A survey of substance use by health care professionals and their attitudes to substance misuse patients (NHS Staff Survey)

Raistrick, Duncan; Russell, Daphne; Tober, Gillian; Tindale, Alexander

doi:10.1080/14659890701237082

Cited by 34 publications

(43 citation statements)

References 22 publications

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“…Disseminating this training across the wider workforce would have positive impact on knowledge levels, although there is some debate whether this would translate to be more effective practice (Allsop & Helfgott, 2002;Raistrick et al, 2007). The potential positive change in attitude, as shown above, is the greater gain.…”

Section: Discussionmentioning

confidence: 85%

“…With the general societal attitude towards substance misuse often being an uninformed fear (Luty & Grewal, 2002;McLaughlin, McKenna, Leslie, Moore, & Robinson, 2006;Raistrick, Russell, Tober, & Tindale, 2007), this can lead to discrimination and negative experiences on both sides, leading to briefer and poorer quality of care (Fischer et al, 2002;Peckover & Chidlaw, 2007). In a study of Northern Irish, health and social care staff, McLaughlin et al (2006) notes that staff with low levels of knowledge and skill levels show a low regard for substance users and feel unable to cope with regular contact with them.…”

Section: Staff Attitudesmentioning

confidence: 94%

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Assessing user perceptions of staff training requirements in the substance use workforce: A review of the literature

Wylie

2010

Drugs: Education, Prevention and Policy

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Although the potential range of the workforce that may positively interact with substance users is large, and takes in all who may have to deal with substance use issues in some way, the literature mainly focuses on user views of specialist substance use or health and social care staff. With client-centred care a key policy of modern service delivery, this review assesses the available literature on service user perceptions of staff abilities and comments on possible training needs. Many service users rated a positive attitude towards the user as the key staff attribute that enhanced quality of care. There was also evidence that generally users desired more knowledgeable staff, both professional and ex-user, and that staff working within sub-specialties require advanced training. However, a positive attitude towards the user in interpersonal therapeutic situations was potentially able to overcome a staff member's knowledge deficiency. Potential methods of instilling positive attitudes within the substance use workforce are discussed, including organizational culture and potential educational requirements.

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Section: Discussionmentioning

confidence: 85%

Section: Staff Attitudesmentioning

confidence: 94%

Assessing user perceptions of staff training requirements in the substance use workforce: A review of the literature

Wylie

2010

Drugs: Education, Prevention and Policy

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“…This is of particular relevance in the context of students in training for health professionals, since these students will be future therapists. Indeed, health care professionals with regular use of psychoactive substances showed more negative attitude compared to their colleagues who do not use psychoactive substances [4]. How substance use among psychology students relates to their future attitude towards patients with SUD/addiction remains to be investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Other factors that have related with professional attitudes towards SUD patients are lack of knowledge concerning addiction and personal experiences with substance use among health professionals [1,2,4]. It is well known that training in addiction and SUD topics is very effective in improving knowledge and attitudes in students in professional education, such as medicine, psychology and nursing [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Illness Perceptions of Addiction and Substance Use Patterns among Psychology Students

Ayu

Jong²,

Pinxten³

et al. 2016

J Child Adolesc Behav

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“…Many staff are reluctant to raise the question of problem drinking and consider this a low priority even where it is a contributory factor to the admission. Also alcohol misuse tends to be overlooked when it is not the presenting problem [10,11]. Hospital staff have expressed reluctance to use the hospital admission opportunity to intervene for a number of reasons including role legitimacy, time and pessimism about the outcome [11].…”

Section: Introductionmentioning

confidence: 99%

An alcohol-focused intervention versus a healthy living intervention for problem drinkers identified in a general hospital setting (ADAPTA): study protocol for a randomized, controlled pilot trial

Watson

Tober

Raistrick

et al. 2013

Trials

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BackgroundAlcohol misuse is a major cause of premature mortality and ill health. Although there is a high prevalence of alcohol problems among patients presenting to general hospital, many of these people are not help seekers and do not engage in specialist treatment. Hospital admission is an opportunity to steer people towards specialist treatment, which can reduce health-care utilization and costs to the public sector and produce substantial individual health and social benefits. Alcohol misuse is associated with other lifestyle problems, which are amenable to intervention. It has been suggested that the development of a healthy or balanced lifestyle is potentially beneficial for reducing or abstaining from alcohol use, and relapse prevention. The aim of the study is to test whether or not the offer of a choice of health-related lifestyle interventions is more acceptable, and therefore able to engage more problem drinkers in treatment, than an alcohol-focused intervention.Methods/designThis is a pragmatic, randomized, controlled, open pilot study in a UK general hospital setting with concurrent economic evaluation and a qualitative component. Potential participants are those admitted to hospital with a diagnosis likely to be responsive to addiction interventions who score equal to or more than 16 on the Alcohol Use Disorders Identification Test (AUDIT). The main purpose of this pilot study is to evaluate the acceptability of two sorts of interventions (healthy living related versus alcohol focused) to the participants and to assess the components and processes of the design. Qualitative research will be undertaken to explore acceptability and the impact of the approach, assessment, recruitment and intervention on trial participants and non-participants. The effectiveness of the two treatments will be compared at 6 months using AUDIT scores as the primary outcome measure. There will be additional economic, qualitative and secondary outcome measurements.DiscussionDevelopment of the study was a collaboration between academics, commissioners and clinicians in general hospital and addiction services, made possible by the Collaboration in Leadership in Applied Health Research and Care (CLAHRC) program of research. CLAHRC was a necessary vehicle for overcoming the barriers to answering an important NHS question – how better to engage problem drinkers in a hospital setting.Trial registrationISRCTN47728072

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A survey of substance use by health care professionals and their attitudes to substance misuse patients (NHS Staff Survey)

Cited by 34 publications

References 22 publications

Assessing user perceptions of staff training requirements in the substance use workforce: A review of the literature

Assessing user perceptions of staff training requirements in the substance use workforce: A review of the literature

Illness Perceptions of Addiction and Substance Use Patterns among Psychology Students

An alcohol-focused intervention versus a healthy living intervention for problem drinkers identified in a general hospital setting (ADAPTA): study protocol for a randomized, controlled pilot trial

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