{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T22:58:42Z","timestamp":1766530722584,"version":"3.48.0"},"reference-count":9,"publisher":"BMJ","issue":"6724","license":[{"start":{"date-parts":[[1990,3,3]],"date-time":"1990-03-03T00:00:00Z","timestamp":636422400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1990,3,3]]},"abstract":"<jats:p>After one year Edinburgh's Community Drug Problem Service has shown that if psychiatric services offer consultation and regular support for drug users many general practitioners will share the care of such patients and prescribe for them, under contract conditions, whether the key worker is a community psychiatric nurse or a drug worker from a voluntary agency. This seems to apply whether the prescribing is part of a \"harm reduction\" strategy over a long period or whether it is a short period of methadone substitution treatment. Given the 50% prevalence of HIV infection among drug users in the Edinburgh area and the fact that only half of them have been tested for seropositivity, the health and care of this demanding group of young people with a chaotic lifestyle are better shared among primary care, community based drug workers, and specialist community drugs team than treated exclusively by a centralised hospital drug dependency unit. As the progression to AIDS is predictable in a larger proportion of drug users who are positive for HIV, there is an even greater need for coordinated care between specialists and community agencies in the near future.<\/jats:p>","DOI":"10.1136\/bmj.300.6724.587","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"587-589","source":"Crossref","is-referenced-by-count":34,"title":["Creating a new drug service in Edinburgh."],"prefix":"10.1136","volume":"300","author":[{"given":"J","family":"Greenwood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1990,3,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1136\/bmj.292.6519.527","article-title":"Epidemic of AIDS related virus (HTLV-III\/LAV) infection among intravenous drug abusers","volume":"292","author":"Robertson, JR, Bucknall; ABV, Welby; P.D.","year":"1986","unstructured":"Robertson JR, Bucknall ABV, Welby PD, et al. Epidemic of AIDS related virus (HTLV-III\/LAV) infection among intravenous drug abusers. Br Medj 1986;292:527-9.","journal-title":"Br Medj"},{"key":"ref_2","article-title":"Drug problems in Edinburgh district; report of SCODA fieldwork survey. Standing Conference on Drug Abuse, 1-4 Hatton Place","author":"Haw, S.; Liddell, D.","year":"1988","unstructured":"Haw S, Liddell D. Drug problems in Edinburgh district; report of SCODA fieldwork survey. Standing Conference on Drug Abuse, 1-4 Hatton Place, London, 1988."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1136\/bmj.290.6461.34","article-title":"Drug users in contact with general practice","volume":"290","author":"Robertson, JR","year":"1985","unstructured":"Robertson JR. Drug users in contact with general practice. Br Med J 1985;290:34-5.","journal-title":"Br Med J"},{"key":"ref_4","article-title":"Social Security. AIDS and drug misuse. Part 1. Report by the Advisory Committee on the Misuse ofDrugs","author":"Department of Health and","year":"1988","unstructured":"Department of Health and Social Security. AIDS and drug misuse. Part 1. Report by the Advisory Committee on the Misuse ofDrugs. London: HMSO, 1988."},{"key":"ref_5","article-title":"Report","volume-title":"London, Goldsmiths","author":"Stimpson, G.; Aldritt, L.; Dolan, K.; Donoghue, M.; Lart, R.A.","year":"1988","unstructured":"Stimpson G, Aldritt L, Dolan K, Donoghue M, Lart RA. Report. London: Monitoring Research Group, Sociology Department, University of London, Goldsmiths' College, November 1988."},{"key":"ref_6","article-title":"Turning the generalist onto drugs: a model service","volume-title":"Brittsh society: responses to a social problem in the 80s","author":"Strang, J.","year":"1989","unstructured":"Strang J. Turning the generalist onto drugs: a model service. In: McGregor S, ed. Drugs and Brittsh society: responses to a social problem in the 80s. London: Routledge, 1989."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1001\/jama.1989.03430120118033","article-title":"Methadone treatment and acquired immunodeficiency syndrome","volume":"262","author":"Cooper, JR","year":"1989","unstructured":"Cooper JR. Methadone treatment and acquired immunodeficiency syndrome. JAMA 1989;262:1664-8.","journal-title":"JAMA"},{"key":"ref_8","article-title":"Guidelines ofgood clinical practice in the treatment of drug misuse. Report of the medical working group on drug dependence","author":"Department of Health and Social Security","year":"1984","unstructured":"Department of Health and Social Security. Guidelines ofgood clinical practice in the treatment of drug misuse. Report of the medical working group on drug dependence. London: HMSO, 1984."},{"key":"ref_9","article-title":"The Aberdeen maternity and neonatal data bank","volume-title":"Prospectize longitudinal research","author":"Samphier, M.; Thompson, B.","year":"1981","unstructured":"Samphier M, Thompson B. The Aberdeen maternity and neonatal data bank. In: Mednick SA, Baert AE, eds. Prospectize longitudinal research. Oxford: Oxford University Press, 1981."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.300.6724.587","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.300.6724.587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:46:42Z","timestamp":1765489602000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.300.6724.587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,3,3]]},"references-count":9,"journal-issue":{"issue":"6724","published-online":{"date-parts":[[1990,3,3]]},"published-print":{"date-parts":[[1990,3,3]]}},"alternative-id":["10.1136\/bmj.300.6724.587"],"URL":"https:\/\/doi.org\/10.1136\/bmj.300.6724.587","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"type":"print","value":"0959-8138"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1990,3,3]]}}}