New psychoactive substances - Looking for solutions: An e-health approach


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Presentation by Gerald Humphris (Medical School, University of St Andrews, UK) on the occasion of the EESC hearing on New Psychoactive Substances (Brussels, 27 November 2013)

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New psychoactive substances - Looking for solutions: An e-health approach

  1. 1. Session 3: Looking for solutions An e-health approach Gerry Humphris School of Medicine University of St Andrews, UK NEW PSYCHOACTIVE SUBSTANCES Proposal for a regulation COM(2013) 619 room JDE 51 99 rue Belliard, 1040 Brussels WHO Collaborating Centre for Child and Adolescent Health Policy Co-Director
  2. 2. “ There is a need to review the various regulatory options that are available in order to address the challenge presented by a plethora of new psychoactive substances appearing on the market as well as to address the technology for rapid development and marketing of new ones ” Addiction 108: 1700-1703
  3. 3. Editorial back catalogue of pharmaceutical and medical research industries new trends diffuse more rapidly Outside established regulatory frameworks Drug control policies in serious need of repair a market-place for psychoactive substances Addiction 108: 1700-1703
  4. 4. Marketing of ‘Legal Highs’ • • • • • • • Cognitive enhancers Life-style improvers: food supplements Pre-workout booster Enhance sexual desire Mood raiser Relaxant Life extension
  5. 5. Recent coverage 22 Nov nd Two hospitalised after taking legal highs in Stirling Police have warned about the dangers of legal highs after two people in Stirling were hospitalised. An 18-year-old man fell ill earlier this week after ingesting a legal high substance. He was treated at Forth Valley Royal Hospital. The following day a 26-year-old woman fell and suffered a head injury after taking a legal high. Police described the consumption of these types of substances as "a dangerous game of chance".
  6. 6. Politician input Labour: use local planning laws to stop shops selling legal highs. Stores have to satisfy new public health rules to be allowed to open. Shadow Crime Minister Diana Johnson said: “This is an interesting idea worth exploring.” Law in Ireland cut head shops from 100 to 3 in three months. Those thought selling legal highs subject to civil prohibition orders. Face criminal prosecution. But critics fear that would be open to legal challenge if introduced in Britain.
  7. 7. Use the ‘tools’ that legal high users and Marketers adopt
  8. 8. Run discussion groups with targets News about risks, overdose cases Video of ‘events’ Reach business organisations to educate employers of risks to employees
  9. 9. Screening, targeting and persuading
  10. 10. 'eSBIRTes' is aaEuropean 'eSBIRTes' is European project in which project in which Emergency Departments Emergency Departments (EDs) use an SBIRT to (EDs) use an SBIRT to deliver an early deliver an early intervention for persons intervention for persons with substance use with substance use disorders. disorders.
  11. 11. ReDNet Aim: improving the level of information available to young people (16-24) and professionals on the effects of these new recreational drugs and the potential health risks associated with their use.
  12. 12. Web-monitoring activities and production of preventive Messages, e.g. ReDNET, are essential as an EU response
  13. 13. TRIP (Bergamo study)
  14. 14. Active targeting ‘in setting’ also a part of EU response
  15. 15. TRIP •• Educational promotional campaign run in Educational promotional campaign run in nightclubs: nightclubs: – Bergamo, Italy and – Bergamo, Italy and – Dundee, Scotland – Dundee, Scotland
  16. 16. The Night Club Whole building has 2 night clubs and two bars: Mono club ground floor - Capacity 2000 Floor 5 club on top floor - Capacity for 600 Air Café bar / Restaurant / Pre-Club bar - Capacity 300 The Liar Bar / Restaurant / Televised Sport - Capacity 600 Well equipped first aid room Night bus service Protocol for intoxicated clubbers Well trained staff in club & bars
  17. 17. TRIP •• Results: Results: – Educational campaigns can work well from ‘chill– Educational campaigns can work well from ‘chillout’ rooms out’ rooms
  18. 18. TRIP •• Results: Results: – Educational campaigns can work well from ‘chill– Educational campaigns can work well from ‘chillout’ rooms out’ rooms Expanding the intervention to mobile phone and tablet presentation and active targeting
  19. 19. TRIP-WEB: Targeting and Raising awareness, through the use of Information technologies, on novel Psychoactive substances: a new prevention and Evidence Based approach
  20. 20. TRIP-WEB: • A web-based electronic screening and brief intervention(e-SBI) to tackle alcohol and drug use in recreational settings will be developed. • Will supplement e-SBI with a series of behaviour change text messages delivered by mobile phone.
  21. 21. TRIP-WEB: • First time an e-SBI used to tackle alcohol and drug use in recreational settings internationally. • The platform: TRIP website already in place for use by participants for screening and e-SBI, texting and outcome evaluation.
  22. 22. Conclusions • Behavioural interventions: e.g. TRIP WEB, RedNET • Tailored to setting and target group • Geopositioning for ‘active’ interventions • Adopt social media approaches to be available across EU states and communities • Long term development required to be sensitive to new technology and rapid growth of electronic communication