BACKGROUND:

Coolmine’s implementation of quality standards involves a period of change management, strategic planning, and national policy development.

METHODS:

A narrative case study focusing on national policy and internal strategic planning.

CONCLUSIONS:

From 2000, Coolmine embarked on a change management journey that kept the organisation at the forefront of drug and alcohol treatment in Ireland and internationally while maintaining fidelity to the Therapeutic Community. The strategy for quality assurance is replicable across similar organisations.

Background

Since 1996, an urban community-based organisation whose primary mission is to serve diverse94 and emerging community health needs has provided screening, testing, overdose prevention and training, referrals, and access to treatment for substance use disorders (SUD) and communicable diseases such as HIV through its Life Points harm reduction program.

Methods

As a partner in a State survey in 2021, the community organisation recruited a convenience sample of people who use drugs to participate in a survey focused on their substance use, healthcare, and barriers to SUD services...

Stimulants are a class of drugs that act on the central nervous system, increasing alertness, energy, and attention while elevating mood. They achieve these effects by enhancing the activity of neurotransmitters such as dopamine and norepinephrine in the brain.

Many stimulant-related hazards are linked to intensive, high-dose, or long-term usage. The mode of administration plays a significant moderating role; injecting stimulants and smoking crack cocaine or methamphetamine have been specifically associated with more problematic use behaviours. Even people who use stimulants sporadically or...

Background

Previous research has demonstrated that remissions from alcohol use disorders can occur without accessing treatment. The current study explored the prevalence of such untreated remissions in the UK and further, examined the extent to which people who resolved an alcohol use disorder regarded themselves as ever, or currently, being in recovery.

Methods

Participants were recruited using the Prolific online platform. Participants who met criteria for lifetime alcohol dependence (ICD-10) were asked about their drinking at its heaviest, use of treatment services, whether they...

Background:

In the last 20 years, the term "recovery" has become crucial in dealing with addiction. However, different groups, such as researchers, clinicians, policymakers, and people with lived experience of alcohol or drug (AOD) problems, have varying definitions for this term. While professional groups are working towards a consensus, individuals with lived experience use the term differently, causing confusion in UK policy making. Understanding how prevalent and what factors contribute to adopting a recovery identity among those who have overcome an AOD problem can inform clinical...