SMMGP - Substance Misuse Management Good Practice

Substance Misuse Management Good Practice

Supporting good practice in drug and alcohol treatment

Clinical & Policy Updates:
SMMGP Policy Update January-February 2013

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Adobe Acrobat DocumentDownload the PDF version of this Update here! (PDF*, 86K)

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Primary care drug and alcohol treatment: Commissioning and provision against a backdrop of localism

The Royal College of General Practitioners (RCGP) Substance Misuse and Allied Health unit and SMMGP issued a joint paper during January 2013 considering the future impact of the changing commissioning environment on primary care drug and alcohol treatment. The paper explores how primary care can proactively contribute to the rapidly developing recovery systems of care, by building on its strong legacy of safe, holistic and clinically effective care closer to home. It makes several statements drawn from the evidence for drug and alcohol treatment and includes checklists (see below) on how to demonstrate that services are working towards these themes.

The Executive Summary and the full document are available on our website (references are in the main document).

1. Good quality opioid substitute treatment can play an essential role in recovery

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2. Drug treatment is not expected to deliver drug treatment on its own but can integrate with and benefit from other support

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3. Improvement in health is an essential element of recovery

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4. Active promotion of mutual aid networks will be essential

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5. Evidence shows that treatment is more likely to be effective, and recovery to be sustained, where families, partners and carers are closely involved.

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6. Substance misuse treatment should be widening the focus to consider dependence on all drugs and alcohol (Drug Strategy (2010)

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SMMGP Project Team with thanks to the authors, Linda Harris and Kate Halliday.