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Reviews the response of Government and drug agencies to the problem of volatile substance abuse (VSA). Describes how VSA has, in the past, been treated differently to abuse of other drugs, both legal and illegal, but that most agencies now believe it should be dealt with alongside other drugs. Reviews the main findings of a report on volatile substances from the Advisory Council on the Misuse of Drugs, and the Government’s response to it. Describes the measure put in place in the UK to help control the supply of sniffable substances, and the need for education campaigns for parents and young people. Concludes there are no grounds for optimism, as the latest figures on deaths due to VSA show a rise. Gives recommendations for professionals who wish to seek further help for those involved with VSA.

The purpose of this paper is to provide a commentary on new information from the Office for National Statistics (ONS) on deaths caused by volatile substance abuse (VSA) in Great Britain which occurred between 2001 and 2016.

Comparing the new study with previous mortality data, the authors consider the strengths and some limitations of the analysis provided by ONS.

By utilising a broader range of codes and collating additional information from death certificates, the new report provides a more comprehensive measure of VSA mortality than was previously available, showing increasing prevalence of deaths. The age profile of people dying is older than in previous studies. Most deaths were associated with inhalation of gases and almost three-quarters of deaths involved volatile substances alone.

Understanding VSA mortality is essential for service planning. It is important that we identify why so many people whose deaths are associated with VSA are not accessing treatment, with particular concern about treatment access for those who only use volatiles. Training to support drug and alcohol and other health service staff to respond to VSA is essential. In future reports, data to identify socioeconomic correlations of VSA deaths would enable targeted responses. Additionally, information on whether deaths occur in long term rather than episodic or one-off users could enable risk reduction education.

This paper shows how data on VSA deaths may inform for policy and service planning.

The purpose of this paper is to explore whether there are ways in which the preventive strategies used to tackle volatile substance abuse (VSA) can be usefully applied to today’s new psychoactive substances (NPS).

In 2010-2013, with funding from the Big Lottery, Re-Solv, in partnership with St George’s, University of London, and educari, commissioned a re-analysis of both the mortality data relating to VSA and of the legislative and preventative measures taken that may have played a part in the steady downward trend in VSA mortality since. This paper is informed by Re-Solv’s research findings and the papers resulting from it, namely, Ives (2013) and Butland et al. (2013).

Efforts to reduce the harm from NPS could benefit from a re-examination of preventive approaches to VSA, which have resulted in a downward trend in mortality over the past two decades.

There is evidence from past prevention practice which could be relevant and applied to present day concerns about drugs and substances not previously available or used.

This is the first paper to explore how learning from VSA might be applied to NPS and the “legal highs” of today.

The main objective of this paper is the assessment of the environmental impact due to accidental spills of toxic and flammable liquids on land. Different case studies of possible accidents in the State of Qatar were considered. An EPA‐based dispersion model was utilized to estimate the size and location of the dangerous clouds generated by such spills at different elapsed times. Three case studies of possible accidents in the State of Qatar involving gasoline were considered. Due to the transient nature of the dispersion processes in the case studies, the results showed clearly the phenomenon of growth and decay of the generated dangerous clouds. An interface between the dynamic results of the dispersion software and the static data of the Qatar geographical information system (GIS) allowed the immediate identification of the major landmarks affected by the considered accidents. These data would be of great help in developing an emergency evacuation plan for such accidents.

Nitrous oxide (N₂O) use for recreational purposes appears to have increased among young people in several countries, including Denmark, Australia, The Netherlands and the UK. This increase has prompted concern among health authorities and politicians. The purpose of this paper is to map out findings in the available literature about N₂O use among young people to better understand current trends and contextualize the public concerns and the new policy responses to it.

The authors draw here on a range of sources, including research literature, reports and policy documents in English and Danish. Given the broad aim, the authors used a scoping study approach (Arksey and O’Malley, 2005).

The authors found literature on prevalence of use, health effects and policy regulations. The literature suggests that health harms associated with N₂O use are generally associated with intensive and long-term use, and death is more likely where the means of administration entails a risk of suffocation. Overall, however, the analysis shows that substantial gaps exist in the available literature. The authors lack detailed knowledge on several issues, including comparable prevalence data of N₂O use; the extent to which N₂O is used with other drugs; how one can distinguish between harmful and non-harmful use in terms of both quantity inhaled and mode of administration; and on intended and unintended consequences of policy responses to this use.

The current increase and trend in inhaling N₂O for intoxication among young people is under researched. This general review maps out what kind of knowledge would be valuable to have for prevention, harm reduction and policy interventions.

Relevant literature was searched using MEDLINE, PsycINFO and Google in addition to Arabic search engines for information. Due to the shortage of scholarly articles on the subject, we broadened our search to publications from human rights organisation and articles in the mainstream press. We estimated the total carceral population in the member countries of the Arab league at 338,500 prisoners, over 46,000 of whom could be suffering from severe mental illness. We relied on indirect indicators of mental health services such as the quality of medical care in general, accounts of prison conditions by prisoners and their families, and the abundant literature on human rights abuses. Despite a grim overall picture, we highlight signs of improvement in recent years. Psychiatrists working in Arabic prisons face a number of challenges.We comment on directions for the future in the field of correctional psychiatry in the Arab countries including from the perspective of research.

The research aimed to identify ‘(1) current volatile solvent use practices, (2) health beliefs and perceived effects of volatile solvent use, (3) social dynamics of volatile solvent use, (4) significance of reputation, and (5) barriers to volatile solvent use intervention’ in a sample of Irish adolescents (Carroll et al, 1998, p1; Anderson & Loomis, 2003). Semi‐structured interviews were conducted with 20 adolescents who reported inhaling volatile solvents, during the course of doctoral research (n=1,400) investigating substance misuse among adolescents aged 12 to 18 years in Ireland. Their average age was 13.2 years, and they used a range of substances. Solvent users were found to be most commonly congregated in small peer and sibling groups and one young male also reported using alone. These young people indicated their average age of initiation of inhalant use as 10.3 years and most did not use inhalants after the age of 13 years. This coincided with first‐time alcohol use, at an average age of 12.5 years and experimental use of cannabis in some. All reported some awareness of short‐term medical risks involved in solvent use, and most commented on negative effects, such as headaches, dizziness and vomiting. Teachers, probation and juvenile liaison officers, health promotion and drug education workers, youth workers, social workers, and parents should ‘familiarise themselves with the real world experiences of adolescent volatile solvent users’; in order to develop appropriate and timely drug education interventions (Carroll et al, 1998 p6).

Although substance misuse by adolescents is widespread, few previous studies have investigated illicit drug use in adolescent psychiatric populations. The literature on adolescent substance misuse has focused on risk factors, and protective factors have received little or no attention. The study examined substance misuse and its correlates among young people referred to a regional adolescent psychiatric service. Co‐morbidity of substance misuse and psychiatric disorder was discussed, and the possible role of substance misuse as a gateway to adolescent offending examined. Recommendations for the development of adolescent substance misuse services are made.

The opioid epidemic in the USA, the new psychoactive substances emerging on the market and the recent increase in cocaine treatment demands in Western Europe, all emphasise the importance of monitoring the use and harms of drugs over time. To be informed about new consumption patterns, this study aims to study the trends among people entering treatment for substance use in Belgium.

Belgian data from the Treatment Demand Indicator collected between 2015 and 2019 were used. A reference group of treatment units was selected to allow for comparisons between the different years. Trend analysis was performed by using a joinpoint regression among different regions and groups of clients.

The drugs of choice that were most frequently mentioned among the 23,000 analysed treatment episodes were alcohol and cannabis. Both remained relatively stable over time. Heroin seemed to be decreasing significantly at the national level, but increased in Brussels. Benzodiazepines decreased significantly in Flanders and Brussels, but not in Wallonia. On the other hand, reports of crack cocaine increased significantly in the three regions with a more pronounced trend in Wallonia and Brussels. Substances such as fentanyl, methamphetamine, ketamine or volatile inhalants have been mentioned significantly more by people entering treatment in 2019, although their contribution to the total number is still limited.

To the best of the authors’ knowledge, this study is the first to evaluate trends for all drugs of choice at a national and regional level. These results might not only benefit national policymakers but also other countries with similar alcohol or drug use patterns.

Prison-based animal programs are becoming increasingly common in North America. The majority focus on community and animal well-being, with less explicit therapeutic goals for human participants. The purpose of this paper is to measure the objectives of a canine animal-assisted therapy (AAT) program in a Canadian psychiatric prison and examine whether the program supports inmates’ correctional plans.

A modified instrumental case study design was applied with three inmates over a 24-AAT-session program. Quantitative and qualitative AAT session data were collected and mid- and end-of-program interviews were held with the inmates, their mental health clinicians and the therapy dog handlers.

Inmates connected with the therapy dogs through the animals’ perceived offering of love and support. This development of a human–animal bond supported inmates’ correctional plans, which are largely situated within a cognitive-behavioral skill development framework. Specifically, inmates’ connections with the therapy dogs increased recognition of their personal feelings and emotions and positively impacted their conduct.

The findings suggest that prison-based AAT programs emphasizing inmate mental well-being, alongside that of animal and community well-being generally, merit further exploration. It would be worthwhile to assess this AAT program with a larger and more diverse sample of inmates and in a different institutional context and also to conduct a post-intervention follow-up.

This is the first study of a prison-based AAT program in a Canadian psychiatric correctional facility.