Though the process of overcoming addiction is a personal one, this generation and those ahead may have some new, innovative options to help with recovery — due to technology and the mobile app phenomenon.
Jenna Shapiro summarises a variety of apps, wearables and Johann Hari's TED talk, emphasising the importance of connection and the role that apps can play in reducing isolation and supporting recovery.
The Suicide Assessment Kit (SAK) is a comprehensive assessment and policy development package, designed to assist alcohol and other drug services in the assessment and management of suicide risk. The SAK was developed by NDARC in partnership with the Network of Alcohol and Other Drug Agencies (NADA), in response to a need identified as a result of interviewing staff and managers of residential rehabilitation services nationally (Ross et al, 2012).
Suicidal ideation is a common issue for people participating in AOD treatment. Check out this new resource from NDARC & NADA.
The working group updating the 2007 national clinical guidelines on drug treatment has published some preliminary advice on naloxone before addressing its supply and use more fully in the published update next year. The advice covers naloxone dosing in overdose situations, take-home naloxone products that can be supplied and training that should be provided, now and following legislation to make naloxone more widely available from October 2015 onwards.
A useful resource those developing their own naloxone programs.
Overdoses of opioid pain medications frequently occur in people who aren't chronic users with high prescribed opioid doses -- the groups targeted by current opioid prescribing guidelines, reports a study in the August issue of Medical Care. The journal is published by Wolters Kluwer.
A resource developed by the Network of Alcohol and other Drugs Agencies which aims to support the provision of best practice interventions for women accessing Women's Alcohol and Other Drug Treatment.
Nice resource from NADA. Women are typically underrepresented in AOD treatment, making up only 30% of participants in most forms of treatment. Improving the accessibility and effectiveness of treatment services for women is essential.
Annual average rates of past-year heroin use increased from 1.6 per 1,000 persons aged ≥12 years in 2002–2004 to 2.6 per 1,000 in 2011–2013. Rates of heroin abuse or dependence were strongly positively correlated with rates of heroin-related overdose deaths over time. For the combined data years 2011–2013, the odds of past-year heroin abuse or dependence were highest among those with past-year cocaine or opioid pain reliever abuse or dependence.
An increase in recently acquired HIV in PWID has been noted in Dublin since early 2015. We have defined recently acquired HIV infections as those in which the person tests positive using a combined HIV antigen/antibody screening assay, negative or indeterminate on a confirmatory immunoblot assay and is p24 antigen positive, or has had a HIV negative test within the 12 months prior to the positive test or who suffers an acute HIV sero-conversion illness.
Highlighting the importance of increased focus on harm reduction initiatives, such as the current proposal to establish medically supervised injecting centres in Dublin: http://sco.lt/946R9d
The NADA Policy Toolkit 2nd Edition is designed to guide non government drug and alcohol organisations to develop and review operational policy documents and support their formal quality improvement program. The new edition is the result of a comprehensive review of the NADA Policy Toolkit (2010) and provides a new, up-to-date and user friendly toolkit of policy and procedure templates that can be adapted to support individual organisations.
National Ice Taskforce present its interim report to the Council of Australian Governments meeting in Sydney Today in Sydney, the Taskforce members presented their interim report on the use and impacts of crystal methamphetamine (ice) on the Australian community to the Council of Australian Governments (COAG). The interim report provides COAG leaders with the Taskforce’s initial analysis of this complex issue, an overview of existing efforts and gaps to tackle the problem, and advice about what more needs to be done.
The Taskforce's interim report is not publicly available yet, but has been presented to COAG, with a summary of the key areas of recommended focus:
Target primary prevention
Improve access to early intervention, treatment and support services
Based on the options provided by the international drug control legal framework, this paper considers the rehabilitative measures of treating, educating or reintegrating drug users as alternatives or additions to conviction or punishment that are established in the laws of many countries in Europe today.
EMCDDA report the range of options available and the evidence for their effectiveness.
At the heart of the UK government’s alcohol strategy are ‘Responsibility Deal’ pledges made by alcohol companies, but rather than being prompted by the deal, this report says actions committed to were usually already done or underway. Other sources suggest the process helped forestall a more effective measure – a minimum per unit price for alcohol.
Useful research on industry resistance to meaningful reform.
Supervised injectable heroin (SIH) treatment has emerged over the past 15 years as an intensive treatment for entrenched heroin users who have not responded to standard treatments such as oral methadone maintenance treatment (MMT) or residential rehabilitation.
To synthesise published findings for treatment with SIH for refractory heroin-dependence through systematic review and meta-analysis, and to examine the political and scientific response to these findings.
Meta-analysis of six RCTs on SIH treatment (also known as Heroin Assisted Treatment) demonstrates its effectiveness for the small group of people for whom other forms of treatment are ineffective.
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