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What Determines Harm from Addictive Substances and Behaviours?$
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Lucy Gell, Gerhard Bühringer, Jane McLeod, Sarah Forberger, John Holmes, Anne Lingford-Hughes, and Petra S. Meier

Print publication date: 2016

Print ISBN-13: 9780198746683

Published to Oxford Scholarship Online: March 2016

DOI: 10.1093/acprof:oso/9780198746683.001.0001

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Discussion and integration of key findings

Discussion and integration of key findings

(p.157) Chapter 6 Discussion and integration of key findings
What Determines Harm from Addictive Substances and Behaviours?

Lucy Gell

Gerhard Bühringer

Robin Room

Allaman Allamani

Francisco Jose Eiroa-Orosa

Sarah Forberger

John Holmes

Anne Lingford-Hughes

Jane McLeod

Petra Meier

Martine Stead

Oxford University Press

The factors influencing transitions between stages in the development of problem substance use and gambling are diverse and operate across three levels of analysis: the social, economic, and political environment, the individual, and the cellular and molecular. This chapter summarizes and interprets key findings for single determinants and presents a range of multifactorial models that seek to develop a more complex understanding of the relationship between those determinants. The working version of an integrative heuristic model is presented arising from the work of ALICE RAP. The methodological strengths and challenges encountered in this project are also discussed. Finally, the work is situated with the context of the broader ALICE RAP project.

Keywords:   key findings, multifactorial models, integrative heuristic model, strengths and limitations, implications

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