Substance misuse

A Handbook of Substance Misuse for Parents, Teachers and Other Professionals 2nd edition... 

A quiz in true or false and short answer format, designed to allow participants to check out their knowledge and understanding of substance misuse and other risky behaviours. 

In our view all involved in educating in this area should be fully aware of the possibility that young people with whom they are dealing may currently be experiencing or have previously been exposed to the negative consequences of substance misuse and risk within their family and social circles. It is therefore vital that in delivering this education we consider the highly sensitive and personal nature of these topics for such individuals. 

Organizations which offer resources, information and advice regarding substance misuse ... 

Crawford, V. Comorbidity of substance misuse and psychiatric disorders. Curr. Opin. Psychiatry. 9 231, 1996. 

Despite public misconceptions, there is little firm evidence that the typical and atypical antidepressants produce dependence in clinical users. A review of 21 case reports of antidepressant addiction revealed that 12 were associated with tranylcypromine, although 8 of these 12 had a previous history of substance misuse (Haddad, 1999). Tranylcypromine s structural similarity to amphetamine may account for the significant number of reports of its addictive potential, but even here the term (mild) discontinuation reaction rather than withdrawal reaction should be used to allay any concerns patients might have (Haddad, 1999). 

Kaltenbach K and Finnegan L (1997). Children of maternal substance misusers. Current Opinions in Psychiatry, 10, 220-224. 

Sherwood RA, Keating J, Kawadia V, Greenough A, Peters TJ. (1999). Substance misuse in early pregnancy and relationship to fetal outcome. EurJ Pediatr. 158(6) 488-92. 

Belanger HG, Simmons V, Schinka J (2007). Nicotine. In Ari Kalechstein WGVG (ed) Neuropsychology and substance misuse state of the the art and ftiture directions. Psychology Press, East... 

One important point is that substance dependence is a lifetime diagnosis. Once someone has substance dependence, they will always have it. It may be in a state of remission, but the risk of relapse remains indehnitely. Proper treatment, however, will enable many patients to recover from the devastating consequences of dependence. For this reason, DSM-IV includes diagnostic specihers for remission. These specihers describe both how long and to what extent the substance misuse has been in remission. Early remission is arbitrarily attained when substance use has been stopped or curtailed for 1-12 months. Remission is considered sustained when the patient has been abstinent for over 12 months. In addition, remission can be specified as full or partial. Partial remission occurs when some substance dependence symptoms are still present but the full criteria for the illness are no longer met. As a result, the remission specifiers for substance dependence include early full remission, early partial remission, sustained full remission, and sustained partial remission. 

Okereke, U. N., B. E. Weber, and R. H. Israel. Spontaneous pneumomediastinum in an 18-year-old black Sudanese high school student. J Natl Med Assoc 1999 91(6) 357-359. Sherwood, R. A., J. Keating, V. Kavvadia, A. Greenough, and T. J. Peters. Substance misuse in early pregnancy and relationship to fetal outcome. EurJPediatr 1999 158(6) 488-492. 

Even the slightest contact with the numerous support groups for families of substance misusers all over the UK leaves one with the clear sense that these groups for the most part exist despite, not because of, drug policy and strategy. They are often self-supporting and run on a shoestring. 

Ferguson, H. (2005) Working with violence, the emotions and the pyscho-social dynamics of child protection reflections on the Victoria Climbie Case. Social Work Education 24, 7, 781-795. Forrester, D. (2000) Parental substance misuse and child protection in a British sample a survey of children on the Child Protection Register in an Inner London district office. Child Abuse Review 9, 235-246. 

Harwin, J. and Forrester, D. (2002) Parental substance misuse and child welfare a study of social work with families in which parents misuse drugs or alcohol. London Interim Report for Nuffield Foundation. 

Kroll, B. and Taylor, A. (2003) Parental Substance Misuse and Child Welfare. London Jessica Kingsley Publishers. 

Taylor, A. and Kroll, B. (2004) Working with parental substance misuse dilemmas for practice. British Journal of Social Work 54, S, 1115-1132. 

Within the personal factors, clearly family disruption, trauma and physical or sexual abuse can all predispose to conduct disorder in adolescence and personality disorder in adulthood (Paris 1996b, Spataro et al. 2004). Links between such factors and subsequent substance misuse have been consistently found (Bartholomew Rowan-Szal 2002, Poikolainen 2002), while the associations between established personality disorder and drug... 

It is useful for clinicians in drug misuse services to know of the various approaches to smoking cessation, even though they may not be directly involved in deploying them. The treatments have been concisely reviewed by Aveyard and West (2007), and can be divided into four categories. Also, some reviews have particularly concentrated on smoking cessation in substance misusers (Sullivan Covey 2002). 

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