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World Mental Health Day 2024.
It’s Time to fully apply the COMPREHENSIVE MENTAL HEALTH ACTION PLAN 2013-2030 (W.H.O) Drug use has not place in the effective plan.
Summary and its Application to Alcohol & Other Drug Issues - Dalgarno Institute
From the Conclusion: Any attempt to normalize, and thus embrace drug use as part of everyday life, is antithetical to the entire World Health Organisation’s Mental Health Plan.
That substance use may be a subset of behaviours in a culture is not in question.
However, what is in question, is its status. A status that is historically and wisely utterly unacceptable for all and more of the reasons outlined in attached document. However, it has been gradually shifting, due to addiction for profit protagonists and the emergence (particularly in first world economies) of rabid individualism which sees ‘rights’ as only enshrined in the egocentric, with little to no regard for the ‘neighbour’.
Subsequently, there has been a stronger emergence of ever ‘creative’ permission models, modes or mantras that give a tacit consent to these behaviours. These include the misuse of anti-stigma rhetoric to deny contestation of self and community harming activities – not least the mental health of a society and its members. This is completely unacceptable under the terms of this proposed plan.
The Dalgarno Institute, as part of the primary prevention sector, want to see this robust plan implemented with a strict eye to the absolute minimising, of not simply the potential harms of substance use, but more its capacity to even engage communities.
The upstream approach must look to ensure, as best as possible, that substance use gets no cultural leverage for normalization practices. Any approval in the public square of substance use behaviour, is only and always counter-productive to the best-practice outcomes of this mental health plan.
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The recently released report from the Australian Institute of Health and Welfare is an overview of statistics. As with previous reports its design is not to drill down into factors influencing protection orders or interventions, other than to refer to them as being subject to the following outcomes.
- having been seriously harmed.
- being at risk or significant risk of harm.
- having no other care options.
The following is an excerpt and very basic summary of the extensive statistical report. However, one does not have to imagine what are key elements of harm that facilitate the need for intervention. All one has to do is look at adjacent reported emergences in growing dysfunctional culture that has and is permitting greater and greater substance use.
Even though alcohol is being more closely monitored, it for over 150 years (Dalgarno Institute has the records), has been a community health, safety and well-being wrecking ball; but now we have the burgeoning illicit drug industry, that is being given greater tacit permission to operate – largely unchecked – in our current culture. The use of stimulants in particular, are at the very least correlated with some of these growing harms to children and families.
Of course, if one is able to spelunk the obfuscated data on drugs and violent crime the correlation soon tips into causal– but so very few will call it out in a now recreational drug use enamoured society. Aided and abetted by the continuing misuse of drug policy and a failure of an unequivocal public voice on this toxic conduct – The same voice we have on tobacco – a voice that worked. One Message, One Focus, One Voice – Quit!
This report provides an overview of children in the child protection system in 2022–23, including children subject to notifications, investigations, and substantiations of maltreatment, and the ways children were supported.
The child protection system aims to protect children from maltreatment in family settings. Child maltreatment is the abuse and neglect that occurs to children under 18 years of age. It includes all types of physical and/or emotional ill-treatment, sexual abuse, neglect, negligence and commercial or other exploitation, which results in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power (WHO, 2020).
Key findings:
- In 2022–23, about 180,000 children came into contact with the system, an increase from about 178,000 in 2021–22.
- Between 2018–19 and 2022–23, the rate of children who were subjects of notifications increased from 48 to 51 per 1,000.
- Between 2018–19 and 2022–23, the rate of children with substantiations remained relatively stable around 8.0 per 1,000.
- Between 30 June 2019 and 30 June 2023, the rate of children in out-of-home care remained stable around 8.0 per 1,000.
- As at 30 June 2023 45,300 children were in out-of-home care (7.9 per 1,000) (see Data table 5.1). Of these:19,700 were Aboriginal and Torres Strait Islander children (57 per 1,000 Indigenous children) 25,500 were non-Indigenous children (4.7 per 1,000 non-Indigenous children).
- For children who were in out-of-home care at 30 June 2023: about 89% (40,400) were in home-based care (foster care, relative/kinship care and other home-based care) (see Supplementary data table S5.3) About 3 in 5 (61% or 27,700) children were aged 5–14 years (see Supplementary data table S5.5) disability status was known for 72% (32,500) of children in care, of whom 21% (9,700) had a disability (see Supplementary data table S5.8) The rate of children living in inner and outer regional (12 per 1,000) and remote and very remote (14 per 1,000) areas were more than twice that of those living in major cities (6.0 per 1,000) (see Supplementary data table S5.9) most (94% or 42,300) were on a care and protection order (see Supplementary data table S5.13).(Source: Child protection Australia 2022–23, Supporting children - Australian Institute of Health and Welfare (aihw.gov.au)
It is vital that we keep joining the dots and putting this oft buried issues into the public square.
As it has been said, trying to fix familial, intimate partner and child abuse and neglect without addressing the alcohol and other drug issue is simply using a mop whilst leaving the tap running.
It is way past time to #preventdontpromote drug use and promote children’s and women’s rights over the drug using public recreational demands!
Dalgarno Institute
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Importance Children exposed to substance use during pregnancy have increased health needs but whether these are influenced by engagement in out-of-home care is uncertain.
Objective: To evaluate the association between substance use during pregnancy, out-of-home care and hospitalization utilization, and costs from birth up to age 20 years.
Design, Setting, and Participants: This was a retrospective cohort study using individual-linked population birth, hospital, and out-of-home care information of all liveborn infants from New South Wales, Australia, between 2001 and 2020 using longitudinal population-based linkage records from administrative databases. Substance use during pregnancy included newborns with neonatal abstinence syndrome (n = 5946) and intrauterine exposure to drugs of addiction (n = 1260) and other substances (eg, tobacco, alcohol, and illicit drugs or misused prescription drugs; n = 202 098). Children not exposed to substance use during pregnancy were those without known exposure to substance use during pregnancy (n = 1 611 351). Data were analyzed from July 2001 to December 2021.
Main Outcomes: Main outcomes were hospital readmission, length of stay, and cost burden associated with substance use during pregnancy from birth up to age 20 years. Outcomes were investigated using 2-part and Poisson regression models adjusted for sociodemographic characteristics. Mediation analysis was used to evaluate whether the association of substance use during pregnancy with risk of readmission was mediated through engagement with out-of-home care….Excess hospital costs associated with substance use during pregnancy were A$129.0 million in 2019 to 2020. Mediation analyses showed that any out-of-home care contact mediated the association between substance use during pregnancy and risk of inpatient readmission and lower health care cost (decreased by A$25.4 million). For children with neonatal abstinence syndrome, any out-of-home care contact mediated readmission risk by approximately 30%, from adjusted RR, 1.28; 95% CI, 1.19-1.35, to RR, 1.01; 95% CI, 0.98-1.02.
Conclusion and Relevance: Children who were exposed to substance use during pregnancy incurred more hospital costs than children who were not exposed up to 20 years of age, but this was reduced in association with any contact with out-of-home care. This provides insights into possible strategies for reducing health and financial burdens associated with exposure to substance use during pregnancy for children.
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The 2024 United Nations World Day Against Illicit Drugs & Trafficking theme is “The evidence is clear: invest in prevention”. The internationally backed Declaration of Oviedo assiduously affirms that prevention must be the priority for our communities. This Asia-Pacific hearing saw commentaries from regional voices on the absolute need for prevention and demand reduction.
and Watch the presentations
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China’s Role in Synthetic Opioid Trafficking: Efforts to Reduce the Supply of Precursor Chemicals at the Primary Source.
[Ever since the ‘Opium Wars’, (https://youtu.be/7UScdK82aAo?list=PLTMqlfT-1C1x7ekCSxIhF6HMjHBqMAK6n&t=8) when opium was not only legalised and commercialised on a global scale, but actually became currency; the Chinese people have not forgotten the exploitation they experienced at the hands of the ‘West’. One cannot help but wonder if this is not somehow a process of exacting ‘pay-back’, as well as the long standing strategy of ‘communist’ or otherwise totalitarian regimes endeavour to ‘drug the party west’ into oblivion – i.e. Red Cocaine)
Introduction and Background: The reemergence of illegally manufactured synthetic opioids has complicated the United States’ already difficult illegal drug supply- and demand-reduction efforts. Even as demand persists for heroin and diverted prescription opioids, fentanyl and other synthetic opioids have made their way into the illegal drug supply, confounding traditional efforts to raise prices by reducing the quantity of drugs available to users. It is essential to understand the challenges at hand so that appropriate approaches to solutions can be developed. The United States could be doing more to help reduce supply and should devote resources to efforts expected to produce the greatest return on investment. Of course, it is also necessary to make equal perhaps even greater demand- and harm-reduction efforts, but in this testimony, I will only focus on China’s role on the supply side of the equation.
Conclusion: The Commission on Combating Synthetic Opioid Trafficking final report and technical appendixes contain 78 enabling action items, many of which are directed at Congress and involve China. The action items are binned into five pillars:
- policy coordination and implementation,
- supply reduction,
- demand reduction and public health,
- international cooperation, and
- research and monitoring.
Each pillar contains a series of key actions and associated enabling actions. The Commission focused on actions the United States could take to stem the illegal flow of synthetic opioids or develop ways to mitigate overdose deaths.
For complete presentation click here