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DDN 050516

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[…] that all drug users should be treated in primar y care.’ 6 Cover story Getting a grip on dual diagnosis DDN looks at how joint problems of mental health and substance misuse are often filed away as too difficult to deal with. Turning Point and Rethink offer a useful starting point. Mike Ward shares lessons […]

Mental health is in crisis – time to act

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Mental health is in crisis – more so for people from minority groups. How do we reach them before they drown? DDN reports from the Minority Mental Health conference ‘There is outrageous discrimination against people with mental health problems… there is an absolute moral imperative on all of us to do something about the […]

DDN 050516

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[…] that all drug users should be treated in primar y care.’ 6 Cover story Getting a grip on dual diagnosis DDN looks at how joint problems of mental health and substance misuse are often filed away as too difficult to deal with. Turning Point and Rethink offer a useful starting point. Mike Ward shares lessons […]

PDF Version

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[…] DDN Kim Johnson is servibe boordinator of Pathways to Rebovery at Helping Groups to Grow bpril 2012 |  drinkanddrugbnewb | 17 www.drinkanddrugsnews.com Treatment|b Dual diagnobib ‘Programme facilitators report that they experience leading  the programme as "a shared journey" with the clients, and although hard work – emotionally and physically – at times, it can bring about change in a way often not seen in other areas of everyday practice.’ ‘ride up and over the wave’ of the craving, and group participants told us they found this approach helpful when they felt overwhelmed by cravings. ‘Urge surfing – a dreadful expression but no matter! – I have found this useful for controlling my alcohol intake and (somewhat to my surprise) in some situations when trying to control my other addiction (nicotine),’ reported one.  The coping strategy that – alongside urge surfing – received the most positive feedback from group members is the opportunity to devise their own ‘flash cards’.  An effective relapse prevention tool in both substance misuse and  mental health practice, a personalised card with a motivational sentence, meaningful photograph or picture of a specific goal helps people stay focused on their values and plans for the future, and can help them return to their goals in the event of a lapse. ‘I used coping strategies –  got  cards out after a slip, which was alcohol not drugs,’ reported one member. ‘The best thing was my motivation cards,’ commented another. Although sometimes reticent about joining a group, members tell us that the experience of being with other people who share similar issues is a key part of their recovery journey. The key working sessions were also felt to be essential, as was the focus on mental health, which many saw as a unique aspect of the programme. ‘Regarding the key working sessions; I cannot speak highly enough of them,’ a service user commented. ‘Whilst I admit to having found them very hard work at the outset, these sessions very rapidly clarified my understanding of a particular concept and reinforced the learning of the group session.’ Another spoke about ‘meeting people which made me think I am not on my own.’  Programme facilitators report that they experience leading the programme as ‘a shared journey’ with the clients, and although hard work – emotionally and physically – at times, it can bring about change in a way often not seen in other areas of everyday practice. When group members complete the programme, the same assessment measures used in the brief assessment are repeated and they receive an updated lifestyle balance profile comparing their initial scores with the new outcomes in a visual format. This is a powerful motivator – it can be difficult to notice things changing for the better, but a picture, scale or graph presents improvements very clearly. The lifestyle profile of one group member who felt they had never achieved much at school showed them and others that they had ‘done well’, allowing them to experience positive recognition for the first time in their lives.  […]

DDN May2021

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[…] firyst- habd views ob drug treatmebt, turb to p22. We asked for feedback abd we got it! IN THIS ISSUE ON THE COVER: A fresh approach to mental health 12 Faces of Naloxone awareness INSIDE 4 NEWS Drug control a ‘disaster’; violence of Europe’s drug trade 1b BETTER PRACTICE Learning from the doctor-patient relationship 11 […]

DDN0206

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[…] been set up to promote and support the concept of recovery, and the government has promised that treatment will be better integrated with wider social care, housing, mental health and education services among others. There would also be ongoing multi-agency training to help identify children at risk at an early stage, and better sharing of […]

DDN090209

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[…] attempt by scientists to persuade the House of Lords to block reclassification (DDN, 1 December 2008, page 5). The move is in response to concerns about the mental health of users and the effects of ‘skunk’, says the Home Office. Those caught with cannabis for the first time are likely to receive a warning, while […]

DDN051212

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[…] 20 00 05 5 COMING OF AGE Adfam celebrates its 21st birthday LEGAL EAGLE War on drugs report from the US OPEN DOOR POLICY Alcohol treatment and mental health w ww ww w. .d dr ri in nk ka an nd dd dr ru ug gs s. .n ne et t TIME FOR REFLECTION News […]

DDN_October_2023

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[…] is a self-funded independent publication. Our bespoke partnership packages provide an opportunity to work closely with the magazine. Please get in touch to find out more. With Mental Health Awareness Day this month, we’re looking at some key areas of support. Our cover story explores moral injury (p6) – an area we haven’t talked about […]

DDNmay10

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[…] HIV/Aids, 50 per cent were dead by middle age. Many other conditions and complications shorten the lives of injecting drug users – hepatitis C, endocarditis, anthrax, overdose, mental health problems, alcoholic cardiomyopathy, liver disease and, increasingly, early pulmonary disorders in excessively heavy smokers are regular features in any practice with a caseload of drug dependent […]

DDN051031

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[…] on the substance use team with the local authority. A brilliant job to say the least. You already have many transferable skills, especially with your knowledge around mental health issues, I am guessing that you will be fantastic around issues relating to dual diagnosis. You are going in the right direction, start looking on the […]

DDN2feb10

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[…] tackle. Yet that’s the task of the UKDPC and partners, as they launch the first phase of a project to understand stigma (page 14). Partnering with the mental health field, housing and young people’s charities is giving an opportunity to put heads together and share experience. As daunting as the prospect of changing public opinion […]

DDN250906

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[…] Scottish youth theatre gives drugs lessons •Obituar y: Una Padel •News in brief 4 Features Cover story Dual challengeSeeing the obstacles that substance misuse clients with a mental health problem face to get into treatment, Cliff Hoyle and Brendan Georgeson set about designing their dual diagnosis ser vice. 6 Love and baggage William Pr yor […]

PDF Version

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[…] t: 012bb 6b8 528 e: claire@cjwellings.com Assistant Editor: Kayleigh Hutchins t: 012bb 6bb b15 e: kayleigh@cjwellings.com Reporter: David Gilliver e: david@cjwellings.com Advertising Manager: Ian Ralph t: 012bb 6b6 188 e: ian@cjwellings.com Designer: Jez Tucker e: jez@cjwellings.com Publishing Assistant: Annie Hobson e: annie@cjwellings.com Subscriptions: t: 012bb 6bb b15 e: subs@cjwellings.com Website: www.drinkanddrugsnews.com Website maintained by wiredupwales.com Printed on environ mentally friendly paper by the Manson Group Ltd Cover: Kamruzzaman Ratan  CJ bellings Ltd does not accept re spon si bility for the accuracy of state ments made by contributors or advertisers. The contents of this magazine are the copyright of CJ bellings Ltd, but do not necess arily represent its views, or those of its partner organisations. June 2013 |  drinkanddrugbnewb | 3 FEDERATION OF DRUG AND AbCOHOb PROFESSIONAbS For better, for worbe? Will localism be bood for our health? Published by CJ Wellings Ltd,  57 High Street, Ashford,  Kent TN24 8Sb […]

DDN July_August2021

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[…] CAROL BLACK PROFESSOR DAME CAROL BLACK DBE FRCP FMedSci chairs the boards of the Centre for Ageing Better and Think Ahead, the government’s fast-stream training programme for Mental Health Social Workers. She is expert adviser on health and work to NHS England/Improvement and Public Health England and until August 2019 was principal of Newnham College […]

DDNfeb10

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[…] substitute medication) can be up to 12 months.’ Meanwhile a briefing document for people working with heroin users – whether in treatment or other relevant services like mental health, criminal justice, family support or homelessness – has been produced by the Scottish Drugs Forum to help detect early signs of anthrax and ensure people receive […]

DDN051107new2

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[…] Association for the Treatment of Addiction FEDERATION OF DRUG AND ALCOHOL PROFESSIONALS Published by In partnership with News |Round-up www.drinkanddrugs.net 4| drinkanddrugsnews| 5 November 2007 Prisoners with mental health needs, including those with substance misuse problems, are being failed by prison services, according to a new report from HM Inspectorate of Prisons. The mental health […]

DDN_November_2023

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[…] distributing drug strategy funding and implementing new projects resulted in a 14 per cent underspend in 2022-23, and there has also been ‘slower progress in recruiting medical, mental health and other professionals.’ Lack of funding certainty post- 2025 is also restricting the ability of local areas to recruit and plan, the document warns, with some […]

DDN1707

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[…] many as 100,000 lived in households with heavy drinking. ‘Quite rightly, no-one is suggesting that we adopt such proposals for these parents, or those with obesity or mental health issues, or those with serious smoking problems,’ she said. ‘These proposals smack of cynical expediency and a depressing lack of vision.’ Scottish ‘social contract’ proposals fall […]

DDN1905

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[…] POLISH EXPERIENCE Unexpected aUnexpected a cupuncturecupuncture adventures in Eastadventures in East ern Europeern Europe CAN WE TALK?CAN WE TALK? SSubstance misuubstance misu se and mental se and mental health health go head to headgo head to head 19 May19 May 20082008 www.drinkanddrugs.net www.drinkanddrugs.net 19 May 2008 CJ Wellings Ltd, FDAP and WIRED do not accept […]
Mental Health

Mental health in an unequal world

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Photo by Nik Shuliahin on Unsplash Stephen Parker, National Head of Service – Mental Health at Turning Point, discusses the importance of addressing inequality in mental health care. This year’s theme for World Mental Health Day is ‘Mental Health in an Unequal World’. At no time has this been as salient a topic as over […]

DDN060424

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[…] development ONE STEP AT A TIME 12-step recovery with Cocaine Anonymous SAFE AS HOUSES Finding the vulnerable a stable place in society www.drinkanddrugs.net News Round-up Alcohol and mental health links ignored | Glasgow alcohol deaths to double in 20 years |Contact treatment agency honours Cass’s memory |RAPt calls for analysis of treatment outcomes |Food for […]

DDN0312

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[…] past ver y quickly. But it also reminds you of how much headbanging goes on. (Not the heavy metal variety.) Back in July, the Sainsbury Centre for Mental Health published a report that highlighted severe failure to treat dual diagnosis prisoners – the many inmates with both mental health and substance misuse problems – and […]

DDN100907

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[…] drugs by the time they were 30. They were also 30 per cent more likely to have gained no qualifications, 40 per cent more likely to suffer mental health problems and 60 per cent more likely to be homeless. ‘Binge drinking’ was classed as more than two instances of consuming four or more drinks in […]

DDN120307

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[…] been using benzodiazepines to deal with this. Benzodiazepines may also impose a learning defect which impairs an individual from learning or forming new coping strategies to overcome mental health problems. I personally believe that an individ- ual already dependent on benzodia- zepines should be encouraged (but not forced) to withdraw gradually from them, and long-term […]

DDN0405

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[…] changing services for the better by building people’s confidence and competence. Our courses cover: People skills Management skills Training and Presentation Specialist topics – Drugs, Alcohol and Mental Health Book onto our open course programme (see listings opposite – online booking now available), or bring us in to work alongside you to deliver bespoke, tailor-made […]

DDN Sept_2022

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[…] ‘a valuable aspect of the Achieve  offer in supporting the availability  of recovery services  On 13 July, we  announced the positAive findings of  the report at a celebration event at  the Lowry in Salford. We heard from  a range of partners about their  groups and mutual aid. A  As a consultant addiction  psychiatrist, it’s extremely valuable  to be able to refer the service  users I worb with tAo this rich and  wide-ranging networb of sAupport,  at any point throughout receiving  the treatments and psychological  8  •  DRINK AND DRUGS NEWS  •  SEPTEMBER 2022 COMMUNIbY ASSEbS WWW.DRINKANDDRUGSNEWS.COM A chieve is the  community  alcohol and  drug recovery  service for Bolton,  Bury, Salford  and Trafford, led by Greater  Manchester Mental Health NHS  Foundation Trust (GMMH). We  provide support and treatment to  people who are struggling with  addictions, to help them on thAeir  recovery journey. The Achieve contract was  awarded for Bolton, Salford and  Trafford in January 2018, with  Bury joining in SeptembAer 2019.  This was the first cluster contract  outside of London, enabling  the maximisation of resources  at a time of disinvestment and  efficiencies across the sector.  Worbing with non-staAtutory  providers also meant access to  a whole voluntary, community  and social enterprise (VCSE)  community with which Ato partner. We bnow that most people  with addiction problems have been  through traumatic experiences,  and experience associated mental  and physical health problems –  alongside other soAcial problems  such as homelessnessA. It is vital  […]

DDN1401

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[…] whether clients are being consulted, what level of service user insight there is and whether clients’ full range of complex needs – such as drug misuse and mental health issues – are being addressed in a joined-up way. ‘This report is a call to action,’ said Turning Point’s chief executive Lord Victor Adebowale. ‘To get […]

DDN November 2020

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[…] p the only possible spustainable service solution in the lonpb term.’ THE THEME of this year’s Alcohol Awareness Week, which runs from 16-22 November, is alcohol and mental health, includicng ‘the best ways to look after ourselves and those we love during a year of great change and uncertainty’. Around one in four people in […]

DDN050725

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[…] working within a turbulent environment. As we are all aware, sessions with clients may contain disclosures on physical abuse, sexual abuse, child protection issues, self-harm, destructive behaviours, mental health, dual diagnosis, homelessness, domestic violence, indeed there are a myriad of issues, which may be raised. There may also be times when the worker feels compromised […]

DDN2nov09

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[…] the desperate isolation experienced by a family struggling to help their son with multiple problems (page 6). Knocking on the doors of drug and alcohol services, doctors, mental health, social services, the local authority, and learning disability services brought the family nothing but false hope for a short while, until they were packed off to […]

DDN050725

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[…] (ACMD 2002) created a climate in which the Home Secretary could successfully seek the reclassification of cannabis, with an aim of decriminalising its use. Almost inevitably, given its significance for prohibitionists and drug law reformers alike, this decision was highly politicised:with both a small and a large ‘P’.  In practice, the extent to which its decriminalisa- tion was achieved was limited by the introduction ofmore stringent penalties for offences connected with class C drugs and many people have been confused about how the law has changed and how the police should now respond to cannabis use. Nevertheless,in some respects the changes can still be seen as a shift towards a more propor tionate, evidence-based response. Neither the evidence- base nor public opinion isstatic. Good public policyshould be attentive toe volving evidence. Crucially, in the periodfollowing the decision to reclassify cannabis, newBritish and Dutch researchhas been published concerning the drug’spotential role in causing orexacerbating major  mental health problems (notably Arsenault  et al. 2004; Henquet  et al. 2004; Newcombe 2004). This has been accompanied by a series of media stories about the links between cannabis, psychosis andschizophrenia – especially among young people.Attention has also focused on changing cannabis potency and there is continuing interest in the waythat cannabis is policed with respect to both resource utilisation and equity.  Prior to the 2005 general election, the Conservative par ty pledged to reclassify cannabis back to class B, putting pressure on Labour to keep step with efforts to appear equally tough on drugs – a posture that conventional wisdom, rightly or wrongly, says plays well with the electorate. The government’s response was to refer cannabis back to the ACMD for their advice […]

DDN050905

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[…] in the number of crack users in future generations.’ The other impor tant strand in planning ser vices involves recognising the strong link between crack use and mental health problems, and Turning Point recommends closer planning and agreed protocols between substance misuse, dual diagnosis and mental health ser vices. This joint working has never been […]

DDN060410

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[…] so was not yet being used properly. Questions that had to be tackled, included ‘are we locking up the right people? Why so many women, people with mental health problems, young people and foreign nationals?’, she said. Once imprisoned, were we doing enough to ensure interventions would make a difference, to make sure people didn’t […]

Right Place, Right Time

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A stressful year is giving rise to a fresh approach to mental health at Phoenix Futures, as DDN reports. ‘People in treatment are keen to say they’re ok, but a significant amount of people have really struggled over the past year,’ says Phoenix Futures’ chief executive Karen Biggs of more than 12 months in lockdown. […]

DDN2march10

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[…] officially opened by National Addiction Centre director Professor John Strang. As well as inpatient treatment in single sex wards, the Chapman-Barker Unit at the Greater Manchester West Mental Health NHS Foundation Trust offers a range of care options. ‘Units such as these are crucial to ensure those with the most complex needs, including patients with […]

DDN041206

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[…] READERS’ SURVEY Tell us what you think and WIN an iPod 4 december 2006 News Round-upPositive signs for late licensing laws • Dual diagnosis patients stay under Mental Health Act •Drugs ‘more affordable than ever’ •Last chance on DH young people consultation •Joint strategy for Glos alcohol support • Reducing drug-related deaths conference reports •Portsmouth […]

Complete overhaul needed for prison mental health services, says Justice Committee

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‘Root and branch’ reform is needed for prison mental health support, according to a damning report from the UK Parliament’s Justice Committee. Many prisoners have undiagnosed mental health problems and are unable to access care, says Mental health in prison, with the situation likely to get worse without significant reform. The government needs to end […]

DDN080908

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[…] Fifty-four anabolic steroids and five growth hormones have been controlled as class C substances since 1996. Steroid use is associated with a wide range of physical and mental health problems including liver damage, high blood pressure, stroke, paranoia and increased aggression (DDN, 22 November 2007, page 8). ‘With the London 2012 Olympics coming ever closer […]

January14

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[…] ian@cjwellings.com Designer: Jez Tucker e: jez@cjwellings.com Publishing Assistant: Annie Hobson e: annie@cjwellings.com Subscriptions: t: b1233 633 315 e: subs@cjwellings.com Website: www.drinkanddrugsnews.com Website maintained by wiredupwales.com Printed on environ mentally friendly paper by the Manson Group Ltd Cover: Vladimir/iStock CJ Wellings Ltd does not accept re spon si bility for the accuracy of state ments made by contributors or advertisers. The contents of this magazine are the copyright of CJ Wellings Ltd, but do not necess arily represent its views, or those of its partner organisations. January 2014 |  drinkanddrugbnewb | 3 FEDERATION OF DRUG AND AbCOHOb […]

Jan14

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[…] ian@cjwellings.com Designer: Jez Tucker e: jez@cjwellings.com Publishing Assistant: Annie Hobson e: annie@cjwellings.com Subscriptions: t: b1233 633 315 e: subs@cjwellings.com Website: www.drinkanddrugsnews.com Website maintained by wiredupwales.com Printed on environ mentally friendly paper by the Manson Group Ltd Cover: Vladimir/iStock CJ Wellings Ltd does not accept re spon si bility for the accuracy of state ments made by contributors or advertisers. The contents of this magazine are the copyright of CJ Wellings Ltd, but do not necess arily represent its views, or those of its partner organisations. January 2014 |  drinkanddrugbnewb | 3 FEDERATION OF DRUG AND AbCOHOb […]

DDN210507

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[…] at summer music festivals. The Scotsman, 14 May The number of Britons being prescribed antidepress- ants has increased dramatically in recent years despite warnings, from a leading mental health charity, that many patients may not need them. Mind’s report highlights more than 31m prescrip- tions written by doctors for antidepressant drugs last year, with Seroxat […]

DDN 041129

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[…] Scotland, and their effectiveness. www.scotland.gov.uk/librar y5/ health/eiurdr-00.asp Binge-drinking is common tonicResearch by the Priory shows 12m adults self-medicate with alcohol to relieve symptoms of depression and other mental health problems. Sixty per cent of the 2,000 adults interviewed thought it was OK to binge-drink at Christmas and 50 per cent had vomited from drinking too […]

Delivering a blended approach to substance use and mental health provision at New Oakwood...

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[…] Futures, Gabrielle Epstein As Head of Clinical Intervention at Phoenix Futures, Gabrielle Epstein has been at the forefront of developing the approach for blended substance use and mental health provision at New Oakwood Lodge, a new CQC–registered Therapeutic Community, based in Derby. Tell us about New Oakwood Lodge and what needs it is seeking to […]

DDN291104

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[…] Scotland, and their effectiveness. www.scotland.gov.uk/librar y5/ health/eiurdr-00.asp Binge-drinking is common tonicResearch by the Priory shows 12m adults self-medicate with alcohol to relieve symptoms of depression and other mental health problems. Sixty per cent of the 2,000 adults interviewed thought it was OK to binge-drink at Christmas and 50 per cent had vomited from drinking too […]

DDN060327

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[…] net. Many prison staff are unsure what to do with prisoners with dual diagnosis, which means they are often referred to either substance misuse ser vices or mental health because there are few joint ser vices available. Basic needs like diagnosis are often hard to come by, according to staff who spoke out at the […]

DDN120207

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[…] FEDERATION OF DRUG AND ALCOHOL PROFESSIONALS Published by In partnership with The complex issue of dual diagnosis has been tackled through new NHS guidance to help treat mental health patients with drug and alcohol problems. Focusing on care provided in in-patient settings, the document recommends better integration between substance misuse and mental health services. It […]

DDNmarch10

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[…] a lack of information on the problematic use of skunk, despite it being a widely- reported issue. Most young people entering treatment have multiple needs, such as mental health issues, lack of training or employment opportunities, or involvement with the criminal justice system, it says, and young people’s services should not be judged by the […]

DDN060227

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[…] sums of money involved, the topic is highly important. We are interested in the estimated propor tions of good, acceptable and poor quality Tier 3 Services from Mental Health Trusts. We think that the argument can be taken fur ther by considering the management arrangements of substance misuse ser vices within Mental Health Trusts. We […]

DDN1606

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[…] recommendations include improving the quality and range of treatment and support, closer work with community and family networks and better integration of treatment for substance misuse and mental health problems. The report comes as the Scottish Parliament voted through the country’s national drugs strategy (DDN, 2 June, page 4), which states recovery as its main […]

DDNjan10

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[…] getting the evidence in place, to empower others later on to challenge stigma and prejudice towards recovering drug users,’ said UKDPC chief executive Roger Howard. ‘In the mental health, disability and other fields, solid evidence of stigma has provided the bedrock for subsequent campaigns for equality and inclusion.’ News | Round-up 4| drinkanddrugsnews| 18 January […]

DDN0103

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[…] a lack of information on the problematic use of skunk, despite it being a widely- reported issue. Most young people entering treatment have multiple needs, such as mental health issues, lack of training or employment opportunities, or involvement with the criminal justice system, it says, and young people’s services should not be judged by the […]

DDN 050530

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[…] look at the government’s decision to downgrade cannabis from a Class B drug to Class C in March, in response to recent concerns about cannabis use and mental health problems. Recent research has suggested that there may be a link between cannabis use and the risk of psychotic symptoms, provoking Mr Clark’s request. Dr Jenny […]

DDN 050530

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[…] look at the government’s decision to downgrade cannabis from a Class B drug to Class C in March, in response to recent concerns about cannabis use and mental health problems. Recent research has suggested that there may be a link between cannabis use and the risk of psychotic symptoms, provoking Mr Clark’s request. Dr Jenny […]

DDN21sept09

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[…] perspective which communi- cates positive messages about drug treatments,’ says IHRA. Similar guide- lines are already used to prevent sensationalist reporting in the fields of HIV and mental health. Presidential plea The former president of Brazil, Fernando Henrique Cardoso, has added his voice to calls for a drug policy based on harm reduction and decriminalisation. […]

DDN April2021

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[…] to the fact that money sbent on addictions services saves the NHS a whole lot more in the long run, whethert that’s in A&E or in other mental health services. On tob of all this, the bandemic has made a dire situation even worse, as even more young beoble have been left unable to access […]

DDN1128

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[…] be wide and varied – and that’s the joy of it,’ said Ms Davies. Key areas included faith, khat use, sex workers, HIV and Aids, women’s needs, mental health and dual diagnosis, prisoners’ needs and domestic abuse. Community engagement was not about endless research, but about changing national policy, creating regional partnerships and equipping volunteers […]

DDN201106

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[…] qualifications? Should coercion be used to get people into treatment? Do talking therapies work? DDN heard the debates. Opposing the motion: Caroline Frayne, Central and NW London Mental Health NHS Trust It’s important to look at the quality of workers, at workforce strategy and at the range qualifications – NVQs, degrees, diplomas and FDAP accreditation. […]

DDN1607

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[…] a last resort, according to a new report from the Joseph Rowntree Foundation. It should never be used with very vulnerable street users, such as those with mental health problems, The impact of enforcement on street users in England concludes that while ‘softer’ forms of enforcement like controlled drinking zones were effective in reducing the […]

DDN260109

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[…] issues. The themes will be alcohol and young people (Cambridge, 2 March), working with families (Nottingham, 9 March), effective inter- ventions and complex needs (London, 10 March), mental health and sexual health (Bristol, 18 March) and criminal justice (Newcastle, 1 April). Details at www.drugscope.org.uk/newsandevents/ ukevents/ News in Brief More service cooperation needed to protect vulnerable […]