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June 25, 2004

United Nations World Drug Report 2004

(Source:'United Nations World Drug Report 2004 presents an in-depth look into Global Trends' : UN Information Service, 25 Jun 2004)

Approximately three per cent of the world population (185 million people) have abused drugs during the previous 12 months, according to the United Nations Office on Drugs and Crime (UNODC). A small percentage of the world population abuses cocaine (13 million people) or opiates (15 million abusers of heroin, morphine and opium). By far the most widely abused substance is cannabis (used at least once a year by over 150 million people), followed by the amphetamine-type stimulants – ATS (38 million users, among them eight million users of ecstasy). These figures were presented today by UNODC in a two-volume World Drug Report. The first volume covers market trends and provides in-depth trend analyses while the second volume compiles detailed statistics on the worldwide drug market

June 15, 2004

Drugnet Europe 46

Drugnet Europe 46 Full Text

June 04, 2004

Integrated Care Pathways Guide 5: Community Detoxification

Source: Effective Interventions Unit, Scottish Executive
This, the fifth ICP Guide, offers an outline pathway, providing information to inform consistent evidence-based practice in the planning and delivery of community-based drug detoxification. The Guide may be accessed on the Scottish Executive website.

Women and Alcohol – Factsheet 2

Source: Alcohol Concern, UK
This fact sheet examines how much women are drinking, recent trends in women’s drinking and focuses on the key issues relating to women’s drinking In the last 20-30 years the issue of women’s alcohol consumption has become a concern for both researchers and practitioners in the alcohol field. This interest reflects the changing social and economic roles of women and related patterns of consumption. The fact sheet may be accessed on the Alcohol Concern website.

May 31, 2004

Methadone dose and methadone maintenance treatment

(Source:'NTA Briefing documents on methadone treatment ' : National Treatment Agency for Substance Misuse, UK, 31 May 2004)

Decisions about the dose of methadone to be used for methadone maintenance treatment, and how practitioners and services make these decisions for individual service users, are crucial questions for effective management of care. Adequately high methadone doses for individual need, as well as responsive and flexible individualised decisions on dosing, may be key factors that may assist practitioners in achieving improved outcomes. This briefing looks at the evidence relating to these issues. It may be accessed on the National Treatment Agency website

Enhancing outcomes of methadone maintenance treatment with counselling and other psychosocial and ‘ancillary’ services

(Source:'NTA Briefing documents on methadone treatment ' : National Treatment Agency for Substance Misuse, UK, 31 May 2004)

It has been found that the more successful methadone treatments are those that reflect a good organisational management, through providing a range of services that maximise the effectiveness of methadone and can improve client outcomes. These include counselling and other psychosocial interventions and provision of ‘ancillary’ services. This briefing focuses on the evidence demonstrating the importance of this range of provision. It may be accessed on the National Treatment Agency website

Engaging and retaining clients in drug treatment

(Source:'NTA Briefing documents on methadone treatment ' : National Treatment Agency for Substance Misuse, UK, 31 May 2004)

This research summary suggests that practitioners and services have a wide range of responses available to minimise poor engagement and retention. The research suggests that low retention figures should appropriately lead to a review of the attitudes and characteristics of the service among other factors. The simple assumption that such problems are only due to poorly motivated drug users is difficult to sustain. This briefing paper looks at the evidence relating to these issues and at particular approaches aimed at improving engagement and retention in treatment. It may be accessed on the National Treatment Agency website

May 20, 2004

Alcohol abuse under-reported

(Source:'Alcohol misuse twice as common as drug abuse' : Medicine Weekly, p. 21, 20 May 2004)

A recent paper published by the Health Research Board reveals that, in the Southern and South Eastern Health Board areas, those treated for alcohol abuse outnumber those treated for drug abuse. Co-author of the report, Dr Jean Long, said that because it was not the policy to treat people with alcohol problems in an acute hospital setting, much of the data recorded to date failed to reveal the extent of the problem and under-estimated the workload of addiction services. A PDF version of the full report is available on the Health Research Board website at www.hrb.ie

Briefing paper: 'Young people, cannabis and family life'

(Source:' 'Young people, cannabis and family life'' : Daily Dose, 20 May 2004)
This briefing paper (No. 14) from the Centre for Research on Families and Relationships (CRFR) at the University of Edinburgh reports on a study of the role of cannabis in young people's lives during their early teenage years. The study took place in 2000/2001 during a heated public debate about cannabis de-regulation that raised questions about the likely impact of such a change on young people’s behaviour. Interviews explored the cannabis-related beliefs and behaviour of young people aged 13-15 in the context of their everyday lives. For a copy of this paper, visit the UK government drug website

May 19, 2004

Report on UK 'Getting into Gear' programme

(Source:'Final Report on Research to Improve the Take-up of the ‘Getting into Gear’ Programme' : Daily Dose, 19 May 2004)

Getting into Gear’ (GIG) is a programme run by West Lothian Drug and Alcohol Service. The programme was set up in April 2001 and funded for three years. It targets unemployed former and stabilised drug and alcohol users aged 16 to 40 years. It aims to help them take the first steps to move on in life towards education, training or employment, or to provide them with structure and a routine. The Final Report on Research to Improve the Take-up of the ‘Getting into Gear’ Programme has been published. The aim of this research was to find out why the numbers of referrals and students starting or completing the GIG programme have been lower than anticipated and to identify ways of attracting more students and increasing participation rates. The Report is available on the Drug Misuse Information Scotland website

May 11, 2004

Drugs in Focus 12: Evaluation of the European Union's strategy and action plan (2000-2004)

Issue No 12; 'Evaluation of the European Union's strategy and action plan (2000-2004)'
Download news release. Download Drugs in Focus

May 05, 2004

NIDA celebrates 30 years of achievement

(Source:'Special Supplement: Advancing the frontiers of drug abuse research:NIDA celebrates 30 years of achievement' : National Institute on Drug Abuse, USA, 05 May 2004)

In the last 30 years, NIDA has replaced myth and misperceptions about drug abuse with scientific understanding of the true nature of drug addiction. With an annual budget approaching $1 billion NIDA supports intramural and extramural research on all aspects of drug abuse and addiction. Full text of the Special Supplement is available on the NIDA website at: http://www.drugabuse.gov/PDF/nidanotes/NIDA30th.pdf

May 01, 2004

Research paper reveals extent of alcohol use in south

(Source:'Study shows extent of alcohol misuse' : Irish Times, p. 5, 01 May 2004)

A paper on drug and alcohol use in the Southern and South Eastern Health Board regions, published by the Health Research Board, reveals that twice as many people in the areas investigated were treated for alcohol misuse as for all other drugs combined. The numbers rose steadily in both areas; increasing from 1,010 in the south-east in 2000 to 1,498 in 2002; in the southern region the numbers increased from 719 in 2000 to 1,160 in 2002. The incidence was highest in Co Carlow and lowest in counties Cork and Wexford. The paper also reports an increase between 2000 and 2002 in the number of women and girls seeking treatment, and signs that alcohol misuse problems are affecting people at a younger age. In both health boards, 40 per cent of those reporting problem alcohol use had been treated previously. Overall, about one in five of those seeking treatment reported using at least one other drug in addition to alcohol. The authors said the gathering of data on alcohol use was beneficial as it indicated the magnitude of the problem to healthcare managers. The report concludes: ‘The data presented here will also permit planners to rank alcohol alongside other public health priorities in the population and to allocate appropriate resources to its treatment. The report may be viewed on the Health Research Board website at: www.hrb.ie

April 30, 2004

Report on selective prevention in the European Union and Norway

'Report on selective prevention in the European Union and Norway'. This report is a commented compilation of country reports prepared by experts in a survey carried out between April and June 2003. Download report

April 29, 2004

Effective Interventions Unit: Reducing the impact of local drug markets: A research review

(Source:'Scottish Executive: Effective Interventions Unit, ' : Daily Dose, 29 Apr 2004)

This report from the Scottish Executive reviews existing evidence on the effectiveness of interventions to reduce the impact of low-level markets and describes some current examples of work in Scotland. It draws on a review of existing international research literature and EIU ‘fact-finding’ visits to nine local areas in six Scottish forces. It will be of interest to police managers, drug and alcohol action team members and officers, and drug agencies who could, or already do, work in partnership with the police in tackling local drug markets. The full report is available at: http://www.scotland.gov.uk/library5/health/eiuldm-00.asp

April 27, 2004

Latest service evaluation guide from Scottish Executive


(Source:'Evaluation Guide 13: Supporting families and carers of drug users' : Daily Dose, 27 Apr 2004)

The purpose of this, the thirteenth Evaluation Guide from the Effective Interventions Unit of the Scottish Executive, is to provide a framework for measuring the success of services provided to families and carers of drug users (and is also useful for evaluating services supporting families of people affected by alcohol problems). It should be read by anyone commissioning, planning, developing, providing and evaluating such services. It follows the publication of the review ‘Supporting Families and Carers of Drug Users (EIU 2002). The full series of guides is available at: http://www.drugmisuse.isdscotland.org/eiu.htm

Latest issue of 'Update' from UK Treatment Agency

(Source:'Update, Issue No. 5 – April 2004 ' : Daily Dose, 27 Apr 2004)

The National Treatment Agency for Substance Misuse (NTA) in the UK has published the latest issue of Update – Issue No. 5, April 2004. In the Agency’s words, this publication is ‘designed to keep you informed about our work, and promote a dialogue between us and our commissioners, service providers, service users and the communities we serve and to which we belong’. The current issue reports on the results of a survey of stakeholders that reveals progress in the quality and quantity of drug treatment services and suggests future focus for the NTA. Update, Issue No. 5, is available on the NTA website at: http://www.nta.nhs.uk/publications/update5.htm

April 21, 2004

Citywide says government must learn from heroin epidemic in order to fight increasing cocaine use

Source:'Heroin lessons not learned in cocaine war' : Northside People East, p. 4, 21 Apr 2004

A recent survey conducted by Citywide has shown that 25 out of 27 projects that combat drug use have clients reporting for cocaine use. Ana Quigley, co-ordinator of Citywide has said that the government should not let the cocaine problem escalate to the levels of heroin use and that lessons must be learned from dealing with heroin in Ireland. “People in local communities should ask questions of all their local election candidates about their party’s commitment to dealing with this issue. The survey findings illustrate the significant levels of availability and use of cocaine right across Dublin city and indicate some of the consequences for users, projects, families and communities”, said Ms Quigley. “The survey clearly shows that community drug projects are already trying to respond to the problem, as community projects have always tried to respond to the reality of what is happening on the ground. Some 80 per cent of the projects are attempting to provide some level of service for cocaine users and this is placing huge pressure on existing services, already affected by cutbacks. They have clearly identified the need for more training and resources and these must be made available immediately”, she added.

Citywide launch family support handbook

Source:'Families get a hand on drug abuse' : Northside People East, p. 4, 21 Apr 2004

Citywide Family Support Network have released a handbook for families dealing with drug abuse. The handbook was launched in the Mansion House and was attended by Lord Mayor Royston Brady. Citywide was set up in 1995 to bring together people in the most disadvantaged communities across Dublin city who are dealing with the devastating impact if drug abuse. The handbook will provide contact details of existing family support groups and services. Citywide can be contacted at 01 8365090 or 01 8365039 and is also available for consulation in the National Documentation Centre on Drug Use.

April 19, 2004

Prisoners' views of injecting drug use and harm reduction in Irish prisons

Prisoners' views of injecting drug use and harm reduction in Irish prisons
International Journal of Drug Policy 15 (2): 139-149
Jean Long , Shane Allwright, and Cecily Begley
Full Text

April 17, 2004

Foróige policy on drugs released

Source:'Offaly Foróige leaders look ahead with new handbook' : Offaly Independent, p. 11, 17 Apr 2004

Foróige has launched a policy and guidelines document on tobacco, alcohol and drugs. The handbook is intended for Foróige leaders and will be used in preventing drug-related harm among Foróige members. Fiona O’Connor, Foróige Project Officer on Drugs Misuse Prevention said she hoped leaders of the organisation would use it regularly. “We want it to be very much a real document”, she said. The handbook fits in with the National Council of Foróige Policy statement, “working with the context of the philosophy and purpose of the organisation, staff and leaders will seek to prevent drug related harm among all young people involved in Foróige’s work”.

Copies of the guidelines are available for consultation in the National Documentation Centre on Drug Use.

April 02, 2004

Merchants Quay report highlights health problems for drug-using women

Source:'Major hep C risk shown for female addicts' : Irish Times, p. 10, 02 Apr 2004

Research carried out by Merchants Quay Ireland has shown that hepatitis C is a major health risk for women who use heroin. The results, published today in Pieces of the Jigsaw investigated the health of 17 heroin-using women. It showed that 14 of 15 women tested had hepatitis C antibodies in their bloodstream and that more than two thirds were homeless. Just under a quarter of those interviewed had attempted suicide. Director of Merchants Quay Ireland, Mr Tony Geoghegan, called on the government to establish public education programmes for drug users and to provide more extensive needle-exchange services, as well as facilities that would promote healthier injecting practices among homeless people.

April 01, 2004

Drugnet 45

Drugnet 45 (EMCDDA, April 2004)

March 31, 2004

‘Collecting the evidence: Clients’ views on drug services’

(Source: Daily Dose, 31 Mar 2004)

A report on a consultation survey of clients’ views on drug services was released on 30 March 2004 by Addaction, the UK drug and alcohol treatment charity. ‘Collecting the evidence; Clients’ views on drug services’, gives a revealing insight into the lives, opinions and backgrounds of people who misuse drugs and alcohol and who have sought help for their problems. The publication is described as ‘a comprehensive and disturbing report based on one of the largest samples collected of clients’ views and experiences. It highlights what has worked successfully and what has not worked so well in the continuing delivery of drug and alcohol treatment.’ The full report may be accessed at:
http://www.addaction.org.uk/Collecting%20the%20evidence2.pdf

March 09, 2004

Health statistics: Key data on health 2002

Health statistics: Key data on health 2002
Luxembourg: Office for Official Publications of the European Communities, 2002
ISBN 92-894-3730-8. Press Release Full Text

March 08, 2004

Children Attending Addiction Treatment Services in Dublin, 1990-1999

Children Attending Addiction Treatment Services in Dublin, 1990-1999. Smyth, B.P., O'Brien, M. European Addiction Research 2004;10:68-74 Full Text

March 05, 2004

Study Finds Alcohol Treatment Medication, Behavioral Therapy Effective For Treating Cocaine Addiction

Source:'Study Finds Alcohol Treatment Medication, Behavioral Therapy Effective For Treating Cocaine Addiction' : http://www.sciencedaily.com 05 Mar 2004

Results of a study funded by the National Institute on Drug Abuse (NIDA), National Institutes of Health, suggest that disulfiram, a medication used to treat alcohol addiction, is effective in combating cocaine abuse. The researchers also conclude in the same study that combining disulfiram with behavioral therapy provides more positive results in treating cocaine dependence than disulfiram in combination with another form of therapy. The research is published in the March 2004 issue of the Archives of General Psychiatry. Read More

March 04, 2004

European report on drug consumption rooms

European report on drug consumption rooms.EMCDDA 2004

March 03, 2004

Annual Report of the International Narcotics Control Board 2003

Full Text
Print edition available from the NDC

Press Release
Annual Report of the International Narcotics Control Board Focuses on Relationship between Drug Abuse, Crime and Violence at Community Level

VIENNA, 27 February (UN Information Service) -- The impact of drug abuse on crime and violence at the community level is the main focus of the 2003 Annual Report of the Vienna-based International Narcotics Control Board (INCB), to be released here on 3 March 2004.

The macro level political and security implications of transnational organized crime syndicates dealing in drugs has been recognized by the international community for some time. In this year’s Report, the Vienna-based INCB -- an independent quasi-judicial body of thirteen experts monitoring compliance with the international drug control treaties -- also urges Governments to give special attention to micro-trafficking -- i.e. community level drug abuse and related crime.

“At this level, drug abuse is often linked with antisocial behaviour such as delinquency, crime, and violence and has negative consequences for individuals, families, neighbourhoods and communities that need to be addressed by the international community and individual governments,” INCB President Philip O. Emafo points out.

While the Board clarifies that most crime related to drug abuse is non-violent and petty, it stresses that the impact of illicit drugs, crime and violence is highly damaging to local communities at the micro-social level.

“The very fabric of society is challenged by the continued presence in communities of drug-related crime. Communities that suffer disproportionate levels of violent drug-related crime also suffer from higher levels of other criminality and the disruption to civil society associated with it,” says the Board.

The relationship between violence and illicit drug abuse is highly complex and has to be examined keeping a range of factors in mind. The Report maintains that a demonstrable link to violence and crime exists in that some drug addicts resort to violence either to fund their habits or indeed as a result of the psycho-pharmacological impact of some illicit drugs. However, based on controlled laboratory-based experiments, INCB stresses that it is very difficult and misleading to suggest a direct causal link between violence and illicit drug ingestion. This link has to be examined with reference to culturally and socially situated factors, that, in turn, influence an individual’s behaviour.

The INCB calls on Governments to implement comprehensive, community-based drug demand reduction policies, paying special attention to drug abuse prevention in combination with a range of social, economic and law enforcement measures. These should include: creating a local environment that is not conducive to drug dealing and micro-trafficking; supporting local efforts at employment and licit income generation; educational programmes targeting socially marginalized groups; and integrated as well as targeted intervention work with risk groups. The Board also notes that programmes need to be sustainable in the long term in order to generate the desired impact.

Harm Reduction

Harm reduction policies have previously been addressed by the Board. In the current Annual Report the Board once again “calls on Governments which intend to include “harm reduction” measures into their demand reduction strategy, to carefully analyse the overall impact of such measures. These may sometimes be positive for an individual or for a local community while having far-reaching negative consequences at the national and international levels.”

In reaction to specific harm reduction measures such as the establishment and/or operation of drug injection rooms the Board points out that “the operation of such facilities remains a source of grave concern” and “reiterates that they violate the provisions of the international drug control conventions.”

Cyber Trafficking

The Report also draws attention to a continued increase in cyber trafficking of pharmaceutical products containing internationally controlled substances. Internet pharmacies, which can operate from any part of the world, play a major role in the increasing illicit supply of pharmaceutical products containing narcotic drugs and psychotropic substances. Illegally operating Internet pharmacies do not require a doctor’s prescription or just offer on-line or telephone consultations.

Citing uneven and lax implementation of laws governing the Internet, the Board urges Governments to take a more proactive stand. To support legal action Governments should ensure that the offer for illicit trafficking and the diversion of pharmaceutical products containing narcotic drugs or psychotropic substances via the Internet are established as criminal offences.

The Board also points to the dangerously widespread perception that misuse and abuse of pharmaceutical products is not as harmful as the abuse of illicitly manufactured drugs. The Board therefore, notes with concern that the judiciary in many countries still does not attribute adequate severity to diversions and trafficking of licit controlled substances.

Essential Drugs Inadequate for Pain Relief

In keeping with its task of monitoring and ensuring that an adequate supply of narcotic drugs exists for licit medical purposes, the INCB warns that the availability and consumption of some essential narcotic drugs, particularly opioids, which are used for pain treatment, including palliative care, remains extremely low in many countries worldwide.

The Board has identified that the low availability of certain types of medicine can be related to at least three different factors. First, unnecessarily strict rules and regulations have created an impediment for providing adequate access of populations to certain controlled drugs in some countries. Second, the negative perception about controlled drugs among medical professionals and patients in many countries has limited their rational use. Third, lack of economic means and insufficient resources for health care has resulted in inadequate medical treatment, including the use of narcotic drugs.

The current global production is ample enough to meet a significant increase in the demand for narcotic drugs for the world population. The Board encourages manufacturing countries, in cooperation with the pharmaceutical industry, to explore ways to make narcotic drugs, in particular opioids, used for the treatment of pain, more affordable for countries with scarce financial resources and low levels of consumption.

Chemical Control

In the Report, INCB calls upon all governments concerned to join forces in combating the problem of Amphetamine-Type Stimulants (ATS) abuse through Project Prism, a worldwide operation to prevent diversions of “precursor” chemicals which traffickers need for clandestine manufacture of ATS. Project Prism is designed to give governments the capacity to address the ATS problem. It has a two-pronged approach: preventing illicit manufacture of the substances by stopping traffickers from obtaining the chemicals they require, and, identifying and dismantling the laboratories where such manufacture already takes place, by using a variety of law enforcement investigative techniques, such as controlled deliveries.

Regional operations were started under the umbrella of Project Prism in January 2003. In particular, law enforcement investigations have been initiated for interceptions in Europe of amphetamine and Ecstasy precursors, and in the Americas for methamphetamine precursors, to track the sources of the chemicals and to prosecute those responsible for the diversions.

These activities reinforce the existing tracking programmes, which were introduced by INCB a decade ago, to prevent diversions of methamphetamine precursors from licit international trade. Project Prism also follows the launches of Operation Purple in 2001 and Operation Topaz in 2002 which focused on the control of the chemical precursors for cocaine and heroin.

Regional Highlights

Despite the armed intervention and the political change in Afghanistan and the fight against terror, illicit cultivation of and trafficking in opiates has grown which may result in more political instability. Opium cultivation in Afghanistan continued on an even larger scale in 2003.

As a result of two years of bumper crops of opium poppy in Afghanistan, it is expected that heroin trafficking along the Balkan route and through Eastern Europe will continue to increase -- this may also lead to the reversal of the declining trends in the abuse of heroin in Western Europe.

More widespread cultivation and abuse of cannabis in Europe combined with a relaxation of controls might counteract required efforts to eradicate illicit cultivation and combat trafficking in Europe and elsewhere in the world.

Information gathered from conflict-stricken countries, in particular the Central African Republic, the Côte d’Ivoire and Liberia, indicates that arms and ammunitions used by rebel groups and criminal organizations may have been partially procured with the proceeds of illicit drug trafficking.

The increased focus on the political threat of the drug problem has led many South American Governments to devote an ever-increasing proportion of their limited resources to reducing illicit drug supply, including by the eradication of illicit crops, the interdiction of drug trafficking and the introduction of measures against money-laundering.

Abuse of prescription drugs in the United States continues and is exacerbated by the unlawful selling of narcotic drugs and psychotropic substances by online pharmacies from within and outside the United States. Between 1995 and 2002, there was a 163 per cent increase in the number of emergency-room visits linked to the abuse of narcotic pain medication.

* *** *

For further information please contact:

INCB
Tel: 00-43-1-26060-4163
Web address: www.incb.org

or

UNIS
Tel: 00-43-1-26060-4666
Web address: www.unis.unvienna.org

March 01, 2004

Guidelines on Developing an Alcohol & Drug Policy for your Workplace

Guidelines on Developing an Alcohol & Drug Policy for your Workplace (Western Health Board, 2003) Full Text

Report of the Inspection of Wheatfield Prison by the Inspector of Prisons and Places of Detention 2003 -2004

This report notes that whilst the Governor of Wheatfield states that they have two Drug Free Units, the prison is not without illegal drugs. Prisoners are regularly found to have received drugs while on visits. Drugs and Alcohol are also smuggled into the prison in a number of different ways. Action is taken by the prison authorities to
counteract this practice.
Full Text

February 24, 2004

HIV and AIDS Statistics Quarter 1 and 2 2003

HIV and AIDS Statistics Quarter 1 and 2, 2003 Full Text


February 23, 2004

Emerging Drug Phenomena: a European manual on the early information function for emeging drug phenomena

Euro-Trend is a project involving seven european countries, whose purpose is to develop a common model of an Early Information Function for Emerging Drug Phenomena. This function should allow to identify and understand early changes in drug uses or new drugs more quickly than by using standard monitoring systems. A bilingual manual (english/french) was issued in 2003.
Full Text

February 17, 2004

Primary Concern, Issue 6 (Spring 2004)

Primary Concern is the Primary Care & Alcohol Information Service quarterly newsletter to help keep primary care professionals up to date on the latest alcohol issues and initiatives relating to primary care (Alcohol Concern, UK)
Full Text

February 16, 2004

The impact of heroin dependence on long-term robbery trends

Chilvers M and Weatherburn D. (2003) The impact of heroin dependence on long-term robbery trends. NSW Bureau of Crime Statistics and Research Full Text
This study reports the results of a time series analysis of the relationship between heroin use and robbery over the period 1966 to 2000 in NSW. A statistically significant relationship was found between these two variables, controlling for other potential causes of the increase in robbery, such as rising unemployment rates for males, a decreased likelihood of apprehension by police for robbery crimes, and a reduction in the likelihood of imprisonment for robbery. Using the time series modelling results, the elasticity between dependent heroin use and robbery was estimated; a 10 per cent decrease in the annual number of heroin dependent users resulted in a 6 per cent decrease in robbery. The paper concludes on the basis of this and other evidence that policies designed to encourage more heroin users into methadone treatment or increase the price of heroin are likely to prove helpful in reducing or limiting the growth in robbery.

February 12, 2004

NIDA Notes Vol 18 No 6

NIDA Notes Vol 18 No 6

February 11, 2004

Examining the Injecting Practices of Injecting Drug Users in Scotland

Description The aim of the study was to examine the injecting practices of Scottish injecting drug users to a degree of detail not previously achieved in the UK. The specific focus was practices that could potentially facilitate the transmission of HCV infection. Risk practices other than the direct sharing of needles and syringes were of special interest as these are not so well understood. (Scottish Executive - Effective Interventions Unit, 2004)
Full Text

February 10, 2004

Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland

Specialized drug liaison midwife services for pregnant opioid dependent women in Dublin, Ireland. Scully M; Geoghegan N; Corcoran P; Tiernan M; Keenan E. J Subst Abuse Treat 2004 Jan;26(1):329-35
The health needs of pregnant opioid dependent women are increasingly being recognized by health care professionals. These women generally receive limited antenatal care. Maternal and neonatal outcomes are also poorer compared to non-drug using women. The number of pregnant opioid dependent women accessing drug treatment services in the Irish Republic has increased. A specialist Drug Liaison Midwife service was created in March 1999 to liaise between the three Dublin Maternity hospitals and the Drug Treatment Services. This paper surveys the first year of operation of one of these posts. It documents sociodemographic background, substance use, and medical histories of these women in addition to maternal and neonatal outcomes. Higher maternal methadone dose was associated with an increased risk of neonatal withdrawals among these women. The experience of this specialist liaison service indicates that it is possible to build effective working relationships between opioid dependent pregnant women and the Obstetric and Drug services involved in their care. This has resulted in benefit to these women, their children and the Irish Health Care system. Full Text

Prison and Homelessness: from a cell to the street

by Louise Mc Cann, published by the Council for Research and Development, a Commission of the Irish Bishops’ Conference, November 2003. Full Text

Alcohol Use Disorders Identification Test (AUDIT) Guidelines for Use in Primary Care

AUDIT was developed by the World Health Organisation, and is a highly effective screening tool for alcohol misuse problems (Alcohol Concern, UK).
Full Text

Brief Intervention for Hazardous and Harmful Drinking, A manual for use in primary care

Brief interventions have proven to be effective and have become increasingly valuable in the management of individuals with hazardous and harmful drinking, thereby filling the gap between primary prevention efforts and more intensive treatment for persons with serious alcohol use disorders. Brief interventions also provide a valuable framework to facilitate referral of severe cases of alcohol dependence to specialized treatment. The manual is produced by the World Health Organisation (Alcohol Concern, UK). Full Text

February 03, 2004

Needs Assessment: A Practical Guide to Assessing Local Needs for Services for Drug Users

This guide describes the needs assessment process step-by-step, and gives examples of how to do a needs assessment for specific areas of work (Drug Misuse Information Scotland, UK) Full Text

January 27, 2004

Key findings from the drug use careers of offenders (DUCO) study

This paper examines the illegal drug using and criminal careers of participants in the Drug Use Careers of Offenders (DUCO) project. DUCO surveyed 2,135 adult male offenders who were incarcerated in prisons in Queensland, Western Australia, Tasmania, and the Northern Territory in mid 2001 (Australian Institute of Criminology) Full Text

January 26, 2004

The Little Book of Women And Alcohol

The Little Book of Women And Alcohol (Department of Health 2003)
Full Text

January 23, 2004

Alcohol and drug use amongst young attenders to A & E

Alcohol and drug use amongst young attenders to A & E. IMJ Vol 96 Number 10 Nov/Dec 2003.
Full Text

High morbidity expected from cirrhosis in injecting drug users.

High morbidity expected from cirrhosis in injecting drug users. IMJ Vol 96 Number 10 Nov/Dec 2003 Pages 303-305.
Full Text

January 21, 2004

Drugs in Focus

Issue No 10 'Drug use amongst vulnerable young people'
Published by the EMCDDA 2003
Full Text

January 15, 2004

Community-based drug prevention programmes from EDDRA

This paper presents the results of a qualitative analysis on 80 community-based prevention programmes in the EDDRA database. Full Text