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Drug Matrix: Evidence for effective treatment

Drug Matrix: Evidence for effective treatment | Drugs, Society, Human Rights & Justice | Scoop.it
The Drug Matrix is concerned with the treatment of problems related to the use of illegal drugs by adults (a similar table deals with alcohol-related problems). It maps the terrain within which relevant evidence may be found and for each location tries to find the most important UK-relevant research and guidance. In widening contextual circles, across the top of the matrix the columns move from specific interventions through how their impacts are affected by staff, the management of the service, and the nature of the organisation, to the impact of whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. At the intersections, inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level.
Julian Buchanan's insight:

Great resource - reliable, engaging, usefully grouped and really well presented.

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VIDEO Culture Change: Art, Culture and the Addiction Recovery Agenda

VIDEO Culture Change: Art, Culture and the Addiction Recovery Agenda | Drugs, Society, Human Rights & Justice | Scoop.it

Recovery is contested both as a concept and as a policy objective and the UK evidence base is currently limited. This seminar presents initial interpretations from a Wellcome Trust funded project called ADDICT. Developed by Portraits of Recovery, a socially engaged visual arts charity based in Manchester, ADDICT is an interdisciplinary research project exploring processes of recovery. It is delivered as a collaboration between artists, social and biomedical scientists, treatment agencies and people in recovery. The project uses socially engaged arts both as a form of engagement as well as a mode of inquiry into recovery.


Via Alastair Roy
Julian Buchanan's insight:

An interesting eclectic approach to examine the issues involved in making the journey towards 'recovery' overcoming stigma and internalised and externalised discrimination

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Alastair Roy's curator insight, October 3, 2013 4:08 AM

Recovery is the new orthodoxy in the field of substance misuse in the UK and for the first time it is an explicit goal of treatment. Recovery is contested both as a concept and as a policy objective and the UK evidence base is currently limited. This seminar presents initial interpretations from a Wellcome Trust funded project called ADDICT. Developed by Portraits of Recovery, a socially engaged visual arts charity based in Manchester, ADDICT is an interdisciplinary research project exploring processes of recovery. It is delivered as a collaboration between artists, social and biomedical scientists, treatment agencies and people in recovery. The project uses socially engaged arts both as a form of engagement as well as a mode of inquiry into recovery

 

In the project International Lens Based Artist Melanie Manchot is working collaboratively with people at differing stages of recovery in London, Liverpool, Manchester and Oxford over a six month period. Portraiture as dialogue is the main conceptual premise. The arts practice is accompanied by a series of interdisciplinary discussions and two visual imaging matrices. These are used as different devices for understanding what emerges through the practice as well as exploring the subject recovery.

 

 

Alastair Roy's comment, October 4, 2013 7:07 AM
Thanks for the rescoop and the shares J
Julian Buchanan's comment, October 8, 2013 12:26 AM
you're welcome Ali
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Maj. Death Penalty Cases Come from Only 2% of Counties in America | Equal Justice Initiative

Maj. Death Penalty Cases Come from Only 2% of Counties in America | Equal Justice Initiative | Drugs, Society, Human Rights & Justice | Scoop.it
Julian Buchanan's insight:

I wonder what proportion were 'people of colour' - equal justice?

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Silk Road Busted: The Last Desperate Act of the Failing War on Drugs

Silk Road Busted: The Last Desperate Act of the Failing War on Drugs | Drugs, Society, Human Rights & Justice | Scoop.it
The BBC, Guardian , New York Times and others are reporting the seizure of the anonymous international drug marketplace website Silk Road by U.S. federal agents - despite the U.S. government shutdown.
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Randy Collins's curator insight, October 3, 2013 1:45 PM

Silk road had its run. It was only a matter of time before the government shut down the biggest online drug sale marketplace.

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Have we lost the war on drugs? Heroin, cocaine and cannabis now cheaper and purer globally than 'at any time in last 20 years'

Have we lost the war on drugs? Heroin, cocaine and cannabis now cheaper and purer globally than 'at any time in last 20 years' | Drugs, Society, Human Rights & Justice | Scoop.it
Illegal drugs are now purer and cheaper to buy globally than they have been at any time in the last 20 years, a new report has warned.
Julian Buchanan's insight:

We war on drugs was a terrible propaganda act, hugely expensive and so damaging to individuals, families, communities and countries. Yes it has failed and left a terrible legacy.

 

Using a drug, like having a coffee, a cigarette or a glass of wine - is not a criminal justice matter, but nor should it be framed as a medical or public health issue. It is primarily a social issue which could result in health issues but will not in the majority of cases.

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MildGreen Initiative's curator insight, October 2, 2013 3:33 PM

Where reform and reformers have to embrace the reallocation of resources, under Ottawa Charter principles, remediate the hurts done, say Sorry, and manage the transition so those existing under the current criminal black and grey markets are part of the solution.  The NZ psychoactive substances goes some way to pilot the later, but Police, Justice and Health wax lyrical about cannabis such that transition is made, and somewhat self servingly, impractical, even set up for failure.

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BMJ Article: Drug Prohibition failing, purity up prices down

BMJ Article: Drug Prohibition failing, purity up prices down | Drugs, Society, Human Rights & Justice | Scoop.it

WIth few exceptions and despite increasing investments in enforcement-based supply reduction efforts aimed at disrupting global drug supply, illegal drug prices have generally decreased while drug purity has generally increased since 1990. These findings suggest that expanding efforts at controlling the global illegal drug market through law enforcement are failing.

Julian Buchanan's insight:

We need to learn to live with drugs not prohibit them ... simple as

 

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PODCAST 27mins Radio NZ: Controversy over retailers' licences to sell party pills

PODCAST 27mins Radio NZ: Controversy over retailers' licences to sell party pills | Drugs, Society, Human Rights & Justice | Scoop.it
Julian Buchanan's insight:

Unfortunately when this Act was debated in Parliament it was presented and amended to appeal to drug law reformers AND to prohibitionists who heard Peter Dunne announce:

 

"The Psychoactive Substances Bill ends this dangerous game of cat and mouse by banning the import, the manufacture, the sale, the supply, and the possession of psychoactive substances. It reverses the onus of proof by making all psychoactive substances illegal ..."

 

It issued fines for possession of unapproved drugs, prison for supply and gave police powers to enter without a warrant

 

So it is hardly surprising the community are confused and ill prepared because in Parliament MPs supported this law for different reasons and with different expectations when it was really important they should be giving a lead to the community.

 

Here are my concerns about some of the contradictions with an Act that promised both regulation and prohibition:

http://www.scoop.it/t/drugs-society/p/4004646286/new-zealand-psychoactive-substance-act-2013-unites-prohibitionists-drug-law-reformers-how

 

Here is my submission to the Health Select Committee raising these concerns:http://www.academia.edu/3487019/Submission_to_Health_Select_Committee_on_NZ_Psychoactive_Substances_Bill_Regulating_Legal_Highs_

 

If you want to hear the MPs debates in the third and final reading:

http://www.youtube.com/watch?v=v5rU1M57bkc

 

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Anti-drug video that opposes Harm Reduction, Drug Consumption Rooms and Prescribing Heroin

Anti-drug video that opposes Harm Reduction, Drug Consumption Rooms and Prescribing Heroin | Drugs, Society, Human Rights & Justice | Scoop.it
Watch the latest on-air news and political coverage, as well as in-depth feature stories from the Sun News Network.
Julian Buchanan's insight:

Anti-drug video that opposes DCRs and prescribing heroin

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Rescooped by Julian Buchanan from Alcohol & other drug issues in the media
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Should drug testing for pregnant women be mandatory? (USA)

Should drug testing for pregnant women be mandatory? (USA) | Drugs, Society, Human Rights & Justice | Scoop.it

Indiana's attorney general said he merely wanted to draw attention to the growing problem of babies being born with symptoms of prescription drug withdrawal.  But what Greg Zoeller did was spark a debate, mostly in cyberspace, about whether drug testing for pregnant women should be mandatory.


Via ReGenUC
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Health Canada decision to allow prescription heroin will save lives

Health Canada decision to allow prescription heroin will save lives | Drugs, Society, Human Rights & Justice | Scoop.it
Health Canada’s decision to provide prescription heroin to certain addicts will save lives in Vancouver, according to a lawyer representing them.
Julian Buchanan's insight:

Precribing injectable heroin maintenance was something we did on Merseyside, England back in the early 1980s - it has been a lack of political will not a lack of scientific evidence that has delayed the implementation of good practice worlwide.

After a 10 year trial in Zurich a few years ago the people of Switzerland could see the sense and voted 64% in favour in a national referendum to rolling out clean injectable heroin paid for by the state acoss the whole country.


But well done Health Canada - still not available in most countries.

Remember as we address the symptoms - we could instead address the cause - ending prohibition would save even more live!

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Rescooped by Julian Buchanan from Social Media Tools for Harm Reduction
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Harm reduction in prison - Stephen Heller Murphy

Nurse and committed harm-reductionist Stephen Heller Murphy, describes some of his work in Scottish prisons. He also looks at the current state of affairs an...

Via Matthew Gleeson
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Coming of Age with Stop and Frisk: Experiences, Self-Perceptions, and Public Safety Implications

Coming of Age with Stop and Frisk: Experiences, Self-Perceptions, and Public Safety Implications | Drugs, Society, Human Rights & Justice | Scoop.it

The results reveal a great deal about the experiences and perceptions of young New Yorkers who are most likely to be stopped. Trust in law enforcement among these young people is alarmingly low. This has significant public safety implications as young people who have been stopped more often are less willing to report crimes, even when they themselves are the victims. T

Julian Buchanan's insight:

The war on drugs is reshaping the focus and purpose of policing and deeply damging relationships between the police and the community they 'serve'.

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Vancouver’s Insite celebrates 10 years, 2 million visits, zero deaths

Vancouver’s Insite celebrates 10 years, 2 million visits, zero deaths | Drugs, Society, Human Rights & Justice | Scoop.it

A man shooting up in the back doorway of an alley with dirty water. A First Nations elder found dead in her rocking chair with a needle in her arm. Countless people overdosing and dying alone in dilapidated single room occupancy hotels. That's what addiction looked like before Insite"

Julian Buchanan's insight:

In a world dominated by the greed, self interest and deceit of the most powerful - the commitment and compassion of Insite to stand against injustice and provide care for the most damaged, disadvantaged and discriminated abandonded people, radiates refreshing beauty, dignity and care that offers hope to us all.

 

Thank you


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First Naloxone Kits Issued to Drug Users Estonia

First Naloxone Kits Issued to Drug Users Estonia | Drugs, Society, Human Rights & Justice | Scoop.it

The first Estonian injecting drug users received a supply of naloxone, a standard part of emergency medics' kits that can be used as an antidote for opiate overdoses.


Via ReGenUC
Julian Buchanan's insight:

We need this in New Zealand. We don't have much heroin in the country but we have plenty of methadone and other pharmaceutical opiate-based medicines that get injected.


This not only results in unnecessary fatal O/D's - but assisting people with injecting has resulted in a number of prison sentences for manslaughter - often the partner or close friend.

 

Tragic x 2

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ReGenUC's curator insight, October 3, 2013 8:05 PM

Well done Estonia.

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The War on Drugs is a tool of state oppression

The War on Drugs is a tool of state oppression | Drugs, Society, Human Rights & Justice | Scoop.it
Drug prohibition - the illegality of many psychoactive substances - is an accepted norm in the UK, although this hasn’t been the case for long.
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Will widespread drug testing at work ever take off? Personnel Today [It has been rolled out in NZ]

Will widespread drug testing at work ever take off? Personnel Today [It has been rolled out in NZ] | Drugs, Society, Human Rights & Justice | Scoop.it

Human rights considerations

From a legal point of view, Philip Landau, a partner at Landau Zeffertt Weir Solicitors, says that introducing drug testing at work could even contravene the Human Rights Act: "For employees, there may be an argument that a requirement to submit to a drug test will interfere with their right to privacy under art.8 of the European Convention on Human Rights. Article 8 contains the right to respect for private and family life, home and correspondence.

"This 'right to privacy' is not absolute - although, to be justifiable, any interference must be lawful and proportionate."

He adds that any disclosure of employees' test results - especially discussing them with other colleagues - could put organisations in breach of the Data Protection Act, which is why staff must give explicit consent to the processing of any information.

Julian Buchanan's insight:

Drug testing has no evidence base to support it.
Here is a presentation of a paper I gave on the subject:
http://www.slideshare.net/JulianBuchanan/drug-testing-reductionism-the-fear-of-the-other-and-the-craving-for-certainty

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Trillion dollar war on drugs hugely ineffective

Trillion dollar war on drugs hugely ineffective | Drugs, Society, Human Rights & Justice | Scoop.it
Cocaine, heroin and weed have never been cheaper — or more potent. Congratulations, global drug policy.

 

"By every metric, the war on drugs — which is estimated to have cost North Americans over the last 40 years over a trillion dollars — has really been hugely ineffective,” the study's senior author and University of British Columbia professor, Evan Wood

Julian Buchanan's insight:

15 years ago:

 

"Sooner rather than later, the government must address decriminalisation"

 

Julian Buchanan 1998: p.222

http://prb.sagepub.com/content/45/4/220.abstract …

 

 

...just think of the money they'd have saved, as well as the terrible human cost.

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Rescooped by Julian Buchanan from Beckley News : Cannabis - Marijuana
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The government's plan to curb drug-driving is a car crash

The government's plan to curb drug-driving is a car crash | Drugs, Society, Human Rights & Justice | Scoop.it
David Nutt: Once again the government ignores the advice of its own scientists, while loosening up rules for pubs on the motorway

Via Beckley Foundation
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MildGreen Initiative's curator insight, October 2, 2013 3:35 PM

Cannabis displaces alcohol harms. In particular in and around roads.

Drug Possession Laws's curator insight, October 12, 2013 12:50 PM

Any zero tolerance policy is inherently stupid, especially for THC that could have been consumed weeks ago and is not imparing you.

That's actually the law in Arizona. 

http://www.myarizonadefenselawyer.com/2013/03/actual-impairment-not-a-factor-for-a-marijuana-dui-in-arizona/

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In just one night a parade of drunken wounded marched through St Vincent’s emergency department (NSW)

In just one night a parade of drunken wounded marched through St Vincent’s emergency department (NSW) | Drugs, Society, Human Rights & Justice | Scoop.it
TOO much alcohol — too many patients.

Via ReGenUC
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ReGenUC's curator insight, September 29, 2013 7:26 PM

The latest in Dr Gordian Fulde's regular series on AOD-related Emergency Department presentations at St Vincents in Sydney.

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UK Police Chief: 'Make Class A Drugs Legal'

UK Police Chief: 'Make Class A Drugs Legal' | Drugs, Society, Human Rights & Justice | Scoop.it
One of England's top police officers calls for the decriminalisation of hard drugs and claims the war against them has failed.
Julian Buchanan's insight:

Finally more people are realising that drug policy does more harm than the actual drugs ... My Scarman Lecture listen to PODCAST: "It's not drugs that cause so much harm it's drug policy!"  http://julianbuchanan.podomatic.com/entry/2012-07-04T17_03_17-07_00#.UkfxgLSMN4c.twitter ;…

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Outcry as drink-drive limit is retained (NZ)

Outcry as drink-drive limit is retained (NZ) | Drugs, Society, Human Rights & Justice | Scoop.it
The Government's decision to shelve plans to lower the drink-driving limit for adults and instead do more research has been attacked as a gutless act that will leave it with blood - New Zealand Herald...
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Wanted: Mentors for inmates' kids - [Alternative is to stop sending so many to people prison]

Wanted: Mentors for inmates' kids - [Alternative is to stop sending so many to people prison] | Drugs, Society, Human Rights & Justice | Scoop.it
A programme to help prisoners' children is desperately short of mentors - especially men. - New Zealand Herald
Julian Buchanan's insight:

Even better than mentors - let's stop so many parents being sent to prison in the first place - we have a shameful incarceration rate here in New Zealand and it's much much worse for indigenous people.  

Māori incarceration rate is 700 per 100k

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Emotional compatibility and the effectiveness of anti-drinking messages: An approach that could backfire

Emotional compatibility and the effectiveness of anti-drinking messages: An approach that could backfire | Drugs, Society, Human Rights & Justice | Scoop.it

The featured research suggests that emotional appeals such as these playing on guilt or shame should be used cautiously, and that attention should be paid to the broader milieu within which the ad will be embedded. For instance, a guilt-inducing message may not be optimal if inserted in a guilt-ridden television drama. However, such appeals may work as intended if the viewer is directed to the behaviour of others rather than themselves, as for example in the popular public service message, 'Friends don't let friends drive drunk'.

 

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REPORT: Compulsory Treatment (in NZ) for Substance Dependence: A Review of the Alcoholism and Drug Addiction Act 1966

REPORT: Compulsory Treatment (in NZ) for Substance Dependence: A Review of the Alcoholism and Drug Addiction Act 1966 | Drugs, Society, Human Rights & Justice | Scoop.it

The Alcoholism and Drug Addiction Act 1966 should be repealed and replaced by a new regime for the compulsory treatment of severe substance dependence. The objectives of the proposed regime for compulsory treatment of people with severe substance dependence should be:


·· to protect them from harm and restore their capacity to make their own decisions about their future substance use;

 

·· to stabilise their health through medical treatment (including supported
withdrawal);

 

·· to facilitate a comprehensive assessment of their dependence;

 

·· to facilitate the planning of ongoing voluntary treatment and aftercare; and

 

·· to give them an opportunity to engage in voluntary treatment.

Julian Buchanan's insight:

Published in 2010 - but as more countries across the world: reframe drugs as a health issue; see dependence as a disease; and endorse compulsory and coercive treatment - I thought this might be useful.

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VIDEO 2min : The latest Drug Driving Advert in New Zealand targeting Māori drivers

Three Maori boys find themselves in a situation familiar to most kids growing up in New Zealand - sitting outside in the car, waiting for one of their dads t...
Julian Buchanan's insight:

Is this video raising awareness of a major Kiwi problem for which the evidence isn't there?

Is it dangerously fuelling stereotypes and racism?

Imagine this video in the USA or the UK and replace the children with Black African heritage children .... would it be seen as racist?

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