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Journal Cover Drugs and Alcohol Today
  [SJR: 0.241]   [H-I: 4]   [132 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1745-9265 - ISSN (Online) 2042-8359
   Published by Emerald Homepage  [335 journals]
  • Lessons from civil society' A response to Collins
    • Pages: 141 - 142
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 141-142, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:44:04Z
      DOI: 10.1108/DAT-06-2017-0020
  • Letter in response to John Collins, “Losing UNGASS' Lessons from
           civil society, past and present” DAT Issue 2, 2017
    • Pages: 143 - 144
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 143-144, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:44:00Z
      DOI: 10.1108/DAT-06-2017-0023
  • Letter to the editors re: John Collins' paper
    • Pages: 145 - 146
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 145-146, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:44:03Z
      DOI: 10.1108/DAT-06-2017-0029
  • Letters from Barnett, Blickman and Lines
    • Pages: 147 - 148
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 147-148, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:44:01Z
      DOI: 10.1108/DAT-06-2017-0028
  • Crisis management by HIV/AIDS non-governmental organisations in the
           post-Euromaidan Ukraine led to opening new horizons
    • Pages: 149 - 156
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 149-156, September 2017.
      Purpose Civil society played a significant role during and after the 2014 revolution in Ukraine, which led to the resignation of President Yanukovich and his government and triggered a series of political, economic and social changes. In some areas, particularly by HIV and tuberculosis, the critical gaps threatened the emergence of a public health catastrophe. The purpose of this paper is to describe how civil society expands and strengthens its role in complex crisis situations, self-regulating and re-adjusting own aims and strategy by using the case of non-governmental organisations (NGOs) active in HIV prevention in high-risk groups and harm reduction. Design/methodology/approach The paper presents the analysis of the case of Alliance of Public Health, one of the principal recipients of the Global Fund to Fight Tuberculosis, AIDS and Malaria in 2014-2016, during and after the Euromaidan Revolution in Ukraine. Findings In the post-Euromaidan era, NGO sector has been able to sustain the response to the HIV/AIDS epidemic at a stable level despite significant limitations of resources and the overall fragile situation. Special efforts have been undertaken to continue activities in the conflict zone in the east of the country. Furthermore, NGOs managed to extend beyond their usual responsibilities, bridging the gaps in deteriorating public health and social systems, including taking the leadership in medical procurement; advocating for national plans development; and supplying medical goods to the uncontrolled territories in the east of the country. Originality/value This paper is one of the first exploring the role of non-governmental sector in HIV/AIDS programmes in resource-scarce situation of political, social and economic crisis. Case description of the strategies and activities applied in the situation gives the possibility to reflect on raising the effectiveness of the response to existing and emerging public health issues in complex crisis, as well on the potential for HIV/AIDS prevention and treatment advocacy to grow into global health diplomacy.
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:55Z
      DOI: 10.1108/DAT-03-2017-0013
  • The architecture of recovery: two kinds of housing assistance for chronic
           homeless persons with substance use disorders
    • Pages: 157 - 167
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 157-167, September 2017.
      Purpose Roughly half a million persons in the USA are homeless on any given night and over a third of those individuals have significant alcohol/other drug (AOD) problems. Many are chronically homeless and in need of assistance for a variety of problems. However, the literature on housing services for this population has paid limited attention to comparative analyses contrasting different approaches. The paper aims to discuss these issues. Design/methodology/approach The authors examined the literature on housing models for homeless persons with AOD problems and critically analyzed how service settings and operations aligned with service goals. Findings The authors found two predominant housing models that reflect different service goals: sober living houses (SLHs) and housing first (HF). SLHs are communally based living arrangements that draw on the principles of Alcoholics Anonymous. They emphasize a living environment that promotes abstinence and peer support for recovery. HF is based on the premise that many homeless persons with substance abuse problems will reject abstinence as a goal. Therefore, the HF focus is providing subsidized or free housing and optional professional services for substance abuse, psychiatric disorders, and other problems. Research limitations/implications If homeless service providers are to develop comprehensive systems for homeless persons with AOD problems, they need to consider important contrasts in housing models, including definitions of “recovery,” roles of peer support, facility management, roles for professional service, and the architectural designs that support the mission of each type of housing. Originality/value This paper is the first to consider distinct consumer choices within homeless service systems and provide recommendations to improve each based upon architecture and community planning principles.
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:52Z
      DOI: 10.1108/DAT-12-2016-0032
  • Proximal predictors of breath alcohol level at venues primarily serving
           sexual minority patrons
    • Pages: 168 - 177
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 168-177, September 2017.
      Purpose The purpose of this paper is to assess the proximal predictors of breath alcohol content (BrAC) at exit of a venue that primarily served sexual minority patrons. Contrary to prior research that relies on self-report of alcohol consumption, participants’ BrAC level was measured prior to entering the venue and again at exit. Design/methodology/approach A portal method was used to assess individuals before and after attending a sexual minority bar. Participants (n=96) were randomly selected for participation on weekends from four bars. Findings A multivariate path model was conducted to predict BrAC at exit from the bar. Individuals who drank before coming to the bar had a mean BrAC of 0.093 (SD=0.065) at exit from the bar and those who did not drink before attending the bar had a mean BrAC 0.030 (SD=0.050) at exit (t=5.47 (99), p
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:53Z
      DOI: 10.1108/DAT-01-2017-0005
  • Psychiatrists’ knowledge of novel psychoactive substances
    • Pages: 178 - 185
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 178-185, September 2017.
      Purpose The purpose of this paper is to measure the level of experience and knowledge of novel psychoactive substances (NPS) amongst psychiatrists, asking them to rank NPS against other psychoactive substances in terms of concern and the role they believe NPS play in the diagnosis and management of psychiatric disorders. Design/methodology/approach An online survey was created and emailed to all 217 psychiatrists working for a large city Mental Health Trust. Findings In total, 108 of 217 psychiatrists responded to the survey. A majority of the respondents believed that their level of knowledge of NPS was inadequate and stated that they would like to receive more training. Half of them either named only one or no NPS that they had encountered within the last five years. There was a correlation between the experience of the respondent and the number of NPS that they could name. Practical implications Most of the respondents assessed their own knowledge of NPS as either poor or basic. Psychiatrists’ knowledge of NPS could be improved by having regular NPS-related training, by being sent regular updates on NPS and by including lectures in the Membership of the Royal College of Psychiatrists courses. Psychiatrists should also be encouraged to access online resources such as NEPTUNE and the European Monitoring Centre for Drugs and Drug Addiction. Originality/value This is the first survey of the UK psychiatrists of their knowledge and experience of NPS.
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:56Z
      DOI: 10.1108/DAT-03-2017-0011
  • Cannabis and psychosis: the impact of polydrug use
    • Pages: 186 - 194
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 186-194, September 2017.
      Purpose While research has consistently identified an association between cannabis use and psychosis, few studies have examined this relationship in a polydrug context (i.e. combining cannabis with other illicit substances). The paper aims to discuss this issue. Design/methodology/approach The present study sought to examine the association between recreational drug use (cannabis only vs polydrug) and psychotic disorders. Analysis was conducted on a large, representative survey of young Danish people aged 24 (n=4,718). Participants completed self-report measures of lifetime drug use and this information was linked to the Danish psychiatric registry system. Findings Multivariate binary logistic regression analysis was used to examine the association between drug use (no drug use, cannabis only, cannabis and other drug) and ICD-10 psychotic disorders, while controlling for gender and parental history of psychosis. Compared with no drug use, the use of cannabis only did not increase the risk of psychosis while the odds ratio for cannabis and other drug were statistically significant. Research limitations/implications Psychosis risk may be associated with the cumulative effect of polydrug use. Practical implications Cannabis use may be a proxy for other drug use in research studies. Originality/value This study is innovative as it uses linked self-report and administrative data for a large sample. Administrative data were used to as an objective mental health status indicator.
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:44:05Z
      DOI: 10.1108/DAT-03-2017-0014
  • Heroin-induced toxic leukoencephalopathy – “chasing the
           dragon” in South Africa
    • Pages: 195 - 199
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 195-199, September 2017.
      Purpose In South Africa, many illicit drugs have only recently been introduced and drug-related complications are often new to treating physicians. Heroin-induced leukoencephalopathy has been reported elsewhere in patients who inhale heated heroin vapors, a method known as “chasing the dragon.” The purpose of this paper is to present two patients, known to have inhaled heroin a few weeks prior to presenting with progressive neurological deficits. Design/methodology/approach Case presentations: two young males presented independently within eight weeks of one another with progressive slurring of speech, incoordination and weakness of the limbs over a period of two to three weeks. Both were known heroin addicts, and were known to one another, and both had inhaled heroin prior to the onset of symptoms. Findings The patients presented with a pancerebellar syndrome with marked bilateral upper motor neuron signs. CT scans showed diffuse symmetrical hypodense lesions involving the cerebral and cerebellar white matter with normal CSF. Both patients deteriorated neurologically, became cardiovascularly unstable and demised. Postmortem in one of the patients showed a prominent spongiform leukoencephalopathy consistent with reports of heroin-inhalation injury to the brain. Research limitations/implications Toxic leukoencephalopathy due to heroin vapor inhalation was first described in the Netherlands in 1982. It has not been reported to occur with other modes of heroin use; an unknown toxin contained in heroin pyrolysate which forms when heroin is heated, may be causative. Brain MRI typically shows diffuse, symmetrical white matter hyperintensities on T2 and fluid-attenuated inversion recovery sequences in the cerebellum, posterior cerebrum and posterior limbs of the internal capsule with a posterior-anterior gradient. Pathologically, spongiform degeneration with relative sparing of subcortical U-fibers is seen. No treatment has been proven effective, but antioxidants and Vitamin E may be beneficial. Mortality is high at 23-48 percent. Practical implications This report emphasizes that spongiform leukoencephalopathy as a rare consequence of inhaling heroin vapors does occur in South Africa and clinicians should consider this disorder in their differential diagnosis of acutely developing leukoencephalopathy. Social implications An awareness program regarding this grave condition is planned. Originality/value The cardiovascular complications of patients inhaling heroin vapor has not been highlighted previously. These are the first patients from Africa described with this condition. A toxic component appears likely.
      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:51Z
      DOI: 10.1108/DAT-09-2016-0023
  • The Impact of Addictive Substances and Behaviours on Individual and
           Societal Well-Being (Part of the Series: Governance of Addictive
           Substances and Behaviour)
    • Pages: 200 - 201
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 200-201, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:54Z
      DOI: 10.1108/DAT-04-2017-0015
  • Journeys into Drugs and Crime: Jamaican Men Involved in the UK Drugs Trade
    • Pages: 201 - 202
      Abstract: Drugs and Alcohol Today, Volume 17, Issue 3, Page 201-202, September 2017.

      Citation: Drugs and Alcohol Today
      PubDate: 2017-08-31T12:43:58Z
      DOI: 10.1108/DAT-06-2017-0022
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