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
Widening the availability of naloxone
Naloxone saves lives e-learning
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