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St George's Hospital Medical School, London
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Tobacco Free Initiative Programme

Contains papers and photographs from the Tobacco Free Initiative Programme.

In 2002, the World Health Organisation, Regional Office for the Eastern Mediterranean (EMRO) commissioned the International Centre for Drug Policy (ICDP) at St George's, University of London to deliver a comprehensive training programme on tobacco free initiatives for senior medical practitioners and senior advisors in public health and tobacco programmes from the Middle Eastern countries.

The overall aim of the Programme was to enhance knowledge of the participants in a range of skills and interventions relating to tobacco free initiatives including smoking cessation and to provide them with resources to reduce smoking prevalence and related diseases within their home countries. Each programme was designed to reflect the specified learning needs of the participants as advised by EMRO and was structured around four broad themes made up of relevant sessions, each with learning aims:

· An introduction and overview of smoking and health
· National Policy, Strategy and Programmes
· Service Development
· Service Level Interventions

St George's Hospital Medical School, London

Substance Misuse in the Undergraduate Medical Curriculum Project

Reports and papers from the ‘Substance Misuse in the Undergraduate Medical Curriculum Project’ (Phase 1 – 2005-2007). This project was funded by the Department of Health, to work with all UK medical schools to develop consensus guidance on the integration of alcohol, drugs and tobacco training in medical undergraduate curricula. The guidance included key objectives and recommendations on providing high quality training and assessment.

Phase 2 of the project (2008-2011), had the following key aims:

• to support medical schools in integrating and implementing the Substance misuse in the undergraduate medical curriculum guidance into their curricula;
• to promote the development of a self-sustaining network of all English medical schools willing to pursue change in their curricula; and
• to complete and validate the teaching and learning resources (Toolkit) produced to advance the implementation programme.

The second phase of the project focused on implementing the guidance and validating the Toolkit. This was achieved through the funding and appointment of time-limited curriculum coordinators in English medical schools, working with local academic champions, to identify the suitability of the current substance misuse teaching and to recommend and support changes to ensure that substance misuse issues are fully covered in line with national guidance.

A National Steering Group was established to oversee both phases of the project and later aimed to promote further sustainability of the initiative. A National Coordinator convened an Expert Panel to develop the guidance and resources for the implementation work. A network of local academic champions and curriculum coordinators worked with the medical schools to deliver the changes needed to implement curriculum changes as appropriate for each school.

Phase 3, from 2012 onwards, concentrated on developing and extensively revising a set of factsheets, initially written in Phase 2, and which covered substance misuse relevant to a range of clinical conditions, groups of patients, specialities and settings.

St George's Hospital Medical School, London

Reduction in Tobacco Addiction (RETAD)

Includes reports and digital files regarding the Reduction in Tobacco Addiction (RETAD) study. This study was designed to explore the feasibility of routine provision of stop smoking interventions in hospital settings and provide a template for service delivery.

St George's Hospital Medical School, London

Herbal Medicine in the Treatment of Addictions

Includes reports and other papers relating to the herbal medicine in the treatment of addictions project.

Project background:
The issue of herbal medicine was brought to the attention of the Home Secretary by a member of his constituency in regards to the efficacy of the herbal medicine utilised in the treatment of heroin addiction. The Home Office had communication from other interested individuals requesting the possibility of clinical trials to be undertaken in the UK. The Home Office approached the International Centre for Drug Policy (ICDP) at St George's to ascertain what could be possible in the UK in the interim. It was agreed that an expert group would be held, giving members the responsibility of drawing up recommendations for an action plan for future investigations. The expert group were to consider all forms of herbal medicine relating to the treatment of drug, alcohol and tobacco addiction.

St George's Hospital Medical School, London

Croydon Alcohol Interventions Project

Contains papers from the Croydon Alcohol Interventions Project.

Set up in c.2008 through social inclusion funding, the aim of the project was to develop a programme of training on screening and brief interventions on alcohol for staff in Accident & Emergency settings at the Mayday Hospital, including the minor injuries unit and relevant mental health wards at the Bethlem Royal Hospital as used by Croydon residents; GP practices and health care staff.

The main activities of the project were as follows:

· To identify, assess, and gather data on the training needs of key health staff in GP Surgeries, Accident and Emergency/Minor Injuries Unit and Mental Health inpatient wards at Mayday Hospital.

· To deliver appropriate training packages and support for health professionals specified above on brief interventions and screening for people at risk from alcohol harm.

· To develop knowledge of the impact of alcohol upon specific diseases and specialities, such as pregnancy, liver disease, violence, and accidents

· To advise on appropriate tools and other resources for use in screening in a variety of settings, including the prioritising of medical and psychosocial problems associated with alcohol misuse.

· To build capacity for local training to be undertaken within Croydon’s Health structures.

With increased identification of alcohol misuse and the delivery of brief interventions for alcohol users within GP practices, A & E and wards, it was anticipated that this would have an impact on the workflow within A&E.

St George's Hospital Medical School, London

Trends in Volatile Substance Abuse (VSA)

Contains reports on Trends in Volatile Substance Abuse (VSA). This work was transferred to ICDP in c.2009.

The scope of the work was to provide a basis for policy makers and professionals to assess the effectiveness of interventions intended to address the problem of VSA. ICDP was required to publish an annual statistical summary of data in trends in deaths associated with the deliberate inhalation of volatile substances.

The reports include data on the numbers of death associated with volatile substance abuse, broken down by age, gender, local authority area of residence, substance abused and method of administration. They also include commentary on trends in data and key findings.

St George's Hospital Medical School, London

Involving Service Users Toolkit

Project papers relating to the Service User Involvement Toolkit.

The toolkit was produced for the managers and staff of the alcohol and drug services in Croydon. The toolkit was produced by the International Centre for Drug Policy (ICDP) on behalf of and in partnership with the Drug and Alcohol Action Team (DAAT) and the Service User Representation Group (SURG) in Croydon.

St George's Hospital Medical School, London

European Collaborating Centres in Addiction Studies (ECCAS)

Papers relating to St George's, University of London involvement with the European Collaborating Centres in Addiction Studies.

Background:
Although formally named only in 1992, ECCAS was established in 1988/1989. Its origins and subsequent development can be traced back to discussions, held with officers of the European Commission in 1987/1988, identifying the need for a collaborative study to investigate the treatment of opiate addiction, using the substitute drug methadone, for the following reasons:

1 . The existence of wide differences in treatment regimes for opiate dependent individuals throughout the European Union. These differences were fuelled by controversy surrounding the side-effects of methadone, its abuse liability and dependence potential.

  1. The absence of sufficiently large samples.
  2. Differences in culture and drug legislation in Europe.

To carry out a study of this magnitude it was further understood that the research group would, in the first instance, need to develop standardised instruments, capable of collecting data from ten European countries.

Over the next three years ECCAS continued to hold discussions with the European Commission and finally in 1991 a contract was signed for the first Multi Centre Study in Europe to investigate 'Methadone Substitution Therapy and its Impact on HIV Risk Behaviours’.

After this first collaborative piece of work, ECCAS began welcoming new members to its growing group, developing other areas of interest such as training/education, and providing an environment in which members could discuss with colleagues across Europe a range of issues such as research, education and clinical treatment protocols. With an already established code of practice, ECCAS formalised its constitution at its 3rd Annual Assembly in Paris, France in April 1995.

Founder Members include:

Denmark, Embbedslaege Instiutionen, Arhus and Ringkobing
France, Centre Píerre Nicole, Paris
Germany, Klinik Fuer Allgemeine Psychiatrie, Essen
lreland, Drug Treatment Centre, Dublin
Italy, Dipartimento delle Dipendenze, Bergamo
Italy, Servizio Tossícodípendenze, Padova
Portugal, Cento Atendímento Toxicodependentes, Porto
Swtzerland, Fondation Phoenix, Geneva
Spain, Centro de Salud Mental 1, Oviedo
Spain, Servicio de Psiquiatria-Toxicomania, Hospital del Mar, Barcelona
United Kingdom, Division of Addictive Behaviour, St George’s Hospital Medical School, London

St George's Hospital Medical School, London

Academic visit to Iran 2008

Papers relating to academic visit to Iran in 2008 by the International Council on Drugs Policy (ICDP). Visit regarding two UK government funded addiction training programmes at two Iranian universities in Yazd and Semnan; also includes papers relating to methadone treatment workshop in UK in collaboration with Tehran University

St George's Hospital Medical School, London

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