A review of guidelines for collaboration in substance misuse management.

Background
Substance misuse among the working population results in increasing economic costs. General
practitioners (GPs) and occupational physicians (OPs) can play a central role in detecting and man
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aging substance misuse in the working population. Their collaboration could be critical in coordinat
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ing care, in facilitating rehabilitation and in reducing sickness absence.
Aims
To search guidelines for evidence on collaboration between GPs and OPs in substance misuse detec
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tion and management in the working population.
Methods
International guidelines regarding collaborative care for alcohol, illicit drug, hypnotic and tranquil
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lizer misuse were identified by a systematic search in the Guidelines International Network and US
National Guidelines Clearinghouse databases.
Results
In total, 20 guidelines were considered of sufficient methodological quality, based on the criteria of
the Appraisal of Guidelines for Research and Education II instrument. Only two guidelines reported
on the OP's role in screening and intervention for alcohol misuse.
Conclusions
There is a lack of guidance on the OP's role and on collaboration between GPs and OPs in this field.
Further study is required on their respective roles in substance misuse management, the effective
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ness of workplace interventions and the benefits of collaboration.

Jaar van publicatie:2013

Trefwoorden:Collaboration, General practitioner, Guidelines, Occupational physicians, Substance misuse

Toegankelijkheid:Closed