Drug, alcohol and tobacco misuse (generically known as substance misuse) is a universal phenomenon that affects all levels of society (Rassool, 2002).

Drug, alcohol and tobacco misuse (generically known as substance misuse) is a universal phenomenon that affects all levels of society (Rassool, 2002).

Increasing drug use generally has caused a host of social, behavioural, psychological and physical problems among populations. Nurses are usually the first point of contact for clients with potential or unrecognised substance use problems whether in primary health care or hospital settings. Therefore, if nurses are to respond to the health needs of these people there must be adequate drug and alcohol-related education in undergraduate and postgraduate nursing curricula (English National Board, 1996).

a) Identify and examine the nature of substance use and misuse including pre-disposition and precipitating factors.

b) Develop an understanding of the ethical and legal issues relating to substance use and misuse.

c) Select and examine current developments in working with people who are substance dependent including political and professional directives.

d) With support develop positive and supportive relationships with individuals who are substance dependant.

e) Information skills Assist in the assessment and treatment of people with drug-related problems.

f) Problem solving Assist in the application of a range of clinical interventions used with people who are substances dependent
**Indicative Content **
The nature of substance use and misuse
The epidemiology of substance use and misuse
Theories and causation
Legal and ethical issues
Biop-sycho-social complications of substance dependency
Assessment and treatment issues and the involvement of the mental health worker
Range of interventions
Social policy initiatives
Health promotion initiatives

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