Substance Misuse Service

Linking between general psychiatric and substance misuse services Comprehensiveness... 

Shanahan W, Seivewright N Ford C (2003). Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. British Journal of Psychiatry, 183, 304-13 Webster LR (2005). Methadone-related deaths. 

If they do, check for contact with substance misuse services, and take a more detailed history, covering the last five days use. For each substance, check TRAPPED (TAPPED for alcohol) ... 

Reduce/stop caffeine address alcohol, drugs ( substance misuse service)... 

Encourage Jenny to attend substance misuse services if appropriate. 

Provide simple, non-judgemental information about the possible inpact of substance misuse on symptoms, offering information on substance misuse services if needed. 

Some substance misuse services also run family/carer groups. 

Past contact with psychiatric/substance misuse services... 

It is useful for clinicians in drug misuse services to know of the various approaches to smoking cessation, even though they may not be directly involved in deploying them. The treatments have been concisely reviewed by Aveyard and West (2007), and can be divided into four categories. Also, some reviews have particularly concentrated on smoking cessation in substance misusers (Sullivan Covey 2002). 

Johnson S (1997). Dual diagnosis of severe mental illness and substance misuse a case for specialist services. British Journal of Psychiatry, 171, 205-8... 

You ll see a spectrum of dual diagnosis in the community from people with severe mental illness intertwined with substance misuse, to those who function well, but use substances behind the scenes to cope with depression or anxiety. In a general CMHT, your roles are to help Alex think about his drug use, manage co-morbid conditions, and liaise with addictions services (Ch.41). 

Explain that adherence to treatment plans for mental illness or substance misuse will be crucial in the eyes of social services (Box 64.2). 

Lastly, always follow the label. Any material sold as a crop protection chemical in the United States must be registered with the Environment Protection Agency (EPA) and labeled. The label must be followed. Failure to do so is illegal and can be dangerous. Labels list time and rate of application and the vegetables and pests on which the product can be used. They also contain other information, such as safety precautions. Always read the label and use the chemical only where and how it is permitted. It is possible to cause severe environmental or bodily injury if agricrrltural chemicals are misused. In no case does the Agricultirral Extension Service recommend the use of any plant protection substance in a marmer inconsistent with its label. 

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