Lancet psychiatry: Articles on young people and substance use

the lancetWithin the UK there are two hallowed publications within medicine –  the British Medical Journal (BMJ) and The Lancet.  This series was published within The Lancet Psychiatry in February.  The fact that it was a series of research publications indicates how serious an issue substance misuse within young people is.

Here are the links to the full series of publications which are all freely available once you have registered your email with the journal.

February 18, 2016
Why young people’s substance use matters for global health
Wayne D Hall, George Patton, Emily Stockings, Megan Weier, Michael Lynskey, Katherine I Morley, Louisa Degenhardt
The increasing global health priority of substance use in young people
Louisa Degenhardt, Emily Stockings, George Patton, Wayne D Hall, Michael Lynskey
Drug policy: getting over the 20th century
The Lancet Psychiatry
Prevention, early intervention, harm reduction, and treatment of substance use in young people
Emily Stockings, Wayne D Hall, Michael Lynskey, Katherine I Morley, Nicola Reavley, John Strang, George Patton, Louisa Degenhardt
This is the summary for the above article:

We did a systematic review of reviews with evidence on the effectiveness of prevention, early intervention, harm reduction, and treatment of problem use in young people for tobacco, alcohol, and illicit drugs (eg, cannabis, opioids, amphetamines, or cocaine). Taxation, public consumption bans, advertising restrictions, and minimum legal age are effective measures to reduce alcohol and tobacco use, but are not available to target illicit drugs. Interpretation of the available evidence for school-based prevention is affected by methodological issues; interventions that incorporate skills training are more likely to be effective than information provision—which is ineffective. Social norms and brief interventions to reduce substance use in young people do not have strong evidence of effectiveness. Roadside drug testing and interventions to reduce injection-related harms have a moderate-to-large effect, but additional research with young people is needed. Scarce availability of research on interventions for problematic substance use in young people indicates the need to test interventions that are effective with adults in young people. Existing evidence is from high-income countries, with uncertain applicability in other countries and cultures and in subpopulations differing in sex, age, and risk status. Concerted efforts are needed to increase the evidence base on interventions that aim to reduce the high burden of substance use in young people.

As a nurse who is training to be a child and adolescent psychotherapeutic counsellor and who has a special interest in substance misuse and desire to work with this vulnerable client group because of my own history I feel this is a really really important topic.  Many local NHS services do not have a specialist child and adolescent substance misuse service (CASUS) which is true for my county here in Suffolk but I know there is one in our neighbouring county Cambridgeshire.  I hope that Liam Byrne’s work within Parliament will start the process to help change that ……