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Six years' experience of sharing the care of Edinburgh's drug users

  • Judy Greenwood (a1)
Abstract

Six yean ago, Edinburgh's community drug problem service established a model of shared care between drug specialists and general practitioners who were encouraged to prescribe oral methadone and other drug substitutes in an attempt to reduce drug injecting and the spread of HIV in a city with a high seroprevalence rate. Of Edinburgh's GPs, 70% now prescribe for around 1200 drug users who have altered their pattern of drug taking, with a marked shift away from injecting drug use, and towards oral pharmaceutical drugs. HIV rates among new referrals to the service have fallen from 21% to 8%.

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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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Bury, J. (1994) HIV Infection and Drug Misuse in Lothian General Practice. Report on Epidemiological Questionnaire 1993. Lothian Health Authority.
Department of Health (1991) Drug Misuse and Dependence: Guidelines on Clinical Management London: HMSO.
Department of Health and Social Security (1988) AIDS and Drug Misuse, Part I. Report by the Advisory Council on the Misuse of Drugs. London: HMSO.
Department of Health and Social Security (1993) AIDS and Drug Misuse Update. Report by the Advisory Council on the Misuse of Drugs. London: HMSO.
Greenwood, J. (1990) Creating a new drug service in Edinburgh. British Medical Journal 300, 587589.
Greenwood, J. (1992) Persuading general practitioners to prescribe – good husbandry or a recipe for chaos? British Journal of Addiction, 87, 567575.
Griffin, S., Peters, A. & Reid, M. (1993) Drug misusers in Lothian: changes in injecting habits 1988–90. British Medical Journal 306, 693.
Haw, S. (1993) Pharmaceutical Drugs and Illicit Drug Use in Lothian Region. Edinburgh: Centre of HIV/AIDS and Drug Studies.
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National Health Service in Scotland (1992) Scottish Drug Misuse Database Bulletin. Information and Statistics Division, National Health Service in Scotland, Edinburgh.
Shannon, H. (1992) Lothian Drug Misuse Database: general report Edinburgh.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Six years' experience of sharing the care of Edinburgh's drug users

  • Judy Greenwood (a1)
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