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Problem drug users known to Bristol general practitioners.

J Parker, M Gay

    The Journal of the Royal College of General Practitioners
    |June 1, 1987
    PubMed
    Summary

    General practitioners (GPs) surveyed 239 problem drug users, finding most were young males with opiate issues. GPs perceived specialist drug services as inadequate, suggesting improvements.

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    Area of Science:

    • Public Health
    • General Practice
    • Addiction Medicine

    Background:

    • Problem drug use presents significant challenges for general practitioners (GPs).
    • Understanding the characteristics of problem drug users and GP attitudes is crucial for service development.

    Purpose of the Study:

    • To survey problem drug users known to Bristol GPs and assess GP attitudes.
    • To identify the types of drug problems and associated issues faced by these users.
    • To evaluate GP perceptions of existing specialist drug services and gather suggestions for improvement.

    Main Methods:

    • A 12-month prospective survey of 239 problem drug users registered with Bristol GPs.
    • Assessment of GP attitudes towards problem drug users.
    • Inquiry into GP views on the adequacy of specialist drug services.

    Main Results:

    • The surveyed drug users were predominantly young (15-35 years), with males outnumbering females 2:1.
    • Opiates (primarily heroin) were the main problem for 78% of users, followed by stimulants (10%).
    • Common associated problems included ill health, hepatitis, psychiatric issues, and socioeconomic difficulties.
    • Significant variation existed in the number of drug users seen by practices, influenced by practice location and GP attitudes.
    • GPs perceived existing specialist services as inadequate in 58% of cases.

    Conclusions:

    • Problem drug use in Bristol primarily involves young males with opiate dependence, alongside significant co-occurring health and social issues.
    • GP attitudes and practice characteristics influence patient management and referral patterns.
    • There is a clear need for enhanced specialist drug services to better support GPs and their patients.

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