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Psychosis with Coexisting Substance Misuse

Assessment and Management in Adults and Young People

NICE Clinical Guidelines, No. 120


Leicester (UK): British Psychological Society; .
ISBN-13: 978-1-908020-30-7

This clinical guideline covers the assessment and management of adults and young people (aged 14 years and older) who have a clinical diagnosis of psychosis (schizophrenia, bipolar disorder or other affective psychosis) and coexisting substance misuse (harmful use of any psychotropic substance including alcohol and legal or illicit drugs).

Around 40% of people experiencing psychosis also misuse substances at some point in their lives, which can lead to serious health and social problems for the person and complicate their treatment.

Although separate NICE guidelines have been developed for the management of schizophrenia, bipolar disorder and drug and alcohol misuse, the importance of this new guideline on psychosis and substance misuse is that it offers advice on how to integrate treatment for people with these commonly coexisting conditions.

The guideline includes comprehensive reviews of assessment, care pathways and service delivery models, psychological and pharmacological interventions for both conditions, and treatment and services for young people. There is also an extensive review of the experience of care.


The views presented in this book do not necessarily reflect those of the British Psychological Society, and the publishers are not responsible for any error of omission or fact. The British Psychological Society is a registered charity (no. 229642).

Copyright © 2011, The British Psychological Society & The Royal College of Psychiatrists.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Enquiries in this regard should be directed to the British Psychological Society.

Bookshelf ID: NBK109783PMID: 23115814


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