Research by staff affiliated to Cherry Orchard Hospital

Recent Submissions

  • Adolescent Substance Use ‘In Search of Solutions’

    Murray, Denis (Murray, Denis, 2018)
    Presentation to The School of Nursing and Midwifery, Trinity College Dublin as part of the Civic Engagement ‘Tell Me About’ Public lecture series.
  • Family therapy within an adolescent addiction treatment service “In search of solutions"

    Murray, Denis (Feedback: Journal of the Family Therapy Association of Ireland, 2016-08)
    Issues and trends in relation to substance misuse normally develop in the transitional phase of adolescence, as young people begin looking towards their peers for direction and are less subject to parental authority. In relation to substance misuse it is observed that risk and protection factors exist in equal measure within different contexts, including within the individual, family, peer group, school and community settings. In response to problems relating to illicit drug use in Ireland the first adult treatment service was established in Dublin in 1969. As an approach to meeting the complex needs of an adolescent drug using population two designated out-patient treatment adolescent services were established in Dublin during the mid-1990s. Working closely with families, carers and significant others improves communication and mobilises resources in ways that enhances protection for young people especially in circumstances where there are a number of family members engaging in substance misuse.
  • Treatment outcome for adolescents abusing alcohol and cannabis: how many ’reliably improve’?

    Smyth, BP; Kelly, A; Barry, J; Cullen, W; Darker, C (Irish Medical Journal, 2015-05)
    Alcohol and cannabis are the primary substances contributing to referrals of adolescents to substance abuse treatment services. Their outcome has not been examined in Ireland. A three month follow-up was conducted in an outpatient adolescent treatment program. We followed up 35 high risk users of alcohol and 55 high risk users of cannabis. Although the high risk drinkers achieved a significant reduction in median number of days drinking (p=0.004), only four (11%) were abstinent at follow up. A further five (14%) achieved a reliable reduction in days of drinking. The high risk cannabis users demonstrated a significant drop in median days of use (p<0.001), although only six (11%) were abstinent at follow up. A further 20 (36%) achieved a reliable reduction in days of use. Calculation of reliable change allows examination of outcomes which fall short of the elusive goal of abstinence.
  • Educational challenges and requirements for managing leg ulcers in the community.

    Martin, Fiona; Staff Nurse, Health Service Executive, Cherry Orchard Hospital, Dublin, Republic of Ireland. (2014-06)
    The significant impact of leg ulcers upon quality of life and disease burden cannot be overemphasised, with the financial and economic impact from an individual, local and national perspective being widely acknowledged. This article attempts to highlight issues relating to education in leg ulcer management while identifying some current and emerging challenges faced in this area by professionals. With regard to education, formal training and perception of professionals, the provision of more specialised and focused training, increased use of patient-related outcome measures and the concept of knowledge brokering have been identified as important aspects in the planning and further development of education. Issues in the domains of community nursing, technology, pain management, nursing diagnosis, availability of research and recurrence were also highlighted.
  • Exploring the health concerns of people taking methadone

    James, P; Spiro, David; Geoghegan, Noreen; Connor, Anita; Hawthorne, Gail; HSE YoDA Service & Cherry Orchard Hospital (2012)
    This article reports on a study to uncover the health concerns of clients attending a methadone maintenance programme in an addiction service in Ireland. This is an extended version of the article published in Nursing Times; 104: 35, 26–27.
  • Decline in age of drinking onset in Ireland, gender and per capita alcohol consumption.

    Smyth, Bobby P; Kelly, Alan; Cox, Gemma; Department of Public Health & Primary Care, Trinity College Dublin, Addiction Service, Bridge House, Cherry Orchard Hospital, Dublin 10, Ireland. smythbo@tcd.ie (2011)
    We sought to examine the fall in age of first drinking in Ireland and to determine whether there were gender differences. We also aimed to determine whether there was a relationship between the per capita alcohol consumption evident when people entered later adolescence and their age of drinking onset.