Conclusions

The provision of effective and well-organized treatment services for drug misusers is a priority in many countries worldwide. Drug use disorders are diverse and are characterized and influenced by individual, social, and environmental factors. There are a variety of access points into treatment in the public health and social care systems, and to an increasing extent in the criminal justice system. In response, an array of specialist and generalist providers of treatment in many countries offer a broad range of treatments. There is a growing evidence base for the effectiveness of several types of well-delivered harm-minimization, substitute prescribing, and detoxification and rehabilitation services, and there should be appropriate access or direct provision of these services. Partnership is vital between agencies spanning specialist drug treatment services, general medical, general practice and across health authorities, social services, non-statutory agencies, and criminal justice agencies. For effective service provision at the local level, service commissioners need to assess population needs, estimate the probable level of requirement for treatment, and make an active and sustained commitment to providing efficient and effective services.

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