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 1. Home
 2. NEPTUNE

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NEPTUNE (NOVEL PSYCHOACTIVE TREATMENT: UK NETWORK)

NEPTUNE has been developed to improve clinical practice in the management of
harms resulting from the use of club drugs and novel psychoactive substances.

Open-access e-learning modules look at the acute and chronic harms and clinical
management of a range of NPS and club drugs.


ABOUT NEPTUNE

NEPTUNE is a clinical response to the emerging challenge of club drugs and novel
psychoactive substances.

The project has responded to the current gap in knowledge for the clinical
management of these substances by undertaking a review of the available research
evidence to produce a comprehensive and evidence based reference document.

Phase Two of project NEPTUNE has translated the guidance document into
accessible and easy to use online training. Open-access e-leaning modules are
available on this site

The project was being independently evaluated by the College Centre for Quality
Improvement.

NEPTUNE was funded by the Health Foundation, an independent charity working to
improve the quality of health care in the UK. The 2022 update of the e-learning
was funded and supported by EU-Action Against Drugs and Organised Crime
(EU-Act).

It is hosted by Addictions Central and North West London NHS Foundation Trust
and led by Professor Owen Bowden-Jones and Dr Dima Abdulrahim.


CLINICAL GUIDANCE

Textbook of the Clinical Management of Club Drugs and Novel Psychoactive
Substances is an extensive and comprehensive reference aimed at clinicians and
other practitioners across a range of clinical settings.

It provides detailed information and guidance on the acute and chronic harms of
a range of club drugs and NPS and their management.

The guidance was developed out of a comprehensive review of the English language
research evidence on the harms of a range of club drugs and NPS and their
clinical management, based on systematic methods.

A critical appraisal of the literature reviewed was carried out, and which is
the process of examining research systematically to judge the quality and
validity of research, how generalizable its findings are, and its relevance in a
particular context. Where research evidence was lacking, consensus was sought
from the multi-disciplinary NEPTUNE expert advisory group.




ELEARNING

In partnership with the Royal College of Psychiatrists, Project NEPTUNE has
developed training modules that are accessible and easy to use for busy
front-line clinicians and other practitioners. These e-learning modules are
developed based on the principles used by the College to develop Continuous
Professional Development (CPD). They include multi-media and interactive
elements and are open access (free of charge).

The Neptune e-learning modules have been updated.

Please register with the College to access the modules.

Once registered you will find the 2022 modules on RCPsych’s new eLearning Hub.

If you are a member of the Royal College of Psychiatrists, you can log in using
the same username and password with which you access the members’ area of the
College website.

Any certificates generated before 6th June 2022 will not be available to
download from the Neptune site.

Please contact elearning@rcpsych.ac.uk after this date if you need confirmation
of completion of any NEPTUNE modules from before 6th June 2022 – we will be able
to confirm completions in the last 2 years by email.


INDEPENDENT EVALUATION

To ensure the quality of our outputs and their effective use at local levels,
NEPTUNE training and tools was subject to an independent evaluation by the
College Centre for Quality Improvement of the Royal College of Psychiatrists,
who also published recommendations for implementers.


MEDICATION ADDICTION


ATOMIC – A NEW MOBILE LEARNING APPLICATION

WHAT IS ATOMIC (ADDICTION TO MEDICATION- IMPROVING CARE)?

ATOMIC is a mobile-phone application, which provides training on the acute and
chronic harms of non-medical prescription drug use.

ATOMIC works on all types of phones (IOS and Android) and is a web-based
application. It is free of charge, after simple registration.

This mobile-learning application gives busy clinicians the flexibility to learn
at any time and any place, on their mobile phones, tablets or other devices.

The App is best viewed on mobile devices and can be found at
https://addiction-to-medication.org/atomic/.

WHAT DOES ATOMIC COVER?

ATOMIC is an evidence-based, mobile-learning application aimed at clinicians and
other practitioners. It is a response to increasing public health concern
regarding the harms of non-medical prescription drug use. Harmful patterns of
use, including addiction to medication, are poorly understood and there is a gap
in clinical knowledge and experience.

There are four modules in this app:

Module 1: Overview and background to the non-medical use of prescription drugs
and addiction to medication.

Module 2: Non-medical use of benzodiazepines, including benzodiazepine-like
novel psychoactive substances (NPS).

Module 3: Non-medical use of other prescription and over-the-counter medications
with primarily depressant effects (Gabapentin, Tramadol, Codeine, ‘LEAN’).

Module 4: Non-medical use of prescription medications with stimulant effects
(Modafinil, methylphenidate and other amphetamine-based medication).

ATOMIC is based on the principles of continuous professional development. You
will be issued with a personalised certificate when you complete a module and
achieve at least 80% in the post-module test (multiple choice questionnaire).

We hope you enjoy the training and find it useful.

The App is best viewed on mobile devices and can be found at
https://addiction-to-medication.org/atomic/.


OTHER RESOURCES

This section collates various resources to help improve clinical practice in the
management of harms resulting from the use of club drugs and novel psychoactive
substances.

 * Drug Use and LGBT paper

This paper describes patterns of club drug use among LGBT populations, as
reported in the literature. It examines the factors that may impact on the use
of substances and discusses drug-related and other harms.

 * Harms of SCRAs paper

This paper looks at Synthetic cannabinoid receptor agonists (SCRAs), a large
group of drugs which have a strong effect on the endocannabinoid system.

 * Misuse of synthetic opioids paper

This paper looks at the misuse of synthetic opioids: harms and clinical
management of fentanyl, fentanyl analogues and other novel synthetic opioids –
Information for clinicians.


NEPTUNE II GROUP

Prof Owen Bowden-Jones

NEPTUNE Chair and Clinical lead
Consultant Psychiatrist and Lead Clinician for Club Drug Clinic
Addictions Directorate, Central and North West London NHS Foundation Trust
Honorary Senior Lecturer, Imperial College, London

Owen.Bowdenjones@nhs.net

Dr Dima Abdulrahim

NEPTUNE Programme manager and principal researcher
Addictions Directorate, Central and North West London NHS Foundation Trust

Dima.Abdulrahim@nhs.net


EXPERT ADVISORY GROUP

Prof Alex Baldacchino

Clinical Senior Lecturer in Addiction Psychiatry
Clinical Lead and Consultant in Addiction Psychiatry, NHS Fife
NHS Fife Research and Development Director.

Dr Seth Bhunnoo

Consultant Psychiatrist and Clinical Lead for W-CDAS (Wandsworth Community Drug
and Alcohol Service), South London and Maudsley NHS Foundation Trust

Dr Steve Brinksman

GP Ridgare medical Centres
Clinical Lead SMMGP [Substance Misuse Management Good Practice]

Ms Emma Crawshaw

Chief executive officer Crew 2000

Professor Paul Dargan

Consultant Physician and Clinical Toxicologist, Guy’s and St Thomas’ NHS
Foundation Trust
Professor of Clinical Toxicology, King’s College London

Dr Jonathan Dewhurst

Lead consultant psychiatrist
Discover, Drug & Alcohol Recovery Services
Specialist Services Network
Greater Manchester West Mental Health NHS Foundation Trust

Dr Dominic Dougall

Consultant General Adult Psychiatrist and Associate Clinical Director
East London NHS Foundation Trust
Newham Centre for Mental Health

Mr Mike Flanagan

Consultant Nurse and Clinical Lead, Drug & Alcohol Services, Surrey and Borders
Partnership NHS Foundation Trust
Chair National Substance Misuse Nonmedical Prescribing Forum

Dr Sarah Flowers

Consultant Addiction Psychiatrist, Pavilions Drug and Alcohol Service

Ms Caroline Frayne

Lead nurse; Safeguarding advisor
Addictions Directorate, Central and North West London NHS Foundation Trust

Mr Sanjay Kumar

Service User Involvement Consultant, CRI Brighton

Dr Luke Mitcheson

Consultant Clinical Psychologist, Head of Addictions Psychology and Lead
Psychologist for Lambeth Addictions South London and Maudsley NHS Foundation
Trust

Mr Monty Moncrieff

Chief Executive, London Friend

Prof David Nutt

Edmond J. Safra Chair of Neuropsychopharmacology
Division of Brain Sciences; Dept of Medicine, Imperial College London 

Dr John Ramsey

Emeritus Director TICTAC Communications Ltd, St. George’s University of London

Dr John Roche

Consultant psychiatrist, Black Country Partnership NHS Foundation Trust

Prof Fabrizio Schifano

Chair in Clinical Pharmacotherapy and Therapeutics
Consultant Psychiatrist, University of Hertfordshire, School of Medical Sciences

Mr Seb Silas

Dr Ann Sullivan

Consultant in Sexual Health/ HIV medicine, Chelsea and Westminster Hospital NHS
Foundation Trust

Dr Tim Williams

Consultant Addiction Psychiatrist, Avon and Wiltshire Mental Health Partnership
NHS Trust

Dr Fredrik Johansson

Consultant Psychiatrist, Camden & Islington NHS Foundation Trust

Dr Christopher Whiteley

Consultant Clinical Psychologist, Trust Deputy Head of Psychology:  South London
and Maudsley NHS Foundation Trust

Dr David Wood

Consultant Physician and Clinical Toxicologist
Service (clinical) Lead for Medicine Guy’s and St Thomas’ NHS Foundation Trust
King’s Health Partners Honorary Senior Lecturer King’s College London

Dr Sarah Finley

Consultant in Emergency Medicine, St Mary’s Hospital
Imperial College Healthcare NHS Trust


OBSERVERS

Ms Megan Jones; Senior Programme Manager, Alcohol Drugs and Tobacco Division.

Mr John MacCracken; Drugs Programme Manager Department of Health

Ms Josie Smith; Head of Substance Misuse Programme; Public Health Wales

Ms Jenna Marsh; Drug Strategy Team Drugs and Alcohol Unit – Crime and Policing
Group Home Office

Ms Karen Rofe; Drug Strategy Team Drugs and Alcohol Unit – Crime and Policing
Group Home Office


CONTACT US

For more information about NEPTUNE please contact:

 

 * Dima Abdulrahim dima.abdulrahim@nhs.net
 * Owen Bowden-Jones owen.bowdenjones@nhs.net

NEPTUNE (Novel Psychoactive Treatment UK Network)
Club Drug Clinic
69 Warwick Road
Earls Court
SW5 9HB

Tel: 020 3315 5800
Fax: 020 3315 5823


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