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Clinical Practice Indicators of Unsuitability of Step 2/3 Treatment for Patients Using Alcohol or Drugs

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 Meet diagnostic criteria for dual diagnosis, where a substance-use disorder is co-morbid with a mental health difficulty, and there may be complex needs.

 Alcohol and/or drug use identified as the primary condition and/or associated with functional impairment which would impact engagement with treatment.

In both instances, recommend treatment for alcohol/drug misuse from specialist services and support referral (NICE, 2011c).

Low-intensity CBT Skills and Interventions

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