Drug Rehab and Alcohol Rehab

http://www.bbc.co.uk/news/health-11138535

Research is demonstrating that problem drinking is more prevelent in some parts of the country compared with others (see above link to BBC news article).   Recent research published by the North West Public Health Observatory has found some stark regional divisions, with two thirds of alcohol related harm occuring in the north. 

Health minister Lord Howe said the government was already taking action to stop the sale of alcohol below cost and to review alcohol taxation and price.  However he acknowledged that increasing the cost of alcohol alone will not tackle the huge amount of alcohol related health problems and crime our nation is experiencing:

“Supply and price are not the only factors fuelling misuse though, attitudes are crucial. We need to understand better the psychology behind why different groups of people drink too much. Legislation or initiatives will not work unless we have a better understanding of what drives people’s decisions.”

What are your thoughts?

http://news.bbc.co.uk/1/hi/england/sussex/8700638.stm

The link above refers to a BBC news story about a student in Sussex University selling mephedrone to an undercover reporter.  Does the story reflect that criminalising mephedrone has had any impact on its use in the UK aside from increasing the price per sale?

The ban was partly put in place in reaction to a number of deaths associated with the drug, however conclusive evidence of cause of the deaths is yet to be established.   Has criminalising mephedrone had an effect on how many young people are using it and what else could be done to prevent mephedrone related deaths?

http://news.bbc.co.uk/1/hi/health/8599878.stm

The above link is to a BBC news story written in regard to hospital staff providing sensible drinking advice to patients coming back for follow up appointments after treatment for an alcohol related injury.  The Royal College of Surgeons of England suggest that outpatient clinic visits offer an opportunity for nurses to motivate people to drink sensibly and to offer advice about alcohol services should their patients require additional support.

“Janet Davies, from the Royal College of Nursing, said that it had recently accredited a training course to help nurses intervene at the right moment.   She said: “The time nurses spend with patients during follow-up appointments provides a valuable window of opportunity to encourage people to think about whether they might be drinking too much and to signpost them to further information and advice.”

Do you think that this step will help reduce the number of alcohol related A&E hospital admissions?

http://www.telegraph.co.uk/news/newstopics/politics/scotland/6262963/Two-thirds-of-Scottish-ambulance-weekend-call-outs-linked-to-alcohol.html

The above link refers to an article published in the Telegraph regarding the number of Scottish ambulance weekend calls out that are related to alcohol. The article discusses the statistics that suggest that two thirds of weekend ambulance call outs are directly related to alcohol.

The Scottish Ambulance Service complained that these cases were delaying medics’ response times to real emergencies and gave it’s backing to ‘any initiative’ that would see the numbers drop.

“SNP ministers hailed the figures as support for their controversial plan to introduce a minimum price for alcohol, mooted at 40p per unit”.

“This would increase the price of cheap lager and cider brought in shops and supermarkets, but most beverages purchased in pubs and clubs already cost more than this threshold”.

“Cathy Jamieson, the Scottish party’s health spokesman, said: “This situation cannot be allowed to continue because if ambulance crews are attending to drunks they may not be available for a genuine emergency.”

http://news.bbc.co.uk/1/hi/uk/8255418.stm

The link above refers to the news story published by the BBC this morning regarding three clinics who have been trialling a new approach to address heroin addiction. Over the past 6 months these clinics have been supplying heroin for over 100 heroin addicts – the scheme involves clients attending a clinic twice a day for supervised injecting – unlike previous treatment plans, these clinics are not just using methadone, but also heroin.

The findings that have been reported this morning include a reduction in personal use of street drugs, meaning less money being spent on the illegal drug market and a reduction in crime. However, at £15,000 per person per year the NTA is considering the financial implications of the scheme. Aside from finances (treatment is reported to be three times as expensive as alternative treatment, but roughly three times cheaper than a year long prison sentence), this trial has raised many points…Some about the individual and some about crime and money….
For example, whilst the news report this morning suggested the scheme is designed to stabilise heroin addicts, it said nothing about the end goal – I.e. how long do individuals attend the scheme, what does completing the programme result in – safer using or recovery? Additionally, whilst the report advised that the 127 participants involved in the scheme had failed at other kinds of treatment, they have not reported any details. There is a proportion of addicts who do not successfully complete treatment the first time – this can be due many reasons, not least because the individual has gone into a unsuitable clinic and has been unable to engage. The point is, would £15,000 be better spent on 6 months of rehab where addicts learn to live drug free in a supervised and supportive environment, or do you think this new scheme will path the way to a healthily population and a serious reduction in drug related crime?

http://news.bbc.co.uk/1/hi/health/8225029.stm

“English holidaymakers are turning to drink on their breaks with the average adult consuming eight alcoholic drinks a day, a survey suggests. That equates to 80 drinks over the course of an average holiday, to well over 200 units of alcohol. More than a quarter said they ended up drinking three times more than normal. But 70% of the 3,500 adults questioned by the Department of Health said they plan to make September the ‘new January’ by cutting back.”

Above is a section of an article published on the BBC website. The article mainly discusses how the English population over indulge when they go on their summer holidays and plan to cut back in September (the ‘new January’).

The advice is:

“Cutting back on alcohol for September is a great place to start; if you find yourself drinking all or most days of the week, start by taking at least two days off each week.”

The basic notion of the article is to find a healthy balance – which in my mind, with all the recent reports about the dangers of binge drinking, does not equate to binging for the whole of your summer holiday and then take a few days off in September. This is a cynical and one dimensional interpretation of a generally good piece of advice, however I am wondering how this sort of information is interpreted by those who do drink 200 units (or more) during their summer break? The article advises that a quarter of the 3,500 involved in the survey stated that they consume three times as much alcohol when on holiday compared to when at home. Although statistics can be misleading, taking the figures from this article, that is suggesting that even when at home some people are drinking 67 (200/3) units per week, which is still way over what the NHS advise is good for us:

So, should we be more concerned about people who overindulged on holiday where booze is likely to be cheap and free flowing or the 10 million people who regularly exceed (and often quadruple) the recommended daily amount of alcohol from the comfort of their own homes?

If you want to stop smoking there is a host of government funded initiatives to support you - groups, one 2 ones, telephone buddies, patches, chewing gum, inhalers, giving up plans and tools to help you break your own individual smoking cycle….There is even a section dedicated to helping pregnant mothers to stop smoking (also how father’s smoking can impact on unborn children). However, there seems to be a significant lack of readily available information regarding how illegal drug use during pregnancy can affect your unborn child.

It is common knowledge that using any substance when pregnant has the potential to cause negative consequences for developing babies, but it is interesting that you can watch numerous videos of a foetus’ reactions to cigarette smoke, but getting the medical facts on how illegal drugs affect your unborn child is not nearly as accessible. Could this be a reflection of our countries determination to ignore wide spread drug use and addiction or is it that the facts, as it were, are still relatively unknown?

Should there me more information on how illicit drugs affect pregnant woman and their developing children even if the facts are still unclear?

http://news.bbc.co.uk/1/hi/scotland/north_east/8170813.stm

The above links refers to ‘Tokyo’: a 18.2% abv, £9.99 bottle of beer recently launched by the Scottish brewery, BrewDog. BrewDog says launching such drinks will help to reduce binge drinking:

Whilst Alcohol Focus Scotland chief Executive Jack Law has warned that high alcohol percentage beer could cause as much damage as drinking more lower percentage beers:

What do you think? Are drinks like ‘Tokyo’ adding to or solving a massive problem?

It is vitally important to take into consideration that whilst there are a number of people who can drink sensibly, there are also a large number of people in the UK who have alcohol addictions – an alcohol addiction is not defined by how much you drink or what you drink, but rather how your drinking impacts you life. Thus, one person could drink 3 cans of low percentage lager per night and experience problems attending work, maintaining relationships and develop health problems. Someone who drinks 3 large glasses of whiskey a night is no more of an alcoholic than the person who drinks lager because the abv % is higher in whisky – it all depends on how the alcohol affects your life. Which is why some people drink regularly and can stop and why others can’t stop, but drink in physically and psychologically damaging binge cycles.

http://www.guardian.co.uk/theguardian/2009/jul/25/gary-reinbach-alcoholic-madeline-hanshaw

Above is a link to an article published in The Guardian over the weekend that writes about Gary Reinbach, a 22 year old who died from liver failure last week. The article discusses his mothers experience of her son’s drinking and ultimately his death as well as more general issues, such as should an alcoholic be given a liver transplant if there is a chance they may start to drink again? Surely there is always a chance that an addict will return to drinking or using, but they deserve the opportunity to get into recovery and that requires specialist help.

As Gary’s mother discusses and reject, the population have attributed a far proportion of blame to her for Gary’s death, but it is also clear that if Gary was eligible for a transplant he may well still be alive, so who should decide if someone should or should not be given a second chance? A key point is that if more alcoholics were treated in suitable rehab clinics then there would not be so much demand for livers or indeed so many alcohol related deaths.

What is most shocking about this tragic story is that a man aged 22 years old could die from a condition that is widely associated with older people who have 40 years old alcohol abuse under their belts. Indeed, even Dr Nick Sheron, a liver specialist has been shocked by the number of liver failure cases he has seen in young people.

“What Luke and his mates have discovered the hard way is what liver specialists like Dr Nick Sheron, of Southampton General hospital, have been saying for some time: that young people who abuse alcohol heavily will suffer the same consequences that older people who’ve been abusing it for many years do; in other words, their livers will fail.

The lost of this young man’s life not only highlights the severity of alcohol abuse, but also emphasises the need for people who are experiencing problems with alcohol to seek help no matter how old they are.

http://www.independent.co.uk/news/uk/crime/cocaine-britain-25-per-cent-rise-in-the-last-year-1759267.html

The above link refers to an article published in The Independent today that discussed the 25% rise in cocaine use that the UK has seen in the last year. The impact this is having is that addicts are getting younger and heart problems are increasing.

“According to the College of Emergency Medicine, the admission to hospital of young adults with heart problems caused by cocaine abuse has become almost routine since 2004.”

Aside from the odd newspaper article or television documentary there is not much public information advising about the significant risk of serious heart problems arising from a short time abusing cocaine. Do you think our young people are aware of what damage they are doing to themselves?