Little research has been carried out on the links between drug misuse and domestic violence. This article attempts to address this gap by presenting key findings and…
Abstract
Little research has been carried out on the links between drug misuse and domestic violence. This article attempts to address this gap by presenting key findings and recommendations from research carried out by Perpetuity Research and Consultancy International Ltd in the West Midlands exploring the links between substance misuse and domestic violence
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The purpose of this paper is to critically regard the concept of recovery from the perspective of substance misusing offenders. It intended to understand how these individuals…
Abstract
Purpose
The purpose of this paper is to critically regard the concept of recovery from the perspective of substance misusing offenders. It intended to understand how these individuals came to define recovery by asking “what does recovery mean to you?”
Design/methodology/approach
In total, 35 semi-structured interviews were undertaken with individuals with a history of heroin and crack cocaine use as well as convictions for a range of offences. Interviews took place in both prison and community settings, reflecting a spectrum of experience.
Findings
Whilst the constellation of recovery varied, it was at times made up of the same “stars” – and some re-occurring themes emerged; recovery was transient, fragile and unpredictable, it was ongoing, lacking a definitive end, it was more than abstinence and often involved a total psychological overhaul, recovery was about reintegrating with society and feeling “normal”.
Practical implications
Practitioners and services need to value the individual interpretations of recovery rather than being prescriptive around what it “should” look like. The components of recovery that were raised by participants permit specific recommendations for practice to be made.
Originality/value
This study sought the perspectives of those actually affected by and experiencing drug treatment in the Criminal Justice System. It allowed participants to tell their story without preconceived ideas or hypotheses, putting their voice at the centre of the stage. The study uses feedback from the ground to make informed recommendations for practice.
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The purpose of this paper is to explore whether there are ways in which the preventive strategies used to tackle volatile substance abuse (VSA) can be usefully applied to today’s…
Abstract
Purpose
The purpose of this paper is to explore whether there are ways in which the preventive strategies used to tackle volatile substance abuse (VSA) can be usefully applied to today’s new psychoactive substances (NPS).
Design/methodology/approach
In 2010-2013, with funding from the Big Lottery, Re-Solv, in partnership with St George’s, University of London, and educari, commissioned a re-analysis of both the mortality data relating to VSA and of the legislative and preventative measures taken that may have played a part in the steady downward trend in VSA mortality since. This paper is informed by Re-Solv’s research findings and the papers resulting from it, namely, Ives (2013) and Butland et al. (2013).
Findings
Efforts to reduce the harm from NPS could benefit from a re-examination of preventive approaches to VSA, which have resulted in a downward trend in mortality over the past two decades.
Social implications
There is evidence from past prevention practice which could be relevant and applied to present day concerns about drugs and substances not previously available or used.
Originality/value
This is the first paper to explore how learning from VSA might be applied to NPS and the “legal highs” of today.
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This paper proposes a model for a dual diagnosis service within a male local prison. Dual diagnosis can be considered usual rather than exceptional within the establishment and…
Abstract
This paper proposes a model for a dual diagnosis service within a male local prison. Dual diagnosis can be considered usual rather than exceptional within the establishment and indeed within the prison estate. For a variety of reasons, it is found that effective dual diagnosis service delivery represents core business for a range of stakeholders. The dual diagnosis definition preferred is ‘a mental disorder and substance misuse problem in the same person at the same time’. Analysis of the strengths of current service provision and the risks to the development of a new service model are explored through a strengths, weaknesses, opportunities and threats (SWOT) analysis. Current literature and policies inform the model, and it is concluded that a dual diagnosis service can be implemented mostly within existing resources. An implementation schedule highlights one such pathway. Stakeholders were consulted and generally found to be receptive.
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The purpose of this paper is to illustrate the history of relevant legislation before and after the 1971 Misuse of Drugs Act (MDA).
Abstract
Purpose
The purpose of this paper is to illustrate the history of relevant legislation before and after the 1971 Misuse of Drugs Act (MDA).
Design/methodology/approach
A chronological narrative of laws and reports with concluding discussion.
Findings
That UK legislators have not made use of the evidence base available to them and have favoured enforcement rather than treatment approaches. That current UK practice has exacerbated not contain the use of and harms caused by illegal drugs.
Research limitations/implications
The paper does not cover all relevant documents, especially those from non-governmental sources.
Practical implications
The practical implications centre on the failure of consecutive governments to reflect on and review the impact of current legislation, especially on people who use drugs.
Social implications
That the situations of people who use drugs are currently ignored by the government and those proven responses which save lives and reduce harm are rejected.
Originality/value
The paper attempts to show the historical contexts of control and dangerousness of which the MDA is one instrument.
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Justine Trippier and Stephen Parker
This paper explains the service model devised in one London borough to help and support people with dual diagnosis. As well as discussing management, decision‐making and training…
Abstract
This paper explains the service model devised in one London borough to help and support people with dual diagnosis. As well as discussing management, decision‐making and training issues, the authors outline what works, what does not work and what other organisations can learn from their experiences.
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This paper describes the efforts of an academic and practitioners to work together to improve the care of people with a dual diagnosis within one acute mental health care ward…
Abstract
This paper describes the efforts of an academic and practitioners to work together to improve the care of people with a dual diagnosis within one acute mental health care ward. The project was informed by a practitioner action research approach. The group sought to build alliances between academics and practitioners to address problems in practice. The paper focuses on the outcomes for the nurses and trainers, as well as considering its impact on overall care delivery.
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Katalin Ujhelyi, Jerome Carson and Mark Holland
Positive psychology is an area of rapid development in mainstream psychology, yet it has had little impact thus far in the field of dual diagnosis (DD). Effective treatment for…
Abstract
Purpose
Positive psychology is an area of rapid development in mainstream psychology, yet it has had little impact thus far in the field of dual diagnosis (DD). Effective treatment for clients with DD is limited, due to the lack of all-encompassing interventions that treat the two conditions simultaneously. The purpose of this paper is threefold: first, to discover the prevalence of DD among users of selected drug services in Manchester; second, to explore differences between DD clients and those with substance use in hope, resilience, and well-being; and third, to identify predictors of hope, resilience, and well-being in this population.
Design/methodology/approach
The Snyder Hope Scale, the Connor-Davidson Resilience Scale, and the Short Warwick-Edinburgh Mental Well-being Scale were administered to 113 users of drug services through a convenience sampling method.
Findings
Findings from this preliminary investigation indicated that the DD group were more vulnerable as they were less hopeful, less resilient, and had poorer well-being than their counterparts.
Practical implications
This population of clients might benefit from specialized integrated treatment facilitating hope and resilience, which in turn would improve their well-being.
Originality/value
The present study addresses a gap in the literature. Although the above positive psychological aspects have been looked at in relation to mental health, and in relation to addiction, the current research explores these positive dimensions with regard to the co-occurrence of substance abuse and mental illness.
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– The task of keeping Britain’s workplaces free from the risks associated with recreational drugs has been a long and challenging one for HR professionals and line managers.
Abstract
Purpose
The task of keeping Britain’s workplaces free from the risks associated with recreational drugs has been a long and challenging one for HR professionals and line managers.
Design/methodology/approach
Expertise and research carried out by Synergy Health Laboratory Services.
Findings
A no-tolerance approach to drug misuse within the workplace – even one enforced through random testing – should not be seen as draconian because, after all, the safety of colleagues, customers and others is as much at stake as the safety of the individual concerned or indeed the reputation of the company.
Originality/value
With properly drafted policies and robust processes, employers can safeguard themselves and their employees straight away from the risks posed by illicit substances.
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The purpose of this paper is to summarise the findings from two projects in Northern Ireland which investigated the feasibility of adapting an existing adult intervention, the…
Abstract
Purpose
The purpose of this paper is to summarise the findings from two projects in Northern Ireland which investigated the feasibility of adapting an existing adult intervention, the 5-Step Method, for children affected by parental substance misuse and/or parental mental illness. The structured brief psychosocial intervention is called Steps to Cope and can be delivered as an individual or group intervention.
Design/methodology/approach
The two projects recruited and trained 57 practitioners from across Northern Ireland, 20 of whom went on to use the Steps to Cope intervention with a total of 43 children.
Findings
It appears possible to adapt the intervention for children; to train practitioners, some of whom are able to use the intervention with one or more children; and for the intervention to benefit children in line with the five steps of the intervention targeting areas such as health, feelings, information, coping, support, and resilience. However, there are organisational and practical barriers to delivery which need to be overcome for the intervention to be more widely implemented.
Originality/value
Steps to Cope is a unique intervention for this population and the findings discussed here suggest that the model has potential in an area where support for children in their own right is lacking.