he concept for The International Network of Nurses (TINN) Interested in Alcohol, Tobacco and Drug Misuse was developed in April 1998, following a meeting among members of the Association of Nurses in Substance Abuse (ANSA-UK) and the National Nurses Society on Addictions (NNSA-USA). This meeting took place at the 14th annual conference of ANSA in Nottingham, England.The Chair of ANSA presented a paper, which described a model of international networking for nursing care practice related to the public health consequences of substance misuse (Clancy, 1998). This paper was followed by a presentation by the Chair of NNSA's International Committee, describing the history and achievements of NNSA (Murphy-Parker, 1998). The discussion of possible collaborative activities developing between these two professional addictions focused nursing organisations emerged following these presentations.

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