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A REPORT OF A JOINT WORKING GROUP OF THE NATIONAL PHARMACEUTICAL FORUM / SCOTTISH MEDICAL AND SCIENTIFIC ADVISORY COMMITTEE ISBN 0 7559 4693 6 This document is also available in pdf format (628k)
Summary of Main Recommendation
I. INTRODUCTION Introduction Background Remit Methodology Key Aims of the Report
II. POLICY CONTEXT Introduction Summary of National Policy • Drug Misuse • Smoking • Alcohol Conclusion
III. PHARMACEUTICAL SERVICES FOR SUBSTANCE MISUSERS: SUMMARY OF EXISTING SERVICES Introduction Summary of Services Provided by Pharmacists to Substance Misusers • Health Promotion and Health Education • Prescription Monitoring • Medication Review • Substitute Medication and Detoxification • Care Management • Drug Testing • Needle and Syringe Exchange Schemes • Treatment of Overdose • Detection/Management of Solvent Misuse • Misuse of Over-The-Counter ( OTC) Medicines • Smoking Cessation Schemes ( SCS) • Alcohol Counselling
IV. CHALLENGES TO EFFECTIVE SERVICE PROVISION AND WAYS TO ADDRESS THEM Introduction Legal and Ethical Challenges Professional Challenges Educational Challenges Other Challenges
V. THE WAY FORWARD Introduction The Concept of Integrated Care An Integrated Pharmaceutical Care Model for Substance Misusers
VI. CONCLUSION Conclusion Overview of Recommendations
Glossary of Acronyms and Abbreviations
APPENDICES Appendix I Membership of the Group.Appendix II List of Contributors.Appendix III Drug Misuse in Scotland: Some Facts.Appendix IV Drug Misuse in Pregnancy.Appendix V Drug-related Deaths in Scotland.Appendix VI Number of Pharmacies Involved in the Supervised Self-Administration of Methadone [by NHS Board Area].Appendix VII Prescriptions for Methadone Mixture: 1998/99 -2002/03.Appendix VIII Number of Pharmacy-based Needle Exchanges [by NHS Board Area].Appendix IX Specialist Pharmacists in Substance Misuse ( SPiSMs).Appendix X Examples of Agencies Working in Partnership.Appendix XI Useful Addresses.
TERMS OF REFERENCE
The Group was set up to explore ways to maximise the contribution of pharmacists to services for substance misusers in Scotland and to report on the findings to the Chief Pharmaceutical Officer.
Page updated: Thursday, August 25, 2005