Drug Misuse: Psychosocial Interventions - The NICE Guideline
National Collaborating Centre for Mental Health (NCCMH)
This evidence-based clinical guideline
endorsed by the National Institute for Health and Clinical
Excellence (NICE) presents guidance on physical, psychological and
service-level interventions for healthcare staff on how to work
with people who misuse drugs (specifically opioids, stimulants and
cannabis) to significantly improve their treatment and care. Four
million people in the UK use illicit drugs each year and drug
misuse presents a considerable health risk and can lead to
significant social problems. This NICE guideline is an important
tool in helping people to overcome their drug problem.
It provides an overview of drug misuse and
covers identification and recognition, brief interventions and
reduction of injection and sexual risk behaviours, psychological
interventions (including contingency management, behavioural
couples therapy and cognitive behavioural therapy), and the
settings where treatment takes place (residential, prison and
inpatient care). The book contains a chapter on service-user
experience and involvement in drug services and there is also
advice for family members and carers of people with a drug
problem.
This book has a ‘sister title’: Drug Misuse: Opioid Detoxification
NICE Mental Health Guidelines
These guidelines from NICE set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines that cannot be obtained
in print anywhere else. It brings together all of the evidence that
led to the recommendations made, detailed explanations of the
methodology behind their preparation, plus an overview of the
condition covering detection, diagnosis and assessment, and the
full range of treatment and care approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Full Contents
Guideline Development Group members
1. Executive summary
- General considerations
- Identification and assessment of drug
misuse
- Brief interventions and self-help
- Formal psychosocial interventions
- Residential, prison and inpatient care
- Research recommendations
2. Introduction
- National guidelines
- The national psychosocial interventions for
drug misuse guideline
3. Introduction to drug
misuse
- Drug misuse
- Epidemiology of drug misuse
- Aetiology and maintenance of drug
misuse
- The course of drug misuse
- The pharmacological effects of drug
misuse
- The public health impact of drug misuse
- Identification and assessment of drug
misuse
- The aims of the treatment and management of
drug misuse
- Current care and treatment in the NHS
- Service-user organisations
- Drug misuse and the family
- Economic impact of drug misuse
- Clinical practice recommendations
4. Methods used to develop this
guideline
- Overview
- The scope
- The Guideline Development Group
- Clinical questions
- Systematic clinical literature review
- Systematic economic literature review
- Stakeholder contributions
- Validation of this guideline
5. Service-user involvement and
experience, and impact on carers
- Introduction
- Historical perspectives of service-user
involvement
- Service-user experience of services
- Addressing the needs of families and
carers
6. Identification and
recognition
- Introduction
- Identification tools
7. Brief interventions and reduction
of injection and sexual risk behaviours
- Introduction
- Brief interventions
- Psychosocial interventions to improve
concordance with physical healthcare
- Psychosocial interventions to reduce
injecting and sexual risk behaviours
8. Psychological
interventions
- Introduction
- Outcomes
- Psychological interventions alone for the
management of drug misuse (cocaine, cannabis and opioids)
- Psychological interventions in combination
with opioid agonist maintenance treatment
- Psychological interventions in combination
with naltrexone maintenance treatment
- Self-help groups
- Coordination of care and case
management
- Multi-modal care programmes
- Vocational interventions
9. Residential, prison and inpatient
care
- Introduction
- Inpatient settings
- Residential settings
- Legally coerced treatment interventions
- Prison
10. Appendices
11. Glossary
12. References
13. Abbreviations