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Introduction and Aims.Specialist services have increased their capacity considerably in recent years to initiate and/or provide ongoing treatment for drug misuse. Consequently, methadone prescribing has substantially increased and over 17 000 patients are currently receiving methadone. Clinical guidance promotes consumption on the premises (COP) initially to ensure patients take medication as prescribed and also to prevent diversion. Diversion poses two risks: the patient may remain under‐treated and continue illicit heroin use; diverted drugs put others at risk. However, COP can be restrictive. Current UK guidance is vague and not evidence‐based recommending ‘around three months subject to assessment of compliance and individual circumstances’. The overall aim of this study was to describe clinical practice regarding prescribing methadone under COP in Scotland, and reasons for this....
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