pub2info:oai:generic.eprints.org:25519info:ofi/fmt:xml:xsd:journalHoSYHo, SY <http://www.drugsandalcohol.ie/view/people/Ho=3ASY=3A=3A.html>McElvaneyNGMcElvaney, NG <http://www.drugsandalcohol.ie/view/people/McElvaney=3ANG=3A=3A.html>BalfemMBalfem, M <http://www.drugsandalcohol.ie/view/people/Balfem=3AM=3A=3A.html>DoyleFrankDoyle, Frank <http://www.drugsandalcohol.ie/view/people/Doyle=3AFrank=3A=3A.html>192016Exploring the views of healthcare professionals on increasing smoking cessation advice for patients.RCSI Student Medical Journal27-32articleinfo:oai:generic.eprints.org:26128info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26128/ Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. Marel, Christina Mills, Katherine L Kingston, Rosemary Gournay, Kevin Deady, Mark Kay-Lambkin, Frances Baker, Amanda Teesson, Maree Mental health Dual diagnosis (comorbidity) Drugs and alcohol related mental disorder General treatment method concepts Treatment outcome Treatment factors Mental health care Drug or health care worker Doctor Nurse Social worker Australia 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). Australia: Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol 2016 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/26128/1/NDARC_Comorbidity-Guidelines-2016.pdf Marel, Christina <http://www.drugsandalcohol.ie/view/people/Marel=3AChristina=3A=3A.html> and Mills, Katherine L <http://www.drugsandalcohol.ie/view/people/Mills=3AKatherine_L=3A=3A.html> and Kingston, Rosemary <http://www.drugsandalcohol.ie/view/people/Kingston=3ARosemary=3A=3A.html> and Gournay, Kevin <http://www.drugsandalcohol.ie/view/people/Gournay=3AKevin=3A=3A.html> and Deady, Mark <http://www.drugsandalcohol.ie/view/people/Deady=3AMark=3A=3A.html> and Kay-Lambkin, Frances <http://www.drugsandalcohol.ie/view/people/Kay-Lambkin=3AFrances=3A=3A.html> and Baker, Amanda <http://www.drugsandalcohol.ie/view/people/Baker=3AAmanda=3A=3A.html> and Teesson, Maree <http://www.drugsandalcohol.ie/view/people/Teesson=3AMaree=3A=3A.html> [NDARC] . (2016) Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. Sydney: Australia: Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol. 446 p. info:oai:generic.eprints.org:26965info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26965/ Health and social care professions education and development strategy 2016 – 2019. Workforce / staff skills and training Drug or health care worker Nurse Social worker Ireland 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. Health Service Executive 2016 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/26965/1/HSE_HSCPstrategy_2016-2019.pdf National Health & Social Care Professions Office. (2016) Health and social care professions education and development strategy 2016 – 2019. Dublin: Health Service Executive. info:oai:generic.eprints.org:25450info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25450/ Interventions for smoking cessation in people diagnosed with lung cancer. Zeng, Linmiao Yu, Xiaolian Yu, Tingting Xiao, Jianhong Huang, Yushang Tobacco (cigarette smoking) Physical health Cessation of drugs and alcohol use Doctor Nurse 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. John Wiley & Sons, Ltd 2015-12 Evidence resource NonPeerReviewed Zeng, Linmiao <http://www.drugsandalcohol.ie/view/people/Zeng=3ALinmiao=3A=3A.html> and Yu, Xiaolian <http://www.drugsandalcohol.ie/view/people/Yu=3AXiaolian=3A=3A.html> and Yu, Tingting <http://www.drugsandalcohol.ie/view/people/Yu=3ATingting=3A=3A.html> and Xiao, Jianhong <http://www.drugsandalcohol.ie/view/people/Xiao=3AJianhong=3A=3A.html> and Huang, Yushang <http://www.drugsandalcohol.ie/view/people/Huang=3AYushang=3A=3A.html> [The Cochrane Library] . (2015) Interventions for smoking cessation in people diagnosed with lung cancer. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews (12) DOI: 10.1002/14651858.CD011751.pub2 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD011751.pub2/full DOI: 10.1002/14651858.CD011751.pub2info:oai:generic.eprints.org:24636info:ofi/fmt:xml:xsd:journalDunneMaryDunne, Mary <http://www.drugsandalcohol.ie/view/people/Dunne=3AMary=3A=3A.html>NelsonMaireaNelson, Mairea <http://www.drugsandalcohol.ie/view/people/Nelson=3AMairea=3A=3A.html>Issue 55, Autumn 2015October 2015Nursing in contexts of marginalised health.Drugnet Ireland19articleinfo:oai:generic.eprints.org:24711info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24711/ Creating a psychologically informed environment. implementation and assessment. Coping skills Attitude and behaviour Specific attitude and behaviour Needs assessment Community needs assessment Community environment Workforce / staff skills and training Drug or health care worker Nurse Counsellor / Therapist Social worker England 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 Westminster City Council 2015-10 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24711/1/Creating-a-Psychologically-Informed-Environment-2015.pdf No One Left Out: Solutions Ltd. [MEAM] (2015) Creating a psychologically informed environment. implementation and assessment. London: Westminster City Council. 17 p. info:oai:generic.eprints.org:24172info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24172/ Child and adolescent mental health services standard operating procedure. Mental health care Child Adolescent / youth (teenager / young person) Nurse Social worker Ireland Health Service Executive 2015-06 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24172/1/CAMHSsop.pdf Health Service Executive. (2015) Child and adolescent mental health services standard operating procedure. Dublin: Health Service Executive. info:oai:generic.eprints.org:24166info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24166/ Research evidence to prevent alcohol-related harm: what communities can do in Ireland. Hope, Ann Alcohol Alcohol dependence Health services, drugs and alcohol research Drugs and alcohol use harm reduction Community-based prevention Social support Community development Harm reduction policy Information transfer from research to practice Drug or health care worker Nurse Prevention worker Social worker Galway 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’. Galway Healthy Cities: Galway City Alcohol Strategy to Prevent and Reduce Alcohol-Related Harm (2013-2017). 2015-06 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24166/1/Research-Evidence-to-Prevent-Alcohol-Related-Harm.pdf Hope, Ann <http://www.drugsandalcohol.ie/view/people/Hope=3AAnn=3A=3A.html> (2015) Research evidence to prevent alcohol-related harm: what communities can do in Ireland. Galway: Galway Healthy Cities: Galway City Alcohol Strategy to Prevent and Reduce Alcohol-Related Harm (2013-2017). info:oai:generic.eprints.org:24247info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24247/ 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. O'Dwyer, Patricia Cahalane, Sheila Pelican-Kelly, Susanne Public health Health care delivery Community-based treatment (primary care) Workforce / staff skills and training Social services Child Adolescent / youth (teenager / young person) Nurse Social worker Cork Child and Family Agency South Lee Cork 2015-06 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24247/1/24247%20Evaluation_of_the_child_protection_Public_Health_Nurse.pdf O'Dwyer, Patricia <http://www.drugsandalcohol.ie/view/people/O=27Dwyer=3APatricia=3A=3A.html> and Cahalane, Sheila <http://www.drugsandalcohol.ie/view/people/Cahalane=3ASheila=3A=3A.html> and Pelican-Kelly, Susanne <http://www.drugsandalcohol.ie/view/people/Pelican-Kelly=3ASusanne=3A=3A.html> (2015) 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. Cork: Child and Family Agency South Lee Cork. info:oai:generic.eprints.org:24281info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24281/ Alcohol: a toolkit for improving care. Alcohol Alcohol intoxication Identification and screening for drugs and alcohol use Patient care management emergency care Hospital Doctor Nurse United Kingdom 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. The Royal College of Emergency Medicine 2015-06 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24281/1/royal-college-of-emergency-medicine_alcohol---a-toolkit-for-improving-care.pdf The Royal College of Emergency Medicine. (2015) Alcohol: a toolkit for improving care. London: The Royal College of Emergency Medicine. 47 p. info:oai:generic.eprints.org:24134info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24134/ The effects of drugs. Drugs and alcohol effects and consequences Cannabis / Marijuana Amphetamines Ecstasy Mephedrone Cocaine Drug or health care worker Nurse Prevention worker Social worker NHS Choices 2015-05 Evidence resource NonPeerReviewed NHS Choices. (2015) The effects of drugs. London: NHS Choices. http://www.nhs.uk/Livewell/drugs/Pages/Drugsoverview.aspxinfo:oai:generic.eprints.org:24129info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24129/ Smoking cessation: a briefing for midwifery staff. McEwen, Andy Tobacco (cigarette smoking) Pregnancy Cessation of drugs and alcohol use Pregnant woman Nurse United Kingdom 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. National Centre for Smoking Cessation and Training and Public Health England Bauld, Linda Hermon, Yvonne 2015-05 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24129/1/NCSCT_midwifery_briefing_smoking_cessation.pdf Bauld, Linda <http://www.drugsandalcohol.ie/view/people/Bauld=3ALinda=3A=3A.html> and Hermon, Yvonne <http://www.drugsandalcohol.ie/view/people/Hermon=3AYvonne=3A=3A.html>, eds. McEwen, Andy <http://www.drugsandalcohol.ie/view/people/McEwen=3AAndy=3A=3A.html> [Public Health England] . (2015) Smoking cessation: a briefing for midwifery staff. London: National Centre for Smoking Cessation and Training and Public Health England. 32 p. info:oai:generic.eprints.org:25684info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25684/ Clinical supervision framework for nurses working in mental health services. Health care quality control Workforce / staff skills and training Nurse Ireland 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. Health Service Executive 2015-04 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25684/1/Clinical_Supervision_Framework_Nurses_Mental_Health.pdf The Office of the Nursing and Midwifery Service Director. (2015) Clinical supervision framework for nurses working in mental health services. Dublin: Health Service Executive. info:oai:generic.eprints.org:24292info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24292/ Guidance on the clinical management of acute and chronic harms of club drugs and novel psychoactive substances. Abdulrahim, D Bowden-Jones, O Drugs and alcohol effects and consequences Cannabis product (synthetic cannabinoids) Sedatives or tranquillisers (CNS depressants) CNS stimulants Ecstasy Mephedrone Cocaine New (novel) psychoactive substances Physical health Patient care management emergency care Health care delivery Community-based treatment (primary care) Social context Context encouraging drugs and alcohol use Doctor Nurse United Kingdom 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. NEPTUNE 2015-03 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24292/1/NEPTUNE-Guidance_on_clinical_managemen_of_club_drugs_and_nove_%20psychoactive_substances.pdf Novel Psychoactive Treatment UK Network. Abdulrahim, D <http://www.drugsandalcohol.ie/view/people/Abdulrahim=3AD=3A=3A.html> and Bowden-Jones, O <http://www.drugsandalcohol.ie/view/people/Bowden-Jones=3AO=3A=3A.html> [Public Health England] . (2015) Guidance on the clinical management of acute and chronic harms of club drugs and novel psychoactive substances. London: NEPTUNE. 335 p. info:oai:generic.eprints.org:24715info:ofi/fmt:xml:xsd:journalChandrakumarSreejithChandrakumar, Sreejith <http://www.drugsandalcohol.ie/view/people/Chandrakumar=3ASreejith=3A=3A.html>AdamsJohnAdams, John <http://www.drugsandalcohol.ie/view/people/Adams=3AJohn=3A=3A.html>93020152047-9018Attitudes to smoking and smoking cessation among nurses.Nursing Standard36-40articleinfo:oai:generic.eprints.org:25683info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25683/ Best practice principles for risk assessment and safety planning for nurses working in mental health services. Higgins, A Morrissey, J Doyle, L Bailey, J Gill, A Risk assessment Patient care management Mental health care Health care quality control Nurse Ireland 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. Health Service Executive 2015 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/25683/1/Best_Practice_Principles_for_Risk_Assessment.pdf application/pdf en http://www.drugsandalcohol.ie/25683/2/Risk_assessment_and_safety_planning_in-mental_health_nursing.pdf Higgins, A <http://www.drugsandalcohol.ie/view/people/Higgins=3AA=3A=3A.html> and Morrissey, J <http://www.drugsandalcohol.ie/view/people/Morrissey=3AJ=3A=3A.html> and Doyle, L <http://www.drugsandalcohol.ie/view/people/Doyle=3AL=3A=3A.html> and Bailey, J <http://www.drugsandalcohol.ie/view/people/Bailey=3AJ=3A=3A.html> and Gill, A <http://www.drugsandalcohol.ie/view/people/Gill=3AA=3A=3A.html> (2015) Best practice principles for risk assessment and safety planning for nurses working in mental health services. Dublin: Health Service Executive. info:oai:generic.eprints.org:23832info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23832/ Alcohol-related brain injury a guide for professionals. McMonagle, Helen Hogan, Mark Morrissey, Anne Marie Mills, Fiona McMonagle, Caroline Tolan, Sinead O Domhnaill, Sean Butler, Mary Drugs and alcohol effects and consequences Alcohol Physical health Drugs and alcohol related disorder Health care delivery Drug or health care worker Doctor Nurse Social worker Ireland 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. Alcohol forum 2015 Report NonPeerReviewed McMonagle, Helen <http://www.drugsandalcohol.ie/view/people/McMonagle=3AHelen=3A=3A.html> and Hogan, Mark <http://www.drugsandalcohol.ie/view/people/Hogan=3AMark=3A=3A.html> and Morrissey, Anne Marie <http://www.drugsandalcohol.ie/view/people/Morrissey=3AAnne_Marie=3A=3A.html> and Mills, Fiona <http://www.drugsandalcohol.ie/view/people/Mills=3AFiona=3A=3A.html> and McMonagle, Caroline <http://www.drugsandalcohol.ie/view/people/McMonagle=3ACaroline=3A=3A.html> and Tolan, Sinead <http://www.drugsandalcohol.ie/view/people/Tolan=3ASinead=3A=3A.html> and O Domhnaill, Sean <http://www.drugsandalcohol.ie/view/people/O_Domhnaill=3ASean=3A=3A.html> and Butler, Mary <http://www.drugsandalcohol.ie/view/people/Butler=3AMary=3A=3A.html> (2015) Alcohol-related brain injury a guide for professionals. Letterkenny: Alcohol forum. http://af.mannadev.com/wp-content/uploads/2015/04/ARBI-Prof-for-website-.pdfinfo:oai:generic.eprints.org:24716info:ofi/fmt:xml:xsd:journalMurphyJFAMurphy, JFA <http://www.drugsandalcohol.ie/view/people/Murphy=3AJFA=3A=3A.html>910820150332-3102Assaults on medical, nursing and paramedical staff.Irish Medical Journalarticleinfo:oai:generic.eprints.org:26967info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/26967/ Substance use and sight loss: a guide for professionals Galvani, Sarah Livingston, Wulf Morgan, Hannah Wadd, Sarah Prevalence of drugs and alcohol use Alcohol consumption Alcohol Coping skills Physical health Mental health Social support Workforce / staff skills and training Drug or health care worker Doctor Nurse Social worker United Kingdom 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. Alcohol research UK 2014-12 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/26967/1/ARUK-report-0118-Alcohol_other_drugs_and_sight_loss.pdf Galvani, Sarah <http://www.drugsandalcohol.ie/view/people/Galvani=3ASarah=3A=3A.html> and Livingston, Wulf <http://www.drugsandalcohol.ie/view/people/Livingston=3AWulf=3A=3A.html> and Morgan, Hannah <http://www.drugsandalcohol.ie/view/people/Morgan=3AHannah=3A=3A.html> and Wadd, Sarah <http://www.drugsandalcohol.ie/view/people/Wadd=3ASarah=3A=3A.html> [Alcohol Research UK] . (2014) Substance use and sight loss: a guide for professionals. London: Alcohol research UK. 123 p. Alcohol insight number 118 http://alcoholresearchuk.org/alcohol-insights/alcohol-other-drugs-and-sight-loss-a-scoping-study/ Alcohol insight number 118info:oai:generic.eprints.org:23131info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23131/ Young people’s hospital alcohol pathways. Support pack for A&E departments. Alcohol Identification and screening for drugs and alcohol use Patient care management emergency care Health care delivery Hospital Adolescent / youth (teenager / young person) Underage drinker Doctor Nurse 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. Public Health England 2014-12 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23131/1/young-peoples-hospital-alcohol-pathways-support-pack-for-ae-departments.pdf Public Health England. (2014) Young people’s hospital alcohol pathways. Support pack for A&E departments. London: Public Health England. 13 p. info:oai:generic.eprints.org:23725info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23725/ Drug matrix cell B5: Practitioners - safeguarding the community. Drugs and alcohol related societal (social) problems Attitude toward drugs and alcohol addict or user Patient attitude toward treatment Provider attitude toward treatment Community environment Social costs and benefits of drugs and alcohol Workforce / staff skills and training Drug or health care worker Doctor Nurse Counsellor / Therapist Social worker Drug and Alcohol Findings 2014-11 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23725/1/B5_findings.pdf Drug and Alcohol Findings, Substance Misuse Skills Consortium. (2014) Drug matrix cell B5: Practitioners - safeguarding the community. London: Drug and Alcohol Findings. http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/B5.htminfo:oai:generic.eprints.org:23726info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23726/ Drug matrix cell C5: Management/supervision - safeguarding the community. Attitude toward drugs and alcohol addict or user Patient attitude toward treatment Provider attitude toward treatment Community environment Organisational development Workforce / staff skills and training Drug or health care worker Nurse Counsellor / Therapist Social worker Drug and Alcohol Findings and the Substance Misuse Skills Consortium 2014-11 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23726/1/C5_findings.pdf Drug and Alcohol Findings, Substance Misuse Skills Consortium. (2014) Drug matrix cell C5: Management/supervision - safeguarding the community. London: Drug and Alcohol Findings and the Substance Misuse Skills Consortium. http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/C5.htminfo:oai:generic.eprints.org:23727info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23727/ Drug matrix cell D5: Organisational functioning - safeguarding the community. Treatment and maintenance Health care programme or facility Drugs and alcohol disorder treatment unit Organisational development Workforce / staff skills and training Drug or health care worker Nurse Social worker Drug and Alcohol Findings and the Substance Misuse Skills Consortium 2014-11 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23727/1/D5_findings.pdf Drug and Alcohol Findings, Substance Misuse Skills Consortium. (2014) Drug matrix cell D5: Organisational functioning - safeguarding the community. Drug and Alcohol Findings and the Substance Misuse Skills Consortium. http://findings.org.uk/PHP/dl.php?file=Matrix/Drugs/D5.htminfo:oai:generic.eprints.org:22530info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22530/ Drug Matrix cell B3: Practitioners - medical treatment. Treatment outcome Treatment factors Provider attitude toward treatment Community-based treatment (primary care) Workforce / staff skills and training Drug or health care worker Doctor Nurse Counsellor / Therapist Drug and Alcohol Findings and the Substance Misuse Skills Consortium 2014-08 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22530/1/Drug%20Matrix%20%20cell%20B3.pdf Drug and Alcohol Findings, Substance Misuse Skills Consortium. (2014) Drug Matrix cell B3: Practitioners - medical treatment. London: Drug and Alcohol Findings and the Substance Misuse Skills Consortium. http://findings.org.uk/count/downloads/download.php?file=Matrix/Drugs/B3.htminfo:oai:generic.eprints.org:24476info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24476/ Guide to the European Union (Prevention of Sharps Injuries in the Healthcare Sector) Regulations 2014. Communicable disease control Needle distribution and exchange Patient care management Doctor Nurse Ireland European Union 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. Health and Safety Authority 2014 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24476/1/HSA_Sharps_Regulations_Guidelines_2014.pdf Health and Safety Authority. [HSA] (2014) Guide to the European Union (Prevention of Sharps Injuries in the Healthcare Sector) Regulations 2014. Dublin: Health and Safety Authority. 16 p. info:oai:generic.eprints.org:22248info:ofi/fmt:xml:xsd:journalLathamLindaLatham, Linda <http://www.drugsandalcohol.ie/view/people/Latham=3ALinda=3A=3A.html>52220141393-8088Alcohol misuse and the family.World of Irish Nursing & Midwifery55-56articleinfo:oai:generic.eprints.org:27681info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/27681/ Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals. Pregnancy Developmental disorder Foetal (fetal) alcohol syndrome Parental support Pregnant woman Drug or health care worker Nurse Social worker Child of drugs and alcohol user Australia National Drug and Alcohol Research Centre 2014 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/27681/1/Supporting_pregnant_women_who_use_alcohol_or_other_drugs_resource.pdf National Drug and Alcohol Research Centre. [NDARC] (2014) Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals. Sydney: National Drug and Alcohol Research Centre. 32 p. https://ndarc.med.unsw.edu.au/resource/supporting-pregnant-women-who-use-alcohol-or-other-drugs-guide-primary-health-careinfo:oai:generic.eprints.org:24143info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24143/ Drug misuse overview. Cannabis / Marijuana CNS stimulants Opioids (opiates) Drugs and alcohol disorder treatment method Drugs and alcohol disorder drug therapy Methadone maintenance Detoxification method Psychosocial treatment method Identification and screening for drugs and alcohol use Patient care management Family support Drug or health care worker Nurse Prevention worker Social worker National Institute for Health and Care Excellence 2014 Evidence resource NonPeerReviewed National Institute for Health and Care Excellence. [NICE] (2014) Drug misuse overview. London: National Institute for Health and Care Excellence. NICE Pathways http://pathways.nice.org.uk/pathways/drug-misuse NICE Pathwaysinfo:oai:generic.eprints.org:22793info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/22793/ A framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals. Alcohol Pregnancy Public health Health promotion Patient care management Health care delivery Drug or health care worker Nurse Social worker United Kingdom 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] Department of Health 2014 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/22793/1/PHP_Framework_Version_1.pdf Public Health England. (2014) A framework for personalised care and population health for nurses, midwives, health visitors and allied health professionals. London: Department of Health. 82 p. info:oai:generic.eprints.org:24130info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24130/ Addiction overview. risk-taking behaviour Drugs and alcohol disorder Drug dependence risk factors Treatment factors Drug or health care worker Nurse Social worker NHS Choices 2013-10 Evidence resource NonPeerReviewed NHS Choices. (2013) Addiction overview. London: NHS Choices. http://www.nhs.uk/conditions/Addictions/Pages/Introduction.aspxinfo:oai:generic.eprints.org:16588info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/16588/ Nursing interventions for smoking cessation. Hill Rice, Virginia Hartmann-Boyce, Jamie Stead, Lindsay F Drugs and alcohol disorder treatment method Nurse Tobacco (cigarette smoking) Cessation of drugs and alcohol use John Wiley & Sons, Ltd 2013-08 Evidence resource NonPeerReviewed Hill Rice, Virginia <http://www.drugsandalcohol.ie/view/people/Hill_Rice=3AVirginia=3A=3A.html> and Hartmann-Boyce, Jamie <http://www.drugsandalcohol.ie/view/people/Hartmann-Boyce=3AJamie=3A=3A.html> and Stead, Lindsay F <http://www.drugsandalcohol.ie/view/people/Stead=3ALindsay_F=3A=3A.html> [The Cochrane Library] . (2013) Nursing interventions for smoking cessation. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews, 7 DOI: 10.1002/14651858.CD001188.pub4 http://onlinelibrary.wiley.com/enhanced/doi/10.1002/14651858.CD001188.pub4 DOI: 10.1002/14651858.CD001188.pub4info:oai:generic.eprints.org:20048info:ofi/fmt:xml:xsd:journal4June 2013Fitness to practise inquiries 2006 – 2010. Drug and alcohol abuse cases – what can be learned?Regulation Matters2-3articleinfo:oai:generic.eprints.org:20792info:ofi/fmt:xml:xsd:journalHollowayAisha SHolloway, Aisha S <http://www.drugsandalcohol.ie/view/people/Holloway=3AAisha_S=3A=3A.html>WebsterBrian JWebster, Brian J <http://www.drugsandalcohol.ie/view/people/Webster=3ABrian_J=3A=3A.html>9332013Alcohol education and training in pre-registration nursing: A national survey to determine curriculum content in the United Kingdom (UK).Nurse Education Today992-997articleinfo:oai:generic.eprints.org:20901info:ofi/fmt:xml:xsd:journalLathamLindaLatham, Linda <http://www.drugsandalcohol.ie/view/people/Latham=3ALinda=3A=3A.html>5212013Complexity of care: management of alcohol issues by the practice nurse.World of Irish Nursing & Midwifery37-38articleinfo:oai:generic.eprints.org:24132info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24132/ Alcohol misuse overview. Alcohol consumption Alcohol risk-taking behaviour Alcohol dependence risk factors Drug or health care worker Nurse Social worker NHS Choices 2013 Evidence resource NonPeerReviewed NHS Choices. (2013) Alcohol misuse overview. London: NHS Choices. http://www.nhs.uk/Conditions/Alcohol-misuse/Pages/Introduction.aspxinfo:oai:generic.eprints.org:20383info:ofi/fmt:xml:xsd:journalPowerJohnPower, John <http://www.drugsandalcohol.ie/view/people/Power=3AJohn=3A=3A.html>McManusOliviaMcManus, Olivia <http://www.drugsandalcohol.ie/view/people/McManus=3AOlivia=3A=3A.html>22120131354-5752Development of a short-stay unit in an emergency department.Emergency Nurse18-22articleinfo:oai:generic.eprints.org:18851info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/18851/ Research evaluation of the suicide crisis assessment nurse (SCAN) service. Suicide prevention Survey Nurse Programme evaluation suicidal behaviour / suicide Wexford 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. National Office for Suicide Prevention 2012-11 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/18851/1/scan-report-2012.pdf School of Nursing and Midwifery, NUI Galway. (2012) Research evaluation of the suicide crisis assessment nurse (SCAN) service. Dublin: National Office for Suicide Prevention. info:oai:generic.eprints.org:18404info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/18404/ Effectiveness Bank Bulletin [Brief advice from the practice nurse to cardiovascular patients] Nurse Prevention outcome Physical health Brief intervention Netherlands Health information and education Drugs and alcohol use harm reduction 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. Drug and Alcohol Findings 2012-09-19 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/18404/1/Koelewijn_van_Loon_MS_1_findings.pdf Drug and Alcohol Findings. (2012) Effectiveness Bank Bulletin [Brief advice from the practice nurse to cardiovascular patients]. Drug and Alcohol Findings. Effectiveness Bank Bulletin, 19 Sep http://findings.org.uk/docs/bulletins/Bull_19_09_12.phpinfo:oai:generic.eprints.org:16651info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/16651/ Training health professionals in smoking cessation. Carson, Kristin V Verbiest, Marjolein EA Crone, Mathilde R Brinn, Malcolm P Esterman, Adrian J Assendelft, Willem JJ Smith, Brian J Drugs and alcohol disorder treatment method Prevention through information and education Doctor Nurse Tobacco (cigarette smoking) Cessation of drugs and alcohol use Workforce / staff skills and training 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. John Wiley & Sons, Ltd 2012-05 Evidence resource NonPeerReviewed Carson, Kristin V <http://www.drugsandalcohol.ie/view/people/Carson=3AKristin_V=3A=3A.html> and Verbiest, Marjolein EA <http://www.drugsandalcohol.ie/view/people/Verbiest=3AMarjolein_EA=3A=3A.html> and Crone, Mathilde R <http://www.drugsandalcohol.ie/view/people/Crone=3AMathilde_R=3A=3A.html> and Brinn, Malcolm P <http://www.drugsandalcohol.ie/view/people/Brinn=3AMalcolm_P=3A=3A.html> and Esterman, Adrian J <http://www.drugsandalcohol.ie/view/people/Esterman=3AAdrian_J=3A=3A.html> and Assendelft, Willem JJ <http://www.drugsandalcohol.ie/view/people/Assendelft=3AWillem_JJ=3A=3A.html> and Smith, Brian J <http://www.drugsandalcohol.ie/view/people/Smith=3ABrian_J=3A=3A.html> [The Cochrane Library] . (2012) Training health professionals in smoking cessation. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews (3) DOI: 10.1002/14651858.CD000214.pub2. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000214.pub2/abstract DOI: 10.1002/14651858.CD000214.pub2.info:oai:generic.eprints.org:17784info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/17784/ Effectiveness Bank Bulletin. [Clinical guidelines & nurses' screening for alcohol and other substance use] Recommendations or guidelines Identification and screening for drugs and alcohol use Australia Medical screening and diagnostic method Psychosocial screening and diagnostic method Nurse 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%. Drug and Alcohol Findings 2012-03-28 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/17784/1/Drug_and_Alcohol_Findings_Clinincal_guidelines_%26_nurses_screening.pdf [Drug and Alcohol Findings] (2012) Effectiveness Bank Bulletin. [Clinical guidelines & nurses' screening for alcohol and other substance use]. Drug and Alcohol Findings. Drug and Alcohol Findings, 28 Mar http://findings.org.uk/docs/bulletins/Bull_28_03_12.phpinfo:oai:generic.eprints.org:17929info:ofi/fmt:xml:xsd:journalConlonMaryConlon, Mary <http://www.drugsandalcohol.ie/view/people/Conlon=3AMary=3A=3A.html>O'TuathailClaireO'Tuathail, Claire <http://www.drugsandalcohol.ie/view/people/O=27Tuathail=3AClaire=3A=3A.html>12020121878-013XMeasuring emergency department nurses’ attitudes towards deliberate self-harm using the Self-Harm Antipathy Scale.International Emergency Nursing3-13articleinfo:oai:generic.eprints.org:24404info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24404/ National standards for safer better healthcare. Patient care management Health care delivery Health care quality control Organisational development Workforce / staff skills and training Drug or health care worker Doctor Nurse 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 Health Information and Quality Authority 2012 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/24404/1/HIQA%20Safer-Better-Healthcare-Standards.pdf Health Information and Quality Authority. [HIQA] (2012) National standards for safer better healthcare. Dublin: Health Information and Quality Authority. 168 p. info:oai:generic.eprints.org:17389info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/17389/ 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. Ireland Alcohol Community-based prevention Nurse Education and training Hospital Community-based treatment (primary care) Workforce / staff skills and training 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. Health Service Executive 2012 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/17389/1/bialcoholfw.pdf Office of the Nursing & Midwifery Services Director. [Health Service Executive] (2012) 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. Dublin: Health Service Executive. 52 p. info:oai:generic.eprints.org:17679info:ofi/fmt:xml:xsd:journalKiernanClaireKiernan, Claire <http://www.drugsandalcohol.ie/view/people/Kiernan=3AClaire=3A=3A.html>Ni FhearailAislinnNi Fhearail, Aislinn <http://www.drugsandalcohol.ie/view/people/Ni_Fhearail=3AAislinn=3A=3A.html>CoyneImeldaCoyne, Imelda <http://www.drugsandalcohol.ie/view/people/Coyne=3AImelda=3A=3A.html>8212012Nurses' role in managing alcohol misuse among adolescents.British Journal of Nursing474-478articleinfo:oai:generic.eprints.org:18096info:ofi/fmt:xml:xsd:journalBurkeEimearBurke, Eimear <http://www.drugsandalcohol.ie/view/people/Burke=3AEimear=3A=3A.html>McCarthyBernardMcCarthy, Bernard <http://www.drugsandalcohol.ie/view/people/McCarthy=3ABernard=3A=3A.html>31112011The lifestyle behaviours and exercise beliefs of undergraduate student nurses. A descriptive study.Health Education230-240articleinfo:oai:generic.eprints.org:13033info:ofi/fmt:xml:xsd:journalLyonsSuziLyons, Suzi <http://www.drugsandalcohol.ie/view/people/Lyons=3ASuzi=3A=3A.html>Issue 33, Spring 201019 April 2010Drug Treatment Centre Board pioneers nurse prescribing in addiction in Ireland.Drugnet Ireland21articleinfo:oai:generic.eprints.org:13035info:ofi/fmt:xml:xsd:journalLyonsSuziLyons, Suzi <http://www.drugsandalcohol.ie/view/people/Lyons=3ASuzi=3A=3A.html>Issue 33, Spring 201019 April 2010Report on nursing in the Irish Prison Service.Drugnet Ireland23articleinfo:oai:generic.eprints.org:24336info:ofi/fmt:xml:xsd:journalNashM JNash, M J <http://www.drugsandalcohol.ie/view/people/Nash=3AM_J=3A=3A.html>RomanosM TRomanos, M T <http://www.drugsandalcohol.ie/view/people/Romanos=3AM_T=3A=3A.html>81720101351-0126An exploration of mental health nursing students' experiences and attitudes towards using cigarettes to change client's behaviour.Journal of Psychiatric and Mental Health Nursing683-691articleinfo:oai:generic.eprints.org:14102info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/14102/ Involvement of nurses and midwives in screening and brief interventions for hazardous and harmful use of alcohol and other psychoactive substances. Watson, Hazel Munro, Alison Wilson, Marsha Kerr, Susan Godwin, Jon Brief intervention Identification and screening for drugs and alcohol use Health care quality control New (novel) psychoactive substances Psychosocial screening and diagnostic method Nurse Psychosocial treatment method Drugs and alcohol in general 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. World Health Organization 2010 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/14102/1/WHO_Nurses_midwives_screening_brief_interventions.pdf Watson, Hazel <http://www.drugsandalcohol.ie/view/people/Watson=3AHazel=3A=3A.html> and Munro, Alison <http://www.drugsandalcohol.ie/view/people/Munro=3AAlison=3A=3A.html> and Wilson, Marsha <http://www.drugsandalcohol.ie/view/people/Wilson=3AMarsha=3A=3A.html> and Kerr, Susan <http://www.drugsandalcohol.ie/view/people/Kerr=3ASusan=3A=3A.html> and Godwin, Jon <http://www.drugsandalcohol.ie/view/people/Godwin=3AJon=3A=3A.html> [WHO] . (2010) Involvement of nurses and midwives in screening and brief interventions for hazardous and harmful use of alcohol and other psychoactive substances. Geneva: World Health Organization. 99 p. WHO/HRH/HPN/10-6 http://www.who.int/substance_abuse/publications/psychoactives/en/index.html WHO/HRH/HPN/10-6info:oai:generic.eprints.org:14440info:ofi/fmt:xml:xsd:journalGroganAnneGrogan, Anne <http://www.drugsandalcohol.ie/view/people/Grogan=3AAnne=3A=3A.html>TimminsFionaTimmins, Fiona <http://www.drugsandalcohol.ie/view/people/Timmins=3AFiona=3A=3A.html>2272009Side effects of treatment in patients with hepatitis C - implications for nurse specialist practice.Australian Journal of Advanced Nursing70-77articleinfo:oai:generic.eprints.org:15791info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/15791/ SAOR model. Screening and brief interventions for problem alcohol use in the emergency department & acute care settings. O'Shea, James Goff, Paul Practice / clinical guidelines Ireland Brief intervention emergency care Alcohol Psychosocial screening and diagnostic method Nurse Psychosocial treatment method Alcohol use Hospital 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. Health Service Executive 2009 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/15791/2/HSE_Saor_model.pdf O'Shea, James <http://www.drugsandalcohol.ie/view/people/O=27Shea=3AJames=3A=3A.html> and Goff, Paul <http://www.drugsandalcohol.ie/view/people/Goff=3APaul=3A=3A.html> (2009) SAOR model. Screening and brief interventions for problem alcohol use in the emergency department & acute care settings. Waterford: Health Service Executive. info:oai:generic.eprints.org:12520info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/12520/ Nursing in the Irish prison service: working together to meet the healthcare needs of prisoners. Prison Prison-based health service State of health Nurse Ireland Prison Inmate (prisoner) Health care delivery Health Services Executive 2009 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/12520/1/HSE_NursinginIrishPrisons.pdf Health Service Executive. Nursing & Midwifery Planning & Development Unit. (2009) Nursing in the Irish prison service: working together to meet the healthcare needs of prisoners. Dublin: Health Services Executive. info:oai:generic.eprints.org:17934info:ofi/fmt:xml:xsd:journalO'DonovanGeraldineO'Donovan, Geraldine <http://www.drugsandalcohol.ie/view/people/O=27Donovan=3AGeraldine=3A=3A.html>2562009Smoking prevalence among qualified nurses in the Republic of Ireland and their role in smoking cessation.International Nursing Review230-236articleinfo:oai:generic.eprints.org:19455info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/19455/ Buprenorphine: a guide for nurses. Practice / clinical guidelines Patient care management Pharmacology and toxicology United States Buprenorphine Nurse Drugs and alcohol replacement method (substitution) Drugs and alcohol disorder drug therapy 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. Substance Abuse and Mental Health Services Administration 2009 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/19455/1/TAP_30_Buprenorphine_for_nurses.pdf Center for Substance Abuse Treatment. [SAMHSA, US] (2009) Buprenorphine: a guide for nurses. Rockville, MD: Substance Abuse and Mental Health Services Administration. 119 p. Technical Assistance Publication (TAP) Series 30 Technical Assistance Publication (TAP) Series 30info:oai:generic.eprints.org:12899info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/12899/ A guide to substance misuse for medical professionals. O'Mahony Carey, Sinead Cocaine Inhalants and solvents Ireland Alcohol Sedatives or tranquillisers (CNS depressants) Doctor Drugs and alcohol substance by legal status Cannabis / Marijuana Methamphetamine Nurse Amphetamines Drugs and alcohol in general BZP (Benzylpiperazine) (other piperazines) Opioids (opiates) Hallucinogens Drugs and alcohol effects and consequences 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 Health Service Executive 2008-07 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/12899/1/HSE_guide_to_substance_misuse_medical_professionals_part_1.pdf application/pdf en http://www.drugsandalcohol.ie/12899/2/HSE_guide_to_substance_misuse_medical_professionals_part_2.pdf Health Service Executive South. O'Mahony Carey, Sinead <http://www.drugsandalcohol.ie/view/people/O=27Mahony_Carey=3ASinead=3A=3A.html> (2008) A guide to substance misuse for medical professionals. Tipperary: Health Service Executive. info:oai:generic.eprints.org:18606info:ofi/fmt:xml:xsd:journalLambeBarryLambe, Barry <http://www.drugsandalcohol.ie/view/people/Lambe=3ABarry=3A=3A.html>ConnollyClaireConnolly, Claire <http://www.drugsandalcohol.ie/view/people/Connolly=3AClaire=3A=3A.html>McEvoyRachelMcEvoy, Rachel <http://www.drugsandalcohol.ie/view/people/McEvoy=3ARachel=3A=3A.html>34620081463-5240The determinants of lifestyle counselling among practice nurses in Ireland.International Journal of Health Promotion and Education94-99articleinfo:oai:generic.eprints.org:17516info:ofi/fmt:xml:xsd:journalMcCartenBMcCarten, B <http://www.drugsandalcohol.ie/view/people/McCarten=3AB=3A=3A.html>McCrearyCMcCreary, C <http://www.drugsandalcohol.ie/view/people/McCreary=3AC=3A=3A.html>HealyCHealy, C <http://www.drugsandalcohol.ie/view/people/Healy=3AC=3A=3A.html>11220081396-5883Attitudes of Irish dental, dental hygiene and dental nursing students and newly qualified practitioners to tobacco use cessation: a national survey.European Journal of Dental Education17-22articleinfo:oai:generic.eprints.org:18368info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/18368/ Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues. Drug intoxication Practice / clinical guidelines Pregnancy Drugs and alcohol disorder treatment method Identification and screening for drugs and alcohol use Drugs and alcohol poisoning (overdose) Patient care management Australia Alcohol intoxication Health care delivery Medical screening and diagnostic method Health care quality control Psychosocial screening and diagnostic method Nurse Drugs and alcohol in general Community-based treatment (primary care) 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 NSW Department of Health 2008 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/18368/1/NSW_Nursing_midwifery_clinical_guidelines_Identifying_and_responding_to_issues.pdf Mental Health and Drug and Alcohol Office. [NSW Department of Health] (2008) Clinical guidelines for nursing and midwifery practice in New South Wales: identifying and responding to drug and alcohol issues. Sydney: NSW Department of Health. 113 p. info:oai:generic.eprints.org:20431info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/20431/ Nursing & midwifery clinical guidelines - identifying & responding to drug & alcohol issues. Drug withdrawal syndrome Practice / clinical guidelines Identification and screening for drugs and alcohol use Drugs and alcohol poisoning (overdose) Alcohol Australia Alcohol intoxication Cannabis / Marijuana Methamphetamine Nurse Amphetamines Opioids (opiates) Benzodiazepine Tobacco (cigarette smoking) 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. New South Wales Department of Health 2008 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/20431/1/Nursing_%26_Midwifery_Clinical_Guidelines_-_Identifying_%26_Responding.pdf Mental Health and Drug and Alcohol Office. [NSW Department of Health] (2008) Nursing & midwifery clinical guidelines - identifying & responding to drug & alcohol issues. Sydney: New South Wales Department of Health. 113 p. info:oai:generic.eprints.org:17994info:ofi/fmt:xml:xsd:journalWilsonJulie SWilson, Julie S <http://www.drugsandalcohol.ie/view/people/Wilson=3AJulie_S=3A=3A.html>FitzsimonsDonnaFitzsimons, Donna <http://www.drugsandalcohol.ie/view/people/Fitzsimons=3ADonna=3A=3A.html>BradburyIanBradbury, Ian <http://www.drugsandalcohol.ie/view/people/Bradbury=3AIan=3A=3A.html>ElbornJ StuartElborn, J Stuart <http://www.drugsandalcohol.ie/view/people/Elborn=3AJ_Stuart=3A=3A.html>4452008Does 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.International Journal of Nursing Studies508-517articleinfo:oai:generic.eprints.org:19440info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/19440/ Strengthening professional identity: challenges of the addictions treatment workforce. A framework for discussion. Whitter, Melanie Organisational development Workforce / staff skills and training Drug or health care worker Nurse Counsellor / Therapist Social worker United States 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. Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration 2006-12 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/19440/1/WorkforceReport_strengthening_professional_identify.pdf Whitter, Melanie <http://www.drugsandalcohol.ie/view/people/Whitter=3AMelanie=3A=3A.html> [ATTC Network] . (2006) Strengthening professional identity: challenges of the addictions treatment workforce. A framework for discussion. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. 96 p. info:oai:generic.eprints.org:17991info:ofi/fmt:xml:xsd:journal191022006Nurses' smoking behaviour related to cessation practice.Nursing Times32-37articleinfo:oai:generic.eprints.org:11841info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/11841/ 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. Lamb, Stephn Arensman, Ella Ireland Nurse self-destructive behaviour Risk and needs assessment Health information and education Hospital Programme planning, implementation, and evaluation 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. Health Service Executive, National Suidice Research Foundation 2006 Report NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/11841/1/NSRF_deliberate_self_harm_AE_nursing.pdf Lamb, Stephn <http://www.drugsandalcohol.ie/view/people/Lamb=3AStephn=3A=3A.html> and Arensman, Ella <http://www.drugsandalcohol.ie/view/people/Arensman=3AElla=3A=3A.html> (2006) 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. Cork: Health Service Executive, National Suidice Research Foundation. info:oai:generic.eprints.org:6746info:ofi/fmt:xml:xsd:journalScullyMikeScully, Mike <http://www.drugsandalcohol.ie/view/people/Scully=3AMike=3A=3A.html>GeogheganNoreenGeoghegan, Noreen <http://www.drugsandalcohol.ie/view/people/Geoghegan=3ANoreen=3A=3A.html>CorcoranPaulCorcoran, Paul <http://www.drugsandalcohol.ie/view/people/Corcoran=3APaul=3A=3A.html>TiernanMarikaTiernan, Marika <http://www.drugsandalcohol.ie/view/people/Tiernan=3AMarika=3A=3A.html>KeenanEamonKeenan, Eamon <http://www.drugsandalcohol.ie/view/people/Keenan=3AEamon=3A=3A.html>126January 2004Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland.Journal of Substance Abuse Treatment27-33articleinfo:oai:generic.eprints.org:5405info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/5405/ Homelessness and health: a series of 10 modules for the nursing degree programmes. State of health Ireland Nurse Homeless person Focus Ireland 2003 Report NonPeerReviewed Focus Ireland. (2003) Homelessness and health: a series of 10 modules for the nursing degree programmes. Dublin: Focus Ireland. info:oai:generic.eprints.org:24339info:ofi/fmt:xml:xsd:journalMcKennaHughMcKenna, Hugh <http://www.drugsandalcohol.ie/view/people/McKenna=3AHugh=3A=3A.html>SlaterPaulSlater, Paul <http://www.drugsandalcohol.ie/view/people/Slater=3APaul=3A=3A.html>McCanceTanyaMcCance, Tanya <http://www.drugsandalcohol.ie/view/people/McCance=3ATanya=3A=3A.html>BuntingBrendanBunting, Brendan <http://www.drugsandalcohol.ie/view/people/Bunting=3ABrendan=3A=3A.html>SpiersArleneSpiers, Arlene <http://www.drugsandalcohol.ie/view/people/Spiers=3AArlene=3A=3A.html>McElweeGerryMcElwee, Gerry <http://www.drugsandalcohol.ie/view/people/McElwee=3AGerry=3A=3A.html>44020031873-491XThe role of stress, peer influence and education levels on the smoking behaviour of nurses.International Journal of Nursing Studies359-366articleinfo:oai:generic.eprints.org:20503info:ofi/fmt:xml:xsd:journalBennettJenniferBennett, Jennifer <http://www.drugsandalcohol.ie/view/people/Bennett=3AJennifer=3A=3A.html>O'DonovanDiarmuidO'Donovan, Diarmuid <http://www.drugsandalcohol.ie/view/people/O=27Donovan=3ADiarmuid=3A=3A.html>142001Substance misuse among health care workers.Current Opinion in Psychiatry195-199articleinfo:oai:generic.eprints.org:17514info:ofi/fmt:xml:xsd:journalCondellSLCondell, SL <http://www.drugsandalcohol.ie/view/people/Condell=3ASL=3A=3A.html>5120011471-0854Young women's smoking and body image: a discussion paper for Irish nurses.All Ireland Journal of Nursing and Midwifery167-170articleinfo:oai:generic.eprints.org:17963info:ofi/fmt:xml:xsd:journalMcKennaHughMcKenna, Hugh <http://www.drugsandalcohol.ie/view/people/McKenna=3AHugh=3A=3A.html>SlaterPaulSlater, Paul <http://www.drugsandalcohol.ie/view/people/Slater=3APaul=3A=3A.html>McCanceTanyaMcCance, Tanya <http://www.drugsandalcohol.ie/view/people/McCance=3ATanya=3A=3A.html>BuntingBrendanBunting, Brendan <http://www.drugsandalcohol.ie/view/people/Bunting=3ABrendan=3A=3A.html>SpiersArleneSpiers, Arlene <http://www.drugsandalcohol.ie/view/people/Spiers=3AArlene=3A=3A.html>McElweeGerryMcElwee, Gerry <http://www.drugsandalcohol.ie/view/people/McElwee=3AGerry=3A=3A.html>5352001Qualified nurses' smoking prevalence: their reasons for smoking and desire to quit.Journal of Advanced Nursing769-775articleinfo:oai:generic.eprints.org:6607info:ofi/fmt:xml:xsd:journalMelbyVMelby, V <http://www.drugsandalcohol.ie/view/people/Melby=3AV=3A=3A.html>BooreJRPBoore, JRP <http://www.drugsandalcohol.ie/view/people/Boore=3AJRP=3A=3A.html>MurrayMMurray, M <http://www.drugsandalcohol.ie/view/people/Murray=3AM=3A=3A.html>917September 1992Acquired immunodeficiency syndrome: knowledge and attitudes of nurses in Northern Ireland.Journal of Advanced Nursing1068-1077article