Twenty years on, the Methadone Treatment Protocol in Ireland: Reflections on General Practice

Background: Opioid dependence, characterised by socio economic disadvantage and significant morbidity and mortality, remains a major public health problem in Ireland. Through the methadone treatment protocol (MTP), Irish general practice has been a leader in the introduction and expansion of Irish harm reduction services, including opioid substitution treatment (OST), needle and syringe programs (NSP) and naloxone provision. These services have been effective in engaging opiate users in treatment, reducing human deficiency virus (HIV) and hepatitis C virus (HCV) transmission and reducing drug related morbidities. Challenges remain in relation to choice of substitution treatments, timely access to OST services, adequate coverage of NSP, naloxone provision and increasing drug related deaths.Methods: A narrative review was conducted and designed to present a broad perspective on the Irish MTP, and to describe its history and development in terms of clinical care, stakeholder views and changing trends.Results: Three themes emerged from the analysis; The History of the Methadone Treatment Protocol, Service User and Provider Views, and Challenges and Developments. Despite initial concern about methadone maintenance treatment (MMT) in Ireland, increased participation by Irish GPs in the treatment of opioid dependence is observed over the last two decades. There are now over 10,000 people on methadone treatment in Ireland, with 40% treated in general practice. The MTP provides structure, remuneration and guidance to GPs and is underpinned by; training, ongoing education and a system of quality assurance provided by the Irish College of General Practice (ICGP). Challenges include the negative views of patients around how methadone services are delivered, the stigma associated with methadone treatment, the lack of choice around substitution medication, waiting lists for treatment in certain areas and rates of fatal overdose.Conclusion: Twenty years of the MTP has been the mainstay of harm reduction services in Ireland. It has provided a network of specially trained GPs who provide methadone to over 10,000 patients across Ireland within a structured framework of training, quality assurance and remuneration. With the ongoing commitment of Irish specialists in the field of addiction medicine, further improvements to support and treat patients can be made

Local Authority planning provision for Event Management in Ireland: A Socio-Cultural Perspective

The increasing popularity of the event sector in Ireland has resulted in many community events being developed and marketed to international and domestic tourists alike. This growth has had an effect on host communities in a positive and negative manner. This paper assesses the current levels of Local Authority socio-cultural planning provision and guidelines for event management in Ireland. To achieve this, a content analysis approach was used to illustrate which Local Authorities in the Republic of Ireland employed socio-cultural tools and indicators for event management. Accordingly, analysis revealed a lack of Local Authority socio-cultural planning guidelines or policies for event management. However, this offers and opportunity to be improved by implementing and applying best practice indicators in socio-cultural policies and guidelines for event management in Ireland

1.5 m for Finglas Addiction Support Team (FAST)

Noel Ahern T.D., Minister of State at the Department of Community, Rural and Gaeltacht Affairs with responsibility for the National Drugs Strategy, has announced funding of €1.5m under the Premises Initiative Fund to Finglas Addiction Support Team (FAST). FAST is a community-based initiative funded by the Department of Community, Rural & Gaeltacht Affairs under the National Drugs Strategy through Finglas/Cabra Local Drugs Task Force.This resource was contributed by The National Documentation Centre on Drug Use

Code of practice between the National Roads Authority and the Minister for Arts, Heritage, Gaeltacht and the Islands

English/Gaelic text on inverted pagesSIGLEAvailable from British Library Document Supply Centre-DSC:m00/35853 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Irish-language broadcasting: history, ideology and identity

Irish-language broadcasting is discussed. The history of Irish-language broadcasting is outlined from the 1920s to the present. Irish-language broadcasting since the 1960s is placed in the context of two competing ideologies - a traditional and a modern ideology. These ideologies are the foundations on which contradictory demands placed on TG4 are built. The conflict between minority rights and market forces are discussed in relation to TG4. It is argued that although TG4 might be expected to offer Irish speakers a public sphere in which they can participate democratically as citizens, it is more likely that TG4 plays another important role of offering a mythic domain for the construction of identity