Useful AOD Reports & Resources
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Useful AOD Reports & Resources
A collection of good AOD research and resources
Curated by ReGenUC
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Unravelling the alcohol harm paradox: a population-based study of social gradients across very heavy drinking thresholds (UK)

Unravelling the alcohol harm paradox: a population-based study of social gradients across very heavy drinking thresholds (UK) | Useful AOD Reports & Resources | Scoop.it

Low socioeconomic status groups are more likely to drink at extreme levels, which may partially explain the alcohol harm paradox. Policies that address alcohol-related health inequalities need to consider extreme drinking levels in some sub-groups that may be associated with multiple markers of deprivation. This will require a more disaggregated understanding of drinking practices

ReGenUC's insight:

Highlighting the complexities of policy responses to alcohol related harm.

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Despite Concerns, Having a Neighborhood Addiction Treatment Program Doesn’t Raise Violence Anymore Than Having a Neighborhood Convenience (USA)

Despite Concerns, Having a Neighborhood Addiction Treatment Program Doesn’t Raise Violence Anymore Than Having a Neighborhood Convenience (USA) | Useful AOD Reports & Resources | Scoop.it
NIMBY (not in my back yard) has been a pervasive attitude that has created resistance to substance use disorder (SUD) treatment centers being built, and barriers in access to care
ReGenUC's insight:
A useful study to help challenge the usual NIMBY response to new AOD initiatives.
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Stigma and Discrimination Survey - Hepatitis C and Injecting Drug Use

Stigma and Discrimination Survey - Hepatitis C and Injecting Drug Use | Useful AOD Reports & Resources | Scoop.it

This study is conducted by the University of New South Wales. It aims to monitor experiences of the use of injecting drugs and/or living with hepatitis in Australia.

ReGenUC's insight:

If you're over 18 and have experience of injecting drug use and/or living with hepatitis, this is a great opportunity to highlight the impacts of stigma.

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E-cigarettes: a developing public health consensus (UK)

E-cigarettes: a developing public health consensus (UK) | Useful AOD Reports & Resources | Scoop.it
Joint statement on e-cigarettes by Public Health England and other UK public health organisations.
ReGenUC's insight:

"We all agree that e-cigarettes are significantly less harmful than smoking. One in two lifelong smokers dies from their addiction. All the evidence suggests that the health risks posed by e-cigarettes are relatively small by comparison but we must continue to study the long-term effects. And yet, millions of smokers have the impression that e-cigarettes are at least as harmful as tobacco. Over 1.3 million UK e-cigarette users have completely stopped smoking and almost 1.4 million others continue to smoke. We have a responsibility to provide clear information on the evidence we have, to encourage complete smoking cessation and help prevent relapse to smoking. The public health opportunity is in helping smokers to quit, so we may encourage smokers to try vaping but we certainly encourage vapers to stop smoking tobacco completely."

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Guidance is needed on synthetic cannabinoid receptor agonists and cannabis (UK)

Millar’s personal account of “Spice” is a useful reminder that, although drugs are used by people from all socioeconomic groups, they acutely affect those who are socially disadvantaged.1 We’re collectively ignorant about a range of factors related to synthetic cannabinoid receptor agonists (SCRAs) and traditional forms of cannabis. We don’t have reliable information on …
ReGenUC's insight:

See last week's related coverage of this issue (also featuring Ian Hamilton): http://sco.lt/4mEa9J.

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World Drug Report 2016

World Drug Report 2016 | Useful AOD Reports & Resources | Scoop.it

Around five per cent of the adult population, or nearly 250 million people between the ages of 15 and 64, used at least one drug in 2014, according to the latest World Drug Report released today by the United Nations Office on Drugs and Crime (UNODC). Although substantial, this figure has not grown over the past four years in proportion to the global population. The report, however, suggests that the number of people classified as suffering from drug use disorders has increased disproportionally for the first time in six years. There are now over 29 million people within this category (compared to the previous figure of 27 million). Additionally, around 12 million people inject drugs with 14 per cent of these living with HIV. The overall impact of drug use in terms of health consequences continues to be devastating.

ReGenUC's insight:

Highlighting the need for increased investment in harm reduction and treatment services.

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State opioid laws appear to have no impact on prescribing for one vulnerable population (USA)

States are aggressively enacting laws aimed at curbing prescription opioid abuse and overdose. The laws appear to have no impact on hazardous prescribing for disabled workers, a large population with high opioid use. People in this group, presumably a population the laws aim to protect, are 10 times more likely than average to die of prescription opioid overdose.
ReGenUC's insight:

This study highlights hazardous patterns of opioid prescribing for (and use by) adults with a disability, combined with higher rates of poverty, complex medical conditions and overdose fatalities.

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Substance use is more stigmatized than both smoking and obesity (USA)

Substance use is more stigmatized than both smoking and obesity (USA) | Useful AOD Reports & Resources | Scoop.it

Studies have shown that people who use substances tend to be more highly stimatized than other groups, and substance use is often attributed to moral failing rather than being recognized as a legitimate health condition. Stigma can even reduce help-seeking and act as a barrier to treatment and services. This study investigates this problem further by comparing people with substance use disorder (SUD) to those who smoke cigarettes or are obese to see which condition is most highly stigmatized. It also investigates if public opinion differs based on having an active disorder or one that is in remission.

ReGenUC's insight:

While this study doesn't come up with any surprise findings for those familiar with the AOD field, it does highlight the fact that the experience of stigma associated with AOD use does not significantly diminish for people in recovery, and the obvious need to challenge public attitudes.

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Recovery-oriented systems of care: Emerging approach to integrated treatment for people with substance use, mental health disorders

Recovery-oriented systems of care (ROSC) offer a promising approach to improving care for the millions of individuals who have substance use disorders and, very frequently, co-occurring mental health disorders, say researchers.
ReGenUC's insight:

Our position statement (and supporting evidence) on Recovery Oriented Practice is here: http://www.regen.org.au/news-advocacy/advocacy-in-action.

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The Global Drug Survey 2016 findings

Global Drug Survey runs the biggest drug survey in the world
ReGenUC's insight:

A summary of the global findings from the 2016 survey. For coverage of Australian findings, see  http://sco.lt/5e4twv.

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Refreshing perspectives: peer research with people who have multiple needs (UK)

Refreshing perspectives: peer research with people who have multiple needs (UK) | Useful AOD Reports & Resources | Scoop.it
New research from Revolving Doors sheds light on the practicalities, ethics and opportunities presented by peer research.
ReGenUC's insight:

Nice initiative highlighting the powerful impact peer involvement in social research can have in improving understanding of complex issues.

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Nearly 250 Organizations Across Canada Call for Prison-Based Needle and Syringe Programs 

Nearly 250 Organizations Across Canada Call for Prison-Based Needle and Syringe Programs  | Useful AOD Reports & Resources | Scoop.it

Close to 250 Canadian organizations have signed a statement urging federal and provincial governments to immediately implement prisonbased needle and syringe programs (PNSPs) in institutions across the country. Representing the views of a broad cross-section of Canadian civil society, the statement highlights the overwhelming scientific, empirical and human rights rationale for Canada’s governments to act without delay.

ReGenUC's insight:

See today's related post on use of NPS in UK prisons: http://sco.lt/5UfbxB.

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Unique effects of caffeinated alcohol consumption in adolescents (USA)

A new review examines three areas of study – one, the biological pathways of alcohol-linked breast cancer; two, the epidemiological risk relationship between drinking and breast cancer; and three, the global burden of breast cancer incidence and mortality that is attributable to drinking – with a focus on light drinking.
ReGenUC's insight:

Study links co-consumption of alcohol and caffeine with significantly increased alcohol intake and BAC.

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The effectiveness of brief alcohol interventions delivered by community pharmacists: randomized controlled trial (UK)

Despite a clear rationale for embedding brief interventions in community pharmacies, this UK trial found no evidence that they would reduce hazardous or harmful drinking.

ReGenUC's insight:

Authors suggest more training for pharmacists could improve outcomes. Other studies indicate providing a brief warning about health impacts (and a brochure) might be just as effective as a more intensive brief intervention.

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Smoking cessation success linked to sex difference (USA)

Smoking cessation success linked to sex difference (USA) | Useful AOD Reports & Resources | Scoop.it

A meta-analysis of smoking cessation therapies, funded by the National Institute on Drug Abuse (NIDA), showed that clinicians should strongly consider varenicline as the first treatment option for women who are trying to quit smoking.

ReGenUC's insight:

Study finds Varenicline, was about 1.4-fold more effective than bupropion or the nicotine patch for women, compared to men. 

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What drug types drove increases in drug use and possession offences over the past decade? (Vic)

What drug types drove increases in drug use and possession offences over the past decade? (Vic) | Useful AOD Reports & Resources | Scoop.it

The Crime Statistics Agency has released an 'in brief' research paper outlining the types of drugs that were involved in drug use and possession offences in Victoria over the past ten years. 

ReGenUC's insight:

New resources from the Victorian Crime Statistics Agency

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Peer engagement in harm reduction strategies and services: a critical case study and evaluation framework (Canada)

Peer engagement in harm reduction strategies and services: a critical case study and evaluation framework (Canada) | Useful AOD Reports & Resources | Scoop.it
Engaging people with drug use experience, or ‘peers,’ in decision-making helps to ensure harm reduction services reflect current need. There is little published on the implementation, evaluation, and effectiveness of meaningful peer engagement
ReGenUC's insight:

Highlighting the importance of a systematic approach to achieving meaningful Consumer Participation outcomes.

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Toward the Legalization, Regulation and Restriction of Access to Marijuana - Discussion Paper (Canada)

In the 2015 Speech from the Throne, the Government of Canada committed to legalizing, regulating, and restricting access to marijuana.

The current approach to marijuana prohibition is not working:

  • Youth continue to use marijuana at rates among the highest in the world.
  • Thousands of Canadians end up with criminal records for non-violent drug offences each year.
  • Organized crime reaps billions of dollars in profits from its sale.
  • Most Canadians no longer believe that simple marijuana possession should be subject to harsh criminal sanctions, and support the Government's commitment to legalize, tax and regulate marijuana.

The Government understands the complexity of this challenge and the need to take the time to get it right.

ReGenUC's insight:

Canadian Govt discussion paper on cannabis regulation.

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Are take-home naloxone programmes effective? Systematic review utilizing application of the Bradford Hill criteria

ReGenUC's insight:

Spoiler alert: Rebecca McDonald and John Strang find they are.

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SURE: Substance Use Recovery Evaluator (UK)

SURE is a psychometrically valid, quick and easy-to-complete outcome measure of recovery from drug and alcohol dependence. It has been developed with unprecedented input from people in recovery.

ReGenUC's insight:

New tool developed by Kings College with obvious clinical and evaluation applications. You can see the tool here: http://www.kcl.ac.uk/ioppn/depts/addictions/Scales,-Measures-and-Instruments/SURE.pdf

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Alcohol and other drug treatment services in Australia 2014–15

Alcohol and other drug treatment services in Australia 2014–15 | Useful AOD Reports & Resources | Scoop.it
In 2014–15, around 850 alcohol and other drug treatment services provided just over 170,000 treatment episodes to around 115,000 clients.
The top 4 drugs that led clients to seek treatment were alcohol (38% of treatment episodes), cannabis (24%), amphetamines (20%) and heroin (6%). The proportion of episodes where clients were receiving treatment for amphetamines has continued to increase over the last 10 years, from 11% of treatment episodes in 2005–06 to 20% in 2014–15. The median age of clients in AOD treatment services is increasing, 33 years in 2014–15, up from 31 in 2005–06.
ReGenUC's insight:

New national data from the Australian Institute for Health and Welfare.

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Canberrans want 3am last drinks: alcohol poll

Canberrans want 3am last drinks: alcohol poll | Useful AOD Reports & Resources | Scoop.it
Most Canberrans want 3am last drinks for bars, clubs and pubs, and many feel more threatened in the city by drunks than people high on drugs.
ReGenUC's insight:

FARE Australia poll finds 2/3 support reduced trading hours to reduce alcohol-related violence.

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ReGenUC's curator insight, June 15, 9:58 PM

FARE Australia poll finds 2/3 support reduced trading hours to reduce alcohol-related violence.

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The Medical Report Shows Fentanyl—And That Media Narratives Around Prince’s Death Are Deadly (USA)

The Medical Report Shows Fentanyl—And That Media Narratives Around Prince’s Death Are Deadly (USA) | Useful AOD Reports & Resources | Scoop.it
June 3rd, 2016
The medical examiner's report released yesterday said that Prince died from an accidental overdose of fentanyl. Prince was unlikely to have been prescribed fentanyl, a very powerful synthetic opioid originally created for palliative care (an investigation into how he obtained it
ReGenUC's insight:

Stanton Peele considers the distorting effect of media coverage on public understanding of America's 'opioid crisis'.

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Model-based appraisal of the comparative impact of minimum unit pricing and taxation policies in Scotland

Whether alcohol tax rises would be an acceptable and effective alternative could determine the legality under EU law of Scotland’s law permitting a minimum unit price for alcohol. This analysis predicts tax rises would curb consumption and save lives, but not without perhaps unacceptably hitting the pockets of non-harmful drinkers.
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NHS report by User Voice hears directly from inmates the true horrors of NPS use in prisons (UK)

NHS report by User Voice hears directly from inmates the true horrors of NPS use in prisons (UK) | Useful AOD Reports & Resources | Scoop.it

NPS (Novel Psychoactive Substances) have become a prison phenomenon, much more widely used on the inside than out. User Voice undertook a distinctly peer-led consultation in nine English prisons, on behalf of the NHS, exploring how prisoners understood the phenomenon of former ‘legal highs’ in prison.

ReGenUC's insight:

User Voice consultation with prisoners estimates a third are using synthetics and highlights some of the impacts of their use within British prisons.

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