Canada’s Low-Risk Alcohol Drinking Guidelines were originally published by CCSA in November 2011 and were the result of the work of alcohol research experts in Canada. Since then, substantial new research on the association between alcohol use and physical, mental and social harms has been completed. Many countries have updated their guidance on drinking to reflect these advancements in what is known about the risks and benefits associated with alcohol consumption.
The report is composed of three documents: the Public Summary, the Technical Summary and the Technical Report.
Gallefoss, L.J., Gabrielsen, K.B., Haugland, S.H. et al. Effects of a brief pre-admission telephone reminder on no-show and dropout rates in substance use disorder treatment: a quasi-experimental study. Subst Abuse Treat Prev Policy 17, 61 (2022). https://doi.org/10.1186/s13011-022-00489-9
Background
Appointment no-show and early dropout from treatment represent major challenges in outpatient substance use disorder treatment, adversely affecting clinical outcomes and health care productivity. In this quasi-experimental study, we examined how a brief reminder intervention for new patients before their first appointment affected treatment participation and retention. No-shows (not attending any sessions) and dropouts (discontinuation of initiated treatment because of three consecutively missed appointments) were compared between a period with pre-admission telephone calls...
Fuente: López-Muciño, L. A., García-Torres, I. A., Acosta-Hernández, M. E., & García-García, F. (2022). ¿Cómo influye la falta de sueño sobre la conducta adictiva?. Revista Médica de la Universidad Veracruzana, 21(1), 57-66. FRAGMENTO Introducción En su Tractatus Theológico-Politicus, Baruch Spinoza...
Kools, N., Dekker, G.G., Kaijen, B.A.P. et al. Interdisciplinary collaboration in the treatment of alcohol use disorders in a general hospital department: a mixed-method study. Subst Abuse Treat Prev Policy 17, 59 (2022). https://doi.org/10.1186/s13011-022-00486-y
Background
In somatic health care settings, interdisciplinary collaborations (where various disciplines work coordinated and interdependently toward shared goals) are considered to yield higher team effectiveness than multidisciplinary approaches (where various disciplines work in parallel within their professional boundaries). Nonetheless, research on multidisciplinary techniques for the treatment of alcohol use disorder (AUD) in hospitalised patients is limited since these approaches are relatively uncommon. The purpose of this study is to evaluate a novel multidisciplinary AUD treatment...
Mpanza, D.M., Govender, P. & Voce, A. Perspectives of service providers on aftercare service provision for persons with substance use disorders at a Rural District in South Africa. Subst Abuse Treat Prev Policy 17, 60 (2022). https://doi.org/10.1186/s13011-022-00471-5
Background
Aftercare programs for people with substance use disorders (PWSUD) are frequently challenged with a number of overlapping obstacles, including uncertain policy consequences and a lack of resources. Despite demographic variety, service providers in South Africa are obligated to offer aftercare programs that effectively reintegrate people with PWSUD into society, the workforce, family, and community life, as specified by Act No. 70 of 2008. Little is known about the availability of aftercare services in South Africa, particularly in rural areas. This paper investigates service...
Source: Beaudoin FL, Jacka BP, Li Y, et al. Effect of a Peer-Led Behavioral Intervention for Emergency Department Patients at High Risk of Fatal Opioid Overdose: A Randomized Clinical Trial. JAMA Netw Open. 2022;5(8):e2225582. doi:10.1001/jamanetworkopen.2022.25582 Key Points Question Can peer-led...
أطلقت منظمة الصحة العالمية دراسة استقصائية حول تقييم الحواجز والعوامل التمكينية وإجراءات القرصنة لتحسين الوصول إلى المورفين للاستخدام الطبي. يمكن لجميع منظمات المجتمع المدني المساهمة عن طريق ملء الاستبيان قبل 31 أغسطس 2022.
الاستطلاع متاح بجميع لغات الأمم المتحدة ال 6 لمشاركة أصحاب المصلحة المعنيين:
الغرض من المسح هو :
جمع المعلومات عن الأوضاع الراهنة بشأن حصول المرضى المحتاجين على المورفين وغيره من المواد الأفيونية القوية في البلدان؛
تحديد حواجز النظام الرئيسية والعوامل التمكينية للحصول على المورفين من منظور النظام الصحي؛ و
إعطاء الأولوية للإجراءات المحتملة لتحسين الوصول إلى المورفين...
Source: https://www.addictionpolicy.org/_files/ugd/079eb6_79b39cf8a965462ab9aaed8e9bd9faf1.pdf About the Report Addiction Policy Forum’s (APF) Patient Experiences Journey Map was developed through the input of patients in treatment and recovery from substance use disorder (SUD). The map...
Hirchak, K.A., Amiri, S., Kordas, G. et al. Variations in national availability of waivered buprenorphine prescribers by racial and ethnic composition of zip codes. Subst Abuse Treat Prev Policy 17, 41 (2022). https://doi.org/10.1186/s13011-022-00457-3
Background
Opioid overdose remains a public health crisis in diverse communities. Between 2019 and 2020, there was an almost 40% increase in drug fatalities primarily due to opioid analogues of both stimulants and opioids. Medications for opioid use disorder (MOUD; e.g., buprenorphine) are effective, evidence-based treatments that can be delivered in office-based primary care settings. We investigated disparities in the proportion of national prescribers who have obtained a waiver issued to prescribe MOUD by demographic characteristics.
Johnson, B., Flensburg, O.L. & Capusan, A.J. Patient perspectives on depot buprenorphine treatment for opioid addiction – a qualitative interview study. Subst Abuse Treat Prev Policy 17, 40 (2022). https://doi.org/10.1186/s13011-022-00474-2
Background
Recently developed buprenorphine depot injections have the potential to reduce risk for diversion and misuse, and to increase adherence with fewer visits for supervised intake. However, it is unclear how patients perceive this new form of medication. The purpose of this study was to explore patients’ experiences of depot injections and their reasons for continuing, discontinuing, or declining depot injection treatment.
Methods
We conducted semi-structured qualitative interviews with 32 people, 14 of whom had ongoing depot injection treatment, 11 who had discontinued depot...
Turuba, R., Amarasekera, A., Howard, A.M. et al. A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada. Subst Abuse Treat Prev Policy 17, 43 (2022). https://doi.org/10.1186/s13011-022-00456-4
Background
Substance use among youth (ages 12–24) is troublesome given the increasing risk of harms associated. Even more so, substance use services are largely under utilised among youth, most only accessing support when in crisis. Few studies have explored young people’s help-seeking behaviours to address substance use concerns. To address this gap, this study explored how youth perceive and experience substance use services in British Columbia (BC), Canada.
Methods
Participatory action research methods were used by partnering with BC youth (under the age of 30) from across the province...
Rempala, H.A., Barterian, J.A. Neurofeedback for opioid dependent patients in an outpatient setting: a pilot feasibility study. Subst Abuse Treat Prev Policy 17, 28 (2022). https://doi.org/10.1186/s13011-022-00458-2
خلفية
عند استخدامه مع علاجات أخرى لاضطرابات تعاطي المخدرات ، تم تصنيف الارتجاع العصبي (NF) على أنه "فعال على الأرجح" ، وفقا لبحث حديث في مجتمع الأشخاص الذين يعانون من اضطراب استخدام المواد الأفيونية. على الرغم من هذه النتائج المشجعة ، وشدة أزمة المواد الأفيونية ، وارتفاع خطر الانتكاس حتى مع العلاج الأكثر فعالية بمساعدة الأدوية ، لا يزال NF خيارا علاجيا غير مدروس كثيرا. يتم فحص إمكانية دمج Alpha / Theta Neurofeedback في علاج إدمان المواد الأفيونية القياسي في مرفق علاج حضري للمرضى الخارجيين في هذه الورقة. كان الهدف من الدراسة هو تكرار الدراسات الحديثة من إيران التي أظهرت أن NF يمكن أن يساعد...
Latest quality standard published sets out how health and care services can improve the diagnosis, assessment, and prevention of foetal alcohol spectrum disorder (FASD).
Pregnant women are given advice throughout pregnancy not to drink alcohol.
Pregnant women are asked about their alcohol use throughout their pregnancy, and this is recorded.
Children and young people with probable prenatal alcohol exposure and significant physical, developmental, or behavioural difficulties are referred for assessment.
Abreu Minero, V., Best, D., Brown, L. et al. Differences in addiction and recovery gains according to gender – gender barriers and specific differences in overall strengths growth. Subst Abuse Treat Prev Policy 17, 21 (2022). https://doi.org/10.1186/s13011-022-00444-8
Background
The necessity of a gendered understanding of recovery is becoming increasingly evident. There have been reports of gender disparities in the character and amount of substance use, the paths to and through substance use disorder, and the acquisition and maintenance of recovery capital. There is virtually little study on the elements that influence recovery capital growth by gender.
Methods
The current study examines certain categories of the Strengths and Barriers Recovery Scale (SABRS) that best predict recovery capital growth among people in recovery from drug addiction using...
Watson, D.P., Staton, M.D., Grella, C.E. et al. Navigating intersecting public health crises: a qualitative study of people with opioid use disorders' experiences during the COVID-19 pandemic. Subst Abuse Treat Prev Policy 17, 22 (2022). https://doi.org/10.1186/s13011-022-00449-3
Background
The long-running opioid epidemic and the more recent COVID-19 pandemic are two interrelated events with major public health implications for people who use opioids (OUD). The majority of studies on the interaction of these two public health concerns have employed pre-existing data to focus on community, state, or national patterns. Complementary qualitative research is needed to determine how persons with opioid use disorder (OUD) comprehend, experience, and navigate this unique period. The current study investigates people with OUD's perceptions and experiences as they negotiated...
Harker, N., Johnson, K., Erasmus, J. et al. COVID 19—impact on substance use treatment utilization and provision in South Africa. Subst Abuse Treat Prev Policy 17, 15 (2022). https://doi.org/10.1186/s13011-022-00446-6
خلفية
أثرت جائحة مرض فيروس كورونا 2019 (COVID-19) على الأشخاص الذين يعانون من اضطرابات تعاطي المخدرات (SUDs) في جميع أنحاء العالم. كان الغرض من هذه الدراسة هو التحقيق في التغييرات في عدد حلقات علاج SUD المقدمة خلال ذروة الوباء ، بالإضافة إلى تصورات مقدمي علاج SUD لتأثير القيود المتعلقة ب COVID-19 على الأشخاص المصابين ب SUDs وتقديم خدمات علاج SUD في جنوب إفريقيا.
أساليب
استخدمنا البيانات الإدارية التي تم جمعها كجزء من مشروع شبكة علم الأوبئة المجتمعية في جنوب إفريقيا بشأن تعاطي المخدرات (SACENDU) لتقييم ما إذا كان عدد حلقات العلاج قد تغير خلال ذروة قيود COVID-19. استخدمنا بيانات من استطلاع...
Ojeda, M.S., Chen, A.M.H., Miracle, T. et al. HealthCare educational differences in pain management, adverse childhood experiences and their relationship to substance use disorder education. Subst Abuse Treat Prev Policy 17, 10 (2022). https://doi.org/10.1186/s13011-022-00436-8
اختار المدعي العام لولاية أوهايو خبراء من عدد من المجالات الأكاديمية للجنة العلمية للوقاية من المواد الأفيونية والتعليم (SCOPE) لمساعدة ولاية أوهايو في معالجة أزمة المواد الأفيونية في الولايات المتحدة. ينصب تركيز SCOPE على تطبيق المبادئ العلمية في تطوير استراتيجيات الوقاية والتعليم للحد من اضطراب تعاطي المخدرات (SUD). كان تعليم SUD للعاملين في مجال الرعاية الصحية أحد مجالات اهتمام SCOPE الرئيسية. كان الهدف من الحاضر هو تحديد المحتوى ومدى تدريب المتخصصين في الرعاية الصحية في المستقبل على إدارة الألم ، و SUD ، وتجارب الطفولة السلبية (ACEs).
Farhadian, N., Karami Matin, B., Farnia, V. et al. The prevalence of people who inject drugs among those with HIV late presentation: a meta-analysis. Subst Abuse Treat Prev Policy 17, 11 (2022). https://doi.org/10.1186/s13011-022-00439-5
Early detection of Acquired Immune Deficiency Syndrome allows infected people to use prophylaxis against opportunistic infections and beginning immediate treatment for secondary complications. People who receive treatment benefit from increased social support and, more crucially, change their behaviour to prevent the virus from spreading to others. One of the most major methods of HIV transmission is through medication injections, and this group is responsible for the spread of HIV since they are ignorant of their illness. The coexistence of HIV and other opportunistic infections and illnesses...