Drug and Alcohol Misuse
The Adult Support and Protection (Scotland) Act 2007 was passed by the Scottish Parliament in February 2007 and received royal assent on 22 March 2007. Part 1 of the Act deals with the protection of adults at risk of harm. It is scheduled to come into effect in the autumn of 2008. This booklet is a brief summary of the provisions of Part 1 of the Act.
This report reviews the prevention of hepatitis C and what actions could be taken to reduce its transmission and improve knowledge and awareness, particularly among at-risk groups. The report therefore focuses on HCV prevention among injecting drug users.
The Bill for this Act of the Scottish Parliament was passed by the Parliament on 15th February 2007 and received Royal Assent on 21st March 2007.
There is concern that the needs of people with alcohol related brain damage (ARBD) and their carers are not being well met by current service provision across Scotland.
The Expert Group which produced this report was set up by the Scottish Executive to achieve better understanding of the issues and problems involved, and to advise on how they can be addressed.
A quiet revolution is unfolding within the worlds of addiction treatment and recovery support. This revolution is founded on new understandings of the nature of substance use disorders and their management. It calls for shifting the treatment of severe and persistent alcohol and other drug (AOD) problems from an emergency room model of acute care (AC) to a model of sustained recovery management (RM).
Knowles was convinced that adults learned differently to children - and that this provided the basis for a distinctive field of enquiry. His earlier work on informal adult education had highlighted some elements of process and setting. Similarly, his charting of the development of the adult education movement in the United States had helped him to come to some conclusions about the shape and direction of adult education. What he now needed to do was to bring together these elements. The mechanism he used was the notion of andragogy.
Motivational interviewing is a well-known, scientifically tested method of counselling clients developed by Miller and Rollnick and viewed as a useful intervention strategy in the treatment of lifestyle problems and disease.
An evaluation of a pilot study delivering Screening and Brief Interventions (SBIs) in a young people's sexual health service has shown positive results through a number of findings. The Place, in Sandyford, Glasgow and Clyde, piloted the scheme using a grant from AERC after a needs assessment showed alcohol was a significant factor for many of those attending the clinic.
This review is a critical appraisal of the evidence base for the treatments available for people with alcohol problems. The review covers interventions ranging from simple advice and mutual aid to intensive specialist treatment. It has been written to inform Models of Care for Alcohol Misusers (MoCAM), which provides a model framework and standards for the commissioning and development of local integrated treatment systems for alcohol misuse.
One of the most challenging, and potentially rewarding, aspects of being a doctor is responding and acknowledging patients’ fear, anger, frustration and sadness. But I have always believed that it takes more time to listen and answer empathetically — time that is hard to ignore when you know there are other patients who have been waiting a long time outside to see you.