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Through broad consultation among our members, we developed the following brief description of the role of an Addictions Psychiatrist:

“We are medical doctors who have completed extensive training in psychiatry (including the use of mental health legislation) and addiction. In combining these skills, we have unique expertise in the management of addiction problems in complex cases, particularly co-morbid mental health problems.

Our extensive knowledge extends to all aspects of addiction, including individual brain mechanisms, behaviour and its overall effect on the family, society and the economy. Combined with excellent communication skills, this enables us to offer a holistic approach that considers how biological, psychological and social factors impact on a person’s life and recovery journey.

We are the clinical leads for addiction teams and bear the ultimate clinical responsibility for the people we see. Our training has prepared us for formal leadership roles enabling us to take on senior management positions within addiction teams, and to provide consultation on issues of service development, clinical governance, commissioning, public health, interpretation of research findings, training and evidence based practice.”

See more about what it takes to be an addictions psychiatrist.

Web resources

is a free, evidence-based, mobile-learning application aimed at clinicians and other practitioners who want to improve their knowledge of the acute and chronic clinical harms of non-medical prescription drug use.

There are a number of clinical guidelines around the management of substance use disorders, which can be found? here:

Further reading

• The Globalization of Addiction: A Study in Poverty of the Spirit. Bruce K Alexander? ? 
• Rethinking Substance Abuse: What the Science Shows and What we Should do About it. Edited by William Miller & Kathleen Carroll. Guilford Press, 2006?? 
• Treating Addiction: A Guide for Professionals. William Miller, Alyssa Forcehimes, Allen Zweben. Guilford Press, 2019 (2nd edition)??
• Theory of Addiction. Robert West & Jamie Brown, Wiley Blackwell, 2013?

Government guidance

Lived experience organisations

• The College of Lived Experience Recovery Organisations (CLERO)
• and downloadable 

Evidence for recovery support services

• website; stigma-free language, research findings, pathways to recovery and the brain in recovery.
•  

Mutual aid organisations

Resources for families

• are a national UK charity that aim to empower family members and carers, support front-line workers and influence decision makers.
• have a helpline, a guide to local support services and bereavement support services.
• provides a resources for anyone whose life is or has been affected by someone else’s drinking, as well as resources for members and professionals.

Resources for students in recovery

•  is a student addiction recovery programme at the University of Birmingham.
• The  represents collegiate recovery programs, the staff who support them, and the students who represent them.

Podcasts

Key reading

• Kelly JF & White W (2011) Addiction Recovery Management: Theory, Research & Practice. Humana Press, New York.
• Best D (2019) Pathways to Recovery and Desistance: The role of social contagion and hope. Policy Press, Bristol
• White W & Mojer-Torres L (2010) Recovery-Oriented Methadone Maintenance. Monograph series from the Great Lakes Addiction Technology Transfer Center Chicago, IL
• White, W. (2009). Peer-based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation. Chicago, IL: Peer-based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation
• White, W. (2008). Recovery Management and Recovery-Oriented Systems of Care: Scientific Rationale and Promising Practices. Pittsburgh, PA: Northeast Addiction Technology Transfer Center, Great Lakes Addiction Technology Transfer Center, Philadelphia Department of Behavioral Health & Mental Retardation Services
• White WL, Kurtz E & Sanders M (2006) Recovery Management. Monograph series from the Great Lakes Addiction Technology Transfer Center Chicago, IL

Introduction

Public Health England (PHE)

European data

Opioid withdrawal

• – patient experience documentary

Assessment of opioid dependence

Initial investigation

Management

Naloxone Use Training

Prefilled injection

Nasal Spray

Naltrexone

•  (Appendix M)

Harm Reduction

Orange Guidelines

Pain

Introduction 

• was developed as a model for substance awareness
• gives a brief overview of the pharmacology of hallucinogens and the of common hallucinogens 

Epidemiology 

Introduction

•  including 

Epidemiology 

• uses data from the crime survey in England and Wales to provide an overview of the extent and trends of illicit drug use including cannabis use

Screening and Assessment

The following are commonly used self-reported screening instruments: 

• ; Cannabis Use Disorders Identification Test
• ; the Alcohol, Smoking and Substance Involvement Screening Tool
• (CAST) is suggested by the EMCDDA for use in screening for problematic use of cannabis
• (SDS)

Cannabis and mental health 

•  
• r: Epidemiology, pharmacology, comorbidities, and adverse effects 

Management

• can be done using motivational enhancement, cognitive behavioural therapy, and incentive for abstinence
  

Cannabis and the law

Introduction

• - alcohol related news, publications and data  

 Validated Tools for screening and assessment of alcohol use disorder 

• – consumption?(AUDIT C) 
• calculator 
  

Assessment and management

• Managing alcohol withdrawal in acute in-patient psychiatry 
• Alcohol self-management during COVID-19 and beyond

Alcohol related brain injury

Introduction

Epidemiology

• OHID/PHE review
• 
  

Screening and assessment

An individual must meet 4 out of 9 of the following criteria in the preceding year to make a diagnosis of gambling disorder:

• Need to gamble with increasing amounts to achieve the desired excitement.
• Restless or irritable when trying to cut down or stop gambling.
• Repeated unsuccessful efforts to control, cut back on or stop gambling.
• Frequent thoughts about gambling (such as reliving past gambling or planning future gambling).
• Often gambling when feeling distressed.
• After losing money gambling, often returning to get even. (This is referred to as "chasing" one's losses.)
• Lying to hide gambling activity.
• Risking or losing a close relationship, a job, or a school or job opportunity because of gambling.
• Relying on others to help with money problems caused by gambling.

Screening instruments

recommend that health professionals ask people about gambling, .

Management

Currently, NHS treatment services for gambling disorder cover:

Pharmacological management

Effects on health

Smoking in Pregnancy 

Management

Advanced reading