{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:43:35Z","timestamp":1780670615881,"version":"3.54.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,5,1]],"date-time":"2016-05-01T00:00:00Z","timestamp":1462060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>New psychoactive substances are causing increasing harm across the UK but the use of new psychoactive substance by injecting has become a significant problem within Lothian since the beginning of 2014. Data indicate a rapid rise in the number of existing drug injectors, particularly heroin injectors, moving to new psychoactive substance injecting. This paper reports the experiences within Lothian of a sudden increase in injecting of ethylphenidate over one year. A temporary class drug order was placed on ethylphenidate on 10 April 2015, and as yet the effects of this are unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data specifically relating to new psychoactive substance recorded during injecting equipment provision transactions conducted by the NHS are reported. A survey was utilised to gather more detailed data from new psychoactive substance injectors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Injection of new psychoactive substance, including ethylphenidate has had significant adverse effects on physical and mental health. Risky behaviour such as sharing of equipment is known, and there are risks of transmission of infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The rapid increase in injecting ethylphenidate has had a major impact on injecting equipment provision services, health services and public health. More work is required to identify routes to recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0036933016649871","type":"journal-article","created":{"date-parts":[[2016,5,13]],"date-time":"2016-05-13T20:17:57Z","timestamp":1463170677000},"page":"74-83","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["The experience of an increase in the injection of ethylphenidate in Lothian April 2014\u2013March 2015"],"prefix":"10.1177","volume":"61","author":[{"given":"Con","family":"Lafferty","sequence":"first","affiliation":[{"name":"Mental Health Nurse\/Blood-borne Virus Prevention Worker, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Smith","sequence":"additional","affiliation":[{"name":"Mental Health Nurse\/Blood-borne Virus Prevention Worker, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Coull","sequence":"additional","affiliation":[{"name":"Specialist Nurse, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim","family":"Shanley","sequence":"additional","affiliation":[{"name":"Mental Health Nurse\/Blood-borne Virus Prevention Worker, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK"},{"name":"Manager, Substance Misuse Directorate, Harm Reduction Team, Spittal St Centre, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0036933016649871","first-page":"12","volume":"110","author":"Solomon D","year":"2014","journal-title":"Nurs Times"},{"key":"bibr2-0036933016649871","unstructured":"EMCDDA.\n                      European drug report. Trends and developments.\n                      Luxembourg: Publications Office of the European Union, http:\/\/www.emcdda.europa.eu\/attachements.cfm\/att_228272_EN_TDAT14001ENN.pdf (2014, accessed 18 May 2015)."},{"key":"bibr3-0036933016649871","doi-asserted-by":"publisher","DOI":"10.1111\/add.12601"},{"key":"bibr4-0036933016649871","volume-title":"Guidance on the management of acute and chronic harms of club drugs and novel psychoactive substances","author":"Abdulrahim D","year":"2015"},{"key":"bibr5-0036933016649871","volume-title":"One new drug a week. Why novel psychoactive substances and club drugs need a different response from UK treatment providers. Faculty Report","author":"Bowden-Jones O","year":"2014"},{"key":"bibr6-0036933016649871","volume-title":"NPS at CREW annual report 2014\u20132015","author":"CREW","year":"2015"},{"key":"bibr7-0036933016649871","volume-title":"British National Formulary 68","author":"BMJ and RPS","year":"2014"},{"key":"bibr8-0036933016649871","unstructured":"Home Office. The Misuse of Drugs Act 1971(Temporary Class Drug) Order 2015 no1027, http:\/\/www.legislation.gov.uk\/uksi\/2015\/1027\/pdfs\/uksi_20151027_en.pdf (2015, accessed 18 May 2015)."},{"key":"bibr9-0036933016649871","volume-title":"New psychoactive drugs","author":"CREW","year":"2014"},{"key":"bibr10-0036933016649871","doi-asserted-by":"publisher","DOI":"10.4137\/SART.S22495"},{"key":"bibr11-0036933016649871","unstructured":"Nicolson K. Legal highs kill six in less than a year.\n                      Edinburgh Evening News\n                      . 22 January 2015. http:\/\/www.edinburghnews.scotsman.com\/news\/health\/legal-highs-kill-six-in-less-than-a-year-1-3668866 (accessed 5 May 2016)."},{"key":"bibr12-0036933016649871","volume-title":"Pan Lothian NPS Workplan Workstream #1 Core messages","author":"Burns S","year":"2015"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933016649871","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0036933016649871","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0036933016649871","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:17:51Z","timestamp":1777630671000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0036933016649871"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1177\/0036933016649871"],"URL":"https:\/\/doi.org\/10.1177\/0036933016649871","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5]]}}}