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Shared care for treatment of opioid dependence and the new General Medical Services contract

  • Anna Marie Felice (a1) and Christos Kouimtsidis (a2)
Abstract
Aims and Methods

An audit of clients in specialist and shared care services was undertaken in 2003 and in 2005 to investigate the capacity, quality of prescribed medication and profile of clients, and to assess the impact of the new General Medical Services contract on drug misuse treatment.

Results

Capacity in specialist services increased by 55% from 2003 to 2005, but not in shared care, and type and dosage of prescribed medication improved for shared care. Profile of clients suggests that stable clients are treated within shared care.

Clinical Implications

Attention should be given in training general practitioners to provide shared care treatment, increasing the number of clients accepted in shared care, and considering new treatment models.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Commission for Healthcare Audit and Inspection (2006) Improving Services for Substance Misuse, a Joint Review. Commission for Healthcare Audit and Inspection.
Department of Health (1996) Reviewing Shared Care Arrangements for Drug Misusers. Department of Health Circular. EL (95) 114. Department of Health.
Department of Health (1998) The Task Force to Review Services for Drug Misusers. Report of an Independent Review of Drug Treatment Services in England. Department of Health.
Department of Health Scottish Office Department of Health, Welsh Office Department of Health and Social Services, Northern Ireland (1999) Drug Misuse and Dependence: Guidelines on Clinical Management TSO (The Stationery Office).
National Treatment Agency for Substance Misuse (2002) Models of Care for Treatment of Adult Drug Misusers. Part 2: Full Reference Report. National Treatment Agency for Substance Misuse.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Shared care for treatment of opioid dependence and the new General Medical Services contract

  • Anna Marie Felice (a1) and Christos Kouimtsidis (a2)
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