drug misuse

drug misuse

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  • Created on: 30-06-10 16:01
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Understanding NICE guidance
Information for people who use NHS services
Treatments for drug misuse
NICE `clinical This booklet is about the care and treatment of adults and young people
guidelines' advise aged 16 and over who have drug problems in the NHS in England and
Wales. It explains guidance (advice) from NICE (the National Institute for
the NHS on caring
Health and Clinical Excellence) on treatments for drug misuse, including
for people with opioid detoxification. It is written for people who have drug problems but
specific conditions it may also be useful for their families or carers or for anyone with an
or diseases and the interest in drug misuse.
treatments they The booklet aims to help you understand the care and treatment options
should receive. that should be available in the NHS. It does not describe drug problems or
the tests or treatments for them in detail. Staff responsible for your care
should discuss these with you. There are examples of questions you could
ask throughout this booklet to help you with this. Some sources of further
information and support are on page 16. Medical terms printed in bold
type are explained on pages 14­15.
Information about NICE clinical guidelines 51 and 52
Issue date: July 2007

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Page 2

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Your care 3
Drug misuse 4
What happens at your first appointment to discuss your drug
problem 4
Support if you are not yet having treatment for your drug
problem 6
Self-help 6
Types of treatment 7
Where you can have treatment for your drug problem 12
Supporting families and carers 13
Glossary 14
More information 16
About NICE 16
NICE has produced two guidelines on drug misuse ­ `Drug misuse:
psychosocial interventions' and `Drug misuse: opioid detoxification'.
This booklet covers both guidelines.…read more

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Your care
Your treatment and care should take into account your personal needs
and preferences, and you have the right to be fully informed and to make
decisions in partnership with staff responsible for your care. To help with
this, staff should give you information you can understand and that is
relevant to your circumstances. All staff members and healthcare
professionals should treat you with respect, sensitivity and understanding,
and explain the treatments for drug problems and dependence simply and
clearly.…read more

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Drug misuse
NICE has also Drug misuse is when a person has a problem with illegal drugs (such as
produced advice heroin, cocaine or cannabis) or becomes dependent on them. Having a
problem with a drug means that you are taking a lot of it and it has a
about methadone negative impact on your everyday life.…read more

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Your preferences for treatment are important. When you are agreeing You should be
a plan for your care, staff should talk to you about the various options. assigned a key
They should discuss what you hope to achieve through treatment
worker who will
(your `treatment goals') and help you come to a decision.…read more

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Your family and carers
Staff should talk to you about whether you would like your family or carers
involved in your assessment and treatment plans. However, you can keep
information about your care and treatment confidential if you wish to.
There is more information for families and carers on page 13.…read more

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Types of treatment
Your treatment will depend on the type of drug problem you have
(see box below). If your treatment goals change at any time, staff should
support you in this wherever possible.…read more

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Questions about treatment
· What treatment(s) might help me best and why?
· What are the pros and cons of this treatment?
· What does the treatment involve?
· How will it help me?
· What other treatments are available?
· Please tell me more about incentives programmes.…read more

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Opioid detoxification
Detoxification (often called `detox'), as carried out in the NHS, involves
using prescribed medication to help a person stop using drugs. Before
starting treatment, you should be given detailed information about opioid
detoxification and its benefits and risks.
Healthcare professionals should talk to you about opioid withdrawal
symptoms and how to cope with them.…read more

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When will detoxification not be offered?
People will not usually be offered detoxification if they:
· have a medical condition that needs urgent treatment
· are in police custody or serving a short prison sentence or a short period
of remand
· go to an emergency department or hospital for an urgent medical
problem. In this case, the emergency will be dealt with and withdrawal
symptoms treated. The person may be offered an appointment with a
drug service.…read more


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