What do we know


This project on End of Life Care for People with Problematic Alcohol or other Drug Use  comprises six research strands. Briefings, full final reports and other resources for the project can be found in subsequent pages on this website.  Below are some headline messages from the project’s findings along with a report that can be downloaded:

  1. There is a dearth of research evidence in general and no evidence that identifies effective interventions or models of practice for this group of people.
  2. People with a history of problematic substance use needing end of life care cannot currently be identified directly from existing datasets for audit and care quality purposes. This means we have no current knowledge of the scale of these overlapping issues.
  3. Most of this population will have complex and multiple physical, psychological and social difficulties that negatively impact upon their identification, engagement and care.
  4. Self-stigma and the anticipation of discrimination from practitioners can stop people from presenting to services or people will present at a very late stage.
  5. Family members’ support needs are often overlooked including a lack of communication from practitioners about their relative’s approaching end of life.
  6. Professionals identified many challenges to working with this group of people, including how to talk about the ‘other’ issue and working with other specialists.
  7. The picture was not completely gloomy! There were examples of individual good practice and organisations that were seeking to actively improve their service provision to support this group of people.

Download report here: What we know and what we need to know