Community based interventions for problematic substance use in later life: a systematic review of evaluated studies and their outcomes

Problematic substance use (PSU) in later life is a growing global problem of significant concern in tandem with a rapidly ageing global population. Prevention and interventions specifically designed for older people are not common, and those designed for mixed-age groups may fail to address the unique and sometimes complex needs of ageing communities. We report findings from a systematic review of the empirical evidence from studies which formally evaluated interventions used with older people and reported their outcomes. Nineteen studies were included, of which thirteen focused solely on alcohol-related problems. Eight interventions utilised different types of screening, brief advice and education. The remaining drew on behavioural, narrative and integrated or multi-disciplinary approaches, which aimed to meet older people’s needs holistically. Quality assessment of study design helped to review evaluation practice. Findings point to recommendations for sustainable and well-designed intervention strategies for PSU in later life, which purposefully align with other areas of health and well-being and are delivered in locations where older people normally seek, or receive, help. There is further scope for engagement with older people’s own perspectives on their needs and help-seeking behaviours. Economic evaluation of the outcome of interventions would also be useful to establish the value of investing in targeted services to this underserved population

The global addiction academy project: a global phenomenon - requiring a global solution - from a global community

The emergence of different and effective modes of e-communications has rapidly expanded possibilities for more extensive dialogue, collaboration and learning. For professionals and those working with addiction issues and support services, these offer increased opportunities to break down significant barriers to integrating issues of addiction into the care sector workforce and to ensure that the workforce can respond more appropriately and confidently and to access a range of up-to-date resources as well as to share best practice and expertise. Our international collaboration to develop a Global Classroom which started at the beginning of 2014 seeks to provide an innovative online platform for stimulating learning among people of different disciplines and interests on addictions. We aim to bring people together from diverse cultural communities to engage in dialogue, debate and to share ideas on addiction beyond their own peers, regions or country and to meet a range of learning needs within this structure which is inclusive and developmental. This symposium will share the outcomes of our early developments in the first year of developing a global addiction academy project, the challenges and possibilities particularly focusing on the impact of such methodology on achieving wider engagement on a global public health issue and enhancing inter-professional learning

Suppression of the commensurate spin-Peierls state in Sc-doped TiOCl

We have performed x-ray scattering measurements on single crystals of the doped spin-Peierls compound Ti(1-x)Sc(x)OCl (x = 0, 0.01, 0.03). These measurements reveal that the presence of non-magnetic dopants has a profound effect on the unconventional spin-Peierls behavior of this system, even at concentrations as low as 1%. Sc-doping suppresses commensurate fluctuations in the pseudogap and incommensurate spin-Peierls phases of TiOCl, and prevents the formation of a long-range ordered spin-Peierls state. Broad incommensurate scattering develops in the doped compounds near Tc2 ~ 93 K, and persists down to base temperature (~ 7 K) with no evidence of a lock-in transition. The width of the incommensurate dimerization peaks indicates short correlation lengths on the order of ~ 12 angstroms below Tc2. The intensity of the incommensurate scattering is significantly reduced at higher Sc concentrations, indicating that the size of the associated lattice displacement decreases rapidly as a function of doping.Comment: 7 pages, 5 figure

A mixed methods study of the impact of consultant overnight working in an English Emergency Department

This is the final version. Available on open access from BMJ Publishing Group via the DOI in this recordBackground There is a growing expectation that consultant-level doctors should be present within an ED overnight. However, there is a lack of robust evidence substantiating the impact on patient waiting times, safety or the workforce. Objectives To evaluate the impact of consultant-level doctors overnight working in ED in a large university hospital. Methods We conducted a controlled interrupted time series analysis to study ED waiting times before and after the introduction of consultant night working. Adverse event reports (AER) were used as a surrogate for patient safety. We conducted interviews with medical and nursing staff to explore attitudes to night work. Results The reduction seen in average time in department relative to the day, following the introduction of consultant was non-significant ('12 min; 95% CI '28 to 4, p=0.148). Analysis of hourly arrivals and departures indicated that overnight work was inherited from the day. There were three (0.9%) moderate and 0 severe AERs in 1 year. The workforce reported that night working had a negative impact on sleep patterns, performance and well-being and there were mixed views about the benefits of consultant night presence. Additional time off during the day acted as compensation for night work but resulted in reduced contact with ED teams. Conclusions Our single-site study was unable to demonstrate a clinically important impact of consultant night working on total time patients spend in the department. Our analysis suggests there may be more potential to reduce total time in department during the day, at our study site. Negative impacts on well-being, and likely resistance to consultant night working should not be ignored. Further studies of night working are recommended to substantiate our results.National Institute for Health Research (NIHR)University Hospital Southampto

Singlet-Triplet Excitations in the Unconventional Spin-Peierls System TiOBr

We have performed time-of-flight neutron scattering measurements on powder samples of the unconventional spin-Peierls compound TiOBr using the fine-resolution Fermi chopper spectrometer (SEQUOIA) at the SNS. These measurements reveal two branches of magnetic excitations within the commensurate and incommensurate spin-Peierls phases, which we associate with n = 1 and n = 2 triplet excitations out of the singlet ground state. These measurements represent the first direct measure of the singlet-triplet energy gap in TiOBr, which is determined to be Eg = 21.2 +/- 1.0 meV.Comment: 5 pages, 4 figures, submitted for publicatio

Ways of seeing : using filmaking to engage students with communities

Foucault referred to the authoritative ‘gaze’ that can objectify the users of public services and which continues to promote heroic narratives in many areas of professional practice by casting them in a passive role. In the UK, there has been a distinctive and growing discourse about the use and abuse of embedded ‘welfare’ system and within key professions there has been a number of ethical dilemmas and barriers in the quest for community engagement. Working within austerity and tight eligibility criteria has to some extent reinforced individualised pathologies about the causes of social problems and their potential solutions. Generating and exploring counterdiscourses which promote alternative and more challenging perspectives at an early stage in professional education is crucial to encourage students to think more actively about forging partnerships and co-production. This paper shares our experiences of using filmmaking with first year students on the BA (Hons) Social Work where the process of reaching out to communities through a different medium builds in opportunities for students to be more active and open in their search for approaches and interventions which build on the strengths of communities. Students work in small groups to investigate an everyday issue in the community and alongside a range of suggested community project work, generate a short 3-5 minute film which represents different ways of seeing and capturing a range of perspectives on their selected issues. This co-learning approach is also supported by a team of tutors; a service user and graduate student who model the skills required as well as provide peer feedback for students to reflect upon, using double loops of learning experiences. Our presentation will draw on some of the students evaluation which documents the value of such experiential learning and some of the achievements and challenges in its first year including demonstration of one of the student group film

Serving GODAE Data and Products to the Ocean Community

The Global Ocean Data Assimilation Experiment (GODAE [http:// www.godae.org]) has spanned a decade of rapid technological development. The ever-increasing volume and diversity of oceanographic data produced by in situ instruments, remote-sensing platforms, and computer simulations have driven the development of a number of innovative technologies that are essential for connecting scientists with the data that they need. This paper gives an overview of the technologies that have been developed and applied in the course of GODAE, which now provide users of oceanographic data with the capability to discover, evaluate, visualize, download, and analyze data from all over the world. The key to this capability is the ability to reduce the inherent complexity of oceanographic data by providing a consistent, harmonized view of the various data products. The challenges of data serving have been addressed over the last 10 years through the cooperative skills and energies of many individuals