Maudsley masterclass

Managing substance misuse in the hospital

General hospital

Course information

Upcoming Date: TBC
Upcoming Time: TBC
Length: 1 Day
Cost: £199.00

About the course

Managing substance misuse in the general hospital course

CPD: equivalent to 6 CPD points.

Substance misuse is a major problem in general hospitals in the UK, with 20% of patients meeting criteria for harmful use of alcohol and 10% for alcohol dependence. Substance misuse is associated with complications which are difficult to manage, such as withdrawal delirium and prescribing of potentially toxic medication. Yet assessment and management of patients with substance misuse is an area where many medical and nursing staff feel less confident. This course aims to address this by offering clinicians a comprehensive approach to managing substance misusing patients safely in the general hospital. Real-life case examples and group activities will be ensure that learners have an opportunity to apply their knowledge to complex clinical scenarios.

In the morning we will review the comprehensive assessment of substance misuse, including diagnostic criteria for harmful use and dependence. An overview of the structure and remit of addictions services will be included. The first session will then focus on alcohol withdrawal and associated complications including Wernicke-Korsakoff Syndrome, alcohol withdrawal seizures, and delirium tremens. The second session will focus on opioids, covering the background and rationale for opioid substitution (OST) prescribing, and optimising the safety of OST. Again, learners will have the opportunity to apply this knowledge through clinical cases.

After lunch, we will discuss novel psychoactive substances, stimulants, and cannabinoids.  These are more rarely encountered but can prove a management problem because of their association with severe behavioural disturbance.  We will include a detailed complex case presentation involving GBL overdose and withdrawal comorbid with stimulant-induced psychosis.  The afternoon sessions will shift focus on to the whole patient, providing a brief overview of the physical and psychiatric comorbidity associated with substance misuse, and relevant national guidelines.

A group of people standing in a circle with their hands in the middle.

Learning Objectives

What you will learn from taking this course:

  • Assess and manage alcohol dependence and uncomplicated alcohol withdrawal
  • Assess and manage a range of drugs of abuse, including novel psychoactive substances
  • Assess and manage opioid dependence, including opioid substitution therapy
  • Train someone in the use of take-home Naloxone
  • Formulate an approach to assessment and management of physical and mental health complications of substance misuse

Course Information

Target audience

Consultant – non-psychiatry any, Consultant – psychiatry, CT1-3 – non-psychiatry any, CT1-3 – psychiatry, Doctors, FY1, FY2, GP, GPVTS, Nurses, RGN, RMN, ST4-7 – non-psychiatry any, ST4-7 – psychiatry

Lunch options

Lunch & Refreshments Provided

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The fusion of Education and the Health Service is extremely exciting and now indeed essential; I am thrilled that St Mary’s is at the forefront of this. I am truly invigorated to disseminate many nuggets of wisdom and tangible strategies gained yesterday to my entire school community.
Assistant Headteacher - London
The knowledge and skills help children in many areas e.g. friendships, learning, attitude, dealing with problems at home and school. Skills will stay with them as they progress helping them to be reflective and emotionally resilient.
Teacher - London