A5088068762- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Substance Abuse Treatment and Outcomes
- Prenatal Substance Exposure Effects
- Mental Health Treatment and Access
- Homelessness and Social Issues
- Crime, Illicit Activities, and Governance
- COVID-19 and Mental Health
- Alcoholism and Thiamine Deficiency
- Forensic Toxicology and Drug Analysis
- Art History and Market Analysis
- Health Systems, Economic Evaluations, Quality of Life
- Anesthesia and Sedative Agents
- Pharmaceutical industry and healthcare
- Pharmacovigilance and Adverse Drug Reactions
- Copyright and Intellectual Property
- Healthcare Policy and Management
- Child and Adolescent Psychosocial and Emotional Development
- Library Science and Administration
- Pharmaceutical Economics and Policy
- Early Childhood Education and Development
- Christian Theology and Mission
- Cannabis and Cannabinoid Research
- Intellectual Property and Patents
- Wildlife Conservation and Criminology Analyses
Faculty of Public Health
2022-2024
London School of Hygiene & Tropical Medicine
2021-2024
University of Bristol
2020-2024
UNSW Sydney
2023
Royal Society of Tropical Medicine and Hygiene
2022
Public Health England
2020
Stanford Medicine
2009
The UK is in the midst of a drug-related crisis.1Holland A Stevens Harris M et al.Analysis Government's 10-year drugs strategy—a resource for practitioners and policymakers.J Public Health. 2023; 45: e215-e224Crossref Scopus (5) Google Scholar Likely contributory factors include: disinvestment drug treatment, harm reduction, public services; changing patterns socioeconomic deprivation; increasing poly-drug use; an ageing cohort people who use heroin.1Holland crisis has not reached scale that...
Abstract Background and aims Xylazine is a non‐opioid sedative which has spread rapidly throughout the US illicit drug supply. This study aimed to describe of xylazine UK Methods detections in human biological samples were collated from toxicology laboratories operating United Kingdom with date, location, case type, concentration co‐detected drugs (with quantifications where performed) detailed, permitted, by corresponding coroner. Drug‐testing cases positive for Welsh Emerging Drugs...
People who inject drugs (PWID) are a high-risk group for COVID-19 transmission and serious health consequences. Restrictions imposed in the UK response to pandemic led rapid housing service alterations. We aimed examine PWID experiences of: 1) challenges relating public measures; 2) changes opioid substitution therapy (OST) harm reduction services; 3) perceived effects of on drug use patterns risk behaviour.Telephone semi-structured interviews were conducted with 28 Bristol, Southwest...
BackgroundIn many countries, the average age of people who use illicit opioids, such as heroin, is increasing. This has been suggested to be a reason for increasing numbers opioid-related deaths seen in surveillance data. We aimed describe causes death among opioids England, how have changed over time, and they change with age.MethodsIn this matched cohort study, we studied patients Clinical Practice Research Datalink recorded opioid (defined aged 18–64 years, prescriptions or clinical...
In 2021, during a drug-related death crisis in the UK, Government published its ten-year drugs strategy. This article, written collaboration with Faculty of Public Health and Association Directors Health, assesses whether this Strategy is evidence-based consistent international calls to promote public health approaches drugs, which put 'people, human rights at centre'. Elements are welcome, including promise significant funding for drug treatment services, effects will depend on how it...
Abstract Background People who use illicit opioids are more likely to be admitted hospital than people of the same age in general population. Many admissions end discharge against medical advice, which is associated with readmission and all-cause mortality. Opioid withdrawal contributes premature discharge. We sought understand barriers timely provision opioid substitution therapy (OST), helps prevent withdrawal, acute hospitals England. Methods requested policies on substance dependence...
In response to the drug related death crisis in UK, more than 80 prominent medical, academic, and third sector organisations have called for introduction of pilot overdose prevention centres (also consumption rooms).1Faculty Public HealthFPH lead cross-sector call UK.https://www.fph.org.uk/news-events/fph-news/fph-lead-cross-sector-call-to-pilot-overdose-prevention-centres-in-the-uk/Date: Dec 12, 2021Date accessed: January 17, 2022Google Scholar The government, however, has repeatedly...
People who use drugs face entrenched stigma, which fosters shame, restricts service access, and exacerbates inequalities. The of mass media in anti-stigma interventions offers an opportunity to challenge stigmatising attitudes at scale. There are, however, inconsistencies messaging approaches used interventions, how authors conceptualise measure 'stigma'.
<ns3:p>Background Opioid substitution therapy (also known as ‘opioid agonist therapy’ or ‘medication treatment of opioid use disorder’) is associated with improved health and social outcomes for people who heroin other illicit opioids. It typically managed in the community not always continued when are admitted to hospital. This causes withdrawal, patient-directed discharge, increased costs. We establishing a project called iHOST (improving hospital therapy) address these problems. an...
In Putumayo, a jungle borderland in southern Colombia, thousands of farmers derive their livelihood from the cultivation and processing coca leaf, exposing themselves to fertilizers, pesticides, other toxic chemicals on daily basis. this article, we show how growers' relationship with health risks which they are exposed, politically institutionally structured. We discuss specific impact anti-narcotics policy broader context deep inequalities document emergent adaptive day-to-day attempts...
In this paper, we show how the materialisation of chemical harms linked to cultivation coca and its processing into paste reside in a wider politics structural violence which is also situated ecologically. Drawing on qualitative interview accounts farmers Putumayo, Colombia, attend practices care field laboratory. We look first at chemicals used coca's (herbicides, fertilizers, pesticides), second (such as sulphuric acid, sodium carbonate, magnesium permanganate) leaf (before sold for...
Abstract Background Drug-related deaths in the UK are at highest level on record—the war drugs has failed. A short film been produced intended for public and professional audiences featuring academics, representatives of advocacy organisations, police policymakers outlining problems with, highlighting alternative approaches to, drug policy. range ethical arguments alluded which distilled here greater depth interested viewers a wider academic readership. Main body The is seemingly driven by...
<ns3:p>Background Opioid substitution therapy is associated with improved health and social outcomes for people who use heroin other illicit opioids. It typically managed in the community not always continued when are admitted to hospital. This causes opioid withdrawal, discharge against medical advice, increased costs. We establishing a project called iHOST (improving hospital therapy) address these problems. an applied research which we will develop evaluate intervention that aims improve...
Management of opioid withdrawal in hospital settings is crucial to improve treatment completion and health outcomes among patients who use opioids, such as heroin. Evidence-based clinical guidelines can support responsive provision substitution therapy (OST). In England there no standardised application guidance for substance dependence management across National Health Service (NHS) Hospitals. A recent review NHS policies identified varying approaches managing procedural barriers timely...
The studyHarris M, Holland A, Lewer D, et al. Barriers to management of opioid withdrawal in hospitals England: a document analysis hospital policies on the substance dependence. BMC Med 2022;20:151.To read full NIHR Alert, go to: https://evidence.nihr.ac.uk/alert/many-hospital-policies-create-barriers-to-good-management-of-opioid-withdrawal/.
Abstract An increasing number of scholarly voices challenge the balance between incentives and deadweight losses created by intellectual property rights. In their book Against Intellectual Monopoly (2008), Boldrin Levine) move beyond pragmatic calls to fine-tune scope rights question very premises quid pro quo underlying system. this brief essay, we contemplate effects removing traditional copyright protection. We draw upon available literature in economic theory scholarship examine likely...
Abstract Background People who inject drugs (PWID) are at increased health risk in a pandemic due to their greater susceptibility severe disease and as consequence of the restrictions put place halt spread infection. Harm reduction (HR) services, which aim reduce negative effects drug use on health, likely be diminished pandemic. However, innovative HR interventions messaging may also develop response such crisis. It is vital understand most effective ways deliver situations so that guidance...
A recent graduate reflects on becoming involved in a socially aware and progressive profession. This involvement leads to conclusion that Christian librarians can share professional activities despite having distinct motivations.