BMJ 2007;335:203-205 (28 July), doi:10.1136/bmj.39265.639641.AD
Practice
NICE guidelines
Psychosocial interventions and opioid detoxification for drug misuse: summary of NICE guidance
Stephen Pilling, joint director of National Collaborating Centre for Mental Health, director of Centre for Outcomes, Research and Effectiveness1,
John Strang, professor in addiction research2,
Clare Gerada, general practitioner3
1 Centre for Outcomes, Research and Effectiveness, Department of Psychology, University College London, London WC1E 8XA,
2 National Addiction Centre, Institute of Psychiatry, King's College London, London SE5 8AF,
3 Hurley Clinic, Ebenezer House, London SE11 4HJ
Correspondence to: S Pilling s.pilling@ucl.ac.uk
| The first 150 words of the full text of this article appear below. |
Why read this summary?
Drug misuse is an increasing problem that not only impairs the
physical and mental health of people who misuse drugs but also
negatively affects their families and wider society (for example,
in its association with crime). Recently expanded drug services
in the United Kingdom involve general practitioners to a considerable
degree, who care for at least a third of opioid misusers in
treatment. Many clinicians remain pessimistic, however, about
the possible benefits of any treatment and how to engage drug
users in treatment.
1 This article summarises two new NICE guidelines
that identify the most effective, safe detoxification regimens
for primary and secondary care, the most cost effective psychosocial
interventions, and effective ways to promote patient engagement.
2 3
Recommendations
NICE recommendations are based on systematic reviews of best
available evidence. When minimal evidence is available, a range
of consensus techniques is used to develop recommendations.
In this summary, recommendations derived primarily from consensus
. . . [Full text of this article]
Overcoming barriers

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