A generic, non-judgemental term preferred in the UK for illegal drug abuse or addiction, taking medicine without medical supervision or, for alcohol, consuming enough to put one’s physical or mental health at risk.
Director of children's services at Manchester council, Paul Marshall, said youngsters in care battling drug or alcohol problems are supported - and that work to increase awareness of the risks of substance misuse is ongoing.
Ricky Bhandal, a substance misuse consultant at Birmingham Public Heath, said: "Regular use can cause big problems with urology and a hardening of the bladder which makes going to the toilet very painful.
Lorraine Lambert, chief executive at the trust, said: "I am delighted and proud that our substance misuse team has re-ceived this deserved recognition for their innovative work to establish a new, integrated S care pathway which is saving lives."
By 2030, more than 72 million Americans will be 65 and older, with a significant number of them requiring care for mental health conditions and substance misuse. The report found millions of baby boomers are likely to struggle to access diagnosis and treatment for mental health and substance use problems without a major effort to boost the number of providers to care for the population as it ages.