Table 5 Care pathway and integrated care provision
Guideline | Does the guideline mention continuity of care i.e. importance of same health or key worker in managing the substance misuse or mental health/ continuity of care? | Where should integrated services be provided | Is there a mention of the role of emergency department or A&E and what they should do if patients present there? |
|---|---|---|---|
NICE 2011 (coexisting disorders) [37] | Yes | Secondary care mental health services, CAMHS | Yes |
NICE 2016 (coexisting disorders) [38] | Yes | Mental health services | No |
Australian government 2016 [39] | Yes | AOD settings | No |
SIGN 2013 [47] | No | Not mentioned | No |
NICE 2014 [48] | Yes | secondary care settings | No |
WFSBP 2015 [49] | No | Not mentioned | No |
RANZCP 2016 [50] | Mentions continuity but not link key worker | Dual diagnosis service | No |
BAP 2019 [51] | No | Not mentioned | No |
APA 2020 [52] | Yes | Not mentioned | No |
VA/DoD 2010 [53] | Yes | Urgent/emergent mental health settings | No |
Singapore MOH 2011 [54] | Yes | In an integrated specialist treatment centre. | No |
NICE 2014 [55] | Yes | Not mentioned | No |
BAP 2016 [56] | No | Not mentioned | No |
CANMAT and ISBD 2018 [57] | Yes | inpatient hospital or community residential treatment | No |
BAP 2012 [40] | No | Not mentioned | No |
WFSBP 2017 [41] | No | Not mentioned | No |
gov.uk 2017 [42] | Yes | In drug misuse services and mental health services | Yes |
DGPPN and DG-Sucht 2017 [43] | No | Inpatient treatment | No |
NICE 2011 [44] | Yes | Not mentioned | Yes |
APA 2018 [45] | Yes | Not mentioned | No |
ASAM 2015 [46] | No | Hospitals | Yes |