An extra £550m (€642m; $761m) for local authorities to tackle drug dependency should be ringfenced over five years reverse huge recent cuts, a major review of UK policy has concluded. The call is one 30 recommendations made in the independent misuse from Carol Black, which examined prevention, treatment, and recovery among people who take drugs, with aim reducing misuse. The report, published...

Some GPs may be unwilling to take on the management of drug misusers because of the risk of difficult behaviour. However, this study found that in a practice running a drug misuse treatment programme there was a relatively small difference in the rates of difficult behaviour from drug misusers and general patients.

PURPOSE OF REVIEW More than half of the world's population is living in urban areas, but the evidence about urban-rural differences in drug use is not clearly defined. The present paper aims to review the international literature addressing the role of urbanization and related parameters in association with substance misuse. In particular, the evidence of urbanization being a risk factor for su...

Substance misuse is usually associated with poorer psychiatric medication adherence among psychiatric patients. Identifying predictors of medication adherence among patients with dual psychiatric and substance misuse problems is important because poor adherence is associated with relapse and re-hospitalization. The subjects were patients newly admitted to a psychiatric outpatient program who we...

OBJECTIVE To characterize the developmental status of the family-based adolescent alcohol and drug treatment specialty by identifying and discussing research and clinical advances. METHOD Selective and interpretative literature review and analysis. STUDY SELECTION Controlled trials and mechanisms of change studies of family-based treatments for adolescent alcohol and drug misuse. RESULTS ...

Objectives: This paper deals with the methylphenidate (MPH) misuse by adults in Germany. Results of a survey among primary care physicians/internists have been supplemented by a comparison with the literature. Methods: In the period from October 5-20, 2015, a survey was sent to 414 primary care physicians/internists in four German cities (n = 10 were undeliverable). The response rate was 58% (n...

BACKGROUND Overdose deaths have increased steadily over the past decade. This report describes drug-related deaths and emergency department (ED) visits among women. METHODS CDC analyzed rates of fatal drug overdoses and drug misuse- or abuse-related ED visits among women using data from the National Vital Statistics System (1999-2010) and the Drug Abuse Warning Network (2004-2010). RESULTS ...

OBJECTIVE To examine demographic features, psychosocial characteristics, pain-specific behavioral factors, substance abuse history, sleep, and indicators of overall physical function as predictors of opioid misuse in patients presenting for new patient evaluation at a tertiary pain clinic. METHODS Overall, 625 patients with chronic non-cancer pain prospectively completed the Collaborative Hea...

This article discusses the misuse of drugs which act as stimulants, an effect mainly produced by enhancement of the central transmission of catecholamines, particularly dopamine. Stimulant misuse is extremely widespread in the UK and elsewhere, but primary users of such drugs present relatively rarely for treatment at drug services. At present such services mainly see heroin users, not only bec...