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. 1992 May 2;304(6835):1158–1160. doi: 10.1136/bmj.304.6835.1158

Problem drug use in a central London general practice.

J Cohen 1, A Schamroth 1, I Nazareth 1, M Johnson 1, S Graham 1, D Thomson 1
PMCID: PMC1882086  PMID: 1327365

Abstract

OBJECTIVE--To describe the profile of problem drug users presenting in general practice and to determine whether they can be cared for in general practice. DESIGN--Study of consultations by problem drug users. SETTING--Central London general practice. SUBJECTS--150 problem drug users presenting over two years. MAIN OUTCOME MEASURES--Stopping drug use, alterations in lifestyle, obtaining paid work, and stopping drug related crime. RESULTS--Of the 150 patients, 111 were men and 39 women, and 106 were unemployed. 121 patients used heroin, 112 of whom injected. 145 patients accepted a methadone reduction programme and 81 completed it. A further 25 were stabilised on reducing doses of methadone, until places became available for them as inpatients at drug dependency units or rehabilitation projects. CONCLUSION--Withdrawal programmes for patients who misuse drugs can be successfully managed in general practice.

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Selected References

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  1. Cohen J., Schamroth A. The challenge of illicit drug addiction for general practice. Drug Alcohol Depend. 1990 Jun;25(3):315–318. doi: 10.1016/0376-8716(90)90157-a. [DOI] [PubMed] [Google Scholar]
  2. Cook C. C., Lipsedge M. S. Managing drug addiction in general practice. J R Soc Med. 1987 Dec;80(12):782–783. doi: 10.1177/014107688708001222. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Glanz A. Findings of a national survey of the role of general practitioners in the treatment of opiate misuse: dealing with the opiate misuser. Br Med J (Clin Res Ed) 1986 Aug 23;293(6545):486–488. doi: 10.1136/bmj.293.6545.486. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. 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]
  5. Martin E. Managing drug addiction in general practice--the reality behind the guidelines: discussion paper. J R Soc Med. 1987 May;80(5):305–307. doi: 10.1177/014107688708000516. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Neville R. G., McKellican J. F., Foster J. Heroin users in general practice: ascertainment and features. Br Med J (Clin Res Ed) 1988 Mar 12;296(6624):755–758. doi: 10.1136/bmj.296.6624.755. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Parker J., Gay M. Problem drug users known to Bristol general practitioners. J R Coll Gen Pract. 1987 Jun;37(299):260–263. [PMC free article] [PubMed] [Google Scholar]
  8. Skidmore C. A., Robertson J. R., Robertson A. A., Elton R. A. After the epidemic: follow up study of HIV seroprevalence and changing patterns of drug use. BMJ. 1990 Jan 27;300(6719):219–223. doi: 10.1136/bmj.300.6719.219. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Skidmore C. A., Robertson J. R., Simpson D., Jarvie D. R. Toxicological screening in heroin users: implications for management of drug misuse. J R Coll Gen Pract. 1987 Sep;37(302):397–399. [PMC free article] [PubMed] [Google Scholar]
  10. Sykes G. S., Molloy P. M., Johnson P., Gu W., Ashworth F., Stirrat G. M., Turnbull A. C. Do Apgar scores indicate asphyxia? Lancet. 1982 Feb 27;1(8270):494–496. doi: 10.1016/s0140-6736(82)91462-3. [DOI] [PubMed] [Google Scholar]

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