This guideline covers helping adults and young people over 16 who are dependent on opioids to stop using drugs. It aims to reduce illicit drug use and improve people’s physical and mental health, relationships and employment.
NICE has also produced guidelines on drug misuse in over 16s: psychosocial interventions.
This guideline includes recommendations on:
- providing information, advice and support
- supporting families and carers
- pharmacological interventions
- treatment in community, residential, inpatient and prison settings
- specific psychosocial interventions
Who is it for?
- Healthcare professionals
- Commissioners and providers
- People who work in specialist residential and community-based treatment settings
- People who work in prisons and criminal justice settings
- Adults and young people over 16 who misuse opioids and their families and carers
Is this guideline up to date?
We checked this guideline in February 2014. We identified no major studies that will affect the recommendations in the next 3–5 years.
Next review: 2019
Guideline development process
This guideline was previously called drug misuse – opioid detoxification.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.