26th May 2025

You are working in a drug and alcohol misuse service.

You are working in a drug and alcohol misuse service. A 32-year-old man presents who you establish is dependent on heroin. He wishes to initiate opioid replacement therapy but does not have a drug preference. 2 years ago, he had been established on buprenorphine effectively for 3 months before disengaging with services. A similar situation happened 5 years ago. He advises he had found buprenorphine effective but had disengaged due to social reasons. What would be the most appropriate management plan?

Select the SINGLE most appropriate option from the list below. Select ONE option only.