A5009698494- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Mental Health and Patient Involvement
- Crime, Illicit Activities, and Governance
- Cannabis and Cannabinoid Research
- Forensic Toxicology and Drug Analysis
- Pharmaceutical Economics and Policy
- Prenatal Substance Exposure Effects
- Maternal Mental Health During Pregnancy and Postpartum
- Psychedelics and Drug Studies
- Health Systems, Economic Evaluations, Quality of Life
- Community Development and Social Impact
- Spam and Phishing Detection
- Healthcare Policy and Management
- Pain Management and Opioid Use
- Gambling Behavior and Treatments
- Cybercrime and Law Enforcement Studies
- Healthcare Systems and Reforms
- Hip and Femur Fractures
- Neurotransmitter Receptor Influence on Behavior
- Medicinal Plant Extracts Effects
- Geriatric Care and Nursing Homes
- Medication Adherence and Compliance
European Monitoring Centre for Drugs and Drug Addiction
2013-2024
King's College London
2008-2015
NHS Lanarkshire
2010
University of the West of Scotland
2010
Abstract Introduction and Aims Sociological work on social capital its impact health behaviours have been translated into the addiction field in form of ‘recovery capital’ as construct for assessing individual progress a recovery journey. Yet there has little attempt to quantify capital. The aim project was create scale that assessed Design Methods Initial focus group identified tested candidate items domains followed by data collection from multiple sources enable psychometric assessment...
The study investigates what 'recovery' means for those who describe themselves as in alcohol or drug recovery.The project used multiple methods-snowballing, recruitment through recovery groups and advertisements local press-to recruit 205 people (107 98 heroin recovery) reported a lifetime dependence on and/or heroin; had not their primary substance the last year perceived to be either recovered recovery. They were interviewed by researchers using structured questionnaire current paper...
To quantify changes in (i) potency (concentration of Δ9 -tetrahydrocannabinol; %THC), (ii) price (euros/g cannabis) and (iii) value (mg THC/euro) cannabis resin herbal Europe.Repeated cross-sectional study.Data collected from 28 European Union (EU) member states, Norway Turkey by the Monitoring Centre for Drugs Drug Addiction.Outcome variables were potency, Europe, 2006-16. Inflation was estimated using Harmonised Indices Consumer Prices. Mixed-effects linear regression models used to...
Abstract Background The lack of an agreed international minimum approach to measuring cannabis use hinders the integration multidisciplinary evidence on psychosocial, neurocognitive, clinical and public health consequences use. Methods A group 25 expert researchers convened discuss a framework for standards measure globally in diverse settings. Results expert‐based consensus upon three‐layered hierarchical framework. Each layer—universal measures, detailed self‐report biological...
Despite evidence of the effectiveness injectable opioid treatment compared with oral methadone for chronic heroin addiction, additional cost is considerable, and cost-effectiveness uncertain.To compare supervised optimised refractory addiction.Multisite, open-label, randomised controlled trial. Outcomes were assessed in terms quality-adjusted life-years (QALYs). Economic perspective included health, social services criminal justice resources.Intervention costs over 26 weeks significantly...
The COVID-19 pandemic and the response to have resulted in an increase sales activity levels on darknet markets during first 3 months of 2020, mainly related cannabis products. One key question is whether more people will become used this form purchasing their drugs they continue with it post lockdown. As one-to-one encrypted communication services or social media apps are increasingly being used, monitoring interdiction much challenging.
Substance misuse during pregnancy may result in harm to both mother and child. The aims of this study were assess changes outcomes women seen by a specialist perinatal addictions outreach service (1989-1991 versus 2002-2005) compare the local hospital maternity population (2004-2005). A cross-sectional audit health-care records was conducted comparing 2002-2005 with earlier data from 1989-1991 attended 126 women, whom 83% opioid-dependent started/continued opioid maintenance treatment. Of...
In both Scotland and England, the current drug strategies (HM Government, 2008; Scottish 2008) have demonstrated a clear commitment to an integrated recovery-oriented model of treatment for problems, which represents significant change in focus toward more person-centered individualized philosophy delivery United Kingdom. This has met with some resistance from range professionals Kingdom, purpose article is make explicit these concerns objections, classify them, examine their foundations. A...
There is a growing literature that seeks to evaluate the role of “recovery capital” in resolution substance use disorders. In this study, structured instrument (the Assessment Recovery Capital), along with an assessment social networks among 176 former illicit drug users and drinkers, measured three locations England. were relationships between recovery capital vocational activity (training or employment), physical health, psychological overall quality life, larger associated enhanced...
Aims The Randomized Injectable Opioid Treatment Trial (RIOTT) compared supervised injectable heroin (SIH) and methadone (SIM) with optimized oral (OOM) (ISRCTN0133807). Heroin addicts (previously unresponsive to treatment) made significant reductions in street use at 6 months when treated SIH. We now examine secondary outcomes. Design Multi-site randomized controlled trial (RCT) comparing SIH versus OOM SIM OOM. Setting Three opiate clinics England. Participants Chronic refractory continuing...
This review summarises the different motivational frameworks that are commonly applied to study of substance misuse and explores potential a comprehensive conceptualisation motivation based on self-determination theory (SDT). The most prominent conceptualisations change amongst misusing patients identified. Defining measuring concept within sound theoretical framework has been challenge. literature lends little support as internal external types. Promising work employs dynamic model...
Drug misuse in pregnancy is a complex public-health problem with potentially serious adverse effects for the mother, fetus and extending to developing child. Early detection by screening of all pregnant women those planning pregnancies should be priority. This article focuses on management illicit drug use pregnancy. The assessment user needs sensitively explore use, psychiatric physical comorbidity, social family circumstances individual. impact any dependent children crucial part...
(2011). Recovery Group Participation Scale (RGPS): Factor Structure in Alcohol and Heroin Populations. Journal of Groups Addiction & Recovery: Vol. 6, from the United Kingdom, pp. 76-92.
The study was based on a peer snowballing method involving members of service users group in Birmingham, United Kingdom, who were asked to identify and interview their networks had achieved "sustained recovery" one year. Two hundred nineteen individuals recruited defined themselves as being recovery, consisting 132 medication maintained recovery 87 abstinent recovery. Those more anxious about using heroin lower self-efficacy, worse physical health, poorer quality life, still using. Being...
This article examines the academic sources and origins of "recovery movement" in drugs field United Kingdom considers a series disparate evidence that have been applied used this regard. Only two these originate traditional addictions materials—treatment outcome cohort studies—with remaining studies reviewed coming from range other areas. In particular, include switch focus specialist treatment clinic to community, therapeutic more broadly social. The framework for approach is explicitly...
Abstract This study employs a developmental model (CitationHser, Longshore, & Anglin, 2007) for mapping alcohol- and drug-using careers, following in the tradition of work done by CitationBlomqvist (1999). Based on rolling sample 269 former alcohol heroin addicts, initially reported Best, Ghufran, Day, Ray, Loaring (2007), this article examines differences trajectories careers among problem substance users reasons achieving maintaining desistance, based three groups: primary drinkers (n =...
Abstract Introduction and Aims The study investigates patients' pre‐treatment expectations of, post‐treatment satisfaction with, supervised injectable opiate treatment delivered within UK's first such clinics the R andomised I njectable O piate T reatment rial ( RIOTT ) ISRCT N0133807). Design Methods Data were collected from 127 chronic heroin addicts recruited to randomised receive (heroin or methadone) optimised oral maintenance at in L ondon, D arlington B righton. Results Of patients,...