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21 – 30 of over 4000
Article
Publication date: 17 May 2013

Marcus Roberts and Andy Bell

The purpose of this paper is to examine the extent to which the two visions of recovery that are now being developed in the UK are consistent with each other and question what…

2976

Abstract

Purpose

The purpose of this paper is to examine the extent to which the two visions of recovery that are now being developed in the UK are consistent with each other and question what impact the development of parallel approaches will have on people at the intersections between them.

Design/methodology/approach

The paper looks first at the origins and current implementation of the two approaches and then examines the commonalities and differences in the context of what they might mean for people using both sets of services simultaneously.

Findings

The ideas behind Recovery in mental health and substance misuse services have some differences but significant common ground in focusing on improving quality of life.

Research limitations/implications

This paper points to the need to understand recovery in both services from the perspectives of those who have a dual diagnosis and need support from each service.

Practical implications

This paper could be used to develop new approaches to supporting people with a dual diagnosis with a consistent Recovery focus.

Originality/value

Placing personal recovery at the heart of both mental health and substance misuse services may, over time, improve their efficiency and effectiveness.

Details

Advances in Dual Diagnosis, vol. 6 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 1 June 2008

Casey Hardison

This is the second part of a three‐part series in which Casey Hardison investigates current UK drug policy and calls for a paradigm shift.

Abstract

This is the second part of a three‐part series in which Casey Hardison investigates current UK drug policy and calls for a paradigm shift.

Details

Drugs and Alcohol Today, vol. 8 no. 2
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 4 December 2017

Blaine Stothard

The purpose of this paper is to examine the content of the strategy and assess its claims to be evidence based.

Abstract

Purpose

The purpose of this paper is to examine the content of the strategy and assess its claims to be evidence based.

Design/methodology/approach

This study is a close-reading of the text with commentary on specific content and reference to wider contexts.

Findings

The strategy makes use of evidence in its sections on treatment. Much evidence, including that of the UK ACMD, is dismissed or ignored. The issue of funding in times of austerity is not considered in the strategy. The range and complexity of drug use and users are not fully considered.

Research limitations/implications

The strategy can be seen as an idealised ambition with little basis in reality without funding to support its aims.

Social implications

There is no consideration of the impact of macro-economic policy on the extent of drug misuse.

Originality/value

Other commentaries on the strategy are emerging. This paper is a more extensive consideration than has so far appeared.

Details

Drugs and Alcohol Today, vol. 17 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 1 December 2007

Abstract

Details

Drugs and Alcohol Today, vol. 7 no. 4
Type: Research Article
ISSN: 1745-9265

Article
Publication date: 1 December 2006

Jenny Pannell

Housing and support are essential if people misusing drugs and alcohol are to address their substance misuse and their other physical, mental and emotional health needs. If their…

Abstract

Housing and support are essential if people misusing drugs and alcohol are to address their substance misuse and their other physical, mental and emotional health needs. If their housing and related support needs are not addressed at each stage of the treatment journey, they are much less likely to enter or remain in treatment. This article outlines the policy context, discusses barriers in service development, explores the role of housing with support for substance users and gives examples of imaginative commissioning and provision. It is based on recent work for the Department of Health Care Services Improvement Partnership.

Details

Housing, Care and Support, vol. 9 no. 3
Type: Research Article
ISSN: 1460-8790

Keywords

Article
Publication date: 26 June 2009

Rob Hill, Megan Underhill, Katherine Atnas and Jenny Harris

In this paper, we explore the role that psychology can play in enhancing dual diagnosis provision in substance misuse wards. In order to understand what can be achieved, we will…

581

Abstract

In this paper, we explore the role that psychology can play in enhancing dual diagnosis provision in substance misuse wards. In order to understand what can be achieved, we will review: the nature of the client group presenting to substance misuse wards; the role and function of such wards; the role of clinical psychology within these wards; and specific issues relating to inpatient substance misuse treatment. We conclude by identifying some key elements that we believe can enhance effective dual diagnosis working within inpatient substance misuse services.

Details

Advances in Dual Diagnosis, vol. 2 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 7 September 2012

Iain McPhee, Colin R. Martin and Anthony Sneider

This paper aims to critically explore the consequences of how Scotland interprets the UK Misuse of Drugs Act (1971). Scotland prosecutes 24 per cent of people found in possession…

497

Abstract

Purpose

This paper aims to critically explore the consequences of how Scotland interprets the UK Misuse of Drugs Act (1971). Scotland prosecutes 24 per cent of people found in possession of illegal drugs for drug “dealing” compared to less than 15 per cent in England and Wales and less than 16 per cent in Northern Ireland.

Design/methodology/approach

The paper provides a narrative review in the context of the background of the economic and social costs of illegal drugs in Scotland and compares this with the UK and Northern Ireland.

Findings

The explanation for such a wide disparity in numbers of dealers between these countries proposed is that the Scottish Police force is comparatively more successful at persuading courts that small quantities of drugs rather than for personal use are in fact for onward sale or supply to others.

Practical implications

The police in Scotland have a network of specialist drug units in which officers make decisions in the absence of benchmarks against which to judge quantities of repossessed drugs. Taking this approach, a devolved Scotland's commitment to drug prohibition has resulted in some very curious differences in classifications of prosecutions compared to other countries.

Originality/value

The paper explores the consequences of how Scotland deals with the use of illegal drugs and the economic and social costs.

Details

Drugs and Alcohol Today, vol. 12 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 25 November 2014

Marie Claire Van Hout

The misuse of pharmaceutical opioid analgesics is identified as a global public health concern. Codeine represents an interesting quandary in terms of its regulated status, with…

Abstract

Purpose

The misuse of pharmaceutical opioid analgesics is identified as a global public health concern. Codeine represents an interesting quandary in terms of its regulated status, with individuals varying in their metabolism of codeine, estimation of safe dosages, risk of adverse health consequences and abuse potential. Efforts to quantify and address hidden non-compliant medical codeine use, overuse and intentional misuse is compromised by availability to the public in prescribed and over the counter forms. The paper aims to discuss these issues.

Design/methodology/approach

A review of literature on codeine use, misuse and dependence, and associated innovative medical and pharmacy interventions is presented, and was conducted as part of a larger scoping review on codeine.

Findings

The review highlights the complexities associated with monitoring public health awareness of codeine's abuse potential, and customer/patients trends in non-compliant codeine use for therapeutic and recreational purposes. Aberrant codeine behaviours centre on visiting multiple doctors for prescriptions, repeated lost or stolen prescriptions, forging prescriptions and use of multiple pharmacies. Innovations to monitor misuse of codeine include national prescription databases and recent developments in real-time monitoring of dispensing activity.

Practical implications

Further development of real-time monitoring processes with process evaluation is advised.

Originality/value

This viewpoint is intended to demonstrate how efforts to quantify and address codeine use are compromised by its availability. It intends to encourage further policy and practitioner dialogue on how to monitor, support and intervene with consumers misusing codeine.

Details

Drugs and Alcohol Today, vol. 14 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

Article
Publication date: 30 August 2010

Marcus Roberts

This article considers the recent public debate in the UK on drug classification and the role of the Advisory Council of the Misuse of Drugs, particularly following David Nutt's…

Abstract

This article considers the recent public debate in the UK on drug classification and the role of the Advisory Council of the Misuse of Drugs, particularly following David Nutt's departure as Chair of the ACMD. It suggests that there have been flaws in the arguments on both sides, and considers some of the implications for wider debate on regulation and control.

Details

Drugs and Alcohol Today, vol. 10 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

21 – 30 of over 4000