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Published online by Cambridge University Press: 02 January 2018
The general psychiatrist and the addiction specialist have a shared agenda of concerns and interests about the misuse of alcohol. The task of this paper is to highlight and develop thoughts on items for inclusion on the shared agenda, rather than to define, or limit in any other way, how the generalist role might unfold in a particular place at a particular time. It is certain that the general psychiatrist will see a role that is more than just signposting their own specialist colleagues, local counselling services, or self-help groups such as Alcoholics Anonymous, but opinion on just how broad that role could or should be will vary considerably. One point of difference may be a mismatch of views as to where patients with alcohol misuse problems are best treated: the general psychiatrist seeing alcohol misuse, or even dependence, as having little to do with general psychiatry and belonging within a specialist service, the specialist seeing alcohol misuse as very much part of the every day work of the general psychiatrist. Happily both positions can be correct, but not totally and not without dialogue.
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