An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward

Aims: Scotland has the highest drug-related death rate in Europe, with 27.7 deaths per 100,000 people. The average age of drug-related deaths in Scotland has increased from 32 in 2000 to 44 in 2021, with a significant proportion involving multiple substances. According to NICE and Scottish Intercoll...

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Main Authors: Ariana Axiaq, Ly Bui Dieu, Joseph Itimi
Format: Article
Language:English
Published: Cambridge University Press 2025-06-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472425105565/type/journal_article
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author Ariana Axiaq
Ly Bui Dieu
Joseph Itimi
author_facet Ariana Axiaq
Ly Bui Dieu
Joseph Itimi
author_sort Ariana Axiaq
collection DOAJ
description Aims: Scotland has the highest drug-related death rate in Europe, with 27.7 deaths per 100,000 people. The average age of drug-related deaths in Scotland has increased from 32 in 2000 to 44 in 2021, with a significant proportion involving multiple substances. According to NICE and Scottish Intercollegiate Guidelines Network (SIGN) guidelines, best practice management for inpatients with co-occurring substance misuse and mental health should involve: Screening and Identification of Substance Misuse, Integrated Dual Diagnosis Care, Pharmacological and Psychosocial Interventions, Harm Reduction Approaches in Acute Psychiatric Wards and Safe Discharge and Aftercare Planning. We have designed a closed-audit loop which has evolved into a quality improvement project to enhance the identification, management, and follow-up care of substance misuse among inpatients in general psychiatry ward at St John’s Hospital, Livingston, Scotland. This project seeks to achieve an 80% compliance rate in substance use assessments, implement standardized protocols for managing active substance misuse, and develop a policy for handling patients under the influence, in possession, or distributing substances by December 2025. Data presented in this abstract is for the closed-loop audit part of a larger quality improvement project.
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spelling doaj-art-68acc0d65f1149ec8efb14a1cdcdbaba2025-08-20T03:15:30ZengCambridge University PressBJPsych Open2056-47242025-06-0111S220S22110.1192/bjo.2025.10556An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry WardAriana Axiaq0Ly Bui Dieu1Joseph Itimi2University of Edinburgh, Edinburgh, United KingdomSt John’s Hospital, Livingston, United KingdomSt John’s Hospital, Livingston, United KingdomAims: Scotland has the highest drug-related death rate in Europe, with 27.7 deaths per 100,000 people. The average age of drug-related deaths in Scotland has increased from 32 in 2000 to 44 in 2021, with a significant proportion involving multiple substances. According to NICE and Scottish Intercollegiate Guidelines Network (SIGN) guidelines, best practice management for inpatients with co-occurring substance misuse and mental health should involve: Screening and Identification of Substance Misuse, Integrated Dual Diagnosis Care, Pharmacological and Psychosocial Interventions, Harm Reduction Approaches in Acute Psychiatric Wards and Safe Discharge and Aftercare Planning. We have designed a closed-audit loop which has evolved into a quality improvement project to enhance the identification, management, and follow-up care of substance misuse among inpatients in general psychiatry ward at St John’s Hospital, Livingston, Scotland. This project seeks to achieve an 80% compliance rate in substance use assessments, implement standardized protocols for managing active substance misuse, and develop a policy for handling patients under the influence, in possession, or distributing substances by December 2025. Data presented in this abstract is for the closed-loop audit part of a larger quality improvement project.https://www.cambridge.org/core/product/identifier/S2056472425105565/type/journal_article
spellingShingle Ariana Axiaq
Ly Bui Dieu
Joseph Itimi
An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
BJPsych Open
title An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
title_full An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
title_fullStr An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
title_full_unstemmed An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
title_short An Audit on Substance Misuse Screening and Documentation in Acute Inpatient General Psychiatry Ward
title_sort audit on substance misuse screening and documentation in acute inpatient general psychiatry ward
url https://www.cambridge.org/core/product/identifier/S2056472425105565/type/journal_article
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