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Shaw et al. identified the need for alcohol counsellors to have “therapeutic commitment” when working with clients or patients with alcohol problems. Studies building on this work have focussed on how such commitment can be increased. In addition, as helping agencies have increasingly offered support services to people with drug related problems, attention has also been given to staff “therapeutic commitment” when working with both alcohol and drug using populations. This study aims to report on the evaluation of the impact of an alcohol and drugs awareness training programme which was provided for personal advisors (PAs) for young vulnerable people based in a government funded criminal justice project in London.

A three‐day alcohol and drug awareness programme was provided for 38 personal advisors. Participants completed an adapted version of the alcohol and alcohol problems perception questionnaire (AAPPQ) assessment instrument, previously developed by Shaw et al., immediately before and then again three weeks after the programme ended. This self‐completion instrument is designed to measure the alcohol and drugs knowledge, attitudes and confidence of the PAs in working with service users experiencing alcohol and drug related difficulties. Components of the AAPPQ are specifically designed to assess staff in relation to their role legitimacy, role adequacy, role support, and role satisfaction. In total, 38 participants completed the AAPPQ at Time 1. However, AAPPQ data for the pre‐and post training programme were only obtained for 16. Time 1 and Time 2 responses for these 16 were entered into SPSS and analysed using five‐paired samples t‐tests.

Participants significantly improved their attitudes to working with, and having confidence in the engagement of young people with alcohol and drug problems. Positive changes were also observed in relation to participants' role legitimacy, role adequacy, role support, and role satisfaction. A positive but non‐significant change in participant motivation was identified.

Alcohol and drugs awareness training programmes have a demonstrable and positive impact on the confidence, perceived role, and confidence of personal advisors working with service users with addiction issues.

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.

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.

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.

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.

The study examines alcohol and drug related accidental dwelling fire injuries during 2006–2016 in Merseyside in England.

The study carries out an examination of alcohol and drug related fire injuries from 2006 to 2016 in Merseyside, including analysis of injuries by age group, gender, level of deprivation and housing type.

Deprivation was a significant factor in alcohol and drug related fire injuries over the period studied, with 70% of such injuries occurring in areas with the highest level of deprivation. Males appeared roughly twice as likely to be injured in an alcohol and drug related fire incident than females. The majority of those injured were in the age range 35–59.

There were limitations on the generalizability of the research findings to other fire and rescue services, as Merseyside has some of the highest levels of alcohol consumption and deprivation in UK.

An understanding of those vulnerable to alcohol and drug related fire risks can support more targeted fire prevention strategies and aid referrals to partner health agencies to help to reduce underlying alcohol and drug misuse issues.

The study provides a detailed analysis of the circumstances associated with alcohol and drug related fire injuries over a ten-year period covered by a UK fire and rescue service, in particular, in terms alcohol and drug related fire injury risk differences between different groups.

The purpose of this paper is to compare the use of drugs and alcohol by Indigenous and non-Indigenous prisoners and examine relevant treatment in Australian prisons.

Prison authorities were surveyed about alcohol and drug use by prisoners prior to and during imprisonment and drug and alcohol treatment programs in prison. The literature was review for information on alcohol and drug use and treatment in Australian prisons.

In 2009, over 80 percent of Indigenous and non-Indigenous inmates smoked. Prior to imprisonment, many Indigenous and non-Indigenous inmates drank alcohol at risky levels (65 vs 47 percent) and used illicit drugs (over 70 percent for both groups). Reports of using heroin (15 vs 21 percent), ATS (21 vs 33 percent), cannabis (59 vs 50 percent) and injecting (61 vs 53 percent) were similarly high for both groups. Prison-based programs included detoxification, Opioid Substitution Treatment, counselling and drug free units, but access was limited especially among Indigenous prisoners.

Drug and alcohol use was a significant issue in Australian prisons. Prisoners were over five times more likely than the general population to have a substance use disorder. Imprisonment provides an important opportunity for rehabilitation for offenders. This opportunity is especially relevant to Indigenous prisoners who were more likely to use health services when in prison than in the community and given their vast over representations in prison populations.

Given the effectiveness of treatment in reducing re-offending rates, it is important to expand drug treatment and especially culturally appropriate treatment programs for Indigenous inmates.

Very little is known about Indigenous specific drug and alcohol programs in Australian prisons.

There are identified problems facing law enforcement in the correct approach to childhood drug and alcohol use at street level which can cause aggression, developmental, psychological problems and family conflict (Maher and Dixon, 1999). Childhood exposure to drugs and alcohol can encourage criminal activity, anti-social conduct and increased child-to-parent conflict (Brook et al., 1992; Reinherz et al., 2000; Coogan, 2011; McElhone, 2017).

The purpose of this study is to explore middle-childhood (11-15 years) experiences of drugs and alcohol through a survey to determine the earliest opportunity for the involvement of services based on the experiences of children.

The key findings are alcohol consumption in middle childhood is supported by parental alcohol provision; those in middle childhood are most likely to consume alcohol at home and drugs at street level (any place away from home including school, young clubs, open public space and parks); children in middle childhood use mainly cannabis to experience euphoria, minimize childhood problems and to fulfill acquisitive desire; and late childhood shows movement away from street-level drug use to drug use in private spaces with friends and increased levels of experiential or social drinking, within spaces shared by larger social groups.

The authors propose that a health-orientated early help model in middle childhood should be adopted, with support such as community- and school-based child and parental drug education; wider information sharing between schools, policing and health authorities at an early stage to support a contextual safeguarding approach; and recognition and recording practices around middle childhood which is an acute phase for children to become involved in drug and alcohol consumption.

Children’s drug use in middle childhood is often not recorded, and the problem can be associated with simple ill-parenting approaches. The authors believe that little was known about the spaces and occurrence of drug and alcohol use in middle childhood.

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.

Alcohol and other drug (AOD) use is common worldwide. There is a wide spectrum of AOD issues that pose a major threat to public health, safety and the wellbeing of communities, families and individuals. There is no doubt that nurses have primary roles in identifying, preventing and addressing AOD use issues in emergency departments and general hospital units, clinics, specialist mental health and drug and alcohol services, sexual health services, youth services and community settings where people seek health care and other assistance. Nurses have credibility and are trusted by communities for their ability to address many health issues, including AOD health problems. Despite the enormous economic burden associated with AOD use across the world, the nursing profession has yet to fully acknowledge and embrace this serious issue for nurses.

The purpose of this paper is to investigate the association between alcohol abstinence and illicit drug use during early adulthood, and compares abstinence to moderate drinking and binge drinking, regrouped in different frequencies.

A total of 5,968 young male adults who completed the questionnaires were selected for the analyses. Alcohol abstinent participants were compared to moderate drinkers (who did not experience binge drinking during the previous 12 months), and casual, monthly, weekly and daily binge drinkers in terms of prevalence of drug use during early adulthood.

Alcohol abstinence was associated with higher risks of drug use than moderate drinking (odds ratio (OR)>3) for most of drugs, especially last-stage drugs: crystal meth, solvents, spice and heroin (6.50<OR<13.50). Such findings encourage rethinking prevention among alcohol abstainers who were so far considered at low risk of drug use.

The main limitations of the study are the fact that it is cross-sectional, gender-blind and focussing on Swiss native who are less vulnerable than migrants.

High-risk subjects should be identified among young people who do not drink in order to develop specific preventive interventions.

This study is one of the first that compare alcohol abstinence, moderate drinking and binge drinking. Separate results covering 15 different drugs are presented.