Substance Misuse Management in General Practice
News & Events

News & Events

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Latest News from the SMMGP

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Misc: Exciting Changes to SMMGP 5th National Conference Programme

(Posted 27th August 2010)
The progamme for the SMMGP Primary Care Development Conference in Newcastle on 15 October has been updated in the light of the proposed government policy changes to include a problem-solving session on how to get GPs involved in the new system; and a session on primary care outcome based commissioning.

We are also very excited to welcome to the conference for the first time "Recovery Rocks" - a local choir who celebrates their recovery by singing about it!

You can learn more about the event in the Courses & Events section, and/or download a copy of the full Updated Conference Programme below:

You can also register instantly online below and let us invoice you for the fee:

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Misc: M*A*C AIDS Fund Funding Opportunities

(Posted 13th August 2010)
To complement and build on its current grant-making in Europe, the M*A*C AIDS Fund invites funding proposals from European-based organizations to develop and/or scale up innovative HIV projects that:

  • focus on promotion of sexual health services, promotion of HIV testing and access to treatment, and/or rights-based initiatives to ensure that all people have increased capacity for and full and equal access to HIV prevention, treatment, care, and support;
  • describe work that links services for HIV, sexual health, and health promotion with work on policy, advocacy, and coalition-building to catalyze more effective HIV programming in Europe.

In response to this RFP, applicants should apply for up to 40,000 Euro for locally-focused efforts related to the themes identified above. To focus this grant-making round, priority will be placed on activity in any of 16 of the largest metropolitan areas of the European Union, namely:

  • In the UK: Greater London and Birmingham (west Midlands)
  • In France: Paris metropolitan area
  • In Germany: Berlin, Hamburg, Frankfurt, Munich, the Ruhr (Essen-Dortmund), Rhein-Nord (Dusseldorf-Duisberg), and Rhein-Sud (Cologne/Bonn)
  • In Spain: Madrid and Barcelona
  • In Italy: Milan metropolitan area, Rome
  • In Greece: Athens
  • In the Netherlands: The Randstad region (Amsterdam, Rotterdam, The Hague, Utrecht)

Priority will be placed on proposed projects that are led by and for one or more of the key populations of: people living with HIV, men who have sex with men, injecting drug users, and people originating from countries with generalized epidemics.

Project proposals are due by 5pm GMT on Friday 3 September 2010. Grant decisions and notifications will be made in late September. All applicants should apply on-line through the M*A*C AIDS Fund website.

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Library: July SMMGP Policy Update Now Online

(Posted 9th August 2010)
The July SMMGP Policy Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Misc: Drug Treatment Consensus Statement

(Posted 7th August 2010)
SMMGP have added our support to a Drug Treatment Consensus Statement which was drafted by the Drug Sector Partnership (Adfam, DrugScope, eATA and the Alliance) to ensure that the progress that has been made in improving drug treatment, and therefore the lives of individuals and their families and communities, is recognised at this time.

The Consensus Statement can be downloaded below in Adobe Acrobat PDF format, and includes details of how to "sign up" in support:

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Library: 4th West Midlands SMMGP, RCGP, SCAN & NTA Conference Presentations Available

(Posted 3rd August 2010)
The 4th West Midlands SMMGP, RCGP, SCAN & NTA Conference ("Driving Excellence in Local Services: Beyond National Standards") was held in Birmingham on 25 June 2010.

Presentations and other documents from this event are now available from the Conference Reports & Presentations section.

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Misc: EuroHRN Release their 1st Newsletter

(Posted 3rd August 2010)
The European Harm Reduction Network (EuroHRN) was formed recently by ten organisations with a shared interest in advocating for and sharing knowledge on harm reduction within Europe. It is made up of three sub-regional networks covering North, South and Eastern Europe and managed by a coordinator based at the International Harm Reduction Association in the UK.

EuroHRN have just released their first newsletter, which you can see in the Other Newsletters section of our site, or on the EuroHRN web site.

For more information about EuroHRN, to join, or to sign up for their future newsletters, please see the EuroHRN web site.

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Misc: Methadone Works. Stop the Interfering!

(Posted 26th July 2010)
The following article written by Chris Ford appeared on the www.guardian.co.uk web site, Monday 26 July 2010:

Opioid substitutes are a key tool in the drug treatment box. Their use should not be restricted for political reasons.

The medical profession has reached a consensus. The front page of last week's BMJ reads "Drug users and HIV: Treat don't punish". Within its pages is a an analysis piece entitled "Why Russia must legalise methadone" and a report on the Vienna declaration, which calls for the incorporation of scientific evidence into drug policy.

Meanwhile, the Lancet has a series of papers highlighting that while there have been large gains in fighting the HIV epidemic in the general population, the socially marginalised such as people who use drugs and who often enter prison systems, continue to be denied access to treatments, particularly opioid substitution therapy that both saves lives and prevents HIV transmission to others. The Lancet's editor, Dr Richard Horton, says: "Complacency about the HIV/Aids epidemic now would be a terrible mistake."

The evidence for the benefit of treatments such as methadone is overwhelming. At a time when the UK should be leading the way in ensuring such benefits are available everywhere I am left wondering why the UK National Treatment Agency for Substance Abuse is instead pandering to politics by raising the possibility of returning to the outdated and discredited policy of time-limited methadone prescribing.

As a doctor I use methadone and buprenorphine with many patients alongside a variety of psychosocial and other healthcare interventions. Prescribing can last for one week or it can last for 30 years - it is and should be completely patient-driven and dependent on them as individuals. An arbitrary time frame imposed on any patient's medication regime is unacceptable and I for one will not accept such political interference. It is essential that this new government's drug policy is based on sound evidence and we the clinicians must strongly resist a potentially lethal change to policy.

Most sensible clinicians see abstinence as one end of a spectrum and see no conflict whatsoever with substitute prescribing. In my experience most people working in the field want the best for their patients. I am deeply offended by language such as "people indefinitely parked on methadone", "routinely writing off full potential" etc. If any of my patients wants to try and come off all drugs - they have my full support.

Recently a group of doctors launched International Doctors for Healthy Drug Policies after becoming increasingly aware over the past few years of the wide divide between what we know works and the drug policy made by politicians and their appointees - most who have no background in practice and never meet nor work with people who use drugs.

Reliable and persistent research shows that substitute prescribing treatment substantially reduces deaths, crime, HIV infection and drug use while also assisting social functioning such as improved education, training, parenting and employment. Methadone treatment has been endorsed by UN agencies: the United Nations Office on Drugs and Crime, the World Health Organisation and UNAIDS, as well as Nice and the Department of Health in the UK. The WHO has also included methadone treatment in its "essential medicines" list and 70 countries in the world now provide methadone or buprenorphine treatment to an estimated 1 million patients. It is up to us to ensure that this life-saving intervention is made available in countries such as Russia and the Ukraine where it could be saving literally millions of lives. Politicians in the UK must take up this global challenge instead of using people's fear of drugs and the use of false dawns in addressing these fears to gain a little extra popularity.

See the Guardian web site for the original article, and to see the many comments fit has elicited.

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Misc: Health Secretary Andrew Lansley in live Q&A

(Posted 19th July 2010)
Health Secretary Andrew Lansley will be available for a live online Q&A on Thursday 22 July 2010 10.30am BST to answer your questions on the Government's proposals to reform health services in Britain.

Join the webchat at number10.gov.uk from 10.30am. You will be able to submit your questions directly into the CoveritLive discussion or via twitter.

A White Paper published this week sets out the Government's plans to give more power to patients and the NHS professionals who treat them.

Mr Lansley said:

"The Government's ambition is for health outcomes- and quality services - that are among the best in the world. We have in our sights a unique combination of equity and excellence.

"With patients empowered to share in decisions about their care, with professionals free to tailor services around their patients and with a relentless focus on continuously improving results, I am confident that together we can deliver the efficiency and the improvement in quality that is required to make the NHS a truly world class service."

This is the start of an extensive consultation that will take place over the coming weeks to seek the public's views on the NHS proposals.

As there will be important implications for the delivery of drug treatment from the reconfiguration of decision-making in healthcare, this is an opportunity to engage with the Health Secretary to put your views forward.

See number10.gov.uk for more information.

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Library: The Adventures of Methadone Man and Buprenorphine Babe

The Adventures of Methadone Man and Buprenorphine Babe

(Posted 15th July 2010)
Methadone and buprenorphine are the most-effective, most-researched medicines for treating drug addiction. However, in many countries where injection drug use drives the HIV epidemic, these medicines are largely inaccessible - or even banned outright.

The Open Society Institute's International Harm Reduction Development Program (IHRD) developed Methadone Man and Buprenorphine Babe to help raise awareness about the glaring lack of access to these lifesaving drugs.

We have added the IHED's graphic novel "The Adventures of Methadone Man and Buprenorphine Babe - Stopping HIV in its Tracks" to the Other Resources section of the site, and you can see live action movies on the Methadone Man web site:

IHRD works to reduce HIV and other harms related to injecting drug use, and to press for policies that reduce stigmatization of illicit drug users and protect their human rights. IHRD advocates for the increased availability and quality of needle exchange, medication-assisted treatment, and antiretroviral treatment for HIV. IHRD also works to reform discriminatory policies and practices and to expand the opportunities for political engagement by people who use drugs and who are living with HIV.

For more information on IHRD, see www.soros.org/harm-reduction.

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Library: June SMMGP Clinical Update Now Online

(Posted 7th July 2010)
The June SMMGP Clinical Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Misc: Help Needed with Cannabis Study

(Posted 6th July 2010)
Please can you help?

We are hoping you might be able to help out with a project on the assessment and management of cannabis use disorders ("Clinician assessment and management of affective symptoms and withdrawal in cannabis users") being conducted as part of an MSc in the Clinical and Public Health Aspects of Addiction at the National Addiction Centre. It is being supervised by Drs Adam Winstock and Chris Ford.

The study aims to determine how cannabis use disorders are assessed an managed by different groups (psychologists, GPs and psychiatrists).

The questionnaire is very brief - about 7 minutes from start to finish.

You can download the Questionnaire and Participant Information/Consent Sheet below:

Completed questionnaires should be returned by 31 July 2010 to:

Kanika Bandha
c/o Addiction Science Building
4 Windsor Walk
London SE5 8AF
E-mail: kanika.bandha@kcl.ac.uk

A chance to win a £75 voucher goes along with participation. The results will go back to Dr Chris Ford so the findings can be reported back to the SMMGP membership.

Thanks for your help!

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Misc: Call to Endorse the Vienna Declaration

(Posted 6th July 2010)
The Vienna Declaration is a scientific statement stressing that conventional illicit drug policies have failed to achieve their intended objectives and that evidence-based public health approaches are urgently needed.

We hope that you and any organizations you are affiliated will take a moment to read about this initiative and endorse the Declaration, sending a clear message to policy-makers worldwide that the international community is seriously concerned about the overwhelmingly negative health and social consequences of current illicit drug policies and supports a full policy reorientation.

This is the official declaration of the XVIII International AIDS Conference (AIDS 2010) to be held in Vienna, Austria from July 18th to 23rd. The declaration was drafted by a team of international experts and initiated by several of the world's leading HIV and drug policy scientific bodies: the International AIDS Society, the International Centre for Science in Drug Policy (ICSDP), and the BC Centre for Excellence in HIV/AIDS.

To read the full text of the declaration, please visit www.viennadeclaration.com. There you will also find more information about the team of international experts that initiated the Declaration and leading academics and scientists, drug policy experts and concerned communities and public already endorsing the Declaration.

You can also find the Vienna Declaration on Twitter and Facebook.

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Misc: World Drug Day - 26 June 2010

(Posted 23rd June 2010)
Calls for change around the world

There are dozens of countries around the world with extreme drug control measures. As a result of a policy that has failed to reduce abuse and dependence on drugs, prisons around the world are overcrowded; billions of dollars are being misspent; and health concerns and human rights are ignored.

As the International Federation of the Red Cross and Red Crescent Societies has said, "Forcing drug users to hide and denying them access to life-saving treatment and prevention services is creating a public health disaster. This happens even though the evidence from scientific and medical research on best practices and cost benefit analyses is overwhelmingly in favour of harm reduction programming ...The message is clear. It is time to be guided by the light of science, not by the darkness of ignorance and fear."

Today nearly fifty organisations from the world - from South Africa to Colombia to China to Russia - have renewed their call for change to the current UN conventions that perpetuate an ineffective war on drugs. Specifically, these groups are calling for governments to:

  • Focus on reducing the harms related to drug trade and use, such as making needle and syringe exchange programs widely available.
  • Decriminalize the possession of drugs for personal use.
  • Ensure that evidence-based treatments for pain and addiction are widely available, including methadone and buprenorphine.
  • Treat supporting farmers in moving away from coca or poppy cultivation as a development issue.
  • Comply fully with human rights obligations in any drug control measure, ensuring proportionality of penalties, abolishing the death penalty, and avoiding non-evidence-based forms of treatment.

In too many countries, the "war on drugs" has become war on people. This has to change.

You can download this information as an IDHDP Press Release below, together with a message from the United Nations Secretary General:

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Misc: New Book "The Offender and Drug Treatment..."

(Posted 16th June 2010)
Nat Wright, long-term SMMGP contributor and Forum Moderator, has drawn from his extensive experience of working in drug treatment in secure environments to self-publish a much-needed new resource.

The book, entitled "The Offender and Drug Treatment - Making it Work Across Prisons and Wider Secure Environments" provides a comprehensive overview of how to provide effective drug treatment in prisons and wider secure environments. The textbook is supported by over 500 references to the international literature which makes it an authoritative textbook that is a "must read" for all who are serious about providing quality treatment to drug users in secure environments.

The book covers the following key topic areas:

  • The history of the development of prisons;
  • Barriers to providing effective drug treatment in secure environments;
  • Assessment, establishing a therapeutic alliance and managing challenging behaviour;
  • How to provide safe and effective prescribing maintenance, detoxification and relapse prescribing interventions;
  • The effectiveness of psychosocial interventions and how to effectively manage dual diagnosis;
  • Management of co-morbid blood borne and sexually transmitted infections;
  • Treatment for minority offender groups residing in the women's or young offender estate;
  • Treatment provision for offenders serving a community sentence or resident in police custody;
  • Effective partnership working;
  • Current dilemmas, debates and developments in prison healthcare.

The book was first published in February 2010 and was instantly adopted by the Royal College of General Practitioners (RCGP) as a key textbook for those undertaking the RCGP Certificate in Substance Misuse Course.

You can learn more about the book on the Wrighthealth Publishing website, and/or download a copy of the Book Flyer & Order Form below:

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Library: May SMMGP Policy Update Now Online

(Posted 7th June 2010)
The May SMMGP Policy Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

This Policy Update is a collaborative one between SMMGP and FDAP (Federation of Drug and Alcohol Professionals) and outlines the important regulation changes which are currently being implemented in the field.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Library: 14th RCGP Conference Presentations Now Available Online

(Posted 17th May 2010)
The highly successful 15th National RCGP Conference ("Working with Drug & Alcohol Users in Primary Care - Integrating Practice and Policy: Everyone's Business") was held in Glasgow on 22-23 April 2010.

Presentations and other documents from this event are now available from the Past Reports & Presentations page in the RCGP Conference section.

Also included is a response from a GP who attended the open meeting of Narcotics Anonymous held on the second day of the RCGP conference in Glasgow. Dr Nick Swift writes: "I was recently at the 15th RCGP conference in Glasgow. Whilst there I was privileged enough to be able to attend an open Narcotics Anonymous meeting, I was deeply moved by attending that meeting. It was a sentinel moment in my life and career and I hope it will lead to me referring many more clients to NA. I enclose a brief summary of my experience of that meeting".

The 16th National RCGP Conference will be held at the Harrogate International Centre, Thursday 12 - Friday 13 May 2011. Please see the RCGP Conference section for more details.

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Library: Dental Care and Substance Misuse Treatment

(Posted 10th May 2010)
Dental care is an important but often neglected issue for substance misusers. Ruth Edwards highlights the importance of access to good quality dental care for service users in a new article added to our Resource Library:

For more on dental care for drug users, see Dentist Fixit in Network 29.

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Library: 3rd Fetal Alcohol Forum Newsletter Now Online

(Posted 10th May 2010)
Issue 3 of the Fetal Alcohol Forum Newsletter has been added to the a Fetal Alcohol Forum Newsletters section of the Resource Library.

The National Organisation on Fetal Alcohol Syndrome - UK (NOFAS-UK) is dedicated to eliminating birth defects caused by alcohol consumption during pregnancy and to improving the quality of life for children, adults, families, careres and communities affected by Foetal Alcohol Syndrome (FAS) and Foetal Alcohol Spectrum Disorders (FASD).

The Fetal Alcohol Forum is their "International Medical Network devoted to Fetal* Alcohol Spectrum Disorders".

For more information about NOFAS-UK and the Fetal Alcohol Forum, please see the NOFAS-UK website.

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Misc: IHRA 2010 Conference Follow-Up

(Posted 10th May 2010)
If, post Glasgow, you couldn't make it to Liverpool for the International Harm Reduction Agency's 21st Annual Conference ...here is a little flavour:

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Library: April SMMGP Clinical Update Now Online

(Posted 9th May 2010)
The April SMMGP Clinical Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

This Update includes an offer for SMMGP Members to recieve a copy of the NTA/BPS publication "Psychosocial interventions for drug misuse: a framework and toolkit for implementing NICE-recommended treatment interventions".

Please Note: There are only 100 copies to give away and you MUST be an SMMGP Member to apply!

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Misc: International Doctors for Healthy Drug Policies (IDHDP)

(Posted 20th April 2010)
International Doctors for Healthy Drug Policies (IDHDP) network is for medical doctors to share expertise and good practice in reducing the health social and economic harms of people who use drugs and, with them at the centre, create dialogue and influence practice and drug policy.

IDHDP's overall purpose is to increase the participation of medical doctors in the forum of drug policy reform. It will bring together medical doctors from all over the world to share experiences, expertise and good practise in reducing harms caused both by drug use and by the existence of poor drug policies.

The main goal will be to develop a powerful global network of doctors that will be able to work with other networks of professionals (e.g. lawyers, nurses) to apply pressure to bring about change in policies that adversely affect people who use drugs.

There will be a meeting of IDHDP in Liverpool on Wednesday 28 April 2010. The meeting is held in conjunction with the 21st International Harm Reduction Conference, but you do not need to be a conference attendee to come to the IDHDP meeting.

IDHDP membership is completely free and open to all doctors. People who sign up to IDHDP become members of an established e-network list where identified areas of interest to the group are discussed.

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Misc: "Recovery Rocks" Choir at SMMGP 5th National Conference

(Posted 16th April 2010)
We are delighted to announce that the "Recovery Rocks" choir will be appearing at the SMMGP 5th National Primary Care Development Conference in Newcastle in October. The choir is based in Gateshead and apart from providing wonderful entertainment; their singing is a tangible example of recovery in action in the community ...Or should that be an audible example?

You can learn more about the event in the Courses & Events section, and/or download a copy of the full Conference Programme below:

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Misc: Cannabis Conversations

(Posted 15th April 2010)
SMMGP Clinical Director Dr Chris Ford has been interviewed by BMJ's Dunan Jarvies regarding how to talk to patients about their cannabis use.

The following related article is now available in the Other Resources section of the Resource Library:

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Library: 29th Edition of "Network" Now Online

(Posted 14th March 2010)
Issue 29 of "Network", the SMMGP Newsletter, is now available to read online, download in Adobe Acrobat PDF format, or browse as a "digital publication" from the Newsletters section in the Resource Library.

If you would like to receive copies of Network via post and/or e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Misc: Methadone on Facebook

(Posted 13th April 2010)
A Facebook Fan Page for methadone has been launched. The intention is that we can collaborate with fellow Non Government Organisations (NGOs) to create a large group that will attract press attention and engage the public in the struggle around access to Opiate Substitution Treatment (OST) in many countries - Russian and Scotland being the most pertinent current examples.

Help us ensure access to and continued provision of methadone treatment globally by becoming a fan of the methadone facebook page and encouraging your friends to become fans as well.

As all of your are aware methadone treatment is a well evaluated treatment, safe, cost-effective and has been successfully used to treat heroin dependence since 1964. It is now legally available in about 70 countries, was endorsed by the World Health Organization and the United Nations Office on Drugs and Crime and World Health Organization added methadone to their Essential Drugs list both in 2004.

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Library: March SMMGP Policy Update Now Online

(Posted 8th April 2010)
The March SMMGP Policy Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Library: February SMMGP Clinical Update Now Online

(Posted 9th February 2010)
The February SMMGP Clinical Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

Our Clinical Update this month features papers from the Faculty of Addiction, which is part of the Division of Clinical Psychology in the British Psychological Society. Some of the aims of the Faculty are to foster effective psychological services, raise awareness of psychological issues in addiction, promote psychological research which enhances the lives of people affected by addictions, advise and influence relevant organisations and policy about the psychology of people affected by addiction issues.

The Faculty arranges quarterly continuing professional study events and a conference every two years. These events are open to non-psychologists. For details of the next event, in London on the 24th of March, please visit the "Courses & Events" section.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Misc: NICE Alcohol Use Disorders Clinical Guideline Pre-Publication Check

(Posted 24th February 2010)
Following consultation on the provisional recommendations, the National Clinical Guideline Centre for Acute and Chronic Conditions and the Acute Coronary Syndromes Guideline Development Group (GDG) have considered and responded to stakeholder comments and amended the draft guideline.

The revised full guideline is now available on the web (see link below) for a pre-publication check of factual errors. Factual errors are instances where there is an objective error of material fact in the guideline. They do not include disagreement about scientific or clinical interpretation or judgement, because this cannot be defined as an objective error of material fact.

This is still draft guidance and has not been sent out to the NHS. The pre-publication check is not a second consultation or an opportunity to reopen arguments and issue highlighted during consultation on the draft guidelines. The GDG will already have considered these issues in forming the recommendations contained in the draft for the pre-publication check.

Registered stakeholders for this guideline are invited to report any factual errors in the guideline via this website before 5pm on 15 March:

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Library: 28th Edition of "Network" Now Online (Alcohol Special Edition)

(Posted 15th February 2010)
Issue 28 of "Network", the SMMGP Newsletter, is now available to read online, download in Adobe Acrobat PDF format, or browse as a "digital publication" from the Newsletters section in the Resource Library.

This is an Alcohol Special Edition!

This Special Edition looks at issues caused by our increasing alcohol consumption in the UK, including trends, policy, and treatment. In particular we look at the role primary care can play in the growing challenges presented by alcohol use in the UK today.

We are also pleased to publish 2 articles on the website that compliment the Alcohol Special Edition of Network:

If you would like to receive copies of Network via post and/or e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Library: January SMMGP Policy Update Now Online

(Posted 3rd February 2010)
The January SMMGP Policy Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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Library: December SMMGP Clinical Update Now Online

(Posted 14th December 2010)
The December SMMGP Clinical Update is now available in the SMMGP Clinical & Policy Updates section in both online and downloadable versions.

If you would like to receive these Updates via e-mail as soon as they are released, please join the SMMGP. Membership is completely free, you can join instantly online, and there are lots of benefits - see the Free SMMGP Membership Application page for more details.

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