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Addiction Management in Primary Care Programme

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About the Addiction Management in Primary Care Programme

Addiction medicine is an important subspecialty within general practice, addressing the diagnosis, treatment, and prevention of substance use disorders (SUDs). With addiction increasingly recognised as a chronic medical condition—akin to diabetes or hypertension—general practitioners (GPs) are uniquely positioned to intervene early, deliver effective care, and support a sustained recovery.

The Role of General Practice in Addiction Care

GP is often the first point of contact for individuals with substance use issues. GPs maintain longstanding relationships with patients, enabling them to detect early signs of addiction, initiate brief interventions, and refer on to appropriate specialist services and psychotherapy. Despite this, many GPs feel underprepared to manage addiction due to limited training and systemic stigma.

Early Intervention

Early identification and intervention are key to preventing the escalation of substance use into chronic addiction. Evidence-based tools incorporated into the consultation empower GPs to engage patients in meaningful conversations about substance use and guide them toward appropriate care pathways.

Effective Treatment Strategies

Modern addiction medicine offers a range of highly effective treatments:

  • Pharmacotherapy: Medications like buprenorphine, methadone, and naltrexone are proven to reduce cravings and prevent relapse in opioid and alcohol use disorders
  • Behavioural Therapies: Motivational interviewing, trauma-informed care and referral to evidence-based psychotherapy and counselling can address the psychological root causes of addiction
  • Referral Pathways: An understanding of the local services available in your city/county ways to access quickly, improves chances of sustained recovery for patients and supports you in your practice

 

Programme Director - Dr Bernard Kenny

If you have any queries about the AMPC programme, please Contact Us.

FAQs for College Members and OST Prescribers

  • It’s a self-paced online course that introduces trauma-informed, evidence-based approaches to managing substance use and behavioural addictions. Completion is required to apply for a Level 1 OST contract.

  • The course covers:

    •  Alcohol use disorder
    • Benzodiazepines and Z-drugs
    • Cannabis and stimulant use disorders
    • Prescribed and OTC opioids
    • Behavioural addictions
    • Introduction to Opioid Agonist Therapy (OAT)
  • You must:

    • Complete the Foundation Course
    • Submit your certificate and GP registration to your local HSE Addiction Services Manager and obtain HSE level 1 contract
    • Once approved, contact your local GP Coordinator to begin treating patients
  • It’s an advanced blended-learning course required for Level 2 OST prescribers. It includes live workshops, clinical modules, and a clinical case workbook. Please note Foundation Course in Addiction Management is a prerequisite.

  • Topics include:

    • Safe initiation and switching of opioid agonist therapies
    • Management of special populations (e.g. pregnancy, dual diagnosis)
    • Therapeutic strategies for alcohol, benzodiazepines, stimulants, and more
  • To be fully compliant, GPs must also complete:

    For more information - eLearning Modules

  • You must:

    • Be an active Level 1 prescriber
    • Complete the Certificate Course and apply to obtain HSE Level 2 contract
    • Complete five supervised OST inductions with a mentor
  • No. GPs must complete a dedicated Buprenorphine/Suboxone training module to be eligible to prescribe buprenorphine-based treatments.

  • Modules are hosted on the ICGP Moodle platform. For more information - eLearning Modules

    • Suboxone Training
    • Naloxone Overdose Management
    • Hepatitis C Treatment
  • You can reach the Irish College of GPs Education Team at education@icgp.ie or call 01 676 3705 for guidance on training, certification, and OST prescribing pathways.