Guidance

Part 5: resources and further reading

Published 21 July 2021

Applies to England

Practical resources

You can use the following resources in your day-to-day opioid substitution treatment (OST) practice.

You can find a graph showing the relationship between increased methadone dose and reduced heroin use in part 1 of this guidance . It will help you to discuss with service users the evidence showing that the higher the methadone dose, the lower the amount of heroin people will use.

The Clinical Opioid Withdrawal Scale (COWS) and Subjective Opiate Withdrawal Scale (SOWS) will help you to assess evidence of opioid withdrawal.

The Routes to recovery from substance addiction: mapping user manual is for healthcare practitioners to help them build and carry out an effective plan for recovery from substance addiction. It includes ‘maps’ you can use with service users that cover injecting, the main features of methadone and buprenorphine, motivational interviewing and opioid withdrawal syndrome.

Further reading

The following reports, guidance and campaigns will help to deepen your understanding of topics covered in this guide.

OST

Drug misuse and dependence UK guidelines on clinical management

Methadone and buprenorphine for the management of opioid dependence, NICE technology appraisal 114

Medications in recovery: re-orientating drug dependence treatment (UK Government Web Archive)

Naltrexone for management of opioid dependence

Optimising opioid substitution treatment: turning evidence into practice

Risk of death during and after opiate substitution treatment in primary care

Biological testing in drug and alcohol treatment (UK Government Web Archive)

Injectable opioid treatment: commissioning and providing services

Opioid detoxification

Drug misuse in over 16s: opioid detoxification, NICE clinical guideline 52

Harm reduction

Harm Reduction Works

Widening the availability of naloxone

Naloxone saves lives e-learning

Wound aware toolkit

Psychosocial interventions

Routes to recovery: psychosocial interventions for drug misuse

Drug misuse in over 16s: psychosocial interventions, NICE clinical guideline 51

Keyworking and treatment and recovery care planning

Good practice in care planning

Node-link mapping and the evaluation of drug abuse counseling sessions

Recovery support

Mutual aid toolkit for drug and alcohol treatment

Smoking and tobacco

Smoking and tobacco: applying All Our Health

National Centre for Smoking Cessation and Training: very brief advice (VBA) e-learning

E-cigarettes: a guide for healthcare professionals e-learning

Co-occurring mental health and alcohol and drug use conditions

Commissioning and providing better care for people with co-occurring mental health, and alcohol and drug use conditions

Improving Access to Psychological Therapies (IAPT) positive practice guide for working with people who use drugs and alcohol