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Drug and Alcohol Misuse: Screening and

Brief Interventions - 6KNIN639 Level: 6

Credits: 15

Module leader: Modupe Oshadiya

Tel: 020 7848 4638

Email: modupe.oshadiya@kcl.ac.uk

Module deputy: To be confirmed

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This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Pre-Registration/Postgraduate Programme Handbook, available on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to asc@kcl.ac.uk.

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Contents

Module overview .............................................................................................................. 3

Module aim ................................................................................................................... 3

Learning outcomes ....................................................................................................... 3

Teaching arrangements ............................................................................................... 3

Submitting coursework ................................................................................................ 4

Assessment criteria ...................................................................................................... 4

E-learning assessment ................................................................................................. 4

Results and resubmissions for coursework ................................................................ 5

Learning resources ........................................................................................................... 7

Session 1: Introduction to the Course and Addictions .............................................. 7

Session 2: Introduction to the Course, Assessment and Engagement Strategies ................................................................................................ 7

Sessions 3 & 4: Assessment Tools, incorporating Assessment Tools into Practice ........................................................................................................ 8

Session 5: Assessing Physical Health and Detoxification .......................................... 9

Session 6: Treatments for Substance Abuse: Withdrawal Syndromes, 12 Step Approaches, Addictions Pharmacology ......................................................... 9

Session 7: Epidemiology and Aetiology (Biopsychosocial Models of Addiction) .... 10

Session 8: Designer Drugs and Harm Reduction ...................................................... 10

Session 9: A Cognitive Behavioural Model of Assessment in Addictions ................ 10

Session 10: Motivational Interviewing ....................................................................... 11

Session 11 & 12: Motivational Interviewing (continued), Assignment Guidelines and Course Evaluation .............................................................................. 11

Module evaluation ........................................................................................................... 12

Action from previous evaluations ............................................................................... 12

Timetable .......................................................................................................................... 13

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Module overview As substance misuse comes up in many aspects of mental and physical healthcare, this option module will allow you to explore the intricacies of addictions and broaden your skills of assessment and interventions.

Module aim

The course aims to help practitioners develop knowledge, understanding and skills essential for conducting a comprehensive assessment of an addictions client. The relationship between the theory and practice of assessment in addictions and other health care settings will be explored and the use of practice experiences will encourage the development of a personal model of assessment that is appropriate to the work context and grounded in evidence based practice. Skills in assessing clients will be developed alongside the ability to reflect and review practice by means of lecturer and peer supervision and role play.

Learning outcomes

The course seeks to evaluate the theory, concepts and processes involved with the assessment approaches used within addictions and other health care settings. Students will be encouraged to systematically reflect on a range of skills required to conduct specific assessments and critically evaluate both the processes and outcomes that inform and underpin care pathway decisions.

Teaching arrangements

Please refer to the programme handbook for attendance policy. Attendance is expected for all sessions. A variety of teaching/learning strategies will be used including lectures, group work, role-play, field work and the presentation of case studies.

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Submitting coursework For this module you are assessed by Modupe Oshadiya.

Assessment criteria

All parts of the assessment must be completed and submitted by the date(s) below. Failure to submit assignments or attend examinations will result in a fail grade being awarded.

E-learning assessment

Students will be required to complete the “Alcohol e-learning and brief advice project” (Alcohol IBA e-learning course) and hand in their certificate of completion with their summative assessment.

The course can be accessed by the following link: http://www.alcohollearningcentre.org.uk/eLearning/IBA/

In addition to this, students are expected to complete a written assignment of 2,000 words, either

a) Describe in detail the assessment and intervention they have used on a patient with drug or

alcohol misuse, explaining the rationale and evidence base for the intervention.

OR

b) Using one of the case studies provided, describe in detail the assessment and intervention

they would have used on this patient, explaining the rationale and evidence base for the

intervention.

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Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Y for the academic year 2017/18, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”. If you require further support in these circumstances you are advised to contact KCLSU. Submission date for coursework: 15 May 2018; 11.59am Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is a hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is Karen Wright. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section.

Results and resubmissions for coursework Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Nightingale Student Hub. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Nightingale Student Hub ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance or please use King’s Libguides site. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Modupe Oshadiya.

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If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work. Resubmission date: 6 August 2018; 11.59am

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Learning resources

Session 1: Introduction to the Course and Addictions

By the end of the session students will:

Know something about their peers and their work.

Have knowledge of the components of the course. Indicative Reading: Johns C. & Freshwater D. (1998) Transforming Nursing Through Reflective Practice. Blackwell Science, London.

Page S. & Wosket V. (2002) Supervising the Counsellor: A cyclical model. 2nd ed. Routledge, London.

Session 2: Introduction to the Course, Assessment and Engagement Strategies

By the end of the session students will be able to:

Discuss the concept of assessment and its role in the development of the therapeutic relationship.

Reflect on their engagement skills using examples from practice.

Consider Egan’s model of helping in relation to assessment in addictions. Indicative reading: National Treatment Agency for Substance Misuse: Towards successful treatment completion: A good practice guide

http://www.nta.nhs.uk/uploads/completions0909.pdf

Simpson D. et al. (2009) Relating counselor attributes to client engagement in England. http://www.nta.nhs.uk/uploads/jsat_ac_09_simpson_uk.pdf

Egan G. (2006) The Skilled Helper: A Problem-management and Opportunity-development Approach to Helping. Brooks/Cole, London.

Ghodse H. (2002) Drugs and Addictive Behaviour: A Guide to Treatment. 3rd ed. Blackwell Science, Oxford.

Petersen T. & McBride A. (2002) Working with Substance Misusers: A Guide to Theory and Practice. Routledge, London and New York.

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Sessions 3 & 4: Assessment Tools, incorporating Assessment Tools into Practice

By the end of the session students will have:

Discussed the different standardised assessment tools commonly used in their clinical areas.

Critically evaluated a chosen standardised assessment tool commonly used in their clinical practice.

Demonstrated the skills required to use a standardised assessment tool.

Critically evaluated the strengths and weaknesses of the different standardised assessment tools.

Some ability to use assessment data to make decisions about treatment

Developed skills in identifying problems that may need a brief intervention

Some understanding of how to use assessment to raise client awareness of substance misuse.

Knowledge of the way to calculate alcohol consumption for individuals using the unit system Thought about how to make appropriate referrals for further assessments.

Indicative reading: Ewing J.A. (1984) Detecting alcoholism: the CAGE questionnaire. JAMA, the Journal of the American Medical Association, 252, 1905-1907.

Marsden J., Gossop M., Stewart D., Best D., Farrell M., Lehmann P., Edwards C. & Strang J. (1998). The Maudsley Addiction Profile (MAP): a brief instrument for assessing treatment outcome. Addiction 93(12), 1857-1868.

Saunders J.B., Aasland O.G., Babor T.F., de la Fuente J.R. & Grant M. (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction 88, 1377-1382.

Bennett G.A., Edwards S. & Bailey (2002) Helping methadone patients who drink excessively to drink less: short-term outcomes of a pilot motivational intervention. Journal of Substance Use 7, 191-197.

Dinh-Zarr T.B., Goss C.W., Heitman E., Roberts I.G. & DiGuiseppi C. (2008) Interventions for preventing injuries in problem drinkers (Review). The Cochrane Collaboration, Issue 4: Wiley.

Peterson T. & McBride A. (2002) Working with Substance Misusers: A Guide to Theory and Practice. Routledge, London.

Department of Health website http://www.dh.gov.uk follow links to public health and health improvement for information on policy/publications relating to alcohol and drugs

Detail and summary of latest 10 year drug strategy (2008-2018) http://drugs.homeoffice.gov.uk/drug-strategy/overview/

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Session 5: Assessing Physical Health and Detoxification

By the end of the session students will have: Considered a range of potential physical problems associated with alcohol and drug misuse. Gained knowledge about the harm that can arise by different patterns of use. Understand detoxification and the physical implications thereof Thought about some of the physical needs of the clients within the context of assessment.

Indicative Reading: Allen D. (2004) Enduring mental illness and physical health care. Practice Nursing 15(7), 356-360.

Ravetti L.M. (2000) Assessment and treatment of addictions in primary care. Lippincotts’s Primary Care Practice 4(3), 273-286.

Tudor K. (2004) Mental health promotion. Chapter 3 in Norman I. & Ryrie I. (eds). The Art and Science of Mental Health Nursing. Open University Press, Maidenhead.

Session 6: Treatments for Substance Abuse: Withdrawal Syndromes, 12 Step Approaches, Addictions Pharmacology

By the end of this session students will:

Have an understanding of the pharmacological properties and effects of the major drugs of addiction

Consider some physical and psychological risk factors related to drug abuse

Consider detoxification processes

Consider withdrawal syndromes in relation to specific drugs

An understanding of some of the approaches used to treat alcohol and drug misuse

Be familiar with the philosophy of the 12 step model

Be familiar with some of the pharmacological approaches to treating alcohol and drug misuse

Indicative Reading: NTA: Tools for Recovery http://www.nta.nhs.uk/toolkits.aspx

McKinley M.G. (2004) Alcohol withdrawal syndrome: overlooked and mismanaged? Critical Care Nurse, 25(3), 40-49.

Wills S. (2005) Drugs of Abuse. 2nd ed. Pharmaceutical Press, London.

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Session 7: Epidemiology and Aetiology (Biopsychosocial Models of Addiction)

By the end of the session students will:

Have an overview of the different theories of addiction

Be aware of some of the patterns of substance misuse in Britain and elsewhere.

Have identified some of the factors that influence addictive behaviour.

Be able to describe the impact of social processes on substance misuse. Indicative Reading: Bloor M. & Wood F. (1998) Addictions and Problem Drug Use: Issues in Behaviour, Policy and Practice. Jessica Kingsley, London.

Department of Health (2005) Smoking, drinking and drug use among young people in England. London, HMSO.

Hedrich D. & Vincente J. (2005) Overdose: A Major Cause of Death among Young People. Lisbon, EMCDDA.

West R. & Hardy A. (2006) Theory of Addiction. Blackwell Publishing, Oxford.

Session 8: Designer Drugs and Harm Reduction

By the end of the session students will have:

Have an overview on health behaviour change and harm reduction theory.

Be aware of the multi-level impact multi harm reduction can have in reducing risk and the associated evidence base.

Have a better understanding of the designer and lifestyle related drugs that can be used.

Be aware of the potential harm that can arise from designer and lifestyle related drugs.

Session 9: A Cognitive Behavioural Model of Assessment in Addictions

By the end of this session students will have:

Explored how the cognitive behavioural approach can help to build up a relationship with the client

Developed skills in using the cognitive behavioural model in the assessment of the client.

Understand how cognitions or thoughts can affect a client’s addictive behaviour. Indicative reading: UK22: Psychological therapy and psychosocial interventions for treatment of substance misuse

file:///C:/Users/sppmruo/Downloads/UK22_psychosocial.pdf

Curwen B., Palmer S. & Ruddell P. (2000) Brief Cognitive Behavioural Therapy. London, Sage.

McCluster C.G. (2001) Cognitive biases and addiction: an evolution in theory and method. Addiction 96(1), 47-56.

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Session 10: Motivational Interviewing

By the end of the session students will have:

Understood the concept, principles and underlying philosophy of motivational interviewing.

Explored how the motivational interviewing approach can used within the assessment process in addictions.

Practiced key skills and techniques. Indicative Reading Bundy C. (2004) Changing Behaviour: using motivational interviewing techniques. Journal of Royal Society of Medicine, Supp 44, 97, 43-47.

Miller W.R. & Rollnick S. (2002) Motivational Interviewing: Preparing People for Change. Guildford Press, New York, London.

Rollnick S., Heather N., Gold R. & Hall W. (1992) Development of a short “Readiness to Change” questionnaire for use in brief, opportunistic interventions among excessive drinkers. British Journal of Addiction 87, 743-54.

Session 11 & 12: Motivational Interviewing (continued), Assignment Guidelines and Course Evaluation Specialist Settings Directed Learning: Attending an AA or NA meeting / e-learning and assignment By the end of the session students will have attended a 12-step meeting and be familiar with the philosophy of the 12-step programme. Indicative Reading: http://www.alcoholics-anonymous.org.uk/?pageid=2 http://www.ukna.org/ (The above links have hyperlinks to meeting times and locations within the UK).

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Module evaluation As part of the university’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online.

Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard.

To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.

Action from previous evaluations No actions yet.

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Timetable

Please refere to the most current timetable on the module KEATS page.

Day 1

Teaching mode

Date Type of Session

Title Time Lecturer Room

University based study

9 Feb 2018 Lecture

Introduction to the course and addictions 11:00-13:00

Modupe Oshadiya

FWB 2.80

Assessment and engagement strategies

14:00-16:00 FWB 4.63

Day 2

University based study

16 Feb 2018 Lecture

Introduction to Assessment tools 11:00-13:00 Modupe Oshadiya

FWB 2.80

Assessing physical health and detoxification

14:00-16:00 FWB 4.63

Day 3

Self-directed study

23 Feb 2018

Incorporating Brief Interventions into the Assessment of Substance Misuse

11:00-13:00

Self-directed study Visit to mutual aid programme

Treatments for substance misuse – withdrawal syndromes, 12 step models

14:00-16:00

Day 4

University based study

2 Mar 2018 Lecture Biopsychosocial models of addiction 11:00-13:00

Modupe Oshadiya

FWB 5.132

Addictions pharmacology 14:00-16:00 FWB 4.63

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Day 5

University based study

9 Mar 2018 Lecture

12 step approaches, Designer drugs and harm reduction, student debate

11:00-13:00 Modupe Oshadiya

FWB 2.80

A cognitive behavioural model of assessment in addictions

14:00-16:00 FWB 4.63

Day 6

University based study

16 Mar 2018

Lecture

Motivational Interviewing 11:00-13:00 Modupe Oshadiya

FWB 5.132

Evaluation, Student Debate and assignment guidelines

14:00-16:00 FWB 4.63

Location key:

FWB – Franklin-Wilkins Building, Waterloo Campus