Abstract
A 12-month prospective survey was undertaken of all 239 problem drug users known to general practitioners in Bristol and the doctors' attitudes towards them. The drug users were predominantly young, aged 15-35 years, and males outnumbered females by approximately two to one. Seventy-eight per cent had problems associated with opiates, almost invariably heroin, 10% had problems with stimulants (mainly amphetamine powder), and others had problems with hallucinogens, cannabis, barbiturates and solvents. Opiate dependence was the commonest single problem but ill health, hepatitis, psychiatric illnesses, relationship problems, work and financial difficulties were also frequently mentioned.
There was a wide variation in the numbers of problem drug users seen by individual practices, which related both to the situation of the practice and the widely varying attitudes of the partners towards drug users and drug problems. General practitioners were aware of the grapevine that transmits news of their treatment to other users, and individual practices had typically evolved a general strategy for all drug users, to minimize arguments. General practitioners were asked their views about specialist services: they thought that services in the area for drug users were inadequate to help them and their patients in 58% of cases. Several suggestions were made for additional services which were needed.
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Selected References
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- Connell P. H. The 1985 Dent memorial lecture. 'I need heroin'. Thirty years' experience of drug dependence and of the medical challenges at local, national, international and political level. What next? Br J Addict. 1986 Aug;81(4):461–472. doi: 10.1111/j.1360-0443.1986.tb00357.x. [DOI] [PubMed] [Google Scholar]
- Glanz A. Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: views on treatment. Br Med J (Clin Res Ed) 1986 Aug 30;293(6546):543–545. doi: 10.1136/bmj.293.6546.543. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Glanz A., Taylor C. Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: extent of contact with opiate misusers. Br Med J (Clin Res Ed) 1986 Aug 16;293(6544):427–430. doi: 10.1136/bmj.293.6544.427. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robertson J. R. Drug users in contact with general practice. Br Med J (Clin Res Ed) 1985 Jan 5;290(6461):34–35. doi: 10.1136/bmj.290.6461.34. [DOI] [PMC free article] [PubMed] [Google Scholar]