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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Greenwood, J. |
| Spatial Coverage | Scotland |
| Description | Author Affiliation: Greenwood J ( Royal Edinburgh Hospital.); |
| Abstract | After one year Edinburgh's Community Drug Problem Service has shown that if psychiatric services offer consultation and regular support for drug users many general practitioners will share the care of such patients and prescribe for them, under contract conditions, whether the key worker is a community psychiatric nurse or a drug worker from a voluntary agency. This seems to apply whether the prescribing is part of a 'harm reduction' strategy over a long period or whether it is a short period of methadone substitution treatment. Given the 50% prevalence of HIV infection among drug users in the Edinburgh area and the fact that only half of them have been tested for seropositivity, the health and care of this demanding group of young people with a chaotic lifestyle are better shared among primary care, community based drug workers, and specialist community drugs team than treated exclusively by a centralised hospital drug dependency unit. As the progression to AIDS is predictable in a larger proportion of drug users who are positive for HIV, there is an even greater need for coordinated care between specialists and community agencies in the near future. |
| ISSN | 09598138 |
| e-ISSN | 17561833 |
| Journal | BMJ (British Medical Journal) |
| Issue Number | 6724 |
| Volume Number | 300 |
| Language | English |
| Publisher | British Medical Journal Publishing Group |
| Publisher Date | 1990-05-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Community Mental Health Services Organization & Administration Substance-Related Disorders Rehabilitation HIV Seropositivity Methadone Therapeutic Use Referral And Consultation Scotland Medicine |
| Content Type | Text |
| Resource Type | Article |
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