Statements about mental health medical strategies for problem drug use were derived from a search of the lay and scientific books, and these were provided to a -panel of experts in three sequential rounds. New strategies suggested by panel users were included as statements in the next round for everyone experts to rate.

A summary of group ratings was fed back to the panel associates after the first and second rounds. Panel associates could choose to either change or maintain their original rankings, in light of the group rankings. This process led to a list of statements that had substantial consensus in ratings, and statements with low or conflicting ratings were discarded.

Consumers, clinicians, and carers from Australia, Canada, New Zealand, the uk, and the United States were recruited into three independent sections, all with expertise in problem drug use. Eighty-seven panel members from Australia, Canada, New Zealand, the United Kingdom, and the United States were recruited. There were 29 consumers, 31 carers, and 27 clinicians.

Fifty-one panel people were female (59% of the consumers, 74% carers, 33% of the clinicians). The median age category was 40-49 years for the consumers, 50-59 years for the carers and 50-59 years for the clinicians. An organized literature review was conducted of websites, books, and journal articles for strategies about how exactly to help a person who may be developing or experiencing a drug use problem. The next search conditions were joined into each: cannabis or ecstasy or amphetamine or cocaine or opioids. The first 50 sites for every group of search conditions were analyzed for statements about how to help a person who may have a drug use problem.

Any links that made an appearance on these webpages that the authors thought may contain useful information were adopted. Relevant journal articles were situated on PsycINFO and PubMed. The 50 most popular books on the Amazon website were chosen and analyzed also. We obtained suggestions for first aid strategies from 18 websites approximately, 7 books, 1 pamphlet, and 2 journal articles. Nearly all medical strategies originated from websites, as few books and journal articles centered on pre-clinical interventions.

The information collected from these sources was analyzed by one of the authors (AK) and written up as individual survey items. The scholarly study was approved by the Human-being Research Ethics Committee at the University or college of Melbourne. On completion of every round, the survey responses were analyzed by obtaining percentages for the buyer, clinician, and carer panels for each item. • If at least 80% of the consumer, carer, and clinician panels rated something as essential or important as an initial aid guideline for problem drug use, it was included in the guidelines. • If 70-79% of panel members from all three groupings rated an item as essential or important, all panel was asked by us users to create that item. • Items were re-rated once only. If something was not endorsed after two rounds it was excluded from the rules.

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