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Based on a detailed analysis of the reports on unsatisfactory education and provision otherwise subject to reassessment, which have been the outcome of the English quality assessment system since 1993. Analysis is based on the full text of the reports and not simply on a scrutiny of the conclusions and recommendations of the assessors. Examines both the original report and that on the subsequent re‐assessment. Wider than any previous analysis, therefore, and able to comment in some detail on the action taken to address assessors’ concerns and to redress problems of quality. Builds on earlier research by focusing on the action taken by higher education institutions to redress problems identified by assessors, and the extent to which the assessment method as operated by HEFCE has been effective in securing improvements in provision. Analyses the action taken by institutions in response to assessors’ judgements of unsatisfactory provision, reviews briefly the extent of unsatisfactory provision and its characteristics by subject and institution type before turning to a consideration of the evidence of remedial action and enhancement.

The aim of this paper is to examine the temporal sequencing of methamphetamine use and the onset of mental health problems among a sample of dependent methamphetamine users.

The study used a self‐reported timeline method to examine the sequencing of first use, regular use and problematic use of methamphetamine and mental health issues among 126 users with lifetime dependence.

The majority of the sample (69 per cent) reported previous mental health diagnosis or treatment. Of this sample, 22 per cent reported mental health problems prior to their first use of methamphetamine and 72 per cent reported mental health problems after first use of methamphetamine (with the rest around the same time or unsure). On the timeline, mental health symptoms were first indicated around a year after first regular use of methamphetamine and around the same time as problematic use. Respondents identified a lag time of five years between first problematic use of methamphetamine and seeking treatment for methamphetamine‐related problems, but those that received mental health treatment engaged in methamphetamine treatment earlier.

Among this sample, mental health problems coincided with problematic methamphetamine use (rather than any use) suggesting prevention efforts may be better directed at preventing transition to heavy use or use of potent forms or injecting, rather than directed at prevention of uptake. On this basis, stepped care might be appropriate for methamphetamine users.

Despite a substantial research literature establishing the link between methamphetamine use and mental health problems, little is known about the order of onset and the implications of this for treatment. This is one of the few studies specifically investigating the temporal sequencing of methamphetamine use, mental health symptoms and treatment seeking among a sample of dependent methamphetamine users.