Recommendation ID

What works? In the UK, how effective and cost effective are service delivery interventions such as peer support, contingency management or text messaging delivered alone or in combination (in conjunction with standard care) compared with standard care alone for young people and adults with coexisting severe mental illness and substance misuse?

Any explanatory notes
(if applicable)

Why this is important:- There is limited evidence on the optimal service delivery model for young people and adults with coexisting severe mental illness and substance misuse. There is increasing use of contingency management, peer support (including mutual aid) or text messaging as part of a service delivery model to help people access services.
More research is needed to assess the use, benefit and whether these methods improve this group's engagement with services.
There is limited evidence on the cost effectiveness of interventions and services with this group. Further research is also needed on whether particular services or elements of standard care for this group give better value for money. A mixed methods approach could identify which of the different elements delivered in a service model are optimal for the person.
Research in particularly vulnerable groups (for example those identified in the equality impact assessment) is needed.

Source guidance details

Comes from guidance
Coexisting severe mental illness and substance misuse: community health and social care services
Date issued
November 2016

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 30/11/2016