5. Substitute Opioid Prescribing (Buprenorphine) and related Psychosocial Interventions

 

Substitute Opioid Prescribing (Buprenorphine) maintenance treatment & structured evidence based psychosocial interventions.  The care plan for prescribing should include key working to deliver:

 

     Care plan reviews

     Provision of advice and information

     Harm reduction advice and interventions

     Interventions to increase motivation

     Relapse prevention.

 

The plan may also include more formal psychosocial interventions including Motivational Interviewing (MI), Community Reinforcement Approach, Cognitive Behavioural Therapy, Family Therapy, and Behavioural Couples Therapy, structured day programmes, structured 1-1 counselling, structured group work. 

 

The modality / intervention start is the date of dispensing the first dose of medication.

 

All prescribing interventions must be carried out in line with the Drug Misuse and Dependence – UK Guidelines on Clinical Management 2007. NICE Guideline on Psychosocial Interventions in Drug Misuse 2007.

 

This should not be used to record Injectable Buprenorphine (see Substitute Opioid Prescribing (Injectable Buprenorphine)).