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Starting methadone treatment in prison radically improves treatment uptake on release and reduces heroin and cocaine use over the following year, reports the first US randomised trial among formerly opiate dependent prisoners.
NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.
More media stories of addiction being successfully treated would reduce stigma and ease social reintegration and recovery, suggests this innovative study. Reading just one such story made a national US sample more willing to work with former dependent users of illicit heroin or prescription painkillers and accept them into their families.
Experience in California of developing and implementing a system for assessing patients' needs and matching to appropriate services offers an unusually fully developed model for promoting recovery and judging the outcomes achieved by a service in the light of its patient profile.
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