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Scottish Executive. 2005 ; . Integrated care for drug users' assessment: Digest of tools used in the assessment process and core data sets. Edinburgh, Scotland: Author. scotland.gov Publications 2003 05 17143 ; Selye, H. 1974 ; . Stress without distress. New York, NY: New American Library. Selye, H. 1978 ; . The stress of life. Rev. ed. ; . New York, NY: McGraw-Hill. Sheehan, T., & Own, P. 1999 ; . The disease model. In B. S. McCrady and E. E. Epstein Eds. ; , Addictions: A comprehensive guidebook Chapter 15, pp. 274 + ; . New York, NY: Oxford University Press. Smith, S., & Tsang, B. 2004 ; . Counselling newcomers to Canada. In S. Harrison and V. Carver Eds. ; , Alcohol and drug problems: A practical guide for counsellors 3rd ed. ; Chapter 19, pp. 435-454 ; . Toronto, ON: Centre for Addiction and Mental Health. Strass, D. 2001 ; . An overview of substance abuse and brain injury. Brain Injury Source, 5 4 ; . Strausser, S. L. A. 2001 ; . Ethnocultural factors in substance abuse treatment. New York, NY: Guilford Press. Sutherland, C., Naymark, M., and Suggi, R. 2004 ; . Working with mandated clients. In S. Harrison and V. Carver Eds. ; , Alcohol and drug problems: A practical guide for counsellors 3rd ed. ; Chapter 28, pp. 625-650 ; . Toronto, ON: Centre for Addition and Mental Health. Swanson, A. J., Pantalon, M. V., & Cohen, K. R. 1999 ; . Motivational interviewing and treatment adherence among psychiatrically and dually diagnosed patients. Journal of Nervous and Mental Disease, 187 1 ; , 630-635. Tomlinson, J. 2004 ; . Sexuality and sexual issues. In S. Harrison and V. Carver Eds. ; , Alcohol and drug problems: A practical guide for counsellors 3rd ed. ; Chapter 24, pp. 533-554 ; . Toronto, ON: Centre for Addiction and Mental Health. Toneatto, T. 2004 ; . Cognitive deficits caused by alcohol and other drugs: Treatment implications. In S. Harrison and V. Carver Eds. ; , Alcohol and drug problems: A practical guide for counsellors 3rd ed. ; Chapter 23, pp. 519-532 ; . Toronto, ON: Centre for Addiction and Mental Health. Tsang, B. 1997 ; . Counselling culturally diverse clients. In S. Harrison and V. Carver Eds. ; , Alcohol and drug problems 2nd ed. ; . Toronto, ON: Addiction Research Foundation. Tubesing, N., & Tubesing, D. 1990 ; . Structured exercises in stress management: Volume 1. Duluth, MN: Whole Person Press. United Nations International Drug Control Program. 2002 ; . Contemporary drug abuse treatment: A review of the evidence base. Vienna, Austria: Author and rifater.
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Abstract 1217 study in chc patients comparing three different combination therapies with interferon a-2b ifn ; and ribavirin rebetol ; : weekly peg-ifn peg- intron ; versus daily ifn intron a pen ; versus standard regimen of ifn intron a pen.

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Basis, facilitated later suggestions for a treatment change concerning an individual patient, which was intended in the IPMP intervention strategy. The validation survey indicated that pharmacists were concordant in their methods to review patients' medication. In the satisfaction survey pharmacists were satisfied with the tailored pharmaceutical care intervention strategy and with the obtained results. The consultations with patients and the contacts with physicians were usually pleasant and professional. Only in a few cases pharmacists were aware of domain problems with physicians. The five educational meetings and the support during the study period resulted in well-implemented intervention and documentation procedures, which could be assessed by the researchers in the periodical reports of all participants. The participating pharmacists were experienced in providing pharmaceutical care. Therefore they did not mention the often reported barriers to provide pharmaceutical care such as lack of time, money, motivation and knowledge or patients' privacy legislation. Their principal barrier was the attainability of patients. One presumed reason could be that the patients involved in the IPMP study were relatively young and were generally occupied outdoors during pharmacy opening hours. Besides, the accessibility of mobile phone numbers appeared to be limited. Another reason could be that the patients were feeling well and had no demand for a consultation about their medication although there was a need as indicated by the DUP review. But the pharmacists were very inventive in contacting their patients and in increasing the number of intervened patients. Otherwise they contacted the patient's physician in case his or her drug use was still deviant compared with the guidelines. Limitations The barriers and hurdles are presented as qualitative data. It would be difficult to express the barriers in exact numbers because all surveys were done during the intervention period. The recommendations or solutions reflected in the discussion might have improved the process.

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