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Article
Publication date: 1 March 2008

Laurence Taggart, Adam Huxley and Gill Baker

This paper offers readers a review of the literature on alcohol and illicit drug misuse in people with learning disabilities, focusing on six key areas. First, clarity is provided…

Abstract

This paper offers readers a review of the literature on alcohol and illicit drug misuse in people with learning disabilities, focusing on six key areas. First, clarity is provided on the definition of ‘misuse’. Second, prevalence rates are examined along with the methodological difficulties involved in such studies, the authors arguing that prevalence rates are higher than current estimates. Third, the authors explore the relationship between the intra‐ and inter‐personal risk factors. Fourth, the nature of the substance misuse is explored, with a focus on offending behaviour. Fifth, a range of treatment modalities are described with a series of recommendations for more robust evidence‐based interventions. Last, the authors explore the gaps in policy that lead to a dearth in service provision as well the barriers which people with learning disabilities face on entering treatment services. The paper cites four innovative projects that address this population's needs in England, and illustrates how Northern Ireland has positioned the needs of this hidden population within the Department of Health, Social Services and Public Safety (Northern Ireland).

Details

Advances in Mental Health and Learning Disabilities, vol. 2 no. 1
Type: Research Article
ISSN: 1753-0180

Keywords

Article
Publication date: 1 September 2002

Patrick Coyne

This paper considers future developments for Addictions Nursing. The aim of this paper is to provide a personal vision of two possible developments for Addictions Nurses, which…

Abstract

This paper considers future developments for Addictions Nursing. The aim of this paper is to provide a personal vision of two possible developments for Addictions Nurses, which will promote greater global working and improve the care received by service users and communities. The paper addresses the threats to public health posed by substance misuse, the wide number of diverse roles nurses undertake in addressing the problems which arise, and makes a number of suggestions about the development of nursing to maximise its impact on public health. The paper makes a number of recommendations:▪ promote international collaboration to develop the effectiveness of Addictions Nurses — by the strategic use of Work‐Based Learning and Rotation Schemes via ‘The Spiral of Excellence Model of Rotation Schemes’ (www.nurserotation.com)▪ promote international collaboration to develop Addiction Nurse prescribing using the ‘ABC Model of Addictions Nurse Prescribing’▪ Network Addictions Nurse Organisations — use the ‘AMM‐IN’ model of working, and support the work of The International Network of Nurses (TINN) Interested in Alcohol, Tobacco and Drug Misuse (www.tinnurses.org)▪ actively influence ICN, WHO, UN to promote public health approaches to substance misuse▪ promote service user and carer involvement in decision‐making▪ challenge the ‘divide and conquer’ approach to substance misuse — ‘tobacco, alcohol or drugs model of disease promotion yet again’ ie the ‘TAD‐DPY’ approach▪ actively challenge short‐termism in strategic workforce development, and in particular the ‘AM‐HRD’ model of human resource development.

Details

Drugs and Alcohol Today, vol. 2 no. 3
Type: Research Article
ISSN: 1745-9265

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Article
Publication date: 1 September 2002

Madeline Naegle

With expanded technologic and communication resources there is growing awareness worldwide of the public health problems caused by alcohol, tobacco, and other drug use, misuse

192

Abstract

With expanded technologic and communication resources there is growing awareness worldwide of the public health problems caused by alcohol, tobacco, and other drug use, misuse, abuse and addiction. Trends vary by culture and region but use of tobacco and alcohol is almost universal and is associated with high rates of mortality and morbidity. While nurses have not universally embraced the prevention and treatment of substance‐related disorders as their province, this is changing as a function of organisations, World Health Organization (WHO) and national initiatives, and the strengthening of nurse education. Actions to promote consensus, identify and review competencies for nurses must consider national and cultural variations, traditions of social change and the need for evidence‐based practice. Collective action by nurses in newly formed and existing organisations, which focus on addictions prevention and treatment, have resulted in initial professional steps. Such progress can be facilitated if achieved in the context of larger international policies and initiatives and in collaboration with members of other professional disciplines.

Details

Drugs and Alcohol Today, vol. 2 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 1 October 2001

Dana Murphy‐Parker and Ruby Martinez

Substance abuse and dependence to alcohol, tobacco and other drugs (ATOD) is a universal public health problem extending across all borders, and including all ethnic, cultural…

152

Abstract

Substance abuse and dependence to alcohol, tobacco and other drugs (ATOD) is a universal public health problem extending across all borders, and including all ethnic, cultural, religious and socioeconomic boundaries. It is a condition that the nursing profession worldwide struggles to better understan. At the global level, differences in beliefs and practices regarding ATOD have resulted in a wide variation of how these problems are handled and treated.Examining and comparing those between the US and the UK can illustate an example of the differences in addictions nursing practice. Underlying assumptions of the current alcohol and drug policies in the US have been mainly based on prohibition, criminalisation and a drug‐free society ideology (Nadelmann, 1997) while the UK policies have been based on the belief of ‘harm reduction’ (Coyne & Clancy, 1996). This paper discusses some of the historical, philosophical and cultural differences between the US and the UK that have led to the respective differences in societal attitudes and treatment practices for substance abuse or ‘substance misuse’ within these two separate societies.

Details

Drugs and Alcohol Today, vol. 1 no. 1
Type: Research Article
ISSN: 1745-9265

Keywords

Book part
Publication date: 14 December 2018

Catherine Palmer

To outline the paradoxes and contradictions inherent in debates about sport, alcohol, and addiction. It appears that a growing number of sportspeople suffer from addiction to…

Abstract

Purpose

To outline the paradoxes and contradictions inherent in debates about sport, alcohol, and addiction. It appears that a growing number of sportspeople suffer from addiction to alcohol and other drugs while at the same time alcohol use is widely sanctioned and celebrated in sport. The high-profile falls from grace are a public display of a more insidious, problematic relationship to drugs and alcohol in sport, yet cultural change is often difficult given long standing associations between sport and alcohol.

Design/Method/Approach

In the first part of the chapter, the key themes in the drugs, alcohol, and sport debate (notably health and ethics) are discussed. In the second part, some of the relationships between sport and alcohol, such as sponsorship and the cultural sanctioning of particular forms of drinking and masculine identities are examined. In the third, the issues of drug and alcohol addiction and recovery, and the implications for sport and sporting identities are discussed.

Findings

The chapter reveals the tensions that underpin the social contexts of drug and alcohol use and misuse in sport. The chapter suggests that a recalibration of popular understandings of masculinity in sport may provide a safe space through which to share battles with alcohol and addiction.

Research Limitations/Implications

Discussion of the paradoxes and contradictions inherent in the relationships between sport and alcohol have important implications for a discussion and analysis of addiction and alcohol in sport, and for sport and social policy, health promotion, and social care more broadly.

Details

Sport, Mental Illness, and Sociology
Type: Book
ISBN: 978-1-78743-469-1

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Article
Publication date: 5 March 2014

Sally Marlow

Alcohol misuse and mental health problems in parents are both known to contribute to impaired outcomes in children, although little is known about the specific parenting…

Abstract

Purpose

Alcohol misuse and mental health problems in parents are both known to contribute to impaired outcomes in children, although little is known about the specific parenting behaviours that might be affected. Mental health problems in parents who misuse alcohol may impact parenting in specific ways, and these may be different for mothers and for fathers. The purpose of this paper is to make a preliminary investigation of alcohol misuse and mental health problems in mothers, and explore ways in which these might affect their parenting.

Design/methodology/approach

Semi-structured interviews were carried out with professionals involved in services for mothers who misuse alcohol, including those working in addiction psychiatry, in primary care, and in the provision of parenting services. These interviews were then examined using thematic analysis.

Findings

Themes emerged including specific mental health problems (depression, anxiety and personality disorders), and related issues, such as self-medication. Particularly relevant for mothers were post-natal depression, the effect on maternal alcohol misuse and mental health when children are removed, the role of domestic violence, and the importance for identification of home visits by services. Different types of alcohol misuse were linked to different mental states and different parenting behaviours in parents. Findings in the general parenting and substance misuse literature were confirmed, and a new addition was that expressed emotion may play a role in families where mothers misuse alcohol.

Originality/value

The findings increased the understanding of the relationships between maternal alcohol misuse, mental health issues and parenting, raising several new points for consideration.

Details

Advances in Dual Diagnosis, vol. 7 no. 1
Type: Research Article
ISSN: 1757-0972

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Article
Publication date: 1 September 2008

Adam Huxley and Sarah Foulger

This paper considers parents who misuse substances. The potential impacts of their substance misuse on their ability to parent effectively and safely (parenting capacity) are…

Abstract

This paper considers parents who misuse substances. The potential impacts of their substance misuse on their ability to parent effectively and safely (parenting capacity) are explored, as are some of the barriers many parents face when attempting to seek treatment for problematic substance misuse. The terms ‘use’ andmisuse’ are used interchangeably in this paper andsubstances’ refers to alcohol, illicit drugs and overuse of prescribed medicines. It is important to make the distinction between parents whose use of substances does not constitute dependency and might be best described as ‘recreational or hazardous’. Such individuals might not seek treatment and estimates of prevalence rates of use among this cohort are difficult as they remain hidden from services. Parents who might already be in treatment services or who might be seeking treatment might be described as ‘problematic or dependent’ although presentation at services is neither necessary nor sufficient to assume that the individual's misuse of substances is problematic or indicative of a dependency. The use of substances is associated with numerous harms to the individual: psychologically, socially, interpersonally and physically, and is a risk factor towards negative parenting practices. The use of substances in itself is not an indication of neglectful or harmful parenting, as many parents who use substances have adequate parenting skills, however, it is more frequently associated as a risk rather than a protective factor when considering potential harms. Most of the research refers to mothers although we are aware that some fathers may have sole parenting responsibility for their children. Parents, in particular mothers, face many barriers when trying to access substance misuse treatment services. When they are in treatment, services often lack the skills and experiences to be able to balance managing child protection issues and engaging the parent in treatment. A full review of the issues associated with parenting and substance misuse is beyond the scope of this paper and the reader is referred to Fowler (2003), Cleaver et al (1999), Velleman and Templeton (2007) and Day and George (2005) and the British Psychological Society's Child Protection Portfolio (2007) for further discussion.

Details

Drugs and Alcohol Today, vol. 8 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 11 December 2020

Linda Bell, Rachel Herring and Fizz Annand

The purpose of this paper is to review the following research questions from the available literature: What evidence is there to suggest that substance misuse specifically by…

Abstract

Purpose

The purpose of this paper is to review the following research questions from the available literature: What evidence is there to suggest that substance misuse specifically by fathers (including alcohol and other drugs) causes wider harms, including child welfare concerns? substance misuse, recovery, parents, fathers, fathering, drugs/ alcohol services. How do professionals respond specifically to substance misuse by fathers? Do interventions aimed at parental substance misuse (particularly in the UK) include both mothers and fathers and if so how?

Design/methodology/approach

A scoping literature review was conducted which identified 34 papers (including scoping reviews published in 2006 and 2008, covering the period 1990-2005) and 26 additional studies published between 2002 and 2020.

Findings

The review in this paper is organised into six themes: Negative impact of men’s substance misuse problems on their parenting behaviours; quality of the relationship between parents affected by substance misuse of the fathers, in turn affecting the parenting behaviour and outcomes for children; importance to fathers of their fathering role (for example, as a financial provider); difficulties fathers may face in developing their fathering role; sidelining of the fathering role in substance misuse services; and professionals tending to focus on the mother’s role in parenting inventions and services.

Originality/value

This paper focusses on fathers and substance misuse, which is an under-researched field within the wider contexts of fathering research and research into parental substance misuse.

Details

Drugs and Alcohol Today, vol. 20 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 1 May 2007

John Sims, Marc Kristian and Ron Iphofen

Alcohol misuse leads to a massive drain upon an already stretched NHS budget. High numbers of individuals with alcohol related physical and health needs are being admitted into…

Abstract

Alcohol misuse leads to a massive drain upon an already stretched NHS budget. High numbers of individuals with alcohol related physical and health needs are being admitted into the secondary health care setting at great financial cost. This paper examines a profile of this population presenting to the secondary care setting over a 12‐month period. It is suggested that the misuse of alcohol does not take place in isolation. It is often accompanied by other problematic behaviours such as domestic violence, inappropriate, neglectful parenting, or child abuse, offending behaviour, and psychological problems. Evidence for the nature and extent of these associated behaviours is reported and discussed. Comparisons are made particularly with data related to tobacco smoking, and the positive aspects of smoking cessation programmes are outlined. Almost all of the population reported on over the 12‐month period were tobacco smokers. The re‐emergence of the incidence of smoking with the reduction of smoking cessation programmes is noted. The challenge for substance misuse services is how best to respond to the needs of this growing population who often present withalcohol misuse together with smoking behaviours. A collaborative model of response is outlined and suggested as the best way forward. This involves substance misuse services working together with professional colleagues within the acute hospital environment and community to ensure sustainable positive clinical outcomes following hospital discharge.

Details

Drugs and Alcohol Today, vol. 7 no. 1
Type: Research Article
ISSN: 1745-9265

Keywords

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