Around 40% of people experiencing psychosis also misuse substances at some point in their lives, which can lead to serious health and social problems for the person and complicate their treatment.
This new guideline covers the assessment and management of adults and young people (aged 14 years and older) who have a clinical diagnosis of psychosis (schizophrenia, bipolar disorder or other affective psychosis) and coexisting substance misuse (harmful use of any psychotropic substance including alcohol and legal or illicit drugs).
Although separate NICE guidelines have been developed for the management of schizophrenia, bipolar disorder and drug and alcohol misuse, the importance of this new guideline on psychosis and substance misuse is in offering advice on how to integrate treatment for people with these commonly coexisting conditions.
The guideline includes comprehensive reviews of assessment, care pathways and service delivery models, psychological and pharmacological interventions for both conditions, and treatment and services for young people.
Readership: All mental health professionals, especially those working in substance misuse services. NICE Mental Health Guidelines
These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.
The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches.
The accompanying CD-ROM contains all the data used as evidence, including: Included and excluded studies.
Profile tables that summarise both the quality of the evidence and the results of the evidence synthesis.
All meta-analytical data, presented as forest plots.
Detailed information about how to use and interpret forest plots. Contents Preface
Psychosis with coexisting substance misuse
Method used to develop this guideline
Experience of care
Assessment and care pathways
Service delivery models
Psychological and psychosocial interventions
Pharmacological and physical interventions
Young people with psychosis and coexisting substance misuse
Summary of recommendations
Appendices
References
Abbreviations | 
