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[Drug and Alcohol Findings] (2017) Responding to cannabis use in primary care. London: Drug and Alcohol Findings. Drug and Alcohol Findings Bulletin (8 June 2017)

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URL: http://findings.org.uk/PHP/dl.php?file=Winstock_AR...

A brief clinical review outlining the harms associated with cannabis use, and the optimal approaches for assessing and managing problem cannabis use in UK primary care.

Summary: Two major diagnostic manuals recognise cannabis as a substance that can cause dependence. This is thought to happen in about one in ten users, and can be identified by a cluster of symptoms including: loss of control; inability to cut down or stop; preoccupation with use; neglecting activities unrelated to use; continued use despite experiencing problems related to use; and the development of tolerance and withdrawal.

No intervention to date has proved consistently effective for the majority of those with cannabis dependence, though trials in the United States and Australia support four methods of behavioural-based interventions: motivational interviewing; motivational enhancement therapy; cognitive-behavioural therapy; and contingency management. For younger users, evidence suggests family-based interventions may be the most effective.......

Item Type:Evidence resource
Publication Type:Review
Drug Type:Cannabis
Intervention Type:AOD disorder, AOD disorder drug therapy, AOD disorder treatment method, Alternative medical treatment, Psychosocial treatment method
Source:Drug and Alcohol Findings
Date:June 2017
Publisher:Drug and Alcohol Findings
Place of Publication:London
Number:8 June 2017
Notes:References: Winstock AR, Ford C, Witton J, Assessment and management of cannabis use disorders in primary care.. BMJ: 2010, 340, p. 800–904.
Subjects:B Substances > Cannabis / Marijuana
HJ Treatment method > General treatment method concepts
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)

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