Practice, Advocacy, and Outreach: Perspectives on Addiction Services

2018 ◽  
pp. 211-230
Author(s):  
Rosalind October-Edun
Keyword(s):  
Addiction Services

scholarly journals Overview of Tertiary Addictions Services response to Opioid dependence during the COVID-19 Pandemic

2021 ◽  
pp. 1-14
Author(s):  
K Hennigan ◽  
E Corrigan ◽  
N Killeen ◽  
E Keenan ◽  
M Scully
Keyword(s):  
At Risk ◽  
Opioid Dependence ◽  
Medication Management ◽  
Health Problems ◽  
Healthcare Staff ◽  
Addiction Services ◽  
Patients At Risk ◽  
Guidance Documents ◽  
High Level ◽  
Opioid Users

Abstract The emergence of the COVID-19 pandemic has presented the addiction services with an unprecedented set of challenges. Opioid users are particularly vulnerable because of their high level of pre-existing health problems and lifestyle factors. In order to minimise their risks to self and to others in the current Covid-19 crisis, the service has sought to urgently identify vulnerable individuals, and induct them into OST treatment promptly. Additionally, several guidelines have been created and regularly updated by the HSE for any healthcare staff working with opioid users. These include guidance documents, to facilitate prompt induction of patients onto the OST programme, the prescribing of naloxone to all patients at risk of overdose, eConsultation, medication management for those in self-isolation, and the delivery of injecting equipment. The guidance documents and resources will provide a template for a new way of working for the sector during these challenging times and into the future.

Predicting Outcome in Public Addiction Services Using Data Collected During Routinely Assessment Procedures

2015 ◽  
Vol 14 (4) ◽  
pp. 410-423 ◽  
Author(s):  
Pierpaolo Congia ◽  
Maria Germana Orrù ◽  
Mercedes Masia ◽  
Elisabetta Muscas ◽  
Sebastiana Manca
Keyword(s):  
Addiction Services ◽  
Predicting Outcome ◽  
Using Data ◽  
Assessment Procedures

scholarly journals Availability of Illegal Drugs During the COVID-19 Pandemic in Western Germany

2021 ◽  
Vol 12 ◽  
Author(s):  
Norbert Scherbaum ◽  
Udo Bonnet ◽  
Henning Hafermann ◽  
Fabrizio Schifano ◽  
Stefan Bender ◽  
...  
Keyword(s):  
Drug Consumption ◽  
Illegal Drugs ◽  
Novel Psychoactive Substances ◽  
Psychoactive Substances ◽  
Addiction Services ◽  
Public Areas ◽  
Single Subjects ◽  
Western Germany ◽  
Low Threshold ◽  
Substance Related Disorders

Background: In response to the COVID-19-pandemic, a lockdown was established in the middle of March 2020 by the German Federal Government resulting in drastic reduction of private and professional traveling in and out of Germany with a reduction of social contacts in public areas.Research Questions: We seek evidence on whether the lockdown has led to a reduced availability of illegal drugs and whether subjects with substance-related problems tried to cope with possible drug availability issues by increasingly obtaining drugs via the internet, replacing their preferred illegal drug with novel psychoactive substances, including new synthetic opioids (NSO), and/or by seeking drug treatment.Methods: A questionnaire was anonymously filled in by subjects with substance-related disorders, typically attending low-threshold settings, drug consumption facilities, and inpatient detoxification wards from a range of locations in the Western part of Germany. Participants had to both identify their main drug of abuse and to answer questions regarding its availability, price, quality, and routes of acquisition.Results: Data were obtained from 362 participants. The most frequent main substances of abuse were cannabis (n = 109), heroin (n = 103), and cocaine (n = 75). A minority of participants reported decreased availability (8.4%), increased price (14.4%), or decreased quality (28.3%) of their main drug. About 81% reported no change in their drug consumption due to the COVID-19 pandemic and the lockdown. A shift to the use of novel psychoactive substances including NSO were reported only by single subjects. Only 1–2% of the participants obtained their main drug via the web.Discussion: Present findings may suggest that recent pandemic-related imposed restrictions may have not been able to substantially influence either acquisition or consumption of drugs within the context of polydrug users (including opiates) attending a range of addiction services in Germany.

De-addiction Services in India

2015 ◽  
pp. 405-416 ◽  
Author(s):  
S. K. Mattoo ◽  
S. M. Singh ◽  
S. Sarkar
Keyword(s):  
Addiction Services

Supporting People Who Experience Co-Existing Mental Health and Addiction Problems

2016 ◽  
pp. 251-270
Author(s):  
Ashley Koning ◽  
Suzette Janet Poole
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Workforce Development ◽  
Support Services ◽  
International Research ◽  
Poor Health ◽  
Addiction Services ◽  
Barriers To Implementation ◽  
The Impact ◽  
National Approach

Meeting the needs of people with co-existing mental health and addiction problems is a challenge faced by many mental health and addiction services and providers. A compounding factor has been the separation of mental health and addiction services which has meant that many people with co-existing mental health and addiction problems have fallen through the cracks between services or had issues not recognized or responded to, leading to poor health outcomes. This chapter describes the approach taken by New Zealand's workforce development centers to support services to improve responsiveness and workforce capability to work with people with co-existing mental health and addiction problems. International research on implementation is briefly summarized before discussion about the impact of the national approach and the barriers to implementation that have emerged. Recommendations for next steps conclude this chapter.

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