Contents
Cover -- Drug Misuse and Community Pharmacy -- Contents -- Contributors -- 1 An introduction to the book: context, aims and definitions -- REFERENCE -- 2 Opiate addiction and the "British System": looking back on the twentieth century and trying to see its shape in the future -- INTRODUCTION -- THE EMERGENCE OF THE BRITISH SYSTEM -- THE BRITISH SYSTEM IN THE EIGHTIES: NEW EPIDEMICS AND NEW POLITICS -- 1990s: CRIME REDUCTION TO THE FORE -- CONCLUSION: HAS THE BRITISH APPROACH HAD ITS DAY? -- REFERENCES -- 3 Drug misuse and the community pharmacist: a historical overview -- INTRODUCTION -- THE RISE OF PHARMACEUTICAL REGULATION 1851-1912 -- THE MARGINALISATION OF PHARMACEUTICAL REGULATION 1912-1961 -- THE RE-EMERGENCE OF PHARMACEUTICAL REGULATION 1961 TO PRESENT -- THE REDISCOVERY OF THE PHARMACIST: THE EXTENDED ROLE IN THE 1980s -- AIDS, DRUG MISUSE AND THE COMMUNITY PHARMACIST -- DRUG MISUSE AND THE EXTENDED ROLE OF THE COMMUNITY PHARMACIST: THE 1990s -- CONCLUSION -- REFERENCES -- 4 Reviewing the situation: pharmacists and drug misuse services in England and Wales -- INTRODUCTION -- REFERENCES -- 5 Drug misuse and community pharmacy in Scotland -- INTRODUCTION -- SCOTTISH NATIONAL SURVEY 1996 -- DEVELOPMENT IN PRACTICE -- FUTURE IMPLICATIONS -- REFERENCES -- 6 Drug misuse in Northern Ireland: the role of the community pharmacist -- BACKGROUND -- CHANGING DRUG POLICY IN NORTHERN IRELAND -- DRUG MISUSE IN NORTHERN IRELAND: FACTORS AFFECTING THE SCALE OF THE PROBLEM -- SERVICE PROVISION AND POLICIES FOR DRUG MISUSERS -- THE COMMUNITY PHARMACISTS' INVOLVEMENT IN HARM-REDUCTION PROGRAMMES -- THE PHARMACISTS' ROLE -- PRESENT AND FUTURE -- REFERENCES -- 7 The services provided by community pharmacists to prevent, minimise and manage drug misuse: an international perspective -- INTRODUCTION -- BACKGROUND TO THE EXTENT OF THE TREATMENT RESPONSE -- THE INVOLVEMENT OF THE COMMUNITY PHARMACIST IN THE PROVISION OF PHARMACOTHERAPIES FOR THE MANAGEMENT OF OPIATE ADDICTION -- THE PROVISION OF STERILE INJECTING EQUIPMENT -- OTHER PHARMACY SERVICES -- CONCLUSIONS -- REFERENCES -- 8 Drug users and pharmacists: the clients' perspective -- INTRODUCTION -- DRUG USERS' VIEWS OF PHARMACY SERVICES -- CLIENT INTERACTION WITH PHARMACISTS AND PHARMACY STAFF -- THE IDEAL PHARMACY SERVICES -- CONCLUSION -- ACKNOWLEDGEMENTS -- REFERENCES -- 9 Legal and ethical considerations for community pharmacists in the United Kingdom -- INTRODUCTION -- LEGISLATION IN GREAT BRITAIN -- THE PHARMACISTS' PROFESSIONAL CODE OF ETHICS -- GUIDELINES FOR THE CARE AND TREATMENT OF DRUG MISUSERS -- CONFIDENTIALITY AND PRIVACY -- INSTALMENT DISPENSING AND MISSED DOSES OF METHADONE -- SUPERVISION OF CONSUMPTION OF CDs IN THE PHARMACY -- TRAVELLING ABROAD WITH CDs: -- PATIENT IDENTITY -- SUBSTITUTION OF COLOURLESS AND/OR SUGAR-FREE METHADONE MIXTURE ON PRESCRIPTIONS -- CHILD SAFETY -- SAFE STORAGE OF MEDICINES -- COLLECTION OF CDs BY PATIENT'S REPRESENTATIVE -- PROVISION OF SERVICES TO THOSE UNDER 16 YEARS OF AGE -- REQUEST FOR INJECTING PARAPHERNALIA BY A KNOWN OR SUSPECTED INJECTING DRUG USER -- CONCLUSION -- REFERENCES -- 10 The history and operation of pharmacy needle exchanges -- WHAT ARE NEEDLE AND SYRINGE EXCHANGES? -- WHY ARE N.

Abstract
Drug misuse is a major challenge for health professionals in the 21st century, and community pharmacy holds a key place in the management of prescribed medication, the provision of health education and promotion messages to drug users. Two decades ago there would have been no need for a book to describe such the role of community pharmacy; however, since more people are injecting drugs now and HIV is on the rise, community pharmacists have found their services in higher demand. The quality practice of tomorrow hinges on trained and competent practitioners working in a variety of community pharmacy settings. Drug Misuse and Community Pharmacy explains the historical, research and practical aspects. Experts use a practical and evidence-based approach to educate students of pharmacy, pre-registration pharmacists, community pharmacists working with drug users and anyone involved in developing and managing primary healthcare for drug misusers.