Baldacchino, Alex - University of St Andrews

个人简介

I graduated as a doctor in Malta in 1987 gaining my MD in the process. I eventually decided to study psychiatry as my clinical specialisiation following a period of internal medicine jobs. I therefore joined the basic and higher psychiatric schemes in the UK (Cambridge, Edinburgh, Fife and London) in order to fulfill my requirements as a general psychiatrist and as a specialist in addiction medicine. I was awarded my MRCPsych in 1994, FRCPsych in 2007 and FRCPE in 2016. Always interested in research and teaching I pursued a clinical academic career along side my basic medical and higher psychiatric training. I joined as a lecturer and senior lecturer with St George's Hospital Medical School in London and then with Ninewells Hospital Medical School in Dundee. I was awarded my MPhil in Psychiatry from the University of Edinburgh in 1996 and a PhD in Medicine from the University of Dundee in 2012. I am a Executive Board Member and Chair for the training and education Committee and, recently, President Elect of the International Society of Addiction Medicine (ISAM) I am also founding member for the European Network for Training, Education and Research (ENTER)-Mental Health. Other positions include Associate Director for the Social Dimensions of Health Institute (SDHI), NHS Fife Research and Development (R&D) Director, and President for ISAMDundee2015 World Congress.

研究领域

My main research interest lies in improving the lives of individuals with a history of substance misuse problems. My research portofolios have a common thread of understanding the comorbid conditions (physical and psychological) arising as a result of chronic abuse of pharmacological agents with dependence potential especially opioids and alcohol. I am interested in utilising informatic systems, clinical outcome data, neuropsychological and neuroimaging processes amongst many other possibilities in order to identify and minimise risks present in this patient population

近期论文

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Humphris, GM, Carra, G, Frisher, M, Neufeind, J, Cecil, JE, Scherbaum, N, Crome, I & Baldacchino, AM 2017, 'Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change' Heroin Addiction and Related Clinical Problems. Baldacchino, A, Armanyous, M, Balfour, DJK, Humphris, G & Matthews, K 2017, 'Neuropsychological functioning and chronic methadone use: a systematic review and meta-analysis' Neuroscience and Biobehavioral Reviews, vol 73, pp. 23-38. DOI: 10.1016/j.neubiorev.2016.11.008 Baldacchino, A, Crocamo, C, Humphris, G, Neufeind, J, Frisher, M & Carrà, G 2016, 'Decision support in addiction: the development of an e-health tool to assess and prevent risk of fatal overdose. The ORION project' Computer Methods and Programs in Biomedicine, vol 133, pp. 207-216. DOI: 10.1016/j.cmpb.2016.05.018 O'Rourke, L, Humphris, G & Baldacchino, A 2016, 'Electronic communication based interventions for hazardous young drinkers: a systematic review' Neuroscience and Biobehavioral Reviews, vol 68, pp. 880-890. DOI: 10.1016/j.neubiorev.2016.07.021 Baldacchino, AM, Tolomeo, S, Khan, F, Humphris, GM & Carra, G 2016, 'Acute risk factors in fatal opioid overdoses as a result of hypoxia and cardiotoxicity. A systematic review and critical appraisal' Heroin Addiction and Related Clinical Problems, vol 18, no. 4, pp. 33-42. Nutt, RA, Gilchrist, G, Marsa Sambola, F & Baldacchino, AM 2016, 'Staff regard towards working with patients who have co-morbid depression and substance misuse disorders' Heroin Addiction and Related Clinical Problems. Tolomeo, S, Gray, S, Matthews, K, Steele, D & Baldacchino, AM 2016, 'Multifaceted impairments in impulsivity and brain structural abnormalities in opioid dependence and abstinence' Psychological Medicine. DOI: 10.1017/S0033291716001513 Baldacchino, AM, Arbuckle, K, Petrie, DJ & McCowan, C 2015, 'Erratum: Neurobehavioral consequences of chronic intrauterine opioid exposure in infants and preschool children: a systematic review and meta-analysis' BMC Psychiatry , vol 15. DOI: 10.1186/s12888-015-0438-5 Baldacchino, A, Balfour, DJK & Matthews, K 2015, 'Impulsivity and opioid drugs' Psychological Medicine, vol 45, no. 6, pp. 1167-1179. DOI: 10.1017/S0033291714002189 Baldacchino, AM, Arbuckle, K, Petrie, DJ & McCowan, C 2014, 'Neurobehavioral consequences of chronic intrauterine opioid exposure in infants and preschool children: a systematic review and meta-analysis' BMC Psychiatry , vol 14. DOI: 10.1186/1471-244X-14-104 Bartoli, F, Carrà, G, Brambilla, G, Carretta, D, Crocamo, C, Neufeind, J, Baldacchino, AM, Humphris, GM & Clerici, M 2014, 'Association between depression and non-fatal overdoses among drug users: a systematic review and meta-analysis' Drug and Alcohol Dependence, vol 134, pp. 12-21. DOI: 10.1016/j.drugalcdep.2013.10.007 Baldacchino, A, Merinder, LB, Neufeind, J, Gervin, M, Lack, C, Meder, J, Sieroslawski, J, Greacen, T, Hyldager, E, Clancy, C, Sorsa, M, Laijarvi, H, Charzynska, K & Baeck-Moller, K 2014, 'Predictors of service use of patients with co-morbid mental health and substance use disorders across seven European sites' Mental Health and Substance Use: Dual Diagnosis, vol 7, no. 1, pp. 31-58. DOI: 10.1080/17523281.2012.754370 Gilchrist, G, Moskalewicz, J, Nutt, RA, Love, J, Germeni, E, Valkova, I, Kantchelov, A, Stoykova, T, Bujalski, M, Poplas-Susic, T & Baldacchino, AM 2014, 'Understanding access to drug and alcohol treatment services in Europe' Drugs: Education, Prevention and Policy, vol 21, no. 2, pp. 120-130. DOI: 10.3109/09687637.2013.848841 Gradin, VB, Baldacchino, AM, Balfour, D, Matthews, K & Steele, JD 2014, 'Abnormal brain activity during a reward and loss task in opiate dependent patients receiving methadone maintenance therapy' Neuropsychopharmacology, vol 39, no. 4, pp. 885-894. DOI: 10.1038/npp.2013.289 Montanari, L, Baldacchino, AM, Pasinetti, M, Thanki, D & Vicente, J 2013, 'Co-morbidity of substance use and mental disorders. What do we know on the prevalence of psychiatric comorbidity in Europe and what are the ways forward?' Mental Health and Substance Use: Dual Diagnosis, vol 6, no. 2, pp. 97-100. DOI: 10.1080/17523281.2013.770654 Baldacchino, A, Hughes, Z, Kehoe, M, Blair, H, Teh, Y, Windeatt, S & Crome, IB 2012, 'Cannabis psychosis: examining the evidence for a distinctive psychopathology in a systematic and narrative review' The American Journal on Addictions, vol 21, no. Suppl 1, pp. S88-S98. DOI: 10.1111/j.1521-0391.2012.00295.x Baldacchino, AM, Balfour, D, Passetti, F, Humphris, GM & Matthews, K 2012, 'Neuropsychological consequences of chronic opioid use: a quantitative review and meta-analysis' Neuroscience and Biobehavioral Reviews, vol 36, no. 9, pp. 2056–2068. DOI: 10.1016/j.neubiorev.2012.06.006 Gradin, V, Gray, S, MacFarlane, J, Waiter, G, Balfour, D, Matthews, K, Baldacchino, A & Steele, D 2012, 'Neural responses to rewards and punishments in patients with opiate dependence on methadone treatment: fNEMO study' European Neuropsychopharmacology, vol 22, no. Suppl 2, pp. S402-S403. DOI: 10.1016/S0924-977X(12)70628-4 Smith, BH, Higgins, C, Baldacchino, AM, Kidd, B & Bannister, J 2012, 'Substance misuse of gabapentin' British Journal of General Practice, vol 62, no. 601, pp. 406-407. DOI: 10.3399/bjgp12X653516 Akbar, TP, Baldacchino, AM & Crome, I 2012, Adolescent addictions in the United Kingdom. in Clinical handbook of adolescent addiction. Wiley-Blackwell, pp. 9-23. Baldacchino, AM, Blair, H, Sommer, B, Tan, L, Riglietta, M, Tidone, L, Scherbaum, N, Grosse-Vehne, E, Little, H, Galea, S & Crome, I 2012, 'Clinical outcomes for psychotic and co-morbid patients admitted to acute psychiatric wards in four European centres - follow-up to 6 months' Mental Health and Substance Use: Dual Diagnosis, vol 5, no. 3, pp. 240-253. DOI: 10.1080/17523281.2012.658081 Frisher, M, Baldacchino, AM, Crome, I & Bloor, R 2012, Preventing opioid overdoses in Europe: a critical assessment of known risk factors and preventative measures. European Monitoring Centre for Drugs and Drug Addiction, Lisbon. Charzynska, K, Hyldager, E, Baldacchino, A, Greacen, T, Henderson, Z, Laijarvi, H, Hodges, CL, Lack, C, Sieroslawski, J & Baeck-Moller, K 2011, 'Comorbidity patterns in dual diagnosis across seven European sites' The European Journal of Psychiatry, vol 25, no. 4, pp. 179-191. DOI: 10.4321/S0213-61632011000400001 Gilchrist, G, Moskalewicz, J, Slezakova, S, Okruhlica, L, Torrens, M, Vajd, R & Baldacchino, AM 2011, 'Staff regard towards working with substance users: a European multi-centre study' Addiction, vol 106, no. 6, pp. 1114-1125. DOI: 10.1111/j.1360-0443.2011.03407.x Akbar, TP, Baldacchino, AM, Cecil, JE, Riglietta, M, Sommer, B & Humphris, GM 2011, 'Poly-substance use and related harms: A systematic review of harm reduction strategies implemented in recreational settings' Neuroscience and Biobehavioral Reviews, vol 35, no. 5, pp. 1186-1202. DOI: 10.1016/j.neubiorev.2010.12.002