Date lodged: 15 October 2018
To ask the Scottish Government what guidance and processes are in place to assist NHS staff to recognise, treat and care for adults and young people with psychosis and coexisting substance misuse, and whether there are any plans to update these.
Answered by: Clare Haughey 31 October 2018
There is a strong existing evidence base around coexisting psychosis and substance misuse. NICE clinical guidance CG120 contains detailed information about assessment and management: https://www.nice.org.uk/guidance/cg120
SIGN 131 guidelines cover the management of schizophrenia, and include a dedicated section on dual diagnosis: https://www.sign.ac.uk/assets/sign131.pdf
We are not aware of any current plans to update this guidance.
Some local services across NHS Scotland have their own specific policy and guidance to ensure that local service delivery is matched to need.
Additionally, the Scottish Government will publish a new alcohol and drug strategy this autumn. It will challenge alcohol and drug treatment services to adapt the ways in which they work, in order to better meet the wide range of complex health and social care needs.