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The update to Drug Misuse and Dependence: UK guidelines on clinical management (often called the orange book) has been published. Last updated in 2007, the newly updated guidelines endorse much of the previous guidelines. But there is a stronger emphasis on recovery and on a holistic approach to the issues and interventions that can support recovery. Key additions and reinforced messages for 2017 include: incorporation of clinical guidance on prison-based treatment, new psychoactive substances and club drugs, mental health co-morbidity, misuse of prescribed and over-the-counter medicines, smoking cessation, and preventing drug-related deaths, including naloxone provision.


Dr Linda Harris, Chair of the National Clinical Reference Group for Health and Justice said “It was a pleasure to represent  health and justice as a member of the National Clinical Guidelines Working Group. Much has changed in our secure and detained settings since the last publication in 2007 and in recognition of the specific needs of people in contact with the criminal justice system there is a dedicated chapter highlighting best practice management in prison settings. This guidance serves as a reminder of clinically effective and well led practice across all aspects of care  and also highlights new trends in treatment and management of addiction”