Monthly Archives: April 2008

ATCA asks for more Ice treatment

I received the below press release yesterday – I’d love to see any sane individual argue with ATCA’s points on the lack of treatment facilities.

“ICE USERS NOT GETTING THE TREATMENT THEY NEED

The Australasian Therapeutic Communities Association (ATCA) today called for more treatment options for methamphetamine or ICE users. This follows the release of the position paper on methamphetamines, developed by the Australian Medical Association (AMA).

Ms Janice Jones, Executive Officer of the ATCA, said today that the ATCA supports the position paper on methamphetamines released by the AMA and is calling for a review of how the health system deals with this very difficult drug problem.

Therapeutic Communities (TCs) in Australia & New Zealand have been successfully treating amphetamine dependence for over 30 years, and recognise the need to respond differently and strategically to the problems faced by ICE users seeking help. The increase in aggressive behaviours amongst ICE users, often leading to psychosis, can create chaos and disruption for treatment providers.

Ms Jones said today, “We need strategic planning and targeted responses to avoid any reactions that may result in scarce funds being inadvertently misdirected”.

The ATCA also supports the recommendations made by the AMA in calling for all emergency departments to have a specialist drugs liaison officer to engage and support methamphetamine and other drug users.

However, Ms Jones added, “These workers also need to be trained in the range of mental health conditions that ICE users can present with. They also need to be aware of what services are out there that are experienced in treating the complex needs of these people.

Therapeutic communities deal very well with clients with complex and problematic behaviours which often result from polydrug use, including ICE.

“Working with clients with a comorbidity of mental health and substance use disorders is now the expectation, rather than the exception. At least 70% of clients undertaking treatment for drug addiction also suffer from mental health issues. Likewise, a similar number of clients with a presenting mental health problem will have a co-occurring substance use disorder. This is our area of expertise but we need an increase in beds and qualified staff to cope with this disturbing trend”, Ms Jones said. ”

‘Alcopop’ tax rise: a clever move?

The Rudd government has raised taxes on pre-mixed alcoholic drinks, bringing them into line with spirits.

There’s no doubt the government will be arguing it’s an important step in lowering binge drinking rates, but I’d be doubtful whether that level of taxation will in fact have much impact – in fact, it’ll be interesting to see whether the change just leads to a transfer of use from pre-mix to more traditional spirits consumption. It’d also be nice to see the extra proceeds being used to improve prevention initiatives with the demographic that consumes them.

Government has a lot of catching up to do in regard to communicating with younger age groups of alcohol. YouTube is likely to be used more and more but that is really only tokenism. A concerted social media campaign is needed but I won’t be holding my breath for that one.

Free Psychostimulants Training Course for Health Professionals in Northern Territory

From Turning Point:

“A series of one-day training courses on Psychostimulants have been funded by the Commonwealth. These free courses are available to a broad range of health and welfare workers . The aim of the project is to assist health professionals such as medical practitioners, nurses, mental health workers and alcohol and drug workers to manage and treat users of psychostimulants (speed, base, ice, MDMA, cocaine). A series of one-day courses are being delivered nationally. These will be coordinated by Turning Point but delivered by specialist staff from individual states and territories.

Two courses have recently been organised in the Northern Territory. A course overview is provided below. Details of course locations, delivery schedules and the registration process are available at www.turningpoint.org.au – use the link to from GO to WHOA.

Please feel free to contact Kieran Connolly on kieranc@turningpoint.org.au for further information.

Module 1 Introduction

By the end of this module participants will be able to identify:
· what psychostimulants are
· concerns about psychostimulant use
· why people take psychostimulants
· how psychostimulants affect people
· how psychostimulants are taken
– frameworks for responding to psychostimulant use

Module 2 Pharmacology

By the end of this module participants will be able to identify:
· what psychostimulants are
· influences on drug effects
· common psychostimulant effects
– common features of withdrawal

Module 3 Epidemiology and risks

By the end of this module participants will be able to identify:
· the history of psychostimulant use
· current prevalence of use
– risks associated with psychostimulant use

Module 4 Responding to psychostimulant use

By the end of this module, participants will be able to identify:
· effective ways to raise the issue of psychostimulant use
· behavioural indicators of psychostimulant use
· physical indicators of psychostimulant use
· emergency response situations
· appropriate strategies for the management of intoxication
· mental health issues
· strategies to manage agitated behaviour
· strategies to reduce harm at various harm points
– appropriate treatment strategies”

News of substance – drugs in the worldwide news

1. Stuff.co.nz – Drugs ruined my relationships, Downey says. “Robert Downey Jr admits his drug addiction ruined his relationship with Sarah Jessica Parker. The actor started dating the Sex and the City star in 1984 after meeting on the set of movie Firstborn but split in 1991 because of Downey’s self-centred, wild lifestyle.”

2. The Times (South Africa) – The big problem – drugs and alcohol. “I started needing alcohol in the morning to function. Generally, people don’t have a clear concept of what the treatment for drug addiction is … they come either with no expectations or with various expectations,” said Dan Wolf, psychologist and managing director of The Gap and First Step, two drug rehabilitation centres in Johannesburg.
“People stumble into the culture of recovery as an opportunity to address the chaos in their lives.”

3. The Daily Star (Lebanon) – Doctors, lawyers join forces to fight drug addiction. “In an attempt to change the treatment and perception of people who are addicted to drugs in Lebanon, the Lebanese Addiction Center “Skoun” and the Tripoli Bar Association on Tuesday launched a project for the “Greater Respect for Drug Addicts’ Rights.” The initiative aims to promote dialogue and cooperation among judges, police, investigators, and medical workers when dealing with drug addicts.”

4. Etalaat (India) – `Broken social ties, media hoax lead to drug addiction’. “Dwindling social ties, decrease in community based activities and lack of proper knowledge is pushing valley youth into drug addiction, says a de-addiction expert, Dr Majid.
Dr Majid who has an experience of several years in de-addiction said: ” During these years of dealing with drug and chemical addicts, I have found that peer group pressure and foolish curiosity are main causes of youth falling into the drug trap.”

5. The Times of India – Drug abuse lands cops in deadly mess. “Rampant drug abuse and unsafe sex is pricking hard the Punjab Police, jeopardizing the lives of as many as 178 police personnel in the district of Tarn Taran alone. What has only compounded their case is the indifferent attitude of government, which is yet to wake up to the ticking bomb within its ranks.”

6. Goal.com (Switzerland) – Pele: Drug-Cheat Maradona Should Have Medals Stripped. “A favourite debate among football fans has always been who was greater out of Pele and Maradona. This topic has had extra spice due to the fact that the pair do not get on, and indeed have been at loggerheads for many years. Both have attacked each other in the press in the past, with Pele often criticising Maradona on moral grounds, while the Argentine has hit out at the Brazilian for being part of FIFA’s “political” family.”

7. IPP Media (Tanzania) – Drug abuse: Parents should closely follow up children`s movements. “Last week I was at a bus stop waiting for a commuter bus to take me to work when I noticed a 23-year-old youth behaving rather strangely. He was walking forward and back as if he was in a parade. He was untidy and carried all features of a mental case. I didn`t notice his problem until he went to a nearby garbage heap, picked a piece of an orange refuse and started eating it.”

8. The Retriever Weekly (USA) – The latest marijuana propaganda campaign. “Flipping through the channels, a man in a pith helmet and a white mustache flashes onto the screen, asking you to join him in his hunt for the “mature stoner.” It is yet another anti-drug commercial in the government-sponsored ad campaign “Above the Influence.” Filled with propaganda and falsified information, the series of four commercials chronicles the adventures of “Dr. Puck” and his assistant, Baldric. They watch “stoners” in their natural habitat: relaxing, going to school, and even driving. This series of ads perpetuates many of the myths associated with marijuana use.”

9. Minneapolis Star Tribune (USA) – ocaine in Spain: Party perennial and rehab regular. “Around dawn on a Sunday, packs of young people are huddled at stoplights or ambling down Paseo del Prado. Despite the hour, the day isn’t just beginning for them. Like thousands of young Spaniards, they are ending a long night of hard-core partying that probably included the unbridled snorting of cocaine.”

Mental Health/Drug & Alcohol Professional (Victoria)

“Exciting Opportunity for a Mental Health/Drug & Alcohol Professional

Part-time opportunity (4 days per week)
Generous salary packaging (up to $30k grossed up value)
Supportive team environment

Would you like the opportunity to provide clinical leadership and response towards the changing direction of drug & alcohol services towards dual diagnosis?

Would you like to work for a community based agency which is a registered training organisation (RTO) and can provide exciting and diverse professional development opportunities?

Moreland Hall is a leading alcohol and other drugs (AOD) agency with over 35 years experience in the not-for-profit sector of Victoria. Our organisation is currently seeking to increase our capacity to provide appropriate and best-practice based services to AOD clients who have concurrent mental health issues. With this, we require a highly skilled and experienced mental health/AOD professional to join the education and training team.

We are a passionate and supportive organisation open to embracing change and offering an innovative team environment. You’ll have the opportunity to take a lead role in mentoring and training our workforce, providing you with an ability to gain valuable experience in project management and diversify your skill base.

Applicants MUST address the following selection criteria to be considered:
Relevant undergraduate degree
Significant postgraduate experience and/or postgraduate degree level qualification in mental health
Knowledge and understanding of best-practice in mental health and AOD treatment approaches
Relevant experience in working with clients with co-existing disorders
Strong communication, organisation and interpersonal skills
Current Victorian drivers licence
Qualifications or experience in developing and implementing training in the AOD or mental health sector would be advantageous

Enquiries should be directed to the Manager, Human Resources – Nessá Pastoors on 03 9384 8801 or send in a CV with covering letter addressing the selection criteria to jobs@morelandhall.org

Applications close 5pm Friday 2nd May 2008”

News of substance – drugs in the worldwide news

1. Sydney Morning Herald – Nurofen script-only plan. “Popular painkillers containing codeine could be reclassified prescription-only to stop abuse of the powerful over-the-counter drugs.
A government committee has flagged the possibility of classifying the codeine combination medicines such as Nurofen Plus, a schedule 8, a restricted category for drugs at high risk of being abused.”

2. The News International (Pakistan) – 628,000 drug abusers in Pakistan, says report. “here are more or less 628,000 opioid users (heroin, morphine, opium, codine, pentazocine, buprenorphine etc) in the country, National Drug Abuse Assessment 2006/07 report revealed. The report is prepared by the United Nation Office on Drugs and Crime (UNODC) in collaboration with the Ministry of Narcotics Control and Anti Narcotics Force (ANF). Drug Abuse has become global phenomena, affecting the very fabric of the socio-economic structure of the families and country.”

3. The Student Operated Press (USA) – When Drug Abuse Starts at Home — Painkiller Addiction. “After several years of battling back pain and undergoing regular surgeries, John Simons became addicted to painkillers. After a two-week stay in the hospital where he was prescribed the powerful painkiller OxyContin, Simons continued to use the drug against his doctors’ orders, secretly obtaining a steady supply.”

4. etala’at (India) – KU campus safe haven for drug addicts, says survey. “Given the vastness and hugeness of its campus, University of Kashmir has turned to be a safe haven for the drug addicts and more so for the female drug addicts, according to a survey carried out by HNSS, De-addiction and Rehabilitation Centre, Khanyar here.
Talking to etala’at, Dr Ghulam Nabi Wani, founder HNSS said that the girls receiving their education at the university hide themselves behind the bushes and shrubs and take drugs being supplied to them.”

5. Kyiv Post (Ukraine) – Cheap drug addiction rising. “Addiction to a cheap, widely available prescription pain killer is on the rise, and the government has no plan to stop it, experts said. Teenagers and young adults are the primary users of a prescription drug called Tramadol, an opiate analgesic considered to be 10 percent as potent as morphine, and is used to treat mild to severe pain. Ukraine produces 90 million packages of Tramadol annually, said Vitaliy Kravchenko, a former officer at the State Security Service of Ukraine (SBU), with 20 five centigram capsules per package costing a few US dollars.”

6. Fox News (USA) – ‘Faces of Meth’ Uses Portraits of Addiction to Warn Against Drug Use. “With just a click of a mouse, the image of a healthy, shiny face transforms into a skeletal portrait — a toothless grin surrounded by scabbed skin and a gray complexion. This is FacesofMeth.us, a Web site that shows the brutal effects of what methamphetamine does to people. Its goal is simple: Use real life images to educate kids about the dangers of methamphetamine.”

7. Science Daily – Methamphetamine Addiction Mechanism Discovered, Explains Why Cravings Last So Long. “Repeatedly stimulating the mouse brain with methamphetamine depresses important areas of the brain, and those changes can only be undone by re-introducing the drug, according to research at the University of Washington and other institutions. The study, which appears in the April 10 issue of the journal Neuron, provides one of the most in-depth views of the mechanisms of methamphetamine addiction, and suggests that withdrawal from the drug may not undo the changes the stimulant can cause in the brain.”

8. AllAfrica.com – Tanzania: Slowly, a More Enlightened Approach to Drug Addiction. “If the first step to overcoming drug addiction is admitting you have a problem, then Tanzania may be on the road to recovery. Medical officials in this East African country say the government has in the past been reluctant to accept substance dependence as a serious health problem, seeing it rather as a matter of law and order.”

9. The Washington Post – Afghans Battle Drug Addiction. “The first days were so painful that Mina Gul could barely sit upright. Thin and lanky with wide brown eyes, she rubbed the back of her neck ceaselessly with fingers stained reddish black by an opium pipe. She couldn’t shake the nausea. The light was almost blinding in the clean, white-walled medical clinic, where she lay crumpled in bed for days.”

10. Science Daily – Doctor’s Offices Can Help Stem Abuse Of Oxycontin, Other Narcotic Painkillers. “Every day, thousands of doctors around the United States walk a tightrope stretched between their duty to help patients in pain — and the risk of abetting illegal and life-destroying drug addiction and dependence, and losing their medical license for doing so. They walk this tightrope every time a patient asks for a prescription for a powerful opioid narcotic painkiller, such as Oxycontin or Vicodin. These drugs have eased the pain of millions, but have also become lucrative street drugs that are used by millions of people not for pain control, but to get high.”

10.

Research Fellow: Centre for Epidemiology and Population Health Research (CEPHR) – Victoria

“BURNET INSTITUTE

CEPHR undertakes research into the use of illicit drugs and associated risks (such as overdose and blood borne virus transmission). CEPHR also undertakes research into sexually transmitted infections in the community and the risk behaviours associated with their transmission.

The Research Fellow will organize and supervise the conduct of interviews with participants in a series of studies involving injecting drug users. The studies, conducted in a variety of sites across Melbourne, involve innovative recruitment strategies and analysis methods that will provide the Research Fellow with significant opportunities for career development. To this end the Research Fellow will manage a team of researchers, write-up project results for publication, and contribute to the design and implementation of new and innovative research projects in the area of alcohol and other drug use in the community. The Research Fellow will be expected to contribute to the development of research directions in other areas of CEPHR and the Burnet Institute more broadly.

The successful applicant will have postgraduate qualifications in epidemiology or public health or a related discipline and experience in analysis of epidemiological data. Excellent communication and interpersonal skills and experience in report writing and preparation of manuscripts are also required. Familiarity with issues related to injecting drug use and related harms is desirable.

Attractive salary packaging arrangements apply. For further information and a position description contact Associate Professor Paul Dietze on (03) 9282 2134, mobile 0409 530 027 or email pauld@burnet.edu.au or visit the Burnet website at http://www.burnet.edu.au/home/general/employment

Written applications addressing the selection criteria and a detailed CV including the names and contact details of three professional referees should be sent to the Human Resources Manager, The Burnet Institute, email: paulduffy@burnet.edu.au

Applications close 21 April 2008.”

News of substance – drugs in the worldwide news

1. AllAfrica.com – Rwanda: Controlling Drug Abuse in Country. “Many sources including the media, police reports, etc, have revealed that drug and alcohol abuse have affected every area of society in Rwanda. The levels are of course still very low compared to other countries in the region. An addiction is a compulsion to use a substance or persist with certain behaviour in order to feel good or to avoid feeling bad. It can dominate your mind, and keep you coming back for more, while some habits can also create a constant craving in your body. An addiction is different for everyone, depending on your vice and the kind of person you are.”

2. The York Press – Pub defends toilet cameras as a means of tackling drug use. “It is believed to be the first pub in York to introduce CCTV inside its toilet cubicles to combat drug use, but the decision has provoked privacy concerns. The Rose & Crown, in Lawrence Street, installed cameras inside the cubicles in the ladies’ toilets about a month ago following problems with women – and men – using surfaces in the stalls to prepare lines of cocaine to snort.”

3. TechRepublic – Are IT pros prone to drug abuse? “Because of several items I’ve seen in the news lately, I’m starting to develop a complex for IT pros the world over. Last week, I talked about the connection between Asperger’s Syndrome and IT pros. Now there’s a piece in Computerworld by blogger Don Tennant that asks, “How rampant is substance abuse among IT pros?”

4. The Daily Californian – Study Finds Drug Culture Has Grown in Rap. “Although many modern listeners may not realize it, rap has not always promoted drug use as much as it currently does, according to a new campus study.
The study, led by Denise Herd, associate dean for student affairs at the UC Berkeley School of Public Health, found that drug references in rap music have multiplied six-fold and have increasingly glamorized drug culture since 1979, when Herd said rap music first gained popularity.”

5. The Scotsman – Laid-back approach is best for cannabis. “ALMOST as if it was imitating the effects of the drug itself, the debate surrounding the reclassification of cannabis has become increasingly hazy of late. The Government’s drug advisory body is expected to recommend it keeps its current class C status, ranking it alongside painkillers and stress medication, rather than return it to class B with the likes of amphetamines. That would once again require police to arrest anyone found in possession of the drug rather than simply caution them. Gordon Brown, though, wants to upgrade it – a move he believes would send out a clear message that smoking dope is damaging to health and socially unacceptable.”

6. ABC News (Australia) – Drug use among construction workers rising: union. “Long hours and big paypackets have been blamed for an increase in methamphetamine use amongst construction workers in Western Australia. The Construction, Forestry, Mining and Energy Union (CFMEU) estimates the number of union representatives called out to work sites to deal with young drug-affected workers has doubled in the last year.”

7. Globe and Mail (Canada) – A tip to get that monkey off your back. “Monkeys with a low social standing are more likely to use cocaine when they are stressed than high-status animals, a study has found. The results, reported at a conference yesterday in San Diego, offer clues to the social context of drug use and addiction in humans, said Michael Nader, a professor in the department of physiology and pharmacology at Wake Forest University School of Medicine in North Carolina.”

8. The Australian – Ritalin ‘not linked to later drug use’. “USING stimulants like Ritalin to treat attention-deficit hyperactivity disorder in children, particularly younger ones, does not seem to boost the risk of later substance abuse, researchers said today. There has been a debate over whether such medications are the best way to treat ADHD, a condition marked by inattention, hyperactivity and impulsive behaviour that appears more often in boys than girls.”

9. The Independent – Like Viagra for your brain. “Do you face a mid-afternoon lull that even a double espresso cannot break? Is jet lag the bane of your life, or does that pile of revision seem insurmountable? Or perhaps you’re just fed up yawning your way out of the pub at 9.30pm. Whether modern life leaves you struggling to keep up or just totally exhausted, the answer could be as simple as popping a pill.”

10. Stars and Stripes – Official: Air Force drug testing seems to deter use. “A few years ago, Senior Airman Heather Brewster’s recreational use of painkillers would have gone undetected by the Air Force’s random drug testing program.

Brewster, who formerly worked at a regional drug testing site at RAF Upwood in England, was convicted last week of illegally using the prescription drug oxycodone, falsifying documents and dereliction of her duties in the Air Force’s drug testing program.”

Qwitter – will Web 2.0 bring ATOD benefits?

I noticed an interesting post on lifehacker about the use of Twitter in smoking cessation, hence the name Qwitter.

The premise of the approach is that Twitter allows an individual to type short snippets about their progress with quitting and it all sits there nicely for others to view as well as providing a history for the quitter to hopefully motivate themselves with. Your progress is actually tracked by Qwitter who add your information to an individual progress chart.

It’s an innovative approach to smoking cessation and that’s interesting on its own. What’s even more interesting is the growth of Web 2.0 technologies in the health field. In the ATOD field we usually don’t have the luxury of considering new technologies to assist us in our work but if government doesn’t start funding such research and development, we’re going to find a lot of for-profit Qwitters populating the landscape.

And for those of you out there working in the field that think things like Qwitter are ‘gimicky’ – you’re right, but only partly. Web 2.0 technologies and whatever comes after it are going to shape what we do as health and welfare professionals in significant ways. Whether it happens in two years or ten years, we need to start thinking about our approach.