YoDAA has long held the position that anyone who genuinely cares about a young person and is willing to get to know and sit beside them can make an impact on a young person’s AOD use. But what if that person is a self-proclaimed AOD expert paid for by the young person’s family?
A nice piece by YoDAA on the continued growth in private providers of AOD 'treatment', particularly in relation to methamphetamine dependence.
Clearly, one of the factors driving families' decisions to pay enormous sums for private rehabs is the lack of capacity in the publicly funded treatment sector and the extended waiting times to get into a residential rehab program. Families are often desperate for help and will make whatever sacrifices they see as being necessary to help their loved one.
While we understand this experience, we'd encourage families to recognise that there are a range of effective, evidence-based options already available that provide stepped responses to people's treatment and support needs. While speed of admission to treatment is understandably often families' main concern, if treatment is to be effective, it needs to be based on careful assessment and individualised planning. Most people will benefit from brief interventions such as a short course of counselling, either as a stand-alone intervention or to support preparation for longer term treatment. Withdrawal (residential or non-residential), counselling and rehabilitation (residential or non-residential) all provide complementary interventions that support sustainable change. Obviously, we would welcome increased funding for accountable, evidence based, public treatment services to increase sector capacity to respond to community needs, but would emphasise that there is already much that is being done.
We share YoDAA's concerns about the establishment of new private services. Given the lack of regulation of such providers, there are genuine concerns about the quality of their services, their alignment with evidence based practice, the qualifications of their staff and the cost to people who use these services.
Few welfare recipients test positive for drug use.
Unfortunately, this is a far from isolated example of governments persisting with ineffective drug policies for political or ideological reasons. See yesterday's related post about Halls Creek councillors rejecting the introduction of measures that target people who receive welfare payments: http://sco.lt/8XrGsr.
THE percentage of people seeking treatment for ice addiction has risen fourfold in the past year at a Tasmanian drug and alcohol service.
This increase is lower than that reported elswhere, with many organisations (including us) reporting methamphetamine as the primary drug of concern for around a third of people using their services. However, there is a clear need for expanded services to respond to the needs of individuals and families affected by methamphetamine use.
Patients undergoing rehabilitation for physical injuries and their physicians can better understand who is most at risk of abusing opioids by reviewing their family history, lifestyle and environment for critical cues about susceptibility to addiction. It's important to recognize that opioids are sometimes the most effective pain treatment available for patients, regardless of their risk profile. Physicians can offer an agreement to patients susceptible to addiction that includes stringent, volu
Pain management following surgery, accident or injury is a common starting point for dependence. The American Osteopathic Association proposes voluntary monitoring for people identified as being at risk.
Two Colorado marijuana users have sued a cannabis grower claiming a "patently dangerous" agricultural fungicide that becomes poisonous when ignited was applied without their knowledge to pot plants they later smoked, court documents showed on Monday.
Having police, school nurses, drug users and family equipped with kits to reverse an overdose saves lives, doctors say. But reversing addiction requires follow-up care that many users aren't getting.
It's an obvious point to make, but reviving someone who has overdosed is an essential, but temporary intervention. Services systems need to ensure that overdose reversals provide effective opportunities to engage with harm reduction and/or treatment services. Follow-up should be a standard part of services' duty of care to people at obvious risk.
BUFFALO, N.Y. - So far this year, 118 people have died from heroin or opioid pill overdoses in Erie County.
Effectively detaining people for 48 hours because they've been administered with naloxone will only serve to reduce the likelihood of peers calling paramedics to attend opioid overdoses. Post-reversal monitoring can help manage immediate overdose risk, but this proposal is overreach.
Fentanyl-related overdoses have dominated the headlines in BC—and across the country—over the past year. Deaths involving the synthetic opiate narcotic, which is roughly 50 to 100 times more toxic than morphine, have increased five-fold in British Columbia over the past three years. But despiterepeated warnings from provincial public-health bodies and alerts through community-based harm reduction supply distribution sites, fentanyl overdoses continue to rise—particularly among people who do not inject drugs. Clearly, despite efforts on the contrary, the message was not getting through to this population of users.
On the development of targetted public health messages to reduce risks associated with fentanyl use.
International experts on Hepatitis C say Australia could be a world leader in treating the disease. Medical specialists and community groups have gathered in Sydney to discuss ways to reduce the death rates, and they say the solution is achievable.
More coverage from this week's international Hep C conference, citing AIVL's Annie Madden & Kirby Institute's Jason Grebely & Greg Dore. See today's related post: http://sco.lt/5Xa0m1.
Audit of two Antarctic bases run by United States heard that alcohol was fuelling “unpredictable behaviour”, with calls to deploy breathalysers
Given the remoteness of the bases, the harsh working conditions and people's separation from family and their usual support networks, problematic AOD use (as a coping strategy) should not be unexpected. It's a common (if problematic) response to stress.
Everyone agrees that current advice on alcohol is inconsistent and confusing, but whereasMary Mather and Kate Wiles conclude we should move to a clear recommendation to abstain, Patrick O’Brien thinks it is wrong to assume pregnant women cannot understand the evidence
BMJ article highlighting the often conflicting advice being given to women.
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