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General practitioners tackle complex addictions: how complex interventions can assist in dealing with addiction

Published online by Cambridge University Press:  30 August 2016

J. Klimas*
Affiliation:
British Columbia Centre for Excellence in HIV/AIDS, St. Paul’s Hospital, Vancouver, BC, Canada Department of Medicine, University of British Columbia, St. Paul’s Hospital, Vancouver, BC, Canada School of Medicine, Coombe Healthcare Centre, University College Dublin, Dolphins Barn, Dublin, Ireland
*
*Address for correspondence: J. Klimas, MSc, PhD, Associate Fellowship Director, Canada Addiction Medicine Research Fellowship, BC Centre for Excellence in HIV/AIDS, University of British Columbia, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, Canada, V6Z 1Y6. (Email: jan.klimas@ucd.ie)

Abstract

Objectives

Substance use disorder treatment is a complex problem. Complex problems require complex interventions, ideally tested via randomised controlled trials.

Methods

Complex interventions are best developed in stages, using established implementation frameworks.

Results and Conclusions

Starting with a historical patient case study, we explore how treatment of this challenging population group has been approached, how an evidence-based framework has informed formulation of a complex health intervention and how this has been progressed via the UK’s Medical Research Council (MRC) approach.

Type
Perspective Piece
Copyright
© College of Psychiatrists of Ireland 2016 

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