Integrated Addiction Service

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1 Contact details North Lanarkshire Integrated Addiction Services: Airdrie IAS Addiction Support Project, 81c Hallcraig Street, Airdrie ML6 6AW Tel: Bellshill IAS Bellshill Cross Addiction Project Top floor, 95 Main Street, Bellshill ML4 3DZ Tel: Coatbridge IAS Coathill House (HQ), Old Monkland Road, Coatbridge ML5 5AE Tel: Cumbernauld IAS 2nd Floor, Bron Chambers, Bron Way, North Carbrain Road, Cumbernauld G67 1DZ Tel: Motherwell IAS Torrance House (HQ), 504 Windmillhill Street, Motherwell ML1 2AF Tel: Wishaw IAS Shield Centre, Hill Street, Wishaw ML2 7AT Tel: North Lanarkshire Integrated Addiction Service Quality services, closer to you Information on all local and national drug and alcohol services can be accessed via the Services section on the Lanarkshire ADAT website. This information can be made available in a range of languages and formats, including large print, Braille, audio, electronic and accessible formats. In the first instance please contact: North Lanarkshire Integrated Addiction Services Managers on or Pub. date: March 2008, Review date: March 2009, Issue No: 02, Authors: Lanarkshire ADAT (with thanks to SDF and NHS Greater Glasgow & Clyde) Design: Health Promotion, NHS Lanarkshire (with thanks to Medical Illustration) Photo: Ann Chisolm/Kevin McIntyre

2 What are the Integrated Addiction Services (IASs)? These new services, which are based in your local area, bring Health and Social Work services together for the first time. This will mean that if you need help with an alcohol and/or drug problem, you can go to your local Integrated Addiction Service and they will arrange for you to see the worker best placed to help you (for example, an Addiction Nurse). We may also speak to you about involving other professionals, including doctors, psychologists and occupational therapists, as part of your care Why have the IASs been developed? IASs have been developed to: Bring services closer to your home. Improve the quality of the services you receive-this includes faster access to a wider and more intensive range of supports. Improve information sharing and communication between staff so that you don t have to repeat the same information time and time again to different workers. Give you more say in planning and deciding what type of treatment and support you receive. Take your suggestions on board to try to improve the services we deliver. Can I access the IASs? If you have an alcohol and/or drug problem and are aged 16 or over you can access the service. What can the IASs do for me? The new service can support, advise and assist you to think about how alcohol or drugs are affecting your life, those around you and those you have responsibility for. When you come to the service, staff will listen to you and ask you a range of questions to assess what your needs are. Together, we can decide what treatment and support you may need in the long term. Services on offer Information, advice and support on all Drug and Alcohol issues Provision of clean tools and collection of used works Confidential HIV/Hepatitis B &C discussion and testing Free Hep B immunisation Overdose training and advice Access to treatment and supporting agencies Telephone advice and information Free condoms/safer sex advice Free pregnancy testing Testing for Sexually Transmitted Infections (S.T.I. s) Wound care advice How do I access the Harm Reduction Team Service? Find out clinic times, dates and opening hours by phoning any of the contact numbers below: The Simply walk in, drop in without the need for an appointment. Contacting the Harm Reduction Team? Our main office (Non clinical) base is at: Harm Reduction Service, Coathill House Old Monkland Road, Coatbridge, Lanarkshire ML5 5EA Telephone: / Mobile: For Outreach Contact: North: South:

3 Contact Numbers Wishaw General Hospital: pager 285 or (24 hour answer machine). Monklands General Hospital, Coatbridge: page via switchboard Hairmyres General Hospital, East Kilbride: Harm Reduction Team The Harm Reduction Team is based in Coathill House as part of the Coatbridge Locality, but their service covers the whole of Lanarkshire. There is now a team of eleven, with dedicated staff for both North & South Lanarkshire, who provide services in clinics and satellite services across Lanarkshire. The team philosophy is based firmly within a harm reduction and risk minimisation approach. This seeks first to reduce drug related harm e.g. through providing clean injecting equipment (Needle Exchange Service) which may then result in reduced drug use. Aims The overall aim of the service is to achieve a significant reduction in drug related deaths and reducing the sharing of injecting equipment. This should result in: Reducing levels of blood borne virus infection An improvement in personal health of drug users Improved general public health across the county. Who can use the service? Our service is open to anyone with a Drug or Alcohol Problem Their family members The wider community This may include: Assessing, planning and reviewing your care. One to one support and advice. Access to group work-coming together with other service users to discuss common issues in a supportive environment. Help with mental and physical health problems connected to alcohol and drug use. Support for your family, or people who care for you, to help them come to terms with problems caused by alcohol and drug use. Help for the people who rely on you-especially children who are affected by alcohol and drug use. Further help-if, together, it is agreed that you need help from another type of worker or agency, we can arrange for this. For example: hospital care, residential rehabilitation, and housing or welfare rights advice. We can also put you in touch with services that will help you get into training and employment. How do I access the IASs? Accessing the service is simple. You can do this by phoning the service or by attending in person. You can also be referred by your GP (doctor) or any other service you are involved with. When are the IASs open? The service is opened Monday to Thursday, 9am-5pm, and 9am- 4.30pm on a Friday. If required, evening appointments can also be arranged. Where do I go? You will be asked to attend your local IAS. The address and phone number for each IAS can be found at the back of this leaflet. However, if you are unable to attend your local service (for example, due to ill health) an alternative venue can be agreed, or, if appropriate, a home visit can be arranged. 10 3

4 Who will be told that I am attending the IASs? To ensure you receive the best possible treatment and support, a range of other workers may be involved in your care plan. If this is necessary, we will ask your permission to share information with them. However, in situations where the staff believe that you are a risk to yourself or others, information may be shared with other workers without your consent. What if I m not happy with the service? Your comments, complaints or suggestions about the service will be welcomed. The relevant forms are available at all IAS offices. Contact details North Lanarkshire Integrated Addiction Services: Airdrie IAS Addiction Support Project, 81c Hallcraig Street, Airdrie ML6 6AW Tel: Bellshill IAS Bellshill Cross Addiction Project Top floor, 95 Main Street, Bellshill ML4 3DZ Tel: Coatbridge IAS Coathill House (HQ), Old Monkland Road, Coatbridge ML5 5AE Tel: Cumbernauld IAS 2nd Floor, Bron Chambers, Bron Way, North Carbrain Road, Cumbernauld G67 1DZ Tel: Motherwell IAS Torrance House (HQ), 504 Windmillhill Street, Motherwell ML1 2AF Tel: Wishaw IAS Shield Centre, Hill Street, Wishaw ML2 7AT Tel: Training and information is given to hospital staff in the recognition and treatment of obvious and potential substance misuse problems concurrent with or independent of altered health status Relatives and families affected by substance misuse are offered support and guidance as appropriate, especially in respect of dependent or co-habiting children in light of GOPR and GIRFEC. The onward referral to the appropriate community agency for support and treatment for patients with alcohol or drug dependency (this includes any illicit street drugs and over the counter medications) is the final stage of treatment from the SMN service. At times this can take longer than would be beneficial for the patient and the SMN at all sites can become the key worker in supporting, advising and ensuring treatment. This can require short term planning or contact during or following attendances at A&E. Supporting withdrawal from alcohol or drugs. When is the Service available? The Service is the same across all three hospital sites. Service is delivered on a Monday to Friday, 8.30 am 4.30pm. Referrals The service has been developed to be as patient led as possible. This allows those seeking help and who gain knowledge of the service to contact the SMN at all 3 sites directly and secure an appointment. Contact details for service are widely displayed on notice boards throughout hospitals. Community workers can also gain access to appointment for help for their clients if it is appropriate, e.g., to obtain detox medication, for assessment or intervention such as electrocardiograph or blood picture evaluation. The majority of referrals are made by nursing and medical colleagues from hospital wards and departments where patients are identified on or during admission. 4 9

5 3. Substance Misuse Liaison Nurse Service The Substance Misuse Liaison Nurse Service operates from within Accident and Emergency Departments (A&E) at Monklands, Wishaw and Hairmyres Hospitals. The service is run by two nurses on each site. Aims of the Substance Misuse Liaison Nurse Service The service provides information, advice, care and treatment for individuals with drug and alcohol problems within the Acute Hospital setting. The wider aims are to increase the numbers of substance misusers in contact with services, through onward referral to services like NLIAS and other drug and alcohol services, including liaising with other agencies to provide seamless transfer to community care. What is provided by the Service? The Substance Misuse Nurses (SMN) provide a physical presence within the hospital environment, ensuring support for patients, families and staff when alcohol or drug misuse is concurrent with altered health status. Patients are referred to this service as in patients from within the hospital wards, from A&E or hospital clinics as out patients. The three hospital sites are Hairmyres, Monklands and Wishaw. The local aims of the service are to ensure the safe, appropriate and effective management of all patients whose misuse of alcohol or drugs is disclosed or discovered during assessment or treatment without exception, prejudice or judgement and onward referral for community support and care. Meeting the following objectives ensure that the above aim is met: All patients who are identified as having alcohol or drug misuse issues are referred to the SMN and are offered assessment either as inpatients or outpatients All staff are aware of the service and how to refer patients Other Services that are part of NLIAS There a number of services that operates across North Lanarkshire that supports the work of NLIAS. Clients may present at these services and then be referred to NLIAS area teams or, depending on the individual needs of the client, be referred into these other services as part of an individuals care plan. These additional services beyond the NLIAS area teams include: 1. Addictions Psychology Service 2. The Community Day Programme 3. Substance Misuse Liaison Nurse Service (Acute Hospitals) 4. Harm Reduction Team (including Low Threshold Service) 1. Addictions Psychology Service The Addictions Psychology Service (APS) is a Lanarkshire-wide service. Based at Coathill House in Coatbridge, the APS works closely with the Integrated Addiction Service, providing clients with individual and group-based interventions, consultancy, supervision, and support. Much of the APS is community-based, although in-patient contact is provided as appropriate. The problems that respond well to psychological intervention include chronic depression; complex anxiety related problems; traumatic stress disorder; sexual abuse; anger management. Referrals to the APS are via staff within the IAS, or from consultant psychiatrists. 2. The Community Day Programme (Alcohol) The Community Day Programme (CDP) has been running since 2004 and is an integral part of the service provided via the Integrated Addiction Service. 8 5

6 The CDP focuses on adults experiencing alcohol related problems within the NLC area (excluding the Northern corridor) and provides an intensive eight week community based support, treatment and rehabilitation programme. This programme is supported by contributions from key partners within NHS and NLC and focuses on the social, psychological (emotional and mental health) and physiological (physical health) impact of drinking. Aims of the CDP The aims of the Community Day Programme include work in the following areas: Improve social functioning and community rehabilitation. Improve life skills and vocational and educational goals - taking a holistic approach to rehabilitation. Improve personal independence and responsibility - enabling dependant drinkers to maintain family and social support networks (where they exist) while in treatment. Help move individuals through aspects of alcohol use, including physical and psychological (emotional and mental) health and social functioning and life context. What activities are included in the programme? The aims and objectives of the CDP will be achieved through the following range of activities: Counselling, group work and support. Complementary therapies (e.g. relaxation techniques, auricular acupuncture). Links with healthcare and prescribing services, specifically to include taking of routine bloods (e.g. liver function tests), feedback and advice. Education (e.g. joint work with local colleges, literacy development and access to non-vocational learning). Training/access to formal qualifications. Employment - access to career advice and work placement schemes. Housing support. Welfare benefits and money advice. Leisure opportunities. Peer support access to voluntary/self help provision (i.e. ABC and Sober Thoughts). Supporting participants families and significant others. How do I access the Community Day Programme? Currently the main referral route into this programme is via NL Integrated Addiction Service and therefore for individuals who are already working with NL Integrated Addiction Service area teams. Any member of the NLIAS area team will be able to answer any questions you may have about the service. The CDP: Rules of Attendance To ensure individuals get the maximum benefit from the programme criteria, or, rules of attendance, have been established for this programme. These include: Abstinence: participants must be abstinent prior to commencing the programme. Number of Days attending: participants are expected to attend four to five days a week. The Programme: a structured approach is provided either in a compulsory programme of fixed activities, or individually negotiated timetables for each participant. 6 7

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