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Prevalence
European schools drug and alcohol survey
by Anne Doyle

This is the seventh Irish data-collection wave of the European School Survey Project on Alcohol and Other Drugs (ESPAD) that collects comparable data on substance use among European students aged 15 and 16 years.1 In the 2019 data-collection wave, 1,949 Irish students, from a stratified random sample of 50 post-primary schools, completed a questionnaire on issues including alcohol use, cigarette smoking and e-cigarette use, cannabis and other illegal drug use, gambling, gaming, and internet use.

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Parental problem alcohol use and education
by Anne Doyle

At least one in six young people in Ireland suffers from alcohol-related harms at home due to parental problem alcohol use. This exposure is considered an adverse childhood experience (ACE), the effects of which can be lifelong, impacting both physical and mental health. Silent Voices, an initiative of Alcohol Action Ireland (AAI), seeks to highlight the harm caused by parental problem alcohol use and its impact across the lifespan.1

Using accounts from children – including reflections from adult children of alcoholics (ACOAs) – affected by parental problem alcohol use, AAI collaborated with the School of Applied Psychology at University College Cork (UCC) to understand how children cope with this ACE, particularly during their school years.2 It considers the role that schools could play in identifying and supporting this cohort of children and makes recommendations for teachers, schools, and the education system.

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Garda Youth Diversion Programme: review and evaluation
by Ciara H Guiney

In September 2020, the Department of Justice and Equality published a review and evaluation of two Garda Youth Diversion Programmes (GYDPs).1,2,3 The aim of the evaluation was to examine the effectiveness of two pilot youth justice intervention programmes supported by the Department of Justice and Equality: Programme A and B.1

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Garda Youth Diversion Programme annual conference
by Ciara H Guiney

In July 2020, the Department of Justice and Equality published the Report of proceedings: a Garda Youth Diversion Projects annual conference 2019.1 The conference, which took place in the Croke Park Conference Centre on 6 November 2019, brought together over 300 delegates from across Ireland. The conference provided a space for delegates to reflect on existing practices and experiences, learn from each other, and contribute to how the Garda Youth Diversion Programme (GYDP) and youth justice policy develop going forward.

In the opening address, the then Minister of State David Stanton TD welcomed delegates to the conference, which aimed to focus on issues of professional and personal importance to him, as a politician and former teacher and guidance counsellor. Department of Justice and Equality updates were delivered by principal officer Deaglán Ó Briain, responsible for criminal policy and community safety policy.

The event consisted of two sessions: the morning focused on providing information (presentations and discussions), while the afternoon involved interaction (plenary sessions and facilitated working groups of 15 to 20 participants). The first guest presentation was by Noeline Blackwell, human rights lawyer and CEO of the Dublin Rape Crisis Centre. This was followed by presentations from Chief Supt Colette Quinn, director of the Youth Diversion Programme at An Garda Síochána; the Action Research Project team at the University of Limerick; and the Best Practice Development team at the Department of Justice and Equality.

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Brief interventions targeting long-term benzodiazepine and Z-drug use in primary care
by Catherine Walshe

A recent study by Lynch et al. (2020) explored the effectiveness of primary care interventions on reducing or discontinuing benzodiazepine/Z-drug use compared with usual care.1 Benzodiazepines are often indicated in the clinical treatment of anxiety and insomnia. Z-drugs (zopiclone and zolpidem) behave similar to benzodiazepines but are not classed as such. Z-drugs and benzodiazepines can however be grouped as benzodiazepine receptor agonists (BZRA). Treatment recommendations include restricting use to short time periods due to the implications of addiction and withdrawal. However, treatment guidelines are often not adhered to, resulting in long-term BZRA use persisting worldwide. Prevalence rates of BZRA consumption is highest among older people (65+ years), making them particularly vulnerable to adverse physical and cognitive effects of BZRA use.

Much of the research on interventions has focused on benzodiazepines, with Z-drugs receiving less attention. A critique of the research into these interventions is the absence of theoretical underpinnings, limiting the understanding of the mechanisms of change impacting outcomes. To account for this, the study authors applied the theoretical domains framework (TDF) to understand the barriers and facilitators to behaviour change necessary for effective interventions.

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