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Psychosis with coexisting substance misuse: assessment and management in adults and young people
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 387p., bibliog.
- Place of publication:
- London
Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline was developed to advise on the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have direct contact with, and make decisions concerning the care of, adults and young people with psychosis who use drugs and/or alcohol. It sets out the clinical practice and research recommendations, with details of how they were developed and reviews of the evidence they were based on. It describes the evidence that underpins the recommendations, covering experience of care, assessment and care pathways, service delivery models for people with psychosis and coexisting substance misuse, psychological and psychosocial interventions, pharmacological and physical interventions, and young people with psychosis and coexisting substance misuse. Accompanying publications include the NICE guideline (a version of the guideline with all the recommendations), and Understanding NICE Guidance (a summary for patients and carers).