health inequalities bulletin no. 26, april-may 2011

8/6/2019 Health Inequalities Bulletin no. 26, April-May 2011

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NHS Library and Information Service North Staffordshire

Health Inequalities BulletinISSUE No: 26 April - May 2011

About this Bulletin:

Aims to draw attention to some of the key documents and reviews of researchin health inequalities that have been published in the two previous months.

Where possible, links to the full text documents are included. If the article is ina journal, you can contact the Health Library for a copy.Link to request form:http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437[A charge of 2 per request is payable for most copies]

If you need further assistance in obtaining any of the resources listed in thebulletin or have other information needs, please contact the OutreachLibrarians or the Health Library, details below.

The bulletin can be e-mailed to colleagues who may also find it useful.

A list of websites that are checked in the production of this bulletin are listedon the first page. Please suggest others that may be useful.

Feedback is welcomed to inform future issues of the bulletin.

Topics reviewed

Alcohol

Children and Young People

Diabetes

Environment

Ethnicity

Homelessness

Inequalities

Infant and Maternal Health

Mental Health

Obesity

Substance Misuse

Bulletin produced by NHS Outreach LibrariansTel: FeatureNet 8429External calls 0300 123 1535 ext 8429

Health LibraryTel: 01782 556565Fax: 01782 556582

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Contact information

Bulletin produced by NHS Outreach LibrariansTel: FeatureNet 8429External calls 0300 123 1535 ext 8429E-mail: [email protected]

[email protected]

Health LibraryTel: 01782 556565Fax: 01782 556582E-mail:[email protected]
http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]:[email protected]


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Sources checked for this bulletinPlease suggest further sites that should be monitored in the production of this bulletin

CRD Centre for Reviews and Dissemination http://www.crd.york.ac.uk/crdweb/- DARE (Database of Abstracts of Reviews of Effects)

- NHS Economic Evaluation DatabaseDaily Health Bulletinhttp://www.sheffield.nhs.uk/healthbulletin/Department of Healthhttp://www.dh.gov.ukDepartment of Healthbulletinshttp://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/IDeA Healthier Communities section - including Health inequalities briefing papers:http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=77225Info4local http://www.info4local.gov.uk/index.aspJoseph Rowntree Foundationhttp://www.jrf.org.uk/Kings Fundhttp://www.kingsfund.org.uk/NeLM (National Electronic Library for Medicines) news bulletinhttp://www.nelm.nhs.uk/en/NICEhttp://www.nice.org.ukSIGN http://www.sign.ac.uk/new.html

Alcohol

Teenage drinking and interethnic friendshipsJoseph Rowntree FoundationBritain is a multicultural society, but little is currently known about if, and how, young peoplemix with friends from different ethnic backgrounds and the potential impact of this on drinkingattitudes and behaviours. Research was undertaken to examine these links using quantitativeand qualitative methods among a sample of 14- and 15-year-olds in diverse locations inLondon and Berkshire.

http://www.jrf.org.uk/publications/teenage-drinking-and-interethnic-friendships

White cider and street drinkers: recommendations to reduce harmAlcohol ConcernThis study was conducted to explore the impact of white cider consumption on the health ofhomeless people. Evidence for this report was largely gathered from questionnaires fromdrinkers and hostel workers. Several liver specialists, drinks industry managers and treatmentservice providers also gave their views.

http://www.alcoholconcern.org.uk/publications/policy-reports/white-cider-street-drinkers

An item in the Substance Misuse section may also be of interest.

Back to topics

Children and Young People

A New Approach to Child Poverty: Tackling the Causes of Disadvantage andTransforming Families' LivesDepartment for EducationThis is the Governments first national Child Poverty Strategy, setting out a new approach totackling poverty for this Parliament and up to 2020. At its heart are strengthening families,encouraging responsibility, promoting work, guaranteeing fairness and providing support tothe most vulnerable. The following strategy has been put together across government andcovers the period 2011-14, capturing the breadth of flagship policies and reform programmesput in place to tackle poverty, including those related to health.

http://www.education.gov.uk/publications/standard/publicationDetail/Page1/CM%208061



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http://www.crd.york.ac.uk/crdweb/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=77225http://www.info4local.gov.uk/index.asphttp://www.jrf.org.uk/http://www.jrf.org.uk/http://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.jrf.org.uk/publications/teenage-drinking-and-interethnic-friendshipshttp://www.alcoholconcern.org.uk/publications/policy-reports/white-cider-street-drinkershttp://www.education.gov.uk/publications/standard/publicationDetail/Page1/CM%208061http://www.crd.york.ac.uk/crdweb/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/http://www.idea-knowledge.gov.uk/idk/core/page.do?pageId=77225http://www.info4local.gov.uk/index.asphttp://www.jrf.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.jrf.org.uk/publications/teenage-drinking-and-interethnic-friendshipshttp://www.alcoholconcern.org.uk/publications/policy-reports/white-cider-street-drinkershttp://www.education.gov.uk/publications/standard/publicationDetail/Page1/CM%208061


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Socio-environmentally determined health inequities among children and adolescents:Summary of outcomes, background papers and country case studiesWorld Health Organisation. Regional Office for Europe.This publication presents the summary of outcomes of the WHO/Health Behaviour in School-aged Children (HBSC) Forum 2009. It also features two background papers on injuries andphysical activity and environmental inequalities among children and young people, and 10

case studies describing countries experiences in dealing with one or both of these topics.http://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studies

Items in the Alcohol and Obesity sections may also be of interest.

Back to topics

Diabetes

Assessment of Services to Reduce Diabetes-related MortalityDepartment of HealthThis workbook was developed by the Health Inequalities National Support Teams (HINST)with 70 local authorities covering populations in England. Local areas could use this approachwhen analysing whether a population level improvements could be achieved from a set ofbest-practice and established interventions. This is offered as useful resource forcommissioners.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332

Back to topics

Environment

The health costs of cold dwellingsChartered Institute of Environmental HealthThis report considers the number of residences in England where the energy rating isconsidered poor. The associated estimated cost to the NHS of poor health as a result of theseproperties is calculated to be 192 million, 35 million of which comes from the private rentedsector. (Kings Fund)http://www.foe.co.uk/resource/reports/warm_homes_nhs_costs.pdf

Rural health economies and the Health BillNHS ConfederationThis briefing is designed to raise awareness of the critical issues that those implementing thecoalition Governments health reforms in rural communities will need to be aware of and to set

out some starting points for addressing them.http://www.nhsconfed.org/Publications/briefings/Pages/Rural-health-economies.aspx

Working in neighbourhoods in BradfordJoseph Rowntree FoundationThis report describes progress, gaps and future opportunities in neighbourhood working inBradford, following the development of devolved decision-making and neighbourhood workingduring the last 20 years. It examines how current policy on localism and the Big Societypresents opportunities and risks for neighbourhood working, and looks at debates about howto create more empowering relationships between citizens and public sector organisations.http://www.jrf.org.uk/publications/working-neighbourhoods-bradford

Back to topics



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http://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.foe.co.uk/resource/reports/warm_homes_nhs_costs.pdfhttp://www.nhsconfed.org/Publications/briefings/Pages/Rural-health-economies.aspxhttp://www.jrf.org.uk/publications/working-neighbourhoods-bradfordhttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.euro.who.int/en/what-we-do/health-topics/disease-prevention/violence-and-injuries/publications/2012/whohbsc-forum-2009.-socio-environmentally-determined-health-inequities-among-children-and-adolescents.-summary-of-outcomes,-background-papers-and-country-case-studieshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126332http://www.foe.co.uk/resource/reports/warm_homes_nhs_costs.pdfhttp://www.nhsconfed.org/Publications/briefings/Pages/Rural-health-economies.aspxhttp://www.jrf.org.uk/publications/working-neighbourhoods-bradford


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Ethnicity

Count me in 2010Care Quality CommissionThis report on the Count me in 2010 census calls for organisations outside of the health caresector to help improve mental health and well-being among black and minority ethnic (BME)

groups. Collaborative work with education authorities, police authorities, the criminal justicesystem, voluntary organisations and BME groups in particular is needed. This to tackle theeconomic and social factors that contribute to higher-than-average hospital admission ratesamong some ethnic groups. This is the final Count me in report. Since 2005, the census hasbeen an important factor in providing information on the ethnicity of inpatients in mental healthand learning disability services. It was designed to support the Department of Healths five-year action plan for improving mental health services for BME communities which ended in2010.http://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfm

Tobacco use among minority ethnic populations and cessation interventionsBetter Health

This report concludes that while smoking rates have decreased within the general population,this pattern does not seem to be reflected among black and minority ethnic communities. Useof different tobacco products, including shisha and smokeless tobacco, is more commonamong minority ethnic groups. Regulation and cessation outreach work must acknowledgethese different products, and adapt to the specific needs of different ethnic groups.http://www.better-health.org.uk/files/health/health-brief22.pdf

An item in the Alcohol section may also be of interest.

Back to topics

Homelessness

End of life care: achieving quality in hostels and for homeless people a route tosuccessNHS End of Life Care ProgrammeThis publication aims to provide a practical guide to support hostel staff in ensuring thatpeople nearing the end of their life receive high quality end of life care.http://www.endoflifecareforadults.nhs.uk/publications/rts-hostels

An item in the Inequalities section may also be of interest.

Back to topics

Inequalities

A generic workbook to facilitate local partners' investigation and development of astrategic approach to any topic which reduces inequalities in mortalityDepartment of HealthThis Generic workbook was developed by the Health Inequalities National Support Teams(HINST) with 70 local authorities covering populations in England. Local areas could use thisapproach when analysing whether a population level improvements could be achieved from aset of best-practice and established interventions. This is offered as useful resource forcommissioners.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126330



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http://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.better-health.org.uk/files/health/health-brief22.pdfhttp://www.endoflifecareforadults.nhs.uk/publications/rts-hostelshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126330http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126330http://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.cqc.org.uk/guidanceforprofessionals/mentalhealth/countmeincensus/countmeincensus2010.cfmhttp://www.better-health.org.uk/files/health/health-brief22.pdfhttp://www.endoflifecareforadults.nhs.uk/publications/rts-hostelshttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126330http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126330


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Care Coordination Model: Better Care at Lower Cost for People with Multiple Healthand Social NeedsInstitute for Healthcare ImprovementThis white paper outlines methods and opportunities to better coordinate care for people withmultiple health and social needs, and reviews ways that organizations have allocatedresources to better meet the range of needs in this population. There is special emphasis on

the experience of care coordination with populations of people experiencing homelessness.http://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htm

Registration with the IHI website needed to access this document. Registration is free.

Impact of Quality and Outcomes Framework on health inequalities: Summary of fullreportKings FundThis research aimed to examine whether the GMS contract and, in particular, the QOF wascontributing to improvements in public health and reductions in health inequalities; the focuswas on health inequalities as determined by income deprivation. The research looks at:incentives for prevention and public health activities; differences in performance bydeprivation; impact on population health; practice characteristics; exception reporting(allowing certain patients to be excluded from the performance figures); case finding (actively

seeking to identify new people at risk). The paper draws out the implications of those findingsfor future development of QOF and other pay-for performance schemes and concludes thatgeneral practice should be supported in its responsibility for improving public health andreducing inequalities.http://www.kingsfund.org.uk/publications/impact_of_quality.html

Peeling the onion: learning, tips and tools from the Health Inequalities ScrutinyProgrammeCentre for Public ScrutinyThis report explores scrutiny as an important and effective public health tool. It identifies thekey attributes of an effective health inequalities scrutiny review. It also highlights new andrefines existing ways of carrying out reviews and describes a benchmark for effective scrutinyreviews to help the sector to undertake similar scrutiny reviews.

http://www.cfps.org.uk/what-we-do/tackling-health-inequalities/phase-one/

Response to sexual violence Needs Assessments (RSVNA) toolkit: informing thecommissioning and development of co-ordinated specialist services for victims ofsexual violenceDepartment of Healthhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668

Variations in health care: the good, the bad and the inexplicableKings FundThis report explores the possible causes of variation, shows the different ways in whichvariations can be measured, and analyses variations by PCT in rates of elective hospital

admissions for selected procedures. It also breaks the information down into : variations incommon, clinically effective procedures, trends in variation, variation in day case rates,variation in low effectiveness procedures, variation in pre-operative health, preference-sensitive variations. Even after allowing for legitimate factors that affect rates of surgery,significant variations were found between PCTs even among common interventions knownto be effective. Recommendations are made in the report for tackling this problem.http://www.kingsfund.org.uk/publications/healthcare_variation.html

Back to topics



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http://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htmhttp://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.cfps.org.uk/what-we-do/tackling-health-inequalities/phase-one/http://www.cfps.org.uk/what-we-do/tackling-health-inequalities/phase-one/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.kingsfund.org.uk/publications/healthcare_variation.htmlhttp://www.ihi.org/IHI/Results/WhitePapers/IHICareCoordinationModelWhitePaper.htmhttp://www.kingsfund.org.uk/publications/impact_of_quality.htmlhttp://www.cfps.org.uk/what-we-do/tackling-health-inequalities/phase-one/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_125668http://www.kingsfund.org.uk/publications/healthcare_variation.html


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Infant and Maternal Health

Hepatitis B antenatal screening and newborn immunisation programme: Best practiceguidanceDepartment of HealthThis document contains guidance for commissioners in improving the uptake rate of existing

infant hepatitis B immunisation programmes for newborns who are at risk of hepatitis Binfection. This guidance should be considered as supplementary to UK National ScreeningCommittee and National Institute of Clinical Excellence guidance.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195

Hepatitis B: Pathway stages to protection - Actions, roles, responsibilities andstandardsDepartment of HealthThis document provides commissioners and providers with best practice guidance onscreening and the vaccination of babies born to Hepatitis B positive mothers.http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202

Back to topics

Mental Health

Loneliness compendium: Examples from research and practiceJoseph Rowntree FoundationLoneliness can affect people at any time, and for some it can become an overwhelmingproblem. JRF and JRHT's action research programme 'Neighbourhood Approaches toLoneliness' looks at how a neighbourhood as a whole can support those who live withloneliness. This paper defines loneliness; explores how lonely people can be identified andengaged; and outlines research and projects that could inform the Neighbourhood

Approaches to Loneliness programme.http://www.jrf.org.uk/publications/loneliness-compendium-examples-research-and-practice

Ment al Well-being Impact Assessment: A toolkit for well-being, 2011Association of Public Health ObservatoriesThe toolkit has been updated to reflect new government policy, international evidence and thesuccessful National MWIA capacity building programme. The toolkit includes:

an updated evidence base on population characteristics, determinants and protectivefactors for mental wellbeing

an emphasis on social determinants of mental well-being such as socio-economicposition, environment, transport, education, food, and the understanding of resilience,core economy, social justice and equity

a refined and user friendly process for undertaking a Mental Well-being Impact

Assessment a section on measuring mental well-being with practical explanations of how to

identify suitable indicators for your proposal

a set of resources including an extensive mental well-being bibliography.http://www.apho.org.uk/resource/item.aspx?RID=95836

An item in the Ethnicity section may also be of interest.

Back to topics



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http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.jrf.org.uk/publications/loneliness-compendium-examples-research-and-practicehttp://www.jrf.org.uk/publications/loneliness-compendium-examples-research-and-practicehttp://www.apho.org.uk/resource/view.aspx?RID=95836http://www.apho.org.uk/resource/item.aspx?RID=95836http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126195http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_126202http://www.jrf.org.uk/publications/loneliness-compendium-examples-research-and-practicehttp://www.apho.org.uk/resource/view.aspx?RID=95836http://www.apho.org.uk/resource/item.aspx?RID=95836


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Obesity

Child Obesity and its determinants: single map e-atlasNational Obesity ObservatoryThis e-atlas is an interactive mapping tools for the analysis of data on the prevalence ofobesity and its determinants at Middle Super Output Area (MSOA) level in England.http://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlBackground information available athttp://www.noo.org.uk/visualisation/eatlas

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Substance Misuse

Evaluation of the Jobcentre Plus Intensive Activity trial for substance misusingcustomersDepartment for Work and PensionsThis report presents the findings of an evaluation of a small-scale Jobcentre Plus trial aimedat customers with drug and alcohol addiction. The Intensive Activity trial took place betweenMay and July 2010 and offered an enhanced service to claimants with dependency issues,including the regular presence of a treatment provider in the Jobcentres.http://research.dwp.gov.uk/asd/asd5/report_abstracts/ihr_abstracts/ihr_002.asp

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http://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlhttp://www.noo.org.uk/visualisation/eatlashttp://www.noo.org.uk/visualisation/eatlashttp://research.dwp.gov.uk/asd/asd5/report_abstracts/ihr_abstracts/ihr_002.asphttp://www.sepho.nhs.uk/noo/msoa/singleatlas/atlas.htmlhttp://www.noo.org.uk/visualisation/eatlashttp://research.dwp.gov.uk/asd/asd5/report_abstracts/ihr_abstracts/ihr_002.asp

health inequalities bulletin no. 26, april-may 2011

Documents