Professional Guidelines for the best practice treatment of Substance Abuse

This large e-book contains detailed information on identifying substance misuse or addiction, brief interventions (treatment) and referral to specialist services. This material is not 'general light reading on drug addiction' but is professional medical advice written for health workers seeking access to information in this specialist area.

The information provided is copyright of Dr Bruce Trathen MBBS MRC Psych (2006). ISBN 0-9545164-0-0. The author grants permission for these guidelines to be downloaded, copied and distributed freely, but does not grant permission for their sale, alteration or publication in any other format.

Owing to the large file size of the complete document, these addiction guidelines can be downloaded in sections below:

A	Contents	5
A1	Basic Principles	6
A2	Identification of Substance Misuse	9
A3	Brief Interventions	11
A4	Referral to Specialist Services	13
B	Contents	15
B1	Initial Appraisal	16
B2	Basic Counselling Interventions	17
C	Contents	19
C1	Principles of Joint Working in Shared-Care	20
C2	Pharmacological Approaches -Basic Principles	21
C3	The Medical Management of Intoxication	22
C4	The Management of Withdrawal Syndromes	25
C5	Community Prescribing for Opiate Dependency	34
C6	Medication to Prevent Relapse	41
C7	Prescribing Sedative-Hypnotics	45
C8	Viral Hepatitis and HIV	46
C9	Viral Hepatitis and HIV 'Dual Diagnosis' 1	50
D	Contents	51
D1	The Management of 'Dual Diagnosis' 2	52
D2	In-Patient Detoxification Methods	56
E	Contents	57
E1	Full Needs Assessment	58
E2	Risk Assessment	62
E3	Care-planning & Care-coordination	63
E4	Social Interventions	65
E5	Psychosocial Interventions	67
	Common Tasks for Psychosocial Interventions	67
	Specific Interventions	68
	Setting: Residential & Community Psychosocial Services	67
	Therapists & Counsellors	67
E6	Alternative Therapies	67
E7	Specialist Pharmacological & Biochemical Interventions
	Dispensing Services	81
	The Opiate Addiction Test	81
	Tolerance Testing	82
	Specialist In-Patient Detoxification	85
	Specialist Opiate Detoxification Techniques	86
	Specialist Community Prescribing Interventions	89
	Biochemical Techniques for Monitoring of Substance Misuse	91
E8	Pregnancy	96
E9	Polydrug misuse	101
E10	Chaotic Behaviour & Poor Concordance	104
E11	The Management of Stimulant, Solvent and Steroid Misuse	108
R1	References	110
X	Contents	113
X1	Service Standards	114
X2	The Stages of Change Model	116
X3	Intoxication and Withdrawal Syndromes	117
X4	Physical complications of injecting drug misuse	119
X5	Interpretation of laboratory urine drugs of misuse screening tests	121
X6	Interpretation of screening tests for hepatitis B,hepatitis C and HIV	122
X7	Dosage equivalents of various controlled medications	123
X8	Illicit drug/prescribed drug interactions	124
X9	Products and foodstuffs to avoid when using Antabuse	129
X10	Detoxification protocols and withdrawal scales	130
X11	Example protocol for the administration of the 'Narcan Challenge'	152
X12	Contact details for AA and other '12-step' meetings; the 'Twelve Traditions'	155