Attending to alcohol and drug misuse in the mental health sector: should it be routine practice ? Nursing Education Forum, Wellington, 12 & 13 November 2009 David Newcombe School of Population Health Faculty of Medical and Health Sciences University of Auckland
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Attending to alcohol and drug misuse in the mental health sector: should it be routine practice ?
Attending to alcohol and drug misuse in the mental health sector: should it be routine practice ?. David Newcombe School of Population Health Faculty of Medical and Health Sciences University of Auckland. Nursing Education Forum, Wellington, 12 & 13 November 2009. Introduction/aims. - PowerPoint PPT Presentation
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Attending to alcohol and drug misuse in the mental health sector: should it be routine practice ?
Nursing Education Forum, Wellington,12 & 13 November 2009
David Newcombe
School of Population HealthFaculty of Medical and Health SciencesUniversity of Auckland
Introduction/aims
• My personal journey• Working in the addiction
sector• University of Auckland –
training - combining practice with theory
• An insight into relevant research
• Moved to Aus when 13 years old
• Lived and worked in many places in Aus– Tasmania– Outback NT– Queensland– South Australia
• Moved to New Zealand - 2006
My Personal Context - Early Career
• Nursing • General training- Royal Adelaide Hospital • Post Graduate Intensive Care & Burns
Nursing Course in England– most notable event – met my wife– and learnt lots as well !
• On return to OZ Worked in Melbourne and Adelaide Burns units
• Awareness of link with A&D use/ mental health issues and injury
• Impetus to learn more about human behaviour
University training
• Flinders University of South Australia - Psychology training
• Worked as a psychology lecturer whilst undertaken post graduate psychology training
• PhD – Psycho pharmacology (addictions) at the University of Adelaide
Working in the A&D sector
• New South Wales– General A&D counsellor– Manager MERIT team– GP/Pharmacy liaison officer
• South Australia– Regional Drug and Alcohol Services - Research
manager – Worked in WHO Collaborating Centre for Alcohol and
Drug Treatment
New Zealand Beckons
• Academic position in the A & D area • Post graduate co coordinator Alcohol and Drug
Studies• Unique course – combines practice and theory
and builds on students existing professional training
• Permits professionals from a variety of professional backgrounds to gain knowledge base in Addictions
Establishment of Academic Establishment of Academic credentials - its taken time credentials - its taken time
1995 – First post-graduate course 1995 – First post-graduate course
1997 – First intake for PG Certificate (with 1997 – First intake for PG Certificate (with government funding)government funding)
1999 – First students take PG Diploma1999 – First students take PG Diploma
2001 – Diversified courses on dual 2001 – Diversified courses on dual diagnosis, gambling, biology etc.diagnosis, gambling, biology etc.
2008 – Qualification established2008 – Qualification established
Core courses
• Assessment & Intervention with Addiction– Full year course, clinical
skills based with supervision and clinical observation assessment
• Alcohol, Tobacco & Other Drug Studies– Half year course,
introduction to theory & research
Elective courses
• Biology of Addiction – Neurobiological basis of addiction and overview of
pharmacotherapies used to treat A&D dependence
• Theory and skills in counselling practice – Overview of therapeutic approaches and skills
• Coexisting substance use and mental health disorders – I: Foundations - theory– II: Interventions
Other courses continued
• Interventions for Lifestyle Change– Work on design of projects relevant to area
• Gambling and Health • Tobacco Control • And able to choose from a wide variety of
culturally based and mental health papers
Current Qualification Layers
• Tiered framework allows students to leave with the qualification that matches their needs and abilities– Post-graduate Certificate in Health Science
(Alcohol & Drug Studies) – Post-graduate Diploma in Health Science
(Alcohol & Drug Studies) – Masters in Health Science
• Research Masters and PhD
Relevant Research – practical issues
• Attending to alcohol and drug misuse in the mental health sector: should it be routine practice ?
• If it should be then how can mental health practitioners detect alcohol and drug misuse amongst consumers?
Relevant Research – practical question• There is a need for a universal screening tool that has
been validated for use with people who have mental health issues
• For example: The AUDIT – alcohol – validated for use amongst people with MH problems
• Linked to brief intervention • Or facilitates referral to specialist centre• But only screens for one substance• Development of the ASSIST is promising
What is the ASSIST?
• Alcohol, Smoking & Substance Involvement Screening Test
• 8 item questionnaire (paper & pen)
• Administration time ~5-10 minutes
• Developed for health care workers in primary care settings
• Validated in a variety of cultures
• Designed to be linked to a Brief Intervention
What does the ASSIST do?
• Screens for risky substance use• Alcohol, tobacco, cannabis, cocaine,