SMMGP - Supporting good practice in drug and alcohol treatment

Supporting good practice in drug and alcohol treatment

Other Resources

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Access the Resources by Date

The following items are arranged in chronological order of their addition to the web site, with the most recently added at the top.

Developing a Local Integrated Care Pathway for the Prevention and Management of Alcohol Use Disorders in Adults
- Alcohol Concern (09 Dec 2013)
The template care pathway and unique collection of resources, information and supporting evidence have been designed to help in the commissioning, planning and delivery of public health, clinical and other services for alcohol problems. The Tool is designed to help improve health outcomes whilst supporting the use of local resources in the most effective, efficient and economic fashion. It is designed to be used by Commissioners of Integrated Services, Providers of Services and local alcohol leads (including clinicians) primarily in England, however, elements will be useful for the devolved nations. Although not specifically intended for service users, it does contain elements that will be of value to service providers working with service users when planning care. It also aims to increase choice and availability of services for patients and service users. The content is largely based on existing information and published guidance. It has also been critically reviewed by a broad panel of experts from within the NHS, Local Government and Public Health to ensure that it meets the needs of those involved in planning, commissioning and delivering alcohol services.
- Adobe Acrobat Document
PDF (.pdf, 23.6MB)
Investigating the role of benzodiazepines in drug-related mortality: a systematic review undertaken on behalf of The Scottish National Forum on Drug-Related Deaths
- NHS Health Scotland (09 Feb 2016)
"Owing to a lack of research on benzodiazepines, the National Forum on Drug-Related Deaths commissioned work addressing why benzodiazepines are common in DRDs and what role they play in such deaths, particularly at the high doses often reported. This Report presents the findings of a systematic review of evidence in relation to the use and misuse of benzodiazepines and highlights significant gaps in knowledge."
- Adobe Acrobat Document
PDF (.pdf, 2.0MB)
BMA Project Update: Prescribed drugs associated with dependence and withdrawal - building a consensus for action
- BMA Board of Science (Oct 2015)
"Prescribing is a major clinical activity and a key therapeutic tool for influencing the health of patients. When certain psychoactive drugs are inappropriately prescribed there is potential for patients to become dependent or suffer withdrawal symptoms, leading to a range of health and social harms. The prescription of a number of these drugs continues to rise mainly because of longer term use, and this issue is becoming increasingly ingrained with complex medical, political and ethical challenges. Too little is known about prescribing patterns, the levels of dependence and withdrawal, and the level of harm that is being caused. There is also too little research about the long-term effects of these drugs. This analysis report has been developed following the Board of Science's call for evidence undertaken in March 2014. It aims to provide a platform for action to improve the prevention, identification and management of dependence and withdrawal associated with prescribed drugs, and has a particular focus on the prescribed use of benzodiazepines, Z-drugs, opioids and antidepressants."
- Adobe Acrobat Document
PDF (.pdf, 835K)
Naloxone - Preliminary advice from the working group updating "Drug Misuse and Dependence: UK Guidelines on Clinical Management"
- Professor John Strang (22 Jul 2015)
An open letter from Professor John Strang, chair of the clinical guidelines update working group, containing preliminary advice about naloxone ahead of the updated national clinical guidelines which will be published in 2016. The letter covers advice on dosing in overdose situations, take-home naloxone products that can be supplied and training that should be provided, now and following legislation to make naloxone more widely available from October 2015 onwards.
- Adobe Acrobat Document
PDF (.pdf, 234K)
European Drug Report 2015: Trends and Developments
- EMCDDA (Jun 2015)
The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is the reference point on drugs and drug addiction information in Europe. Changing dynamics in the heroin market, the latest implications of cannabis use and new features and dimensions of the stimulant and "new drugs" scene are among the issues highlighted in this years' annual review, which reflects on 20 years of monitoring and examines the global influences and local ramifications of Europe's ever-changing drugs problem.
- Adobe Acrobat Document
PDF (.pdf, 5.2MB)
Screening for mental health issues in substance misuse services - could we do better?
- John Westhead (Jun 2015)
Can we do more to identify mental health problems in those with problem drug and alcohol use? John Westhead highlights the importance of screening for those with dual diagnosis.
- Adobe Acrobat Document
PDF (.pdf, 84K)
Calling time on missed opportunities: commissioning alcohol services to reduce avoidable harm
- Guidelines in Practice, MGP Ltd (Jan 2015)
The content of this supplement was developed by an expert advisory group convened and supported by Lundbeck Ltd. Lundbeck Ltd provided financial support for meeting costs, honoraria, and administrative support of a medical communications agency, which included medical writing. Lundbeck Ltd has financially supported the publication of this supplement and has reviewed this document for factual accuracy only. The content of this supplement was produced independently of MGP Ltd and Guidelines in Practice. The views and opinions are those of the expert advisory group and not necessarily those of Lundbeck Ltd, or of Guidelines in Practice, its publisher, advisers, or advertisers.
- Adobe Acrobat Document
PDF (.pdf, 571K)
Naloxone Key Facts
- Naloxone Action Group England (Mar 2015)
Ten important facts on naloxone for commissioners and providers, produced by Naloxone Action Group England.
- Adobe Acrobat Document
PDF (.pdf, 124K)
Substitution Treatment in the Era of "Recovery": An Analysis of Stakeholder Roles and Policy Windows in Britain
- Karen Duke, Rachel Herring, Anthony Thickett, Betsy Thom (2013)
Based on documentary analyses and interviews with twenty key informants in 2012, this paper analyses the shift in British drugs policy towards "recovery" from the perspectives of major stakeholders. The processes involved in reopening the debate surrounding the role of substitution treatment and its re-emergence on to the policy agenda are examined. Drawing on Kingdon's work on agenda-setting, the ways in which methadone maintenance was challenged and defended by key stakeholders in the initial phase of policy development and the negotiation of a "recovery" focus as the organizing concept for British drugs policy are explored.
- Adobe Acrobat Document
PDF (.pdf, 271K)
An interactive e-mail group in shared care in substance misuse
- Laurie Windsor (Jan 2014)
Laurie Windsor explains how an interactive e-mail group can help support GPs in a bid to increase the number of patients with substance misuse in shared care.
- Adobe Acrobat Document
PDF (.pdf, 73K)
Training Needs and Gap Analysis: Supporting Competency Development for General Practitioners with an Interest in the Management of Alcohol-Use-Disorders
- Kate Halliday (Mar 2013)
In January 2013 Lundbeck UK commissioned SMMGP to conduct a training needs and gap analysis for General Practitioners with a Special Interest (GPwSI) in Alcohol. This report presents the findings on the work that was undertaken in this regard.
- Adobe Acrobat Document
PDF (.pdf, 2.1MB)
Turning evidence into practice:
Helping clients to access and engage with mutual aid

- NTA (Jan 2013)
The first in a series of briefings to support commissioners and providers who want to improve the recovery orientation of their services as recommended by Medications in Recovery, the final report of the John Strang-chaired Recovery Orientated Drug Treatment expert group.
- Adobe Acrobat Document
PDF (.pdf, 167K)
Management of opioid addiction in primary care:
A pragmatic approach prioritising wellbeing not ideology

- Dr Euan Lawson (May 2013)
A British Journal of General Practice editorial, May 2013, pp231-232.
- Adobe Acrobat Document
PDF (.pdf, 36K)
A pilot outcomes evaluation for computer assisted therapy for substance misuse:
An evaluation of Breaking Free Online

- Breaking Free Online Ltd (July 2013)
Computer Assisted Therapy (CAT) is an emerging treatment within addictions, though the evidence-base is still growing. This study describes a pilot outcomes evaluation of a CAT programme for substance misuse, "Breaking Free Online".
- Adobe Acrobat Document
PDF (.pdf, 155K)
HIV and Injecting Drug Use
- National Aids Trust (NAT) (July 2013)
The report provides a detailed account of the emerging trends in injecting behaviour and associated new health risks. It gives recommendations on how to respond to these injecting behaviours, in particular the use of newer drugs by gay and bisexual men in the context of high risk sexual behaviour, and the injecting of image and performance enhancing drugs.
- Adobe Acrobat Document
PDF (.pdf, 477K)
Tipping the Balance of Power: Professionals' Experiences of Training Peer Based Researchers
- Dr Morris Gallagher, Dr David Julien, Mark Joyce (May 2013)
Two GPs, Morris Gallagher and David Julien, and an experienced youth trainer, Mark Joyce, share their feelings about helping recovering users to develop the skills to research their area of expertise - drug misuse.
To comment, please see the related SMMGP Blog post.
- Adobe Acrobat Document
PDF (.pdf, 58K)
Barriers and Facilitators to Hepatitis C Treatment for People Who Inject Drugs:
A Qualitative Study

- World Health Organization (WHO) (June 2012)
This qualitative study aims to assess the barriers and facilitators to HCV treatment access and completion for PWID in drug and alcohol (D&A) settings. It examines the barriers and facilitators to HCV treatment by: describing pathways to hepatitis C treatment, including referral, as well as factors mediating treatment access in the D&A setting. Through qualitative interviews with HCV treatment providers and PWID it explores the experience of HCV treatment access and delivery from patient, provider and "system" perspectives in order to develop guidance regarding HCV treatment system improvement, including referral and coordination, and the provision of psycho-social interventions targeting patients and providers.
- Adobe Acrobat Document
PDF (.pdf, 1.0MB)
Public Health Services Contract - Narrative
- Department of Health (Mar 2013)
Narrative developed on Public Health England (PHE) contracting in relation to Local Enhanced Services (LES).
- Adobe Acrobat Document
PDF (.pdf, 48K)
Public Health Services Contract - Definitions and Interpretation
- Department of Health (Mar 2013)
Definitions and interpretation relating to the Public Health Services Contract.
- Adobe Acrobat Document
PDF (.pdf, 61K)
Dealing with the stigma of drugs: a guide for journalists
- UKDPC (Nov 2012)
Although this UKDPC document is aimed at journalists, it is a useful "anti-stigma" guide for anyone in the field who writes about people who use drugs and alcohol.
- Adobe Acrobat Document
PDF (.pdf, 1.7MB)
Challenging stigma: tackling the prejudice experienced by the families of drug and alcohol users
- Adfam (Oct 2012)
This report looks at drug and alcohol-related stigma through the eyes of the family - not just parents, but partners, children and siblings too. They can all be abandoned by friends, isolated by workmates and even cut off by other family members. The report aims to improve awareness and understanding of how stigma affects families and drive forward both the availability of support for them, and their confidence in coming forward knowing they will not be judged.
- Adobe Acrobat Document
PDF (.pdf, 4.2MB)
Drugs Meter and Drinks Meter: Drugs Meter Poster
- Global Drug Survey (Oct 2012)
Drugs Meter and Drinks Meter provide anonymous, objective feedback directly to people who use substances, allowing them to compare their use against thousands of people across the globe. This poster, for clinical and community settings, is ideal for environments where people sit like waiting rooms.
- Adobe Acrobat Document
PDF (.pdf, 199K)
Drugs Meter and Drinks Meter: How to Promote Drugs Meter and Drinks Meter - A Guide for Drug and Alcohol Services
- Global Drug Survey (Oct 2012)
Drugs Meter and Drinks Meter provide anonymous, objective feedback directly to people who use substances, allowing them to compare their use against thousands of people across the globe. This guide identifies key opportunities to promote the Drugs Meter to different audiences and in different settings, as well as links to handy resources and further information. These strategies are similar for Drugs Meter and Drinks Meter.
- Adobe Acrobat Document
PDF (.pdf, 115K)
CCAS Research Programme Summary
- J Delgadillo, S Gilbod, C Godfrey, S Payne, D Jessop, S Gore, V Dale, P Singleton (Aug 2012)
A poster intended to disseminate the findings of the CCAS (Case-finding & Comorbidity in Addiction Services) research programme, focusing on dual diagnosis. The poster summarises key findings and publications covering: depression and anxiety disorders in routine methadone treatment, reliability of brief screening tools, and outcome measurement.
- Adobe Acrobat Document
PDF (.pdf, 60K)
Factors influencing the use of dental health services by substance users:
A study paper

- Dr J Kemm, Dr D Rumball, Dr V R Badrakalimuthu, Dr R Holland (Aug 2012)
This study, using a validated research tool, investigated dental care problems and factors contributing to the uptake of dental services by substance users.
- Adobe Acrobat Document
PDF (.pdf, 318K)
Planning for Drug and Alcohol Treatment Services:
A brief guide to general planning considerations

- DrugScope (Jul 2012)
This is a short, general introduction to some relevant aspects of planning, intended for those involved in local partnerships and as service providers in the setting up of residential or non-residential ("drop-in") drug and alcohol treatment services.
- Adobe Acrobat Document
PDF (.pdf, 224K)
The Ethics and Effectiveness of Coerced Treatment of People Who Use Drugs
- Alex Stevens, PhD (Sep 2011)
In the context of international debates about ways to reduce the harms related to the use of illicit drugs and their control, this article explores the specific issue of coerced treatment of people who use drugs.
- Adobe Acrobat Document
PDF (.pdf, 139K)
Tackling the Problem of Hepatitis C, Substance Misuse and Health Inequalities: A Consensus for London
- LJWG (Jun 2012)
A consensus document produced by The London Joint Working Group for Substance Misuse and Hepatitis C (LJWG). This document represents a call to action from experts in the fields of addiction and hepatitis in London. It provides a framework with which to address the epidemiological, clinical and financial challenges presented by current rates of hepatitis C among people who have injected drugs and sets out solutions in the form of a blueprint for local commissioners.
- Adobe Acrobat Document
PDF (.pdf, 2.5MB)
Human Enhancement Drugs - The Emerging Challenges to Public Health
- North West Public Health Observatory (Apr 2012)
A new report that highlights the challenge to public health from the emergence of illicit drugs designed to improve the human body. The report has been produced by the North West Public Health Observatory on behalf of the Public Health Observatories in England as part of its surveillance function and national lead role for observatories on drug use issues.
- Adobe Acrobat Document
PDF (.pdf, 3.8MB)
Foetal Alcohol Spectrum Disorder (FASD) - Information for Parents, Carers and Professionals
- NOFAS-UK (May 2012)
A fact sheet produced by NOFAS-UK (the National Organisation for Fetal Alcohol Syndrome UK) for parents, carers and professionals containing information on FASD.
- Adobe Acrobat Document
PDF (.pdf, 2.3MB)
The Swanswell Recovery Model - Building on shared care success
- Swanswell (Apr 2012)
Swanswell describe how their primary care model has developed to provide a full range of recovery focused treatment in Birmingham
- Adobe Acrobat Document
PDF (.pdf, 98K)
Surviving the Transition: Local Structures and Networks
- Adfam (Apr 2012)
In response to a changing and challenging environment for family support services, Adfam has published guides to help organisations survive the financial, administrative and political transition. "Surviving the Transition: Local Structures and Networks" helps family support services navigate the complex changes happening in local commissioning, responsibility and accountability, including who they should be talking to, what the big issues are in drugs and alcohol, and how they can successfully build good relationships with a range of partners. The guide also looks at how family support fits into some other key agendas, including public health, crime and disorder and children's services.
- Adobe Acrobat Document
PDF (.pdf, 272K)
Surviving the Transition: Organisational Health
- Adfam (Apr 2012)
In response to a changing and challenging environment for family support services, Adfam has published guides to help organisations survive the financial, administrative and political transition. "Surviving the Transition: Organisational Health" sets out the basic things organisations need to have in place to be legal, healthy and robust. This includes a wealth of advice and information on governance, recording and measuring impact, business planning and strategy, policies and procedures, and much more.
- Adobe Acrobat Document
PDF (.pdf, 287K)
The need to challenge unhealthy drug policies to improve drug treatment
- Dr Chris Ford, Holly Catania, Rebecca Murchie, IDHDP (Dec 2011)
Presented at the Global Addiction Conference in Lisbon, Portugal 5-7 December 2011. See the IDHDP (International Doctors for Healthy Drugs Policies) web site for more information.
- Adobe Acrobat Document
PDF (.pdf, 876K)
Harm reduction and the liver
- Dr Chris Ford (Nov 2011)
Are we looking after people's liver health as well as we could be? Chris Ford explains how we can take a harm reduction approach to the liver.
- Adobe Acrobat Document
PDF (.pdf, 119K)
Practical management of non alcoholic fatty liver disease in primary care
- Mouralidarane A, Soeda J, Oben JA (Nov 2011)
Jude Oben and colleagues run through the basics of non alcoholic fatty liver disease.
- Adobe Acrobat Document
PDF (.pdf, 89K)
Time to Ask the Right Questions in the Right Way: A New Direction for Addiction Treatment Research?
- Jim Orford (Mar 2011)
Presented by Jim Orford at the Action on Addiction Seminar, The Wellcome Trust, London.
- Adobe Acrobat Document
PDF (.pdf, 212K)
Payments by Results
- Dr Linda Harris (Feb 2011)
Linda Harris discusses Payments by Results, providing some historical background, discussing the economic principles behind the model and debating where and how this fits with the wider healthcare reforms affecting patients and the way care is delivered.
- Adobe Acrobat Document
PDF (.pdf, 29K)
Payments by Results
- DrugScope (Nov 2010)
An accessible and useful "Bitesized Briefing" on "Payments by Results" and how it will affect the drugs field, provided by DrugScope.
- Adobe Acrobat Document
PDF (.pdf, 557K)
Moving Parents and Children Together (M-PACT)
- Nick Barton (Nov 2010)
Nick Barton describes the work of an innovative project that takes a whole families approach to working with the children of substance users.
- Adobe Acrobat Document
PDF (.pdf, 37K)
Family Intervention Project
- Phil Merrick, Debbie Lloyd, Barbara Jones (Sep 2010)
Is it possible for public sector organisations to have a family centred approach? This article describes how Telford and Wrekin's Family Intervention Project is meeting this challenge.
- Adobe Acrobat Document
PDF (.pdf, 50K)
The Family Drug and Alcohol Court Pilot - A New Way of Working
- Sophie Kershaw (Sep 2010)
Is it possible for public sector organisations to have a family centred approach? This article describes how a Family Drug and Alcohol Court pilot in London is pioneering a new way of working with offenders.
- Adobe Acrobat Document
PDF (.pdf, 27K)
Wandsworth Service User Consultation Report 2010
- Jimi Grieve, Iain McNicol (Feb 2010)
Commissioned by Wandsworth DAAT, this report details a collaborative project between Wandsworth Service User Involvement Project and Druglink. It is presented as an example of good practice in consulting users new to, in and ex treatment.
- Adobe Acrobat Document
PDF (.pdf, 832K)
Methadone Man and Buprenorphine Babe - Stopping HIV in its Tracks
- Open Society Institute (Jul 2010)
A graphic novel produced by the Open Society Institute's International Harm Reduction Development Program (IHRD)
- Adobe Acrobat Document
PDF (.pdf, 3.4MB)
The Dental Aspects of Treating a Patient with Substance Misuse Problems
- Ruth Edwards (May 2010)
Dental care is an important but often neglected issue for substance misusers. Ruth Edwards highlights the importance of access to good quality dental care for service users. For more on dental care for drug users, see Dentist Fixit in Network 29.
- Adobe Acrobat Document
PDF (.pdf, 71K)
Assessment and Management of Cannabis Use Disorders in Primary Care
- Adam R Winstock, Chris Ford, John Witton (Apr 2010)
This article was written for the British Medical Journal (BMJ)
- Adobe Acrobat Document
PDF (.pdf, 311K)
Alcohol Commissioning Learning Sets
- Janet Crampton (Feb 2010)
Janet Crampton describes how alcohol learning sets can improve alcohol commissioning knowledge and practice. This article was written to accompany Network 28.
- Adobe Acrobat Document
PDF (.pdf, 24K)
Preventing Unplanned Discharges from Drug Treatment Services
- John Dunn (Oct 2009)
This article, written for SMMGP by John Dunn (Consultant Psychiatrist and Clinical Team Leader, NTA) summarises the recent National Treament Agency good practice guide Towards successful treatment completion. This is essential reading for all treatment providers!
- Adobe Acrobat Document
PDF (.pdf, 43K)
Encouraging General Practitioners to Treat Drug Users: An Analysis of the Policy of 'Shared Care'
- Dr Charles Cornford MD FRCG (May 2009)
For several years GPs have been encouraged to get involved in drug treatment. Charles Cornford explores policy to try to uncover the reasons behind this.
- Adobe Acrobat Document
PDF (.pdf, 44K)
Anabolic Steroid Use in the UK
- Jim McVeigh, Michael Evans-Brown (Mar 2009)
A detailed account of anabolic steroid use in the UK, and the associated risks and harms.
- Adobe Acrobat Document
PDF (.pdf, 101K)
Treatment Follow-Up Form
- Dr Steve Ryder, Nottingham University Hospitals NHS Trust (Jan 2009)
An example of a helpful chart used in Nottingham to monitor the side-effects of hepatitis C treatment.
If you have any suggestions/updates or comments please contact Stephen.Ryder@nuh.nhs.uk.
- Adobe Acrobat Document
PDF (.pdf, 28K)
Good Practice Checklist for Prescribers - Methadone & Buprenorphine Prescriptions
- Sarah McIntyre, Brent PCT (Jul 2007)
This is a controlled drugs prescribing table, which has been developed and sent out to all GPs in Brent and Harrow. We thought it was a useful resource and the Shared Care Scheme are happy to share it with us all.
If you have any suggestions/updates or comments please contact Sarah.McIntyre@brentpct.nhs.uk.
- Adobe Acrobat Document
PDF (.pdf, 143K)
Modern Maintenance Therapy: Prescriber Imperative or Patient Choice?
Report of a Socratic Dialogue
- Dr Michael Farrell, Sue andcroft, Dr Chris Ford, Dr Clare Gerada, John Howard, Dr Fergus Law (Dec 2006)
Healthcare professionals with expertise in treating substance misuse met recently in London to debate current issues surrounding the future of maintenance therapy. The focus of the discussion was on the relationship between patient and prescriber and how to achieve best practice in this most complex and sensitive area. The contingent issues of supervision, diversion and practical treatment options were also examined in detail by the panel. The meeting took the form of a Socratic Dialogue and was moderated by Dr Michael Farrell.
- Adobe Acrobat Document
PDF (.pdf, 1.4MB)
Attracting the Opposite sex? A More Psychological Approach in Primary Care?
- Jeff Fernandez, Islington PCT (Mar 2006)
This paper shows that for a service in primary care delivered by a specialist nurse, more emphasis on a psychological approach than medical can lead to a better male:female ratio than the constant 3:1 in the field of problematic alcohol drinking. This is shown by the description of an in-depth case study from a review conducted in a general practice in Islington.
- Adobe Acrobat Document
PDF (.pdf, 69K)
Practice Based Commissioning (PbC) - An Overview
Opportunities for Substance Misuse Services in Primary Care

- Dr Linda Harris, Acting Director RCGP Substance Misuse Unit (Mar 2006)
A quick summary guide to PbC detailing policy context, emerging governance arrangements and how to make the most of partnerships with local PCTs and take Pbc forward in your local area.
- Adobe Acrobat Document
PDF (.pdf, 277K)
Crushing Buprenorphine
- Susi Harris (Feb 2006)
This item describes (with the aid of photographs) the procedure for crushing and administering supervised buprenorphine doses, as well as briefly discussing the pros, cons and legalities of doing so.
Read Online
Read Online
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Safer Management of Controlled Drugs - Early Action
- Department of Health (Nov 2005)
This document describes the action taken so far based on the government's December 2004 response to the Shipman Inquiry, as well as describing future steps. It also summarises the current Health Bill's clauses intended to strengthen the monitoring and inspection of controlled drugs in health and social care settings.
- Adobe Acrobat Document
PDF (.pdf, 30K)
PANN - The Pan London Primary Care Network for Substance Misuse
- Dr Chris Ford (Mar 2005)
This document provides an overview of PANN, summaries of its previous meetings (April 2003 to March 2005), development plans and contact information.
- Adobe Acrobat Document
PDF (.pdf, 61K)
CJIP - The Criminal Justice Intervention Programme & Primary Care
- Edward Ward (Jun 2004)
This document discusses the CJIP and what it does. It also discusses the benefits associated with the programme and how it will affect Primary Care. The document also details the progress of the CJIP to date.
- Adobe Acrobat Document
PDF (.pdf, 79K)
CJIP - An Overview & an Example of Local Delivery
- Geoff Boyd (Jun 2004)
This document provides an overview of the Criminal Justice Intervention Programme, which is an initiative that aims to reduce drug related offending by developing and providing integrated care pathways into and throughout treatment. This document also provides a detailed example of a local delivery of this type of intervention.
- Adobe Acrobat Document
PDF (.pdf, 17K)
CJIP Factsheet - Breaking the Link Between Drugs & Crime
- Criminal Justice Intervention Programme (Jun 2004)
This fact sheet reviews the Home Secretary's plan (2002) to break the link between drugs and crime by targeting drug using offenders at all stages in the CJS and getting them into treatment. This document goes on to discuss some of the key elements of the package, such as drug testing, the aftercare system and throughcare.
- Adobe Acrobat Document
PDF (.pdf, 15K)
Buprenorphine in Community Pharmacy: The Australian Experience
- Peter Muhleisen, Turning Point Alcohol & Drug Centre Inc, Fitzroy, Victoria, Australia (Jun 2004)
- Adobe Acrobat Document
PDF (.pdf, 571K)
Framework for a New Community Pharmacy Contract (PhS)
- Amit Shah, Community Pharmacy Development Pharmacist, Brent Teaching PCT (Jun 2004)
- Adobe Acrobat Document
PDF (.pdf, 108K)
The Black Market in Methadone - Some Reflections
- Matthew Johnson, Fitzrovia Medical Centre (Jun 2004)
Here, Matthew Johnson (an experienced GP) writes about both the current and past situations regarding methadone - prescribing and the black market. He discussed the effects of the black market in methadone, revealing that perhaps one hundred deaths per year can be at least partially attributed to the black market in methadone.
- Adobe Acrobat Document
PDF (.pdf, 24K)
nGMS: Oldham's Response to the New GMS Contracts
- Oldham Substance Misuse Service (S.M.S.) (Jun 2004)
This short document outlines the current status (June 2004) of the Oldham Substance Misuse Service (SMS) in terms of shared care. It also outlines the shared care prescribing for drug users proposal for national and local enhanced services.
- Adobe Acrobat Document
PDF (.pdf, 7K)
The Development of New Benzodiazepine (BDZ) & Other Sedative-Anxiolytic-Hypnotic (SAH) Guidelines Suitable for Use by General Adult Psychiatrists
- Fergus Law, Sue Wilson, Judy Myles and David Nutt (May 2004)
- Adobe Acrobat Document
PDF (.pdf, 159K)
Community Detox: Options & Risks
- Dr Kostas Agath (Mar 2004)
- Adobe Acrobat Document
PDF (.pdf, 27K)
Health and the Criminal Justice Agenda - A Delicate Balancing Act
- Dr Linda Harris (Mar 2004)
- Adobe Acrobat Document
PDF (.pdf, 379K)
Service User Involvement - Why Doesn't it Work?
- Jaye Foster, Manager Healthy Options Team (HOT) East London (Feb 2004)
- Adobe Acrobat Document
PDF (.pdf, 131K)
nGMS: National Enhanced Services Drug Misuse Services
- Reading PCT (Jan 2004)
- Adobe Acrobat Document
PDF (.pdf, 38K)
nGMS: GP nGMS Contract & Drugs
- Dr Chris Ford (Jan 2004)
- Adobe Acrobat Document
PDF (.pdf, 89K)
nGMS: New General Medical Services Contract (nGMS) & Commissioning Primary Care Services
Consensus statement from the General Practitioner Summit
- National Treatment Agency for Substance Misuse (Jan 2004)
- Adobe Acrobat Document
PDF (.pdf, 152K)
Tetanus: Information for Health Professionals (Full Document)
- Susan Hahné, Natasha Crowcroft, Joanne White, Vivien Hope & Leah De Souza
Health Protection Agency Communicable Disease Surveillance Centre, London (Dec 2003)
- Adobe Acrobat Document
PDF (.pdf, 31K)
Tetanus: Information for Health Professionals (Summary)
- Susan Hahné, Natasha Crowcroft, Joanne White, Vivien Hope & Leah De Souza
Health Protection Agency Communicable Disease Surveillance Centre, London (Dec 2003)
- Adobe Acrobat Document
PDF (.pdf, 22K)
The Warsaw Declaration: A Framework for Effective Action on HIV/AIDS & Injecting Drug Use
- 2nd International Policy Dialogue on HIV/AIDS
Held in Warsaw, Poland (Nov 12-14, 2003)
- Adobe Acrobat Document
PDF (.pdf, 131K)
Prescribing Benzodiazepines in Addiction: To Boldly Go...
- Fergus Law (Nov 2003)
This challenginging presentation concerns the use of benzodiazepines generally and in addictive medicine in particular. Whilst the SMMGP does not necessarily endorse it or recommend it should be taken as guidance we feel it is a very useful addition to the benzodiazepine debate.
- Adobe Acrobat Document
PDF (.pdf, 255K)
GP Business: Drug Misuse Management
Article from GP Magazine
- Lucie Benson (20th Oct 2003)
Read Online
Read Online
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Treatment of Chronic HCV - Great Leaps Forward
RCGP Special Interest Masterclass Presentation
- Graham Foster (Aug 2003)
- Adobe Acrobat Document
PDF (.pdf, 1.7MB)
Overview of HCV
RCGP Special Interest Masterclass Presentation
- Graham Foster (Aug 2003)
- Adobe Acrobat Document
PDF (.pdf, 566K)
National Hepatitis C Resource Centre
RCGP Special Interest Masterclass Presentation
- Tania Machell (Aug 2003)
- Adobe Acrobat Document
PDF (.pdf, 368K)
Treatment Data - RDMD & NDTMS
Pooled Experience Day - Crack Cocaine
- RCGP (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 225K)
Managing Crack Users in Primary Care - A Personal Learning Experience
Pooled Experience Day - Crack Cocaine
- Dr William Ford-Young (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 243K)
Shared Care Protocols
Pooled Experience Day - Crack Cocaine
- Fran Davies (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 11K)
Common Presenting Symptoms: Recognising Crack Use?
Pooled Experience Day - Crack Cocaine
- Aidan Gray (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 601K)
Assess The Problem in Primary Care & Developing Simple Tools
Pooled Experience Day - Crack Cocaine
- Matthew Southwell (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 213K)
Pooled Experience Day to Develop Guidance for Primary Care to Work with People Who Use Crack Cocaine
Pooled Experience Day - Crack Cocaine
- Dr Chris Ford (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 56K)
Screening and Management of Hepatitis C in Primary Care
RCGP Special Interest Masterclass Presentation
- Dr Chris Ford (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 89K)
"Don't Give Them What They Want!"
RCGP Special Interest Masterclass Presentation
- Erin O'Mara (Jul 2003)
Read Online
Read Online
Adobe Acrobat Document
PDF (.pdf, 11K)
Prescribing for Drug Users in Primary Care - Looking at the Options
RCGP Special Interest Masterclass Presentation
- Dr Chris Ford (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 150K)
Pharmacy Aspects of Substitute Prescribing
RCGP Special Interest Masterclass Presentation
- Anshu Hinton (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 47K)
Evidence for Methadone
RCGP Special Interest Masterclass Presentation
- Tom Carnwath (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 534K)
Buprenorphine: What is it & Why Use it?
- Dr Nicholas Lintzeris (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 246K)
Pharmacy Aspects of Buprenorphine/Subutex Treatment
- Anshu Hinton (Jul 2003)
- Adobe Acrobat Document
PDF (.pdf, 52K)
Drug Related Deaths: Can Clinical Governance in Primary Care Help to Reduce Them?
- Dr Jenny Keen, Phillip Oliver (2003)
- Adobe Acrobat Document
PDF (.pdf, 230K)
Workshop for Prescribers: Assessment, Prescribing & Dispensing
- Dr Jenny Keen (2003)
- Adobe Acrobat Document
PDF (.pdf, 2.1MB)
The Evidence for Methadone Maintenance Treatment, Legal Issues & Ethics
- Dr Jenny Keen (2003)
- Adobe Acrobat Document
PDF (.pdf, 170K)
Possible Initiatives for Avoiding Drug-Related Deaths
- Best et al., Preston et al. (2001)
- Adobe Acrobat Document
PDF (.pdf, 42K)
Use of Buprenorphine in Primary Care
- Dr Chris Ford (Apr 2003)
- Adobe Acrobat Document
PDF (.pdf, 486K)
Pharmacy Aspects of Buprenorphine (Subutex) Treatment
- Anshu Hinton (Apr 2003)
- Adobe Acrobat Document
PDF (.pdf, 46K)
The Pharmacist: A Vital Partner in the Care of Drug Users
- Janie Sheridan, Suzanne Byrne (Feb 2003)
- Adobe Acrobat Document
PDF (.pdf, 95K)
General Practitioners with Special Clinical Interest (GPSIs) - Drug & Alcohol Misuse
- Dr Clare Gerada, Draft Document (Nov 2002)
Read Online
Read Online
Adobe Acrobat Document
PDF (.pdf, 47K)
Chronic Viral Hepatitis
- Graham Foster (May 2002)
- Adobe Acrobat Document
PDF (.pdf, 372K)
New GP Contract & Drug Misuse
- Dr Clare Gerada (May 2002)
Read Online
Read Online
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Treatments for Opiate Users in a Primary Care Setting
- Dr Mark B Gabbay, V Jeffrey, T Carnwath (Jan 2000)
The report is in two parts, a review of the evidence concerning a wide variety of available treatments for opiate users in a community setting, plus an extensive bibliography. The work is based on a systematic literature review. The bibliography refers to over 300 references, many of which are summarised. The work provides a comprehensive literature survey and provides information to enhance decisions on service commissioning and provision.
- Adobe Acrobat Document
PDF (.pdf, 572K)

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