Self-help strategies for cutting down or stopping substance use: a guide

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Substance use problems can arise as a result of acute intoxication, regular use or dependence - and from the way in which substances are used.This guide is part of the ASSIST packaged and is designed for people above 18 years of age who are at moderate risk of substance related problems but do not have severe substance related problems or dependence.

If you think your substance use is putting you at risk of experiencing health, social, legal, psychological, work or family problems then this guide will help you to weigh up your substance use behavior and give you some ideas about how to change it.

If you experience severe withdrawal symptoms or serious discomfort when you stop using alcohol, tobacco or other drugs, you should seek medical help from your doctor, health care worker or someone from a specialist drug and alcohol service.

Related publications:

The WHO ASSIST project aims to support and promote screening and brief interventions for psychoactive substance use by health professionals to facilitate prevention, early recognition and management of substance use disorders in health care systems with the ultimate goal of reducing the disease burden attributable to psychoactive substance use worldwide.The ASSIST package is part of the WHO ASSIST project and was developed to help the primary health professionals to detect and manage substance use and related problems in primary and general medical care settings.

The package includes three different manuals; 
(1) The Alcohol, Smoking and Substance involvement Screening Test (ASSIST);
(2) The ASSIST-linked brief intervention for hazardous and harmful substance use; and 
(3) Self-help strategies for cutting down or stopping substance use: a guide  (this publication).