Les CSAPA (Centres de Soin, d’Accompagnement et de Prévention en Addictologie) assurent, pour les personnes ayant une consommation à risque, un usage nocif ou présentant une dépendance aux substances psychoactives

"WHETHER ANY PARTICULAR TERM IS HARMFUL IS AN EMPIRICAL QUESTION"

NYT:

The latest numbers surpass even the yearly tolls during the height of the opioid epidemic and mark a reversal of progress against addiction in recent years.

وافق مجلس النواب من حيث المبدأ، اليوم، على مشروع قانون مقدم من الحكومة لإلزام جهات العمل الحكومية والخاصة بإجراء تحليل الكشف عن تعاطي المخدرات لجميع العاملين بها، بشكل مفاجئ، ودوري عند التعيين والترقية، وتوقيع عقوبة الفصل الفوري على كل موظف أو عامل يثبت تعاطيه المخدرات، بدلًا من إحالته للنيابة الإدارية التي توقع عقوبات تبدأ من الخصم من الراتب وتنتهي بالفصل.

ورغم أن مشروع القانون يبدو كرد فعل من الحكومة والبرلمان على حوادث القطارات الأخيرة، بعد ثبوت تعاطي عدد من السائقين والموظفين للمخدرات، إلا أن تقرير لجنة القوى العاملة بالبرلمان أوضح أن الحكومة أرسلت المشروع للمجلس قبل عامين، في آخر مايو 2019، وأن مجلس النواب بتشكيله السابق نظره قبل انتهاء مدته، وبعدها أعادت الحكومة، في يناير الماضي، مطالبة المجلس بتشكيله الحالي بإقرار المشروع، وهو ما قامت على إثره …

"Because it attacks the lungs, the coronavirus that causes COVID-19 could be an especially serious threat to those who smoke tobacco or marijuana or who vape. People with opioid use disorder (OUD) and methamphetamine use disorder may also be vulnerable due to those drugs’ effects on respiratory and pulmonary health. Additionally, individuals with a substance use disorder are more likely to experience homelessness or incarceration than those in the general population, and these circumstances pose unique challenges regarding transmission of the virus that causes COVID-19."

Voluntary withdrawal schedule

The Disease of Addiction is also Feminine”: A Feminist Analysis of the Gender Dimensions of Addiction

The addictive drug can boost your cognition and won’t give you cancer, but that doesn’t mean it’s safe for casual use

Four hundred and thirteen documents in substance use disorders were retrieved. Annual research productivity was low but showed a significant increase in the last few years. In terms of quantity, Kingdom of Saudi Arabia (83 documents) ranked first in research about substance use disorders while Lebanon (17.4 documents per million) ranked first in terms of number of documents published per million inhabitants. Retrieved documents were found in different journal titles and categories, mostly in Drug and Alcohol Dependence Journal.

Centers that offer observership in Europe

"As of January 7, 2020, a total of 2602 cases of EVALI had been reported to the CDC from all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands; 57 deaths had been confirmed. All patients with EVALI have reported using vaping products. Nationally, most of these patients reported using THC-containing products, but some reported exclusive use of nicotine-containing products. The median age of patients was 24 years; 62% of patients were between 18 and 34 years old, and 16% were under 18.

In 2005, the International Society of Addiction Medicine established a process for physicians to demonstrate expertise in the treatment of addictive disorders. This process of international certification entails demonstration of structured clinical experience in addiction treatment and successful completion of an examination testing candidates’ clinical expertise.

"A small but significant overall effect size for reduced cognitive functioning in adolescents and young adults who reported frequent cannabis use."

"It became clear that it was not nicotine vaping that was implicated. Details were slow to emerge because the substances involved were in fact cartridges containing cannabis (primarily tetrahydrocannabinol or THC). These were often obtained on the illicit market, and in some cases being used by children. This meant users were reluctant to admit what they had vaped.

The orexin system in the lateral hypothalamus and dorsal medical hypothalamus/perifornical area is activated during wakening and silent during sleep. It is the system that is disrupted in narcolepsy. It is also the system that coordinates the activity of the other arousal centers in the brain including the TMN-HA, LC-NE, DRN-5-HT, VTA-DA, and cholinergic neurons in the Nucleus Basalis of Meynert (NBM-Ach).

“This whole thing is an epistemic dumpster fire.”

‘Rat Park’ is the name given to a series of studies undertaken in the late 1970s by Bruce K. Alexander and colleagues. They found that rats housed in enriched environments consumed less morphine solution than those in isolated cages, when rats were pre‐exposed to morphine, naive to morphine, and whether they had spent their early life in isolation or in enriched housing. The measured conclusions from the authors at the time have become somewhat lost in translation.

This article provides a historical and contemporary overview of e-cigarettes and vaping. The reader will gain an understanding of e-cigarette usage, risks and benefits, the current position on use of e-cigarettes in mental health settings, and tips on how to take an e-cigarette/vaping history and how to offer advice about use.

Weakly regulated painkillers (tramadol) are causing untold damage in West Africa, but stricter controls could have dire consequences for patients. Laura Salm-Reifferscheidt unpicks an opioid crisis even more complex than America’s.

Experts identified 38 distinct MI techniques with high agreement on clarity, uniqueness, preciseness, and distinctiveness ratings. Of the identified techniques, 16 were classified as relational techniques. The remaining 22 techniques were classified as content-based. Sixteen of the MI techniques were identified as having substantial overlap with techniques from the BCTTv1. The isolation and classification of MI techniques will provide researchers with the necessary tools to clearly specify MI interventions and test the main and interactive effects of the techniques on health behavior. The distinction between relational and content-based techniques within MI is also an important advance, recognising that changes in motivation and behavior in MI is a function of both intervention content and the interpersonal style in which the content is delivered.

Online program for addiction studies. VCU/KCL/AU

Motivational Interviewing as a Counseling Style - Enhancing Motivation for Change in Substance Abuse Treatment - NCBI Bookshelf

Introductory online course on the opioid crisis in America by HarvardX.

Resources for the Prevention and Treatment of Substance Use Disorders (SUD)

Anti-nausea drug Ondansetron helps some alcoholics stay abstinent.