Coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings

National Institute for Health and Care Excellence (2011)

NICE - N/A

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Evidence Categories

• Care setting: Healthcare Setting
• Care setting: Community setting
• Population group: Mental health condition
• Population group: Adults
• Population group: Children & Young adults
• Intervention: Supporting behaviour change
• Outcome: Abstinence from alcohol
• Outcome: Changes to frequency/amount of alcohol use

Type of Evidence

Guidance

Overview

This guideline covers assessing and managing people aged 14 years and over with coexisting severe mental illness (psychosis) and substance misuse. It aims to help healthcare professionals guide people with psychosis with coexisting substance misuse to stabilise, reduce or stop their substance misuse, to improve treatment adherence and outcomes, and to enhance their lives.

Recommendations

"This guideline includes recommendations on:

• principles of care
• recognising psychosis with coexisting substance misuse
• primary care
• secondary care mental health services
• substance misuse services
• inpatient mental health services and staffed accommodation
• specific issues for young people with psychosis and coexisting substance misuse"