Documents disponibles écrits par cet auteur

*** / DARKE S. ; HAVARD A. ; ROSS J. ; WILLIAMSON A. ; MILLS K. L. ; TEESSON M. in Drug and Alcohol Review, 26 (2) (2007)

[article]  in Drug and Alcohol Review > 26 (2) (2007)  - p.153-159 Titre : *** Titre autre langue : Changes in the use of medical services and prescription drugs among heroin users over two years Type de document : Périodique Auteurs : DARKE S. ; HAVARD A. ; ROSS J. ; WILLIAMSON A. ; MILLS K. L. ; TEESSON M. Année de publication : 2007 Article en page(s) : p.153-159 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus TRAITEMENT AMBULATOIRE ; USAGER ; MEDICAMENTS ; ACCES AUX SOINS ; BENZODIAZEPINES ; PRESCRIPTION MEDICALE ; HEROINE Résumé : The study aimed to determine patterns of use of medical services and prescriptions for pharmaceuticals among 438 heroin users interviewed for the Australian Treatment Outcome Study (ATOS) at baseline, 12 and 24 months. Drug use declined markedly, and there were significant improvements in health. There were declines in the proportion of participants who had attended a general practitioner (GP) (baseline : 60 %, 12 months : 53 %, 24 months : 52 %), who had an ambulance attendance (11 %, 7 %, 5 %), and who were treated in an accident and emergency department (11 %, 6 %, 5 %). While there was no decrease in the proportion who obtained a prescription (47 %, 45 %, 46 %), there was a decrease in the mean number of reported prescriptions obtained (2,3, 1,0, 0,9). There were also differences across follow-up in the reported types of medications obtained, with a significant decrease in the proportion obtaining psychotropic medications (38 %, 21 %, 19 %). In particular, there were large declines in the proportion who reported benzodiazepines (30 %, 12 %, 10 %) or narcotic analgesics (8 %, 3 %, 4 %) on prescription. While ATOS participants continued to be frequent users of health services, the cohort reported reduced levels of drug-seeking and risk commensurate with their reductions in drug use. (Review's abstract). Cote CIRDD : 806514 Thématique : Drogues illicites Bibliographie : 25 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=7518 [article]

*** / McKETIN R. ; ROSS J. ; KELLY E. ; BAKER A. ; LEE N. ; LUBMAN D. I. ; MATTICK R. in Drug and Alcohol Review, 27 (3) (2008)

[article]  in Drug and Alcohol Review > 27 (3) (2008)  - p.277-285 Titre : *** Titre autre langue : Characteristics and harms associated with injecting versus smoking methamphetamine among methamphetamine treatment entrants Type de document : Périodique Auteurs : McKETIN R. ; ROSS J. ; KELLY E. ; BAKER A. ; LEE N. ; LUBMAN D. I. ; MATTICK R. Année de publication : 2008 Article en page(s) : p.277-285 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus METHAMPHETAMINE ; INJECTION ; VOIE D'ADMINISTRATION ; TYPE D'USAGE ; FUMER ; COMPARAISON Descripteurs géographiques AUSTRALIE Résumé : Introduction and Aims. To compare the characteristics and harms associated with injecting and smoking methamphetamine among methamphetamine treatment entrants. Method and design. A structured face-to-face interview was used to assess demographics, drug use patterns and harms [physical and mental health, psychological distress, psychotic symptoms, crime and human immunodeficiency virus (HIV) risk behaviour] among 400 methamphetamine treatment entrants in Sydney and Brisbane, Australia. Participants who had injected but not smoked methamphetamine in the month before treatment (n = 195, injectors) were compared to participants who had either: (a) injected and smoked (n = 90, injectors who smoke), or (b) smoked but not injected (n = 73, smokers), during this time. Results. In comparison with injectors, smokers were primarily non-injecting drug users, who were younger, more likely to be female and use ecstasy rather than heroin. After adjusting for these differences smokers were less dependent on methamphetamine than injectors, but they took the drug as often and had similarly high levels of psychological distress, poor physical and mental health, psychotic symptoms, sexual risk behaviour and criminal involvement. Injectors who smoked had a similar demographic and clinical profile to injectors, including comparable levels of needle sharing, but they used methamphetamine more often and had greater criminal involvement. Conclusion. Within this treatment sample, smoking methamphetamine occurred among both long-standing injecting drug users and a comparatively younger group of non-injecting drug users. It was associated with less severe methamphetamine dependence than injecting, but more intense use patterns and similar levels of other harms. (Review's abstract). Cote CIRDD : 805341 Thématique : Drogues illicites Bibliographie : 45 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=9221 [article]

(Décès liés à l'héroïne en Nouvelle Galles du Sud (Australie) entre 1992 et 1996) / DARKE S. ; ROSS J. ; ZADOR D. ; SUNJIE S. in Drug and Alcohol Dependence, 60 (2) (2000)

[article]  in Drug and Alcohol Dependence > 60 (2) (2000)  - p.141-150 Titre : (Décès liés à l'héroïne en Nouvelle Galles du Sud (Australie) entre 1992 et 1996) Titre autre langue : Heroin-related deaths in New South Wales, Australia, 1992-1996 Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; ZADOR D. ; SUNJIE S. Année de publication : 2000 Article en page(s) : p.141-150 Caractéristiques matérielles : graph., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EPIDEMIOLOGIE ; OVERDOSE ; POLYCONSOMMATION ; MORT ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : Les fichiers judiciaires des 953 décès liés à l'héroïne ayant eu lieu en Nouvelles-Galles du Sud (NGS) de 1992 à 1996 ont été dépouillés. On constate une augmentation importante et statistiquement significative de 152 cas en 1992 à 226 cas en 1996. La moyenne d'âge s'élève à 31 ans, 85% des cas concernent des hommes et 85% sont considérés comme dépendants à l'héroïne au moment de leur mort. On remarque une augmentation significative de la moyenne d'âge pour la période étudiée et de la proportion de cas ayant un emploi. 61% des décès se produisent dans un environnement domestique, 79% ne donnent lieu à aucune prise en charge, 50 décès se sont produits pendant le mois suivant une libération de prison dont 16 dans les 24h après la sortie. La concentration sanguine en morphine évolue de 0,24 mg/l en 1994 à 0,38 mg/l en 1996. 76% des cas montrent une polyconsommation d'héroïne avec d'autres drogues : alcool (46%), benzodiazépines (27%), antidépresseurs (7%) et cocaïne (7%). Dans seulement 24% des cas, la morphine est la seule drogue détectée. D'après les autopsies la consommation d'alcool est supérieure chez les hommes (49% vs 24% ), tandis que les femmes prennent plus de benzodiazépines (41% vs 17%). La concentration sanguine moyenne de morphine est nettement plus basse dans les cas l'associant à l'alcool que dans les autres cas. On conclut à une augmentation régulière des décès liés à l'héroïne durant la période étudiée, avec une prévalence plus élevée chez les hommes plus âgés ne suivant pas de traitement. La polytoxicomanie reste le schéma toxicologique dominant. (A partir du résumé d'auteur). Cote CIRDD : 803317 Thématique : Drogues illicites Bibliographie : 32 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=4782 [article]

(Décès liés à l'héroïne au Sud-Ouest de Sydney, de 1992 à 1996) / DARKE S. ; ROSS J. in Drug and Alcohol Review, 18 (1) (1999)

[article]  in Drug and Alcohol Review > 18 (1) (1999)  - p.39-45 Titre : (Décès liés à l'héroïne au Sud-Ouest de Sydney, de 1992 à 1996) Titre autre langue : Heroin-related deaths in South Western Sydney, Australia, 1992-96 Type de document : Périodique Auteurs : DARKE S. ; ROSS J. Année de publication : 1999 Article en page(s) : p.39-45 Langues : Anglais (eng) Mots-clés : Thésaurus EVOLUTION ; OVERDOSE ; PREVALENCE ; MORT ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : Les overdoses à l'héroïne ont augmenté de 20 à 54 cas entre 1992 et 1996 à Sydney. La moyenne d'âge des personnes décédées est de 29,9 ans, avec une grande majorité d'hommes (89%). L'augmentation des overdoses dans les lieux publics est significative et 71% n'ont pas fait l'objet de prises en charge. Le plus souvent, l'héroïne est associée à d'autres produits: alcool, benzodiazépines ou antidépresseurs. Cote CIRDD : 802950 Thématique : Drogues illicites Bibliographie : 27 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=1803 [article]

(Décès liés à l'usage d'héroïne dans les régions du New South Wales entre 1992 et 1996) / DARKE S. ; ROSS J. in Drug and Alcohol Review, 19 (1) (2000)

[article]  in Drug and Alcohol Review > 19 (1) (2000)  - p.35-40 Titre : (Décès liés à l'usage d'héroïne dans les régions du New South Wales entre 1992 et 1996) Titre autre langue : Heroin-related deaths in regional New South Wales, 1992-1996 Type de document : Périodique Auteurs : DARKE S. ; ROSS J. Année de publication : 2000 Article en page(s) : p.35-40 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EPIDEMIOLOGIE ; OVERDOSE ; TOXICOLOGIE ; MORT ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : Entre 1992 et 1996, les décès liés à l'héroïne dans le New South Wales ont augmenté de 23 à 53 par an, principalement dans les régions de Wollongong Illawarra, Newcastle et la côte Nord. Ce sont surtout des hommes (83%) d'âge moyen 31,5 ans. L'alcool est détecté dans le sang pour la moitié des cas et les benzodiazépines dans 29% des cas. Il existe de grandes variations régionales concernant la concentration sanguine de morphine comprise entre 0,25mg/l et 0,56mg/l, et qui s'avère plus élevée en région que dans la capitale. Cote CIRDD : 803168 Thématique : Drogues illicites Bibliographie : 9 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=4670 [article]

(Discrimination envers les héroïnomanes à Sydney : est-elle due à l'usage de drogues ou au statut vis-à-vis du VHC ?) / DAY C. ; ROSS J. ; DOLAN K. in Drug and Alcohol Review, 22 (3) (2003)

[article]  in Drug and Alcohol Review > 22 (3) (2003)  - p.317-321 Titre : (Discrimination envers les héroïnomanes à Sydney : est-elle due à l'usage de drogues ou au statut vis-à-vis du VHC ?) Titre autre langue : Hepatitis C-related discrimination among heroin users in Sydney : drug user or hepatitis C discrimimation ? Type de document : Périodique Auteurs : DAY C. ; ROSS J. ; DOLAN K. Année de publication : 2003 Article en page(s) : p.317-321 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EXCLUSION ; INJECTION ; HEPATITE ; USAGER ; TOXICOMANE ; REPRESENTATION SOCIALE Résumé : The hepatitis C virus (HCV) is a common infection among injecting drug users. There are currently few available data on the extent (or prevalence) of HCV-related discrimination. This study examined perceived discrimination among a sample of heroin users and sought to determine whether the discrimination was attributed to their drug user or HCV status. Heroin users were recruited through needle and syringe programmes and methadone clinics in Sydney and were asked about discrimination in the preceding 12 months. Four hundred and one heroin users were recruited, of whom 59% reported being HCV-positive. Discrimination was reported by 22% of the 237 IDUs who reported being HCV-positive, with 17% reporting that the discrimination occurred in the preceding 12 months. Sixty-seven incidents were reported, of which half were perceived to be due to their drug user status, 15% of these incidents were due to HCV status and 25% due to a combination of both. Twenty-five incidents occurred in a health-care setting, of which 13 resulted in the service being withheld. HCV is a serious public health concern, and if IDU are to be encouraged into drug treatment it is essential that service providers are perceived to be non-discriminatory. In managing IDU patients, health care workers need to be cognisant of the impact that their attitude has on treatment outcome. (Review's abstract). Cote CIRDD : 804500 Thématique : Drogues illicites Bibliographie : 13 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=4946 [article]

L'estime de soi des adolescents / DUCLOS G. ; LAPORTE D. ; ROSS J.

Titre : L'estime de soi des adolescents Type de document : Livre Auteurs : DUCLOS G. ; LAPORTE D. ; ROSS J. Editeur : Montréal : Ed. du CHU Sainte Justine Année de publication : 2002 Pagination : 89p. Langues : Français (fre) Mots-clés : Thésaurus ADOLESCENT ; IDENTITE ; SOCIALISATION ; IMAGE DE SOI ; AUTONOMIE Descripteurs internes RESPECT Cote CIRDD : CAS 2598 Thématique : Psychologie Bibliographie : 20 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=13267

(Evaluation de la dépression chez les patients entrant en traitement : prévalence et relation avec la demande de traitement à partir des données de l'étude australienne ATOS) / TEESSON M. ; HAVARD A. ; FAIRBAIRN ; ROSS J. ; LYNSKEY M. ; DARKE S. in Drug and Alcohol Dependence, 78 (3) (2005)

[article]  in Drug and Alcohol Dependence > 78 (3) (2005)  - p.309-315 Titre : (Evaluation de la dépression chez les patients entrant en traitement : prévalence et relation avec la demande de traitement à partir des données de l'étude australienne ATOS) Titre autre langue : Depression among entrants to treatment for heroin dependence in the Australian Treatment Outcome Study (ATOS) : prevalence, correlates and treatment seeking Type de document : Périodique Auteurs : TEESSON M. ; HAVARD A. ; FAIRBAIRN ; ROSS J. ; LYNSKEY M. ; DARKE S. Année de publication : 2005 Article en page(s) : p.309-315 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus PREVALENCE ; DEPENDANCE ; PSYCHOPATHOLOGIE ; TRAITEMENT ; COHORTE ; COMORBIDITE ; DEMANDE ; DEPRESSION ; HEROINE Résumé : Aim : To determine the rate of current major depressive disorder (MDD) among entrants to treatment for heroin dependence in three treatment modalities and a non-treatment comparison group ; and to ascertain factors associated with depression. Design : Cross sectional structured interview. Setting : Sydney, Australia. Participants : 615 current heroin users : 201 entering methadone/buprenorphine maintenance (MT), 201 entering detoxification (DTX), 133 entering drug free residential rehabilitation (RR) and 80 not in treatment (NT). Findings : Current major depressive episode was reported by 25 %. The rates of major depressive disorder ranged from 26 % in the treatment groups (23 % MT, 25 % DTX, 31 % RR) to 16 % of those not in treatment. Females were more likely to have current major depressive episode (31 % versus 21 % OR 1,70, 95 % CI 1.16-2,48). Factors associated with depression in the treatment groups were post traumatic stress disorder (PTSD), attempted suicide in the last 12 months and severe physical disability. Among the non-treatment group those with depression were also more likely to have PTSD. Women entering treatment were three times more likely to meet criteria for current major depression than women not in treatment. Among men however, the rates were not significantly different. Conclusion: Depression is a significant concern among entrants to treatment for heroin dependence. An essential component of treatment should be a consideration of depression, with the provision of appropriate treatment were required. (Review's abstract). Cote CIRDD : 804939 Thématique : Drogues illicites Bibliographie : 33 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6371 [article]

(Evolution à 12 mois du traitement de la dépendance à l'héroïne : la voie d'administration est-elle en cause ?) / DARKE S. ; ROSS J. ; TEESSON M. in Drug and Alcohol Review, 24 (2) (2005)

[article]  in Drug and Alcohol Review > 24 (2) (2005)  - p.165-171 Titre : (Evolution à 12 mois du traitement de la dépendance à l'héroïne : la voie d'administration est-elle en cause ?) Titre autre langue : Twelve-month outcomes for heroin dependence treatments : does route of administration matter ? Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; TEESSON M. Année de publication : 2005 Article en page(s) : p.165-171 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EVOLUTION ; INJECTION ; DEPENDANCE ; PRONOSTIC ; TRAITEMENT ; VOIE D'ADMINISTRATION ; HEROINE Résumé : A sample of 442 heroin users (394 injecting heroin users : IHU, 48 non-injecting heroin users : NIHU) recruited for the Australian Treatment Outcome Study were reinterviewed at 12 months after entrance to treatment for heroin dependence. Route of administration was stable over the follow-up period with 4 % of NIHU having made a transition to heroin injecting, and 0,3 % of IHU having made a transition to non-injecting. Given the clinical profile of NIHU presented in the literature, it might be expected that they would exhibit better treatment retention and 12-month outcomes than IHU. At 12 months, however, there were no differences between NIHU and IHU in heroin use, heroin dependence symptoms, polydrug use, criminality, current self-reported physical health or psychopathology. The only group differences at 12 months were that NIHU were more likely to be employed and had fewer injection-related problems. It is concluded that, among those presenting for treatment, route of administration is not an indicator of likely outcome. (Review's abstract). Cote CIRDD : 804957 Thématique : Drogues illicites Bibliographie : 31 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6319 [article]

(L'injection de méthadone et de benzodiazépines chez les toxicomanes de Sydney entre 1996 et 2000. Etude des tendances à partir du système d'information sur les drogues illicites) / DARKE S. ; TOPP L. ; ROSS J. in Drug and Alcohol Review, 21 (1) (2002)

[article]  in Drug and Alcohol Review > 21 (1) (2002)  - p.27-32 Titre : (L'injection de méthadone et de benzodiazépines chez les toxicomanes de Sydney entre 1996 et 2000. Etude des tendances à partir du système d'information sur les drogues illicites) Titre autre langue : The injection of methadone and benzodiazepines among Sydney injecting drug users 1996-2000 : 5-years monotoring of trends from the illicit drug reporting system Type de document : Périodique Auteurs : DARKE S. ; TOPP L. ; ROSS J. Année de publication : 2002 Article en page(s) : p.27-32 Caractéristiques matérielles : graph. Langues : Anglais (eng) Mots-clés : Thésaurus EPIDEMIOLOGIE ; EVOLUTION ; INJECTION ; VOIE INTRAVEINEUSE ; METHADONE ; PREVALENCE ; BENZODIAZEPINES Descripteurs géographiques AUSTRALIE Cote CIRDD : 803901 Thématique : Drogues illicites Bibliographie : 22 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=3396 [article]

(Maintenance par le clobazam chez des patients sous méthadone ayant un problème d'abus de benzodiazépines : étude de cinq cas) / WICKES W. A. ; DARKE S. ; ROSS J. in Drug and Alcohol Review, 19 (4) (2000)

[article]  in Drug and Alcohol Review > 19 (4) (2000)  - p.401-405 Titre : (Maintenance par le clobazam chez des patients sous méthadone ayant un problème d'abus de benzodiazépines : étude de cinq cas) Titre autre langue : Clobazam maintenance among methadone maintenance patients with problematic benzodiazepine use : five case studies Type de document : Périodique Auteurs : WICKES W. A. ; DARKE S. ; ROSS J. Année de publication : 2000 Article en page(s) : p.401-405 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus METHADONE ; ABUS ; BENZODIAZEPINES ; TRAITEMENT DE MAINTENANCE ; PRESCRIPTION MEDICALE ; SEVRAGE Résumé : Les patients sous traitement de maintenance à la méthadone, qui sont aussi dépendants des Benzodiazépines posent des problèmes quand à une prescription simultanée de clobazam. Cinq cas sont présentés, dont quatre à qui on prescrit le clobazam pendant au moins trois mois, à dose quotidienne unique. Le clobazam semble peu sédatif mais le recul par rapport à l'arrêt d'autres BZD et au sevrage des patients semble très court dans l'étude. Cote CIRDD : 803536 Thématique : Drogues illicites Bibliographie : 19 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=3219 [article]

*** / DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. in Drug and Alcohol Review, 24 (5) (2005)

[article]  in Drug and Alcohol Review > 24 (5) (2005)  - p.425-432 Titre : *** Titre autre langue : Non-fatal heroin overdose, treatment exposure and client characteristics : findings from the Australian treatment outcome study (ATOS) Type de document : Périodique Auteurs : DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. Année de publication : 2005 Article en page(s) : p.425-432 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus MORTALITE ; OVERDOSE ; HEROINE Résumé : The relationship between treatment exposure, drug use, psychosocial variables and non-fatal heroin overdose was examined among a cohort of 495 heroin users, re-interviewed at 12 months. The 12-month overdose rate declined from 24 % to 12 %, and the proportion administered naloxone declined from 15 % to 7 %. There were significant reductions in overdose among those who entered maintenance therapies (22 % to 4 %) and residential rehabilitation (33 % vs. 19 %) at baseline, but not among those who entered detoxification or were not entering treatment. The total number of treatment days received over the follow-up period was associated independently with a reduced risk of overdose. Each extra treatment day was associated with a 1 % reduction in risk of overdose over the follow-up period. By contrast, more treatment episodes were associated with an increased risk of overdose (OR 1,62). Other independent predictors of overdose over follow-up were more extensive polydrug use (OR 1,40), and having overdosed in the year preceding the study. (Review's abstract). Cote CIRDD : 805013 Thématique : Drogues illicites Bibliographie : 36 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6149 [article]

*** / TEESSON M. ; ROSS J. ; DARKE S. ; LYNSKEY M. ; ALI R. ; RITTER A. ; COOKE R. in Drug and Alcohol Dependence, 83 (2) (2006)

[article]  in Drug and Alcohol Dependence > 83 (2) (2006)  - p.174-180 Titre : *** Titre autre langue : One year outcomes for heroin dependence : Findings from the Australian Treatment Outcome Study (ATOS) Type de document : Périodique Auteurs : TEESSON M. ; ROSS J. ; DARKE S. ; LYNSKEY M. ; ALI R. ; RITTER A. ; COOKE R. Année de publication : 2006 Article en page(s) : p.174-180 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus ETUDE LONGITUDINALE ; DEPENDANCE ; TRAITEMENT ; SUIVI DU PATIENT ; COHORTE ; HEROINE Résumé : Aim To determine 1 year outcomes for drug use, criminality, psychopathology and injection-related health problems in those entering treatment for heroin dependence in Australia. Design Longitudinal prospective cohort study. Participants Seven hundred and forty five individuals entering treatment (methadone/buprenorphine maintenance therapy; detoxification; residential rehabilitation) and 80 heroin users not seeking treatment. Setting Sydney, Melbourne and Adelaide, Australia. Findings A total of 657 individuals were re-interviewed at 1 year, 80 % of the original sample. There were substantial reductions in heroin and other drug use across all three treatment modalities. The majority of those who had entered treatment were heroin abstinent at 1 year (maintenance therapy 65 %, detoxification 52 %, residential rehabilitation 63 %) compared to 25 % of the non-treatment sample. The reduction in heroin use among the treatment samples was paralleled by reductions in poly drug use. There were also substantial reductions in risk-taking, crime and injection-related health problems across all treatment groups, and less marked reductions among the non-treatment group. Psychopathology was dramatically reduced among the treatment modalities, while remaining stable among the non-treatment group. Positive outcomes at 1 year were associated with a greater number of cumulative treatment days experienced over the 1 year follow-up period ("treatment dose") and fewer treatment episodes undertaken in that time ("treatment stability"). Conclusions At 1 year, there were impressive reductions in drug use, criminality, psychopathology and injection-related health problems following treatment exposure. The positive findings were associated with a greater "dose" of treatment, and with more treatment stability over the follow-up period. (Review's abstract). Cote CIRDD : 806193 Thématique : Drogues illicites Bibliographie : 34 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8351 [article]

*** / TEESSON M. ; HAVARD A. ; ROSS J. ; DARKE S. in Drug and Alcohol Review, 25 (3) (2006)

[article]  in Drug and Alcohol Review > 25 (3) (2006)  - p.241-247 Titre : *** Titre autre langue : Outcomes after detoxification for heroin dependence : findings from the Australian Treatment Outcome Study (ATOS) Type de document : Périodique Auteurs : TEESSON M. ; HAVARD A. ; ROSS J. ; DARKE S. Année de publication : 2006 Article en page(s) : p.241-247 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EFFICACITE ; DEPENDANCE ; TRAITEMENT ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : As part of the Australian Treatment Outcome Study (ATOS), 177 (88 %) heroin users entering detoxification (DTX) and 66 (83 %) heroin users not in treatment (NT) were interviewed at baseline and 3 months to examine drug use, risk-taking, overdose, crime and psychopathology outcomes. The majority (76 %) of the DTX group had entered additional treatment at 3 months, mainly further detoxification, and 54 % were currently in treatment, mainly maintenance and residential rehabilitation. There were reductions in heroin use and other drug use in those entering detoxification. Forty-two per cent were abstinent at 3 months compared to 20 % in the NT group. There were also reductions in crime among those entering DTX, and less marked reductions in the NT group. Psychopathology showed less change. Detoxification may, in some part, function as a gateway to further treatment and those entering DTX showed modest but significant improvements across drug use and crime at 3 months. (Review's abstract). Cote CIRDD : 806130 Thématique : Drogues illicites Bibliographie : 18 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8149 [article]

*** / DARKE S. ; ROSS J. ; WILLIAMSON A. ; MILLS K. L. ; HAVARD A. ; TEESSON M. in Drug and Alcohol Dependence, 87 (2-3) (2007)

[article]  in Drug and Alcohol Dependence > 87 (2-3) (2007)  - p.146-152 Titre : *** Titre autre langue : Patterns and correlates of attempted suicide by heroin users over a 3-year period: Findings from the Australian treatment outcome study Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; WILLIAMSON A. ; MILLS K. L. ; HAVARD A. ; TEESSON M. Année de publication : 2007 Article en page(s) : p.146-152 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus PREVALENCE ; DEPENDANCE ; TENTATIVE DE SUICIDE ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : In order to determine patterns and correlates of attempted suicide amongst heroin users across 3 years, a cohort of 387 heroin users (134 entering maintenance treatment, 134 entering detoxification, 81 entering residential rehabilitation and 38 not entering treatment) were interviewed about suicide attempts at baseline, 12, 24 and 36 months. Across the follow-up period, 11.6% attempted suicide. There were declines in the proportion who attempted suicide each year amongst both males and females and significant declines in Major Depression, suicidal ideation and current suicide plans. Despite this, levels of attempted suicide, suicidal ideation and Major Depression in the cohort remained higher than in the general population. Those who had made a previous suicide attempt were five times more likely to make an attempt across follow-up and there was a strong association between an attempt in any 1 year and increased probability of an attempt in the subsequent year. A quarter of those who reported suicidal ideation at baseline made an attempt across follow-up. At each interview point, current suicidal ideation was strongly associated with increased risk of a suicide attempt in the following year. Independent predictors of a suicide attempt across follow-up were a lifetime suicide history, baseline suicidal ideation, social isolation and the extent of baseline polydrug use. Given the strong predictive value of suicidal ideation and previous attempts, regular brief screening would appear warranted to identify those at greatest risk. (Review's abstract). Cote CIRDD : 806352 Thématique : Drogues illicites Bibliographie : 35 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8503 [article]

(Personnalité borderline, personnalité antisociale et prises de risque chez les usagers d'héroïne : résultats de l'étude australienne ATOS) / DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. ; LYNSKEY M. in Drug and Alcohol Dependence, 74 (1) (2004)

[article]  in Drug and Alcohol Dependence > 74 (1) (2004)  - p.77-83 Titre : (Personnalité borderline, personnalité antisociale et prises de risque chez les usagers d'héroïne : résultats de l'étude australienne ATOS) Titre autre langue : Borderline personality disorder, antisocial personality disorder and risk-taking among heroin users : findings from the Australian Treatment Outcome Study (ATOS) Type de document : Périodique Auteurs : DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. ; LYNSKEY M. Année de publication : 2004 Article en page(s) : p.77-83 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus ETUDE LONGITUDINALE ; USAGER ; TROUBLES DE LA PERSONNALITE ; CONDUITE A RISQUE ; ETAT LIMITE ; COMORBIDITE ; HEROINE Descripteurs géographiques AUSTRALIE Cote CIRDD : 804618 Thématique : Drogues illicites Bibliographie : 38 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=5910 [article]

(Polytoxicomanie et comorbidité psychiatrique chez les toxicomanes s'injectant l'héroïne) / DARKE S. ; ROSS J. in Drug and Alcohol Dependence, 48 (2) (1997)

[article]  in Drug and Alcohol Dependence > 48 (2) (1997)  - p.135-141 Titre : (Polytoxicomanie et comorbidité psychiatrique chez les toxicomanes s'injectant l'héroïne) Titre autre langue : Polydrug dependence and psychiatric comorbidity among heroin injectors Type de document : Périodique Auteurs : DARKE S. ; ROSS J. Année de publication : 1997 Article en page(s) : p.135-141 Langues : Anglais (eng) Mots-clés : Thésaurus PSYCHIATRIE ; PATHOLOGIE ; POLYCONSOMMATION ; DEPENDANCE ; HEROINE ; DIAGNOSTIC Résumé : A l'aide du "Composite International Diagnostic Interview", on évalue la prévalence des troubles anxieux et des troubles dépressifs chez 222 héroïnomanes. 60% d'entre-eux répondent au premier critère (troubles anxieux) au cours de leur existence et 51% de façon courante. 41% ont des troubles dépressifs au cours de leur vie et 30% de façon courante. Il existe une corrélation positive entre le nombre de diagnostics de toxicomanie au cours de la vie et le nombre de troubles anxieux et affectifs au cours de la vie, et entre le nombre de diagnostics courants de toxicomanie et le nombre de diagnostics courants comorbides. Cote CIRDD : 802479 Thématique : Drogues illicites Bibliographie : 18 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=2762 [article]

(Prévalence et facteurs de risque de tentatives de suicide parmi les entrants dans trois programmes de traitement de la dépendance à l'héroïne différents, inclus dans l'étude australienne ATOS) / DARKE S. ; ROSS J. ; LYNSKEY M. ; TEESSON M. in Drug and Alcohol Dependence, 73 (1) (2004)

[article]  in Drug and Alcohol Dependence > 73 (1) (2004)  - p.1-10 Titre : (Prévalence et facteurs de risque de tentatives de suicide parmi les entrants dans trois programmes de traitement de la dépendance à l'héroïne différents, inclus dans l'étude australienne ATOS) Titre autre langue : Attempted suicide among entrants to three treatment modalities for heroin dependence in the Australian Treatment Outcome Study (ATOS) : prevalence and risk factors Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; LYNSKEY M. ; TEESSON M. Année de publication : 2004 Article en page(s) : p.1-10 Caractéristiques matérielles : graph., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus FACTEUR DE RISQUE ; PREVALENCE ; TENTATIVE DE SUICIDE ; TRAITEMENT DE MAINTENANCE ; COHORTE ; TRAITEMENT RESIDENTIEL ; CURE DE DESINTOXICATION ; HEROINE Cote CIRDD : 804467 Thématique : Drogues illicites Bibliographie : 44 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=5861 [article]

(Prévalence et indicateurs de troubles liés au stress post-traumatique parmi les usagers dépendants d'héroïne inclus dans l'étude australienne ATOS) / MILLS K. L. ; LYNSKEY M. ; TEESSON M. ; ROSS J. ; DARKE S. in Drug and Alcohol Dependence, 77 (3) (2005)

[article]  in Drug and Alcohol Dependence > 77 (3) (2005)  - p.243-249 Titre : (Prévalence et indicateurs de troubles liés au stress post-traumatique parmi les usagers dépendants d'héroïne inclus dans l'étude australienne ATOS) Titre autre langue : Post-traumatic stress disorder among people with heroin dependence in the Australian treatment outcome study (ATOS) : prevalence and correlates Type de document : Périodique Auteurs : MILLS K. L. ; LYNSKEY M. ; TEESSON M. ; ROSS J. ; DARKE S. Année de publication : 2005 Article en page(s) : p.243-249 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus ETUDE LONGITUDINALE ; FACTEUR DE VULNERABILITE ; PREVALENCE ; DEPENDANCE ; STRESS POST-TRAUMATIQUE ; OPIACES ; COMORBIDITE ; HEROINE Descripteurs géographiques AUSTRALIE Cote CIRDD : 804786 Thématique : Drogues illicites Bibliographie : 33 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6521 [article]

(Prévalence de l'injection de sirop de méthadone à Sydney, Australie) / DARKE S. ; ROSS J. ; HALL W. in Drug and Alcohol Dependence, 43 (3) (1996)

[article]  in Drug and Alcohol Dependence > 43 (3) (1996)  - p.191-198 Titre : (Prévalence de l'injection de sirop de méthadone à Sydney, Australie) Titre autre langue : Prevalence and correlates of the injection of methadone syrup in Sydney, Australia Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; HALL W. Année de publication : 1996 Article en page(s) : p.191-198 Langues : Anglais (eng) Mots-clés : Thésaurus INJECTION ; VOIE INTRAVEINEUSE ; METHADONE ; CONSOMMATION ; EFFET SECONDAIRE ; HEROINE Résumé : L'injection de méthadone est très répandue chez les héroïnomanes et concerne 52 % de l'échantillon de 312 usagers étudié. La probabilité d'avoir consommé de la méthadone par voie intraveineuse est la même chez les hommes et chez les femmes. 40 % rapportent un usage hebdomadaire ou même plus fréquent avant les six derniers mois. Ces toxicomanes ont un mauvais état général (infections, thromboses, abcès. .), une grande détresse psychologique et ont commis un plus grand nombre de délits. Cote CIRDD : 802265 Thématique : Drogues illicites Bibliographie : 21 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=2936 [article]

*** / DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. in Drug and Alcohol Dependence, 84 (2) (2006)

[article]  in Drug and Alcohol Dependence > 84 (2) (2006)  - p.201-205 Titre : *** Titre autre langue : Reductions in heroin use are not associated with increases in other drug use : 2-year findings from the Australian Treatment Outcome Study Type de document : Périodique Auteurs : DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. Année de publication : 2006 Article en page(s) : p.201-205 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EVOLUTION ; PREVALENCE ; POLYCONSOMMATION ; HEROINE Résumé : Aims To determine whether reductions in frequency of heroin use were associated with reductions in the use of other drugs over a 24-month period. Design Longitudinal cohort, with follow-up at 3, 12 and 24 months. Participants Six hundred and fifteen heroin users recruited for the Australian Treatment Outcome Study. Setting New South Wales, Australia. Findings The proportion reporting weekly heroin use declined significantly at 3, 12 and 24 months. Reductions in heroin use were associated with longer periods in both residential rehabilitation (RR) and maintenance treatment (MT). Less frequent use of other opioids, cocaine, amphetamine, cannabis and benzodiazepines were noted over follow-up, with alcohol use remaining stable. Across follow-up, lower frequency heroin use was associated with reduced likelihood of frequent use of other opioids, cocaine, amphetamine and benzodiazepines. Alcohol and cannabis use were unrelated to heroin use. Longer periods spent in RR were associated with declines in the use of all other drug classes, with MT associated with declines in other opioid and alcohol use. Conclusions There was no evidence for drug substitution in the face of reduced heroin use in this cohort of treatment seekers. The fear that a successful reduction in heroin use amongst treatment seekers will precipitate an increase in the use of other drugs appears ill-founded. (Review's abstract). Cote CIRDD : 806253 Thématique : Drogues illicites Bibliographie : 27 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=7307 [article]

(Relations entre les tentatives de suicide et les antécédents d'usage de drogues chez les patients en traitement de maintenance à la méthadone) / DARKE S. ; ROSS J. ; LYNSKEY M. in Drug and Alcohol Review, 22 (1) (2003)

[article]  in Drug and Alcohol Review > 22 (1) (2003)  - p.21-25 Titre : (Relations entre les tentatives de suicide et les antécédents d'usage de drogues chez les patients en traitement de maintenance à la méthadone) Titre autre langue : The relationship of conduct disorder to attempted suicide and drug use history among methadone maintenance patients Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; LYNSKEY M. Année de publication : 2003 Article en page(s) : p.21-25 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus METHADONE ; TROUBLES DE LA PERSONNALITE ; DEPENDANCE ; PSYCHOPATHOLOGIE ; ABUS ; TENTATIVE DE SUICIDE ; OPIACES ; COMORBIDITE ; HEROINE Résumé : In order to examine the effects of a diagnosis of childhood conduct disorder (CD) on history of attempted suicide and drug use, unconfounded by early onset heroin use, 181 methadone maintenance patients who commenced heroin use after the age of 15 were interviewed. CD was diagnosed in 54% of patients. Compared to other patients, CD patients were younger and less educated. The onset of drug use, injecting drug use and heroin use occurred, on average, 2 years earlier than in other patients, and they had broader histories of injecting polydrug use. CD patients were more likely to have attempted suicide and to have been hospitalized after an attempt, and to have attempted suicide while enrolled in their current treatment. The current study indicates that a history of CD increases the risk of attempted suicide over and above the higher risks associated with injecting drug use per se. (Review's abstract). Cote CIRDD : 804487 Thématique : Drogues illicites Bibliographie : 29 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=4959 [article]

(Sites d'injection chez les usagers de drogues par voie intraveineuse à Sydney, Australie) / DARKE S. ; ROSS J. ; KAYE S. in Drug and Alcohol Dependence, 62 (1) (2001)

[article]  in Drug and Alcohol Dependence > 62 (1) (2001)  - p.77-82 Titre : (Sites d'injection chez les usagers de drogues par voie intraveineuse à Sydney, Australie) Titre autre langue : Physical injecting sites among injecting drug users in Sydney, Australia Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; KAYE S. Année de publication : 2001 Article en page(s) : p.77-82 Caractéristiques matérielles : graph., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus INJECTION ; VOIE INTRAVEINEUSE ; MAIN ; METHADONE ; BENZODIAZEPINES ; BRAS ; COCAINE ; COU ; HEROINE Résumé : 200 toxicomanes injecteurs sont interviewés sur la localisation corporelle de leurs injections. Le nombre moyen de sites d'injection par personne est de 3,1, avec une moyenne de 2 sites dans les 6 derniers mois. 16% des personnes interrogées se sont injecté des drogues en 5 sites ou plus. Presque toutes (99%) ont utilisé la fosse cubitale et 71% l'avant-bras. Les autres endroits sont la main (53%), le cou (10%) et l'aine (6%). Il y a une progression après 10 années de toxicomanie, et une initiation qui se fait dans la fosse cubitale. Les femmes ont utilisé plus de sites et rapportent des problèmes plus fréquents liés aux injections. Le fait d'utiliser des sites multiples semble indépendant des problèmes provoqués par les injections et du nombre de drogues utilisées. Cote CIRDD : 803625 Thématique : Drogues illicites Bibliographie : 16 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=4362 [article]

(Tentatives de suicide chez des héroinomanes : suivi à 12 mois (étude ATOS)) / DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. in Drug and Alcohol Dependence, 78 (2) (2005)

[article]  in Drug and Alcohol Dependence > 78 (2) (2005)  - p.177-186 Titre : (Tentatives de suicide chez des héroinomanes : suivi à 12 mois (étude ATOS)) Titre autre langue : Attempted suicide among heroin users : 12-month outcomes from the Australian Treatment Outcome Study (ATOS) Type de document : Périodique Auteurs : DARKE S. ; WILLIAMSON A. ; ROSS J. ; TEESSON M. Année de publication : 2005 Article en page(s) : p.177-186 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus ETUDE LONGITUDINALE ; DEPENDANCE ; SUIVI DU PATIENT ; TENTATIVE DE SUICIDE ; DEPRESSION ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : A cohort of 495 heroin users, recruited for the Australian Treatment Outcome Study (ATOS), were re-interviewed at 12 months regarding suicide attempts over the follow-up period. The proportion who had attempted suicide in the 12 months since baseline was not significantly different from that reported in the 12 months preceding ATOS enrolment (12,2 % versus 9,1 %), and attempted suicide did not decline significantly in any of the index treatment groups. Among males, there was no significant reduction in attempted suicide (8,7 % versus 8,1 %). Among females, however, the proportion reporting an attempt declined significantly from 19,7 to 9,8 %. Of those who reported suicidal ideation at baseline, 22,8 % made an attempt over the follow-up period, as did 19, 0 % of those who had major depression. Large, and significant, declines in suicidal ideation (23,1 % versus 6,9 %) and major depression (25,5 % versus 10,9 %) occurred over the study period. Independent predictors of a suicide attempt over the follow-up period were : social isolation, having made an attempt in the preceding 12 months, suicidal ideation at baseline, a greater number of treatment episodes and higher levels of baseline polydrug use. (Review's abstract). Cote CIRDD : 804925 Thématique : Drogues illicites Bibliographie : 38 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6385 [article]

*** / WILLIAMSON A. ; DARKE S. ; ROSS J. ; TEESSON M. in Drug and Alcohol Review, 25 (2) (2006)

[article]  in Drug and Alcohol Review > 25 (2) (2006)  - p.141-148 Titre : *** Titre autre langue : The association between cocaine use and short-term outcomes for the treatment of heroin dependence : findings from the Australian Treatment Outcome Study (ATOS) Type de document : Périodique Auteurs : WILLIAMSON A. ; DARKE S. ; ROSS J. ; TEESSON M. Année de publication : 2006 Article en page(s) : p.141-148 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EVOLUTION ; POLYCONSOMMATION ; DEPENDANCE ; TRAITEMENT ; COCAINE ; HEROINE Résumé : The aim of this study was to determine the prevalence of cocaine use among individuals presenting for treatment for heroin dependence, describe the clinical profile of heroin users who also use cocaine and to establish the effects of cocaine use on short term outcomes for the treatment for heroin dependence. A longitudinal follow-up of 549 heroin users recruited in Sydney for the Australian Treatment Outcome Study was conducted at 3-month post-baseline interview. At baseline, current cocaine use was common (39 %) and was associated with increased drug use, needle risk taking and criminality. The 3-month prevalence of cocaine use declined significantly to 19 %. Thirty-five per cent of those who had used cocaine at baseline continued to use at 3 months, while 9 % of the sample had commenced cocaine use. Those who entered residential rehabilitation at baseline were less likely than other treatment entrants and the non-treatment group to have used cocaine at follow-up. Treatment retention was not affected by baseline cocaine use status ; however, baseline cocaine users (CU) displayed higher levels of heroin use, polydrug use and drug-related problems. A poorer outcome was associated with the commencement or continuation of cocaine use, while cessation of cocaine use resulted in significant improvements on these measures. Cocaine use was common among individuals seeking treatment for heroin dependence and was an important moderator of treatment outcome. It appears that cocaine use has a strong negative effect on treatment outcome over and above that caused by polydrug use generally. (Review's abstract). Cote CIRDD : 806105 Thématique : Drogues illicites Bibliographie : 32 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8055 [article]

*** / DARKE S. ; ROSS J. ; TEESSON M. in Drug and Alcohol Review, 26 (1) (2007)

[article]  in Drug and Alcohol Review > 26 (1) (2007)  - p.49-54 Titre : *** Titre autre langue : The Australian Treatment Outcome Study (ATOS) : what have we learnt about treatment for heroin dependence ? Type de document : Périodique Auteurs : DARKE S. ; ROSS J. ; TEESSON M. Année de publication : 2007 Article en page(s) : p.49-54 Langues : Anglais (eng) Mots-clés : Thésaurus SANTE PUBLIQUE ; EVOLUTION ; HISTOIRE ; DEPENDANCE ; TRAITEMENT ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : Opioids make the single largest contribution to illicit drug-related mortality and morbidity worldwide. In this paper we reflect upon what has been learnt regarding treatment outcome and the natural history of heroin use from the Australian Treatment Outcome Study (ATOS). We focus on what we knew prior to ATOS, what ATOS revealed that is novel, and the implications for research, practice and policy. ATOS provided strong evidence for sustained improvement attributable to treatment across the three years of the study. It is argued that treatment for heroin dependence is money well spent, and leads to clear and sustained benefits to both heroin users and society. (Review's abstract). Cote CIRDD : 806502 Thématique : Drogues illicites Bibliographie : 31 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=7503 [article]

*** / ROSS J. ; TEESSON M. ; DARKE S. ; LYNSKEY M. ; ALI R. ; RITTER A. ; COOKE R. in Drug and Alcohol Review, 24 (5) (2005)

[article]  in Drug and Alcohol Review > 24 (5) (2005)  - p.411-418 Titre : *** Titre autre langue : The characteristics of heroin users entering treatment: findings from the Australian treatment outcome study (ATOS) Type de document : Périodique Auteurs : ROSS J. ; TEESSON M. ; DARKE S. ; LYNSKEY M. ; ALI R. ; RITTER A. ; COOKE R. Année de publication : 2005 Article en page(s) : p.411-418 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus DEPENDANCE ; PSYCHOPATHOLOGIE ; TRAITEMENT ; SUIVI DU PATIENT ; COMPARAISON ; HEROINE Résumé : The current study aimed to describe the characteristics (demographics, drug use, mental and physical health) of entrants to treatment for heroin dependence in three treatment modalities ; and to compare these characteristics with heroin users not in or seeking treatment. Participants were 825 current heroin users recruited from Sydney, Adelaide and Melbourne : 277 entering methadone/buprenorphine maintenance treatment (MT), 288 entering detoxification (DTX), 180 entering drug-free residential rehabilitation (RR) and 80 not in treatment (NT). Treatment entrants were generally long-term heroin users with previous treatment experience. The majority of the sample (55 %) were criminally active in the month preceding interview. Injection-related health problems (74 %) and a history of heroin overdose (58 %) were commonly reported. There were high degrees of psychiatric co-morbidity, with 49 % reporting severe psychological distress, 28 % having current major depression, 37 % having attempted suicide and 42 % having a lifetime history of post-traumatic stress disorder. Personality disorders were also prevalent, with 72 % meeting criteria for antisocial personality disorder and 47 % screening positive for borderline personality disorder. Striking similarities were noted between the non-treatment and treatment groups in length of heroin use career, drug use and treatment histories. (Review's abstract). Cote CIRDD : 805011 Thématique : Drogues illicites Bibliographie : 45 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6167 [article]

*** / WILLIAMSON A. ; DARKE S. ; ROSS J. ; TEESSON M. in Drug and Alcohol Dependence, 81 (3) (2006)

[article]  in Drug and Alcohol Dependence > 81 (3) (2006)  - p.293-300 Titre : *** Titre autre langue : The effect of persistence of cocaine use on 12-month outcomes for the treatment of heroin dependence Type de document : Périodique Auteurs : WILLIAMSON A. ; DARKE S. ; ROSS J. ; TEESSON M. Année de publication : 2006 Article en page(s) : p.293-300 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus POLYCONSOMMATION ; COCAINE ; HEROINE Résumé : Aims To determine the effects of cocaine use across the study period on outcomes of treatment for heroin dependence 12 months post-treatment entry. Design Longitudinal cohort (12 months). Interviews were conducted at baseline, 3 and 12 months. Setting Sydney, Australia. Participants Four hundred ninety-five heroin users recruited for the Australian Treatment Outcome Study and re-interviewed at 12-month follow-up. Findings Cocaine was widely used among treatment entrants in NSW, with almost all having a lifetime history of cocaine use and almost half having used in the month preceding baseline. While there was an overall decline in cocaine use across the study period, individual use patterns varied widely. Approximately half of the cohort did not report cocaine use at any data point, with the remainder reporting having used at one (29 %), two (12 %), or at all three (5 %) points. Cocaine use across the study period was an independent predictor of most major treatment outcomes, with more cocaine use points predicting poorer outcome. Persistent cocaine use predicted a higher prevalence of homelessness, heroin use, daily injecting, needle sharing and injection-related health problems at 12 months as well as more extensive recent polydrug use. Conclusions Cocaine use was common among individuals seeking treatment for primary heroin dependence in NSW. Any cocaine use over the study period was associated with poorer outcomes in virtually all areas. Persistent cocaine use over the study period, however, appeared particularly detrimental. Cocaine use among clients should evidently be a cause for concern amongst treatment providers and may warrant being specifically targeted during treatment. (Review's abstract). Cote CIRDD : 806088 Thématique : Drogues illicites Bibliographie : 47 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8038 [article]

*** / DEGENHARDT L. ; ROXBURGH A. ; VAN BEEK I. ; HALL W. D. ; ROBINSON M. K. F. ; ROSS J. ; MANT A. in Drug and Alcohol Review, 27 (2) (2008)

[article]  in Drug and Alcohol Review > 27 (2) (2008)  - p.145-151 Titre : *** Titre autre langue : The effects of the market withdrawal of temazepam gel capsules on benzodiazepine injecting in Sydney, Australia Type de document : Périodique Auteurs : DEGENHARDT L. ; ROXBURGH A. ; VAN BEEK I. ; HALL W. D. ; ROBINSON M. K. F. ; ROSS J. ; MANT A. Année de publication : 2008 Article en page(s) : p.145-151 Caractéristiques matérielles : fig., graph. Langues : Anglais (eng) Mots-clés : Thésaurus INJECTION ; DEPENDANCE ; SYNDROME DE SEVRAGE ; REDUCTION DES RISQUES ; BENZODIAZEPINES Descripteurs géographiques ETATS-UNIS ; ROYAUME-UNI ; ISRAEL ; AUSTRALIE Résumé : Introduction and Aims. This study assessed the impact on benzodiazepine injection among IDU in Sydney of removing temazepam gel capsule preparations from the Australian market. Design and Methods. Several data sources were used: (1) data from the NSW Illicit Drug Reporting System (IDRS) (an annual, cross-sectional survey of regular IDU in Sydney) for the period 1996-2005; (2) data from inner Sydney outreach services and the Sydney Medically Supervised Injecting Centre (MSIC) on last drug injected; and (3) national benzodiazepine prescription data, by formulation, from the Drug Utilisation Sub-Committee for the period 2001-06. Results. Removal of temazepam gel capsule formulations from the Australian market in 2004 resulted in increased prescribing of tablet formulations but overall benzodiazepine prescription numbers remained stable. Injection of benzodiazepines ceased as a mode of administration of benzodiazepines among IDU in inner Sydney, but very frequent oral use of benzodiazepines remained highly prevalent. Discussion and conclusions. Removal of an easily injectable form of benzodiazepines appeared to halt injection of benzodiazepines among disadvantaged IDU. However, IDU continue to use the drug heavily and interventions to assist IDU with reducing dependent benzodiazepine use are warranted. There is a need for continued vigilance to emergent injecting drug use risks to implement timely harm reduction strategies. (Review's abstract). Cote CIRDD : 805323 Thématique : Drogues illicites Bibliographie : 26 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=9202 [article]

(Usage de drogues et conduite automobile : épidémiologie, conséquences, facteurs de risque et perception du risque) / KELLY E. ; DARKE S. ; ROSS J. in Drug and Alcohol Review, 23 (3) (2004)

[article]  in Drug and Alcohol Review > 23 (3) (2004)  - p.319-344 Titre : (Usage de drogues et conduite automobile : épidémiologie, conséquences, facteurs de risque et perception du risque) Titre autre langue : A review of drug use and driving : epidemiology, impairment, risk factors and risk perceptions Type de document : Périodique Auteurs : KELLY E. ; DARKE S. ; ROSS J. Année de publication : 2004 Article en page(s) : p.319-344 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus PSYCHOTROPES ; FACTEUR DE RISQUE ; PREVALENCE ; POLYCONSOMMATION ; VIGILANCE ; ABUS ; CONDUITE DE VEHICULE ; DANGER Résumé : The existing literature on the prevalence of drug driving, the effects of drugs on driving performance, risk factors and risk perceptions associated with drug driving was reviewed. The 12-month prevalence of drug driving among the general population is approximately 4%. Drugs are detected commonly among those involved in motor vehicle accidents, with studies reporting up to 25% of accident-involved drivers positive for drugs. Cannabis is generally the most common drug detected in accident-involved drivers, followed by benzodiazepines, cocaine, amphetamines and opioids. Polydrug use is common among accident-involved drivers. Studies of impairment indicate an undeniable association between alcohol and driving impairment. There is also evidence that cannabis and benzodiazepines increase accident risk. The most equivocal evidence surrounds opioids and stimulants. It is apparent that drugs in combination with alcohol, and multiple drugs, present an even greater risk. Demographically, young males are over-represented among drug drivers. Although there is an association between alcohol use problems and drink driving, it is unclear whether such an association exists between drug use problems and drug driving. Evidence surrounding psychosocial factors and driving behaviour is also equivocal at this stage. While most drivers perceive drug driving to be dangerous and unacceptable, there is less concern about impaired driving among drug drivers and drink drivers than from those who have not engaged in impaired driving. Risk perceptions differ according to drug type, with certain drugs (e.g. cannabis) seen as producing less impairment than others (e.g. alcohol). It is concluded that drug driving is a significant problem, both in terms of a general public health issue and as a specific concern for drug users. (Review's abstract). Cote CIRDD : 804820 Thématique : Drogues illicites Bibliographie : 214 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6868 [article]

(Voies d'administration de l'héroïne autres que l'injection, chez des usagers pris en charge par trois modalités thérapeutiques) / DARKE S. ; HETHERINGTON K. ; ROSS J. ; LYNSKEY M. ; TEESSON M. in Drug and Alcohol Review, 23 (2) (2004)

[article]  in Drug and Alcohol Review > 23 (2) (2004)  - p.177-183 Titre : (Voies d'administration de l'héroïne autres que l'injection, chez des usagers pris en charge par trois modalités thérapeutiques) Titre autre langue : Non-injecting routes of administration among entrants to three treatment modalities for heroin dependence Type de document : Périodique Auteurs : DARKE S. ; HETHERINGTON K. ; ROSS J. ; LYNSKEY M. ; TEESSON M. Année de publication : 2004 Article en page(s) : p.177-183 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus INJECTION ; PRISE EN CHARGE ; SNIFFER ; TRAITEMENT ; VOIE D'ADMINISTRATION ; FUMER ; COMPARAISON ; HEROINE Descripteurs géographiques AUSTRALIE Résumé : A sample of 535 entrants to opioid dependence treatments across three treatment modalities were administered a structured interview to ascertain the prevalence of non-injecting heroin use. Ten per cent of participants had used heroin primarily by smoking/inhaling in the month preceding interview, and 9% had used heroin and other drugs exclusively by non-injecting routes. Non-injectors were younger (25.3 vs. 29.5 years), had higher levels of education (10.6 vs. 10.0 years), were more likely to be employed (33 vs. 18%) and had lower levels of recent crime (31 vs. 56%). They also had shorter heroin using careers (5.1 vs. 9.9 years), fewer symptoms of dependence (5.1 vs. 5.6), had been enrolled in fewer previous treatment episodes (3.3 vs. 11.5) and had less extensive lifetime (8.0 vs. 9.1 drug classes) and recent (3.6 vs. 4.9) polydrug use. Non-injectors were substantially less likely to report lifetime (13% vs. 58%) or recent (2% vs. 29%) heroin overdoses. There were no differences between the general physical and psychological health of the two groups. While non-injectors had a lower level of post-traumatic stress disorder (29% vs. 34%), there were no differences in levels of major depression, attempted suicide, antisocial personality disorder, or borderline personality disorder. A substantial minority of Australian treatment entrants are now using heroin exclusively by non-injecting routes. While this group is younger, and has substantially reduced risk of overdose and blood borne virus transmission, the physical and psychological health of non-injectors mirrors that of injectors. (Review's abstract). Cote CIRDD : 804806 Thématique : Drogues illicites Bibliographie : 32 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6882 [article]