Locally Enhanced Service for a practice-based Alcohol Monitoring, Withdrawal and Detoxification Service

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Locally Enhanced Service for a practice-based Alcohol Monitoring, Withdrawal and Detoxification Service"

Transcription

1 08/09 Locally Enhanced Service for a practice-based Alcohol Monitoring, Withdrawal and Detoxification Service Reference: LES24 Contents: 1. Finance Details 2. Service Aims 3. Service Criteria 4. Ongoing Measurement & Evaluation 5. Signature Sheet

2 1. Financial Detail The agreement is to cover the 12 months commencing 1 April Practices that wish to participate in providing this service will have undertaken the initial development of a patient register using the agreed patient assessment tools. A baseline rate of 60 per patient would then apply for 2008/09. Further discussions about a payment by results for patients who successfully complete a programme of detoxification (possibly based on that described in the national enhanced specification) will be considered as will a more detailed tariff that reflects the more qualitative aspects of the service provided (see Read Codes in section 4). 2. Service Aims All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This specification is designed to cover the enhanced aspects of clinical care of the patient all of which are beyond the scope of essential services. No part of the specification by commission, omission or implication defines or redefines essential or additional services. There is evidence that: 1 in 25 adults in the UK are dependent on alcohol. Problem drinkers consult their GPs twice as often as other patients and alcohol misuse is associated with a range of physical health problems. - In1997therewere4907deaHeavy drinking is closely linked with psychiatric morbidity, including clinical depression. Up to 65% of all suicide attempts are linked with excessive drinking, and alcohol is responsible for approximately 22,000 premature deaths per annum. 180,000 hospital admissions annually are for alcohol related illness or injury. Around 95 million is spent annually on alcohol treatment. 20 per cent of general hospital beds are occupied by people with alcoholrelated problems. It is estimated that between 780,000 and 1.3 million children are affected by parental alcohol problems Brief interventions can reduce alcohol consumption by over 20 per cent and so reduce the number of patients who become dependent on alcohol and the need for more intensive treatment in the future.

3 The major aim, therefore, is to improve the quality of care provided by practices to patients who misuse alcohol. The service will achieve this by incentivising and training GPs to advise and treat alcohol misuse patients and, where possible and over time, to undertake more specialised treatment of alcohol dependent patients. Practice Eligibility to Provide LES Practices eligible to provide services under this LES will have already completed the setting up of a patient register and participating GPs will need to adhere to the Models of Care for alcohol misusers (MoCAM) NTA 2006 and the Review of the Effectiveness of treatment for alcohol problems NTA Identifying Eligible Patients Where practices are signed up to provide the service, patients eligible for the service will be identified by: A positive commitment and/or proactive request to participate in a programme Explicitly informing, or confirming with, the GP that they regularly exceed the prescribed maximum number of units per week and categorising whether patients fall within Hazardous/ Harmful/ Dependant drinkers A subjective assessment that their unit intake has increased over time Refer to examples of their drinking causing problems in their home or working lives Of these criteria, the first two are the most important and where a patient satisfies these then they should be admitted to the programme. It should also be noted that patients who do not exceed the prescribed unit limits may be accepted to the programme if, in their self-assessment, their drinking is problematic or a cause for concern. This may be established by using simple assessment tools like the CAGE questionnaire, where two or more positive answers indicate some form of alcohol dependence. Patients are asked whether they have ever: Thought they should Cut down on drinking? Felt Annoyed by others criticising their drinking? Felt bad or Guilty about their drinking? Had a drink first thing in the morning to steady the nerves or get rid of a hangover? (Eye-opener). 1 Practices should be able to apply the appropriate Read Code and, de facto, maintain an at-risk register. Further work may be needed around patient 1

4 confidentiality, particular in regard to the development of the Electronic Patient Record. Patient Pathway and Description of Service Following the identification of the patient as an individual requiring treatment, the GP should then initially assess whether the practice-based programme is the best option. This is likely to be based on the clinician s judgement of the seriousness of the individual s alcohol dependency, but could involve direct referral to local specialist alcohol services (CAT) and/or urgent and possible short-term pharmaceutical interventions. Where the patient is accessing services based in the practice and does not require more specialist interventions, the GP will agree a treatment programme over a specified time period for the individual. This could involve some or all of the following: Initiating brief drug intervention where necessary Discussion with patient s family and onward referral for support where possible. Provision of more frequent and longer consultations for patients with an explicit focus on their alcohol use Monitoring of biochemical parameters Where the patient requires a detoxification programme, the GP may be able to make a direct referral (though it may be the case that detox referrals have to be made via more specialist services). It is expected that participation in detox will generate more work for the GP, specifically in addition to the points shown above: Liaison with Detoxification services Providing drug therapy to patients undergoing detoxification and liaison with detox agency 3. Service Criteria This enhanced service will fund: (i) practices to be able to undertake brief interventions and offer support to carry out behavioural change (ii) follow-up treatment. A range of treatments may be prescribed including a set number of counselling sessions which may be done in conjunction with or by referral to local alcohol services or through the patient s attendance at a day programme or residential rehabilitation centre, both of which would require referral (iii) detoxification regime. For those where a detoxification regime is required, this may be provided by the primary care team (and could be undertaken in partnership with alcohol support services) in the community or home setting (iv) routine use of assessment tools (v) liaison with local specialist alcohol treatment services

5 (vi) appropriate training. This must be available to the primary care team to enable team members to understand the problems experienced by people who misuse alcohol and their families, and to communicate effectively with them. Training should include detecting problem drinkers, carrying out brief interventions, and managing follow-up treatment, including counselling (vii) review. All practices involved in the scheme should perform an annual review which could include an audit of: those identified and recorded as alcohol misuse patients the advice and/or treatment offered to patients who, following screening, have been shown to misuse alcohol the number of patients who have reduced their alcohol consumption feedback from patients who misuse alcohol and their families/carers. Accreditation Those doctors who have previously provided services similar to the proposed enhanced service and who satisfy at appraisal and revalidation that they have such continuing medical experience, training and competence as is necessary to enable them to contract for the enhanced service shall be deemed professionally qualified to do so. 4. Ongoing Measurement & Evaluation Practices will be required to use standardised Read Codes to monitor both the quantitative and qualitative aspects of providing this service for individual patients. These are: Item Read Code Alcohol Consumption Counselling 9k11. Alcohol Counselling by Other Agencies 9k12. Referred to community alcohol service 8H7p Alcohol Disorder monitoring 66e These items refer to activities undertaken with the individual patient identified as requiring such interventions to address their problems with alcohol consumption.

6 5. Signature Sheet This document constitutes the agreement between the practice and the PCT in regards to this nationally directed enhanced service. Practice Stamp Signature on behalf of the Practice: Signature Name Date Signature on behalf of the PCT: Signature Name Date

Local Enhanced Service (LES) for Patients who are alcohol users

Local Enhanced Service (LES) for Patients who are alcohol users Local Enhanced Service (LES) for Patients who are alcohol users Service Level Agreement PRACTICE Contents: 1. Finance Details 2. Signature Sheet 3. Introduction 4. Service Aims 5. Service Outline 6. Dispute

More information

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital

More information

CAGE. AUDIT-C and the Full AUDIT

CAGE. AUDIT-C and the Full AUDIT CAGE In the past have you ever: C tried to Cut down or Change your pattern of drinking or drug use? A been Annoyed or Angry because of others concern about your drinking or drug use? G felt Guilty about

More information

GP-led services for alcohol misuse: the Fresh Start Clinic

GP-led services for alcohol misuse: the Fresh Start Clinic London Journal of Primary Care 2011;4:11 15 # 2011 Royal College of General Practitioners GP Commissioning GP-led services for alcohol misuse: the Fresh Start Clinic Johannes Coetzee GP Principle, Bridge

More information

Community Based Alcohol Services Consultation. Summary

Community Based Alcohol Services Consultation. Summary Summary Forty individuals attended the consultation event on 24 June 2010, and 16 individuals returned their views through the consultation response form. Respondents included GPs, practice nurses, service

More information

David M Greenwell Argyll and Bute Addiction Team

David M Greenwell Argyll and Bute Addiction Team Establishing a Programme of Screening and Brief Interventions for Alcohol in Primary Care Based on Sign 74 The Management of Harmful Drinking and Alcohol Dependence in Primary Care David M Greenwell Argyll

More information

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment

NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,

More information

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance Alcohol-use disorders: alcohol dependence Costing report Implementing NICE guidance February 2011 (February 2011) 1 of 37 NICE clinical guideline 115 This costing report accompanies the clinical guideline:

More information

Morecambe Bay Primary Care Trust PROPOSED DEVELOPMENT OF ALCOHOL SERVICES IN MORECAMBE BAY EXECUTIVE SUMMARY

Morecambe Bay Primary Care Trust PROPOSED DEVELOPMENT OF ALCOHOL SERVICES IN MORECAMBE BAY EXECUTIVE SUMMARY TRUST BOARD MEETING AGENDA ITEM NO 7(c) Morecambe Bay Primary Care Trust PROPOSED DEVELOPMENT OF ALCOHOL SERVICES IN MORECAMBE BAY EXECUTIVE SUMMARY 1. Public consultation on proposals for the development

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

guideline for identification and treatment of alcohol abuse/dependence in primary care

guideline for identification and treatment of alcohol abuse/dependence in primary care guideline for identification and treatment of alcohol abuse/dependence in primary care This guideline is informational in nature and is not intended to be a substitute for professional clinical judgment.

More information

TAMESIDE & GLOSSOP NATIONAL ENHANCED SERVICE FOR ALCOHOL MISUSERS

TAMESIDE & GLOSSOP NATIONAL ENHANCED SERVICE FOR ALCOHOL MISUSERS TAMESIDE & GLOSSOP NATIONAL ENHANCED SERVICE FOR ALCOHOL MISUSERS THE NEW G.P. CONTRACT The new GP contract Provision of specialist services Minor surgery; depression; drug dependency Payments Accreditation

More information

Executive Member for Community Health and Wellbeing. Commissioned Alcohol Services and Current Performance Update

Executive Member for Community Health and Wellbeing. Commissioned Alcohol Services and Current Performance Update TRAFFORD COUNCIL Report to: Health Scrutiny Committee Date: February 2014 Report of: Executive Member for Community Health and Wellbeing Report Title Commissioned Alcohol Services and Current Performance

More information

Community Based Alcohol Services Consultation Response Form

Community Based Alcohol Services Consultation Response Form Community Based Alcohol Services Consultation Response Form We are seeking views on possible future community based alcohol services in Wolverhampton. Specifically: - Rapid access to services clinic(s)

More information

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Steve Martino, Ph.D. The SBIRT Training in Yale Residency Programs (SAMHSA 1U79Ti020253-01; PI: Gail D Onofrio, M.D.) At Issue

More information

The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007

The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007 The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007 Ulf Malmström coordinator, PhD National Board of Health and Welfare Cyprus May 2009 Why establish

More information

Adjunctive psychosocial intervention. Conditions requiring dose reduction. Immediate, peak plasma concentration is reached within 1 hour.

Adjunctive psychosocial intervention. Conditions requiring dose reduction. Immediate, peak plasma concentration is reached within 1 hour. Shared Care Guideline for Prescription and monitoring of Naltrexone Hydrochloride in alcohol dependence Author(s)/Originator(s): (please state author name and department) Dr Daly - Consultant Psychiatrist,

More information

Alcohol and Re-offending Who Cares?

Alcohol and Re-offending Who Cares? January 2004 Alcohol and Re-offending Who Cares? This briefing paper focuses on the high level of alcohol misuse and dependence within the prison population. In recent years a great deal of time and money

More information

Submission to Department of Public Expenditure and Reform on comprehensive review of public expenditure

Submission to Department of Public Expenditure and Reform on comprehensive review of public expenditure Submission to Department of Public Expenditure and Reform on comprehensive review of public expenditure An introduction to reducing costs and improving clinical outcomes for people with addiction issues.

More information

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011

THE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011 RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for

More information

Revised April 1, 2015 Page 1 of 5

Revised April 1, 2015 Page 1 of 5 Interview Date: Community Treatment Center 1215 Lake Drive Cocoa, Florida 32922 Phone: 321-632-5958 Fax: 321-632-2533 Do you have a substance abuse problem? Yes No Do you have a mental health diagnosis?

More information

Do specialist alcohol liaison nurses improve alcohol-related outcomes in patients admitted to hospital settings?

Do specialist alcohol liaison nurses improve alcohol-related outcomes in patients admitted to hospital settings? Do specialist alcohol liaison nurses improve alcohol-related outcomes in patients admitted to hospital settings? Niamh Fingleton and Catriona Matheson Academic Primary Care, University of Aberdeen, March

More information

Health Select Committee Inquiry: the Government s Alcohol Strategy

Health Select Committee Inquiry: the Government s Alcohol Strategy St Mungo s Response Health Select Committee Inquiry: the Government s Alcohol Strategy May 2011 1. Overview 1.1 We welcome the opportunity to contribute to the Health Select Committee Inquiry on the Government

More information

Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective. Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A

Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective. Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A Disclaimer: This speaker has no financial disclaimers to report.

More information

FRAMEWORK JOB DESCRIPTION. Band 6

FRAMEWORK JOB DESCRIPTION. Band 6 FRAMEWORK JOB DESCRIPTION Band 6 Framework is a registered charity, Company Limited by guarantee and Registered Social Landlord providing a variety of supported accommodation and tenancy support for homeless

More information

OUT-PATIENT DETOX CLINIC NEIL TURNER: ALCOHOL LIAISON NURSE

OUT-PATIENT DETOX CLINIC NEIL TURNER: ALCOHOL LIAISON NURSE OUT-PATIENT DETOX CLINIC NEIL TURNER: ALCOHOL LIAISON NURSE Introduction Admissions to hospital for alcohol detoxification in Skye and Lochalsh have been up to 78% higher than national average (www.scotpho.org))

More information

Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016

Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016 Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016 About the Simon Community Simon Community Northern Ireland

More information

Maintenance of abstinence in alcohol dependence

Maintenance of abstinence in alcohol dependence Shared Care Guideline for Prescription and monitoring of Acamprosate Calcium Author(s)/Originator(s): (please state author name and department) Dr Daly - Consultant Psychiatrist, Alcohol Services Dr Donnelly

More information

Models of care for alcohol misusers (MoCAM)

Models of care for alcohol misusers (MoCAM) Models of care for alcohol misusers (MoCAM) Models of care for alcohol misusers (MoCAM) DH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Document Purpose Performance IM & T Finance

More information

Safer prisons: the challenge of mental ill-health and wider dual diagnosis. Sean Duggan, Chief Executive 21 March 2013

Safer prisons: the challenge of mental ill-health and wider dual diagnosis. Sean Duggan, Chief Executive 21 March 2013 Safer prisons: the challenge of mental ill-health and wider dual diagnosis Sean Duggan, Chief Executive 21 March 2013 Dual diagnosis Dual diagnosis can mean A primary mental health problem that provokes

More information

Office for. Alcohol and Drug Abuse Prevention at Stanford Information for Faculty and Staff

Office for. Alcohol and Drug Abuse Prevention at Stanford Information for Faculty and Staff STANFORD UNIVERSITY Office for Campus Relations Stanford Help Center Alcohol and Drug Abuse Prevention at Stanford Information for Faculty and Staff Phone: 650-723-4577 or Email: helpcenter@lists.stanford.edu

More information

ALCOHOL CARE PROVISION 2013

ALCOHOL CARE PROVISION 2013 . In 2013 NHS Health Scotland on behalf of the Scottish Government commissioned research by Iconic Consultants. The aim of the research was to assess the availability, demand, utilization and capacity

More information

(Health Scrutiny Sub-Committee 9 March 2009)

(Health Scrutiny Sub-Committee 9 March 2009) Somerset County Council Health Scrutiny Sub-Committee 9 March 2009 Drug and Alcohol Treatment Services Author: Amanda Payne Somerset DAAT Co-ordinator Contact Details: Amanda.Payne@somerset.nhs.uk Paper

More information

Protocol for Accessing Residential Detoxification & Rehabilitation

Protocol for Accessing Residential Detoxification & Rehabilitation Protocol for Accessing Residential Detoxification & Rehabilitation Protocol - working group members: Julie Murray, Alcohol & Drugs Partnership Co-ordinator Lynda Mays, Clinical Services Manager, Addictions,

More information

Aim of presentation. Drug and Alcohol Services in Leicester. National Policy. Local Policy. Demographics. Aims and objectives of needs assessment

Aim of presentation. Drug and Alcohol Services in Leicester. National Policy. Local Policy. Demographics. Aims and objectives of needs assessment Aim of presentation Drug and Alcohol Services in Leicester Joanne Atkinson, Consultant in Public Health Kate Galoppi, Head of Drug and Alcohol Action Team 19 th June 212 To introduce members to the issues

More information

ALCOHOLISM, ALCOHOL DEPENDENCE AND THE EFFECTS ON YOUR HEALTH.

ALCOHOLISM, ALCOHOL DEPENDENCE AND THE EFFECTS ON YOUR HEALTH. ALCOHOLISM, ALCOHOL DEPENDENCE AND THE EFFECTS ON YOUR HEALTH. Alcoholism also known as alcohol dependence is a disabling ADDICTIVE DISORDER. It is characterized by compulsive and uncontrolled consumption

More information

3. Services for people who misuse drugs/alcohol

3. Services for people who misuse drugs/alcohol 3. Services for people who misuse drugs/alcohol 3.1 Residential rehabilitation for people who misuse drugs/alcohol 3.2 Inpatient detoxification for people who misuse drugs/alcohol 3.3 Specialist prescribing

More information

Substance Abuse Screening

Substance Abuse Screening The Goal of Substance Abuse Screening The goal of substance abuse screening is to identify individuals who have or are at risk for developing alcohol or drug-related problems, and within that group, identify

More information

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) SHARED CARE AGREEMENT FRAMEWORK

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) SHARED CARE AGREEMENT FRAMEWORK DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) SHARED CARE AGREEMENT FRAMEWORK ACAMPROSATE CALCIUM (Campral EC) for alcohol abstinence ESCA: Adjunct in the treatment of chronic alcohol dependence (under

More information

Specialist Alcohol & Drug Services in Lanarkshire

Specialist Alcohol & Drug Services in Lanarkshire Specialist Alcohol & Drug Services in Lanarkshire This brochure describes what help is available within Lanarkshire s specialist treatment services. These include the North Lanarkshire Integrated Addiction

More information

Reducing underage alcohol harm in Accident and Emergency settings

Reducing underage alcohol harm in Accident and Emergency settings Reducing underage alcohol harm in Accident and Emergency settings The current scale of underage alcohol-related harm requires a consistent national response 36 under-18s were admitted to hospital in England

More information

Alcohol and drugs. Introduction. The legal position

Alcohol and drugs. Introduction. The legal position Alcohol and drugs Introduction There are no reliable figures for the misuse of drugs and alcohol by NHS staff but a survey in 2001 by Alcohol Concern and Drugscope suggested that 60 per cent of employers

More information

Policy for Preventing and Managing Critical Incident Stress

Policy for Preventing and Managing Critical Incident Stress Policy for Preventing and Managing Critical Incident Stress Document reference number HSAG 2012/3 Document developed by Revision number 1.0 Document approved by Consultation with 14 September 2012 Presented

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for health and social care Commissioning outcomes framework programme Briefing paper

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for health and social care Commissioning outcomes framework programme Briefing paper NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for health and social care Commissioning outcomes framework programme Briefing paper Quality standard topic: Alcohol dependence and harmful

More information

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx Alcohol Abuse By Neva K.Gulsby, PA-C, and Bonnie A. Dadig, EdD, PA-C Posted on: April 18, 2013 Excessive

More information

Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery

Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery Presentation to Imperial College London Wednesday 10 th December 2014 Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery

More information

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities

Integrated drug treatment system Treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities Establishment: HMP Belmarsh Drugs partnership: Greenwich Primary Care Trust: Greenwich Integrated drug treatment system Treatment plan 2009/10 Part 1: Strategic summary, needs assessment and key priorities

More information

Nottingham Crime & Drugs Partnership. Treatment System Review Drug, Alcohol and Criminal Justice

Nottingham Crime & Drugs Partnership. Treatment System Review Drug, Alcohol and Criminal Justice Nottingham Crime & Drugs Partnership Treatment System Review Drug, Alcohol and Criminal Justice 2008 1 Contents Executive Summary 4 Proposed model 5 Key recommendations 9 1. Background 11 1.1 Outcome 11

More information

Alcohol Awareness Month October 2013. Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University

Alcohol Awareness Month October 2013. Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University Alcohol Awareness Month October 2013 Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University Alcohol Statistics According to the Office of Juvenile Justice and Delinquency

More information

Getting help for a drug problem A guide to treatment

Getting help for a drug problem A guide to treatment Getting help for a drug problem A guide to treatment Who we are The National Treatment Agency for Substance Misuse is part of the National Health Service. We were set up in 2001 to increase the numbers

More information

Poster Presentation: Inebria Conference 8-9 Oct 09

Poster Presentation: Inebria Conference 8-9 Oct 09 1 The Hub of Commissioned Alcohol Projects and Policies (HubCAPP) is an online resource of local alcohol initiatives 1. HubCAPP highlights the different ways that local areas are implementing Identification

More information

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS

REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS REVIEW OF DRUG TREATMENT AND REHABILITATION SERVICES: SUMMARY AND ACTIONS 1. INTRODUCTION 1.1 Review Process A Partnership for a Better Scotland committed the Scottish Executive to reviewing and investing

More information

Adult drug treatment plan 2007/08 Part 1 Section A: Strategic summary Section B: National targets Section C: Partnership performance expectations

Adult drug treatment plan 2007/08 Part 1 Section A: Strategic summary Section B: National targets Section C: Partnership performance expectations name Adult drug treatment plan Part 1 Section A: Strategic summary Section B: National targets Section C: expectations Published by NTA: 2 October This strategic summary incorporating national targets

More information

Substance Misuse Treatment Investment. Cost Benefit Analysis

Substance Misuse Treatment Investment. Cost Benefit Analysis PP03 Appendix B Substance Misuse Treatment Investment Cost Benefit Analysis Sam Tearle, Principal Manager DAAT March 2011 1. Rates of Substance Misuse in West Sussex 1.1. It is estimated that in West Sussex

More information

Intensive Support in Reducing Alcohol- Related Hospital Admissions

Intensive Support in Reducing Alcohol- Related Hospital Admissions Intensive Support in Reducing Alcohol- Related Hospital Admissions A Report describing Intensive Support provided to 10 London Primary Care Trusts (PCT)/Drug and Alcohol Action Team (DAAT) Partnerships.

More information

Evaluation of the Effectiveness of the Alcohol Specialist Nurse Service. Final Report February 2012. Jane Ward WMC Limited

Evaluation of the Effectiveness of the Alcohol Specialist Nurse Service. Final Report February 2012. Jane Ward WMC Limited Evaluation of the Effectiveness of the Alcohol Specialist Nurse Service Final Report February 2012 Jane Ward WMC Limited Executive Summary In 2009 the Safer Portsmouth Partnership Alcohol Needs Assessment

More information

David Meshorer, Ph.D. Psychological Health Roanoke

David Meshorer, Ph.D. Psychological Health Roanoke Substance Abuse In The Elderly David Meshorer, Ph.D. Psychological Health Roanoke The Invisible Epidemic Substance abuse in the elderly is one of the fastest growing health problems facing the county Even

More information

Employee Alcohol and Substance Abuse Policy. Effective from January 2014

Employee Alcohol and Substance Abuse Policy. Effective from January 2014 Employee Alcohol and Substance Abuse Policy Effective from January 2014 Contents 1.0 Introduction... 4 2.0 Aims... 4 3.0 Legal issues in relation to employment... 4 3.1 Health and Safety at Work Act 1974...

More information

Public Health England. Alcohol & alcohol related harm

Public Health England. Alcohol & alcohol related harm Public Health England Alcohol & alcohol related harm Mission To protect and improve the nation s health and to address inequalities, working with national and local government, the NHS, industry, academia,

More information

Prevention and treatment of alcohol misuse

Prevention and treatment of alcohol misuse Prevention and treatment of alcohol misuse Liz Burns Public Health Development Advisor elizabeth.burns@mhsc.nhs.uk Alison Rodriguez alison.rodriguez@mhsc.nhs.uk Head of Service Community Alcohol Team and

More information

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE

New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE I. DEFINITION OF SERVICE New Haven/Fairfield Counties Ryan White Part A Program Substance Abuse Service Standard SUBSTANCE ABUSE CORE MEDICAL SERVICE Support for Substance Abuse Treatment Services-Outpatient,

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Alcohol Concern s learning from 10 years of consultancy and training

Alcohol Concern s learning from 10 years of consultancy and training Investing in Alcohol Treatment Reducing Costs and Improving Lives Alcohol Concern s learning from 10 years of consultancy and training Alcohol Concern Making Sense of Alcohol Alcohol Concern Alcohol Concern

More information

Alcohol. And Your Health. Psychological Medicine

Alcohol. And Your Health. Psychological Medicine Alcohol And Your Health Psychological Medicine Introduction Alcohol, when used in moderation and as part of a healthy lifestyle, can have beneficial effects for some people, particularly in the prevention

More information

Integrated Addiction Service

Integrated Addiction Service Contact details North Lanarkshire Integrated Addiction Services: Airdrie IAS Addiction Support Project, 81c Hallcraig Street, Airdrie ML6 6AW Tel: 01236 753341 Bellshill IAS Bellshill Cross Addiction Project

More information

Alcohol & Chemical Dependence. Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma

Alcohol & Chemical Dependence. Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma Alcohol & Chemical Dependence Chisoo Choi, M.D. Internal Medicine Consultant Brookhaven Hospital Tulsa, Oklahoma Objectives Increased awareness of alcohol and chemical dependence problems Hallmarks of

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

3 LOCATION: JORDANSTOWN/COLERAINE/MAGEE CAMPUS ONE (certain modules) 5 FINAL AWARD: BSc Honours in Specialist Nursing Practice

3 LOCATION: JORDANSTOWN/COLERAINE/MAGEE CAMPUS ONE (certain modules) 5 FINAL AWARD: BSc Honours in Specialist Nursing Practice COURSE TITLE: BSc Hons IN SPECIALIST NURSING PRACTICE 1 AWARDING INSTITUTION/BODY: UNIVERSITY OF ULSTER 2 TEACHING INSTITUTION: UNIVERSITY OF ULSTER 3 LOCATION: JORDANSTOWN/COLERAINE/MAGEE CAMPUS ONE (certain

More information

Executive Member for Community Health and Wellbeing. Commissioned Alcohol Services and Current Performance Update

Executive Member for Community Health and Wellbeing. Commissioned Alcohol Services and Current Performance Update TRAFFORD COUNCIL Report to: Health Scrutiny Committee Date: February 2015 Report of: Executive Member for Community Health and Wellbeing Report Title Commissioned Alcohol Services and Current Performance

More information

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 29 th October 2013

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 29 th October 2013 Agenda Item No. 6.0 Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 29 th October 2013 Title of Report Purpose of the Report RADAR This report provides the background to the RADAR

More information

A Guide to Alcoholism and Problem Drinking

A Guide to Alcoholism and Problem Drinking A Guide to Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol.

More information

Report of the Overview and Scrutiny Committees on Health and on Housing, Environmental Health and Adult Social Care

Report of the Overview and Scrutiny Committees on Health and on Housing, Environmental Health and Adult Social Care Report of the Overview and Scrutiny Committees on Health and on Housing, Environmental Health and Adult Social Care Review of Services for Adults at the Interface of Mental Health and Drugs September 2006

More information

Alcoholism and Problem Drinking

Alcoholism and Problem Drinking Page 1 of 5 Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean 'alcohol dependence' (alcohol addiction). Some people are 'problem drinkers' without being dependent on alcohol.

More information

Alcoholism and Problem Drinking

Alcoholism and Problem Drinking Page 1 of 5 Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol.

More information

HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016

HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016 HOSC Report Integrated community drugs and alcohol service retendering options beyond April 2016 Meeting Date Sponsor Report author Purpose of report (summary) 12 th May 2015 Margaret Willcox Steve O Neill

More information

Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) SBIRT: An Effective Approach

Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) SBIRT: An Effective Approach Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) University of Pittsburgh The ATN-SBIRT Program is a partnership with the University of Pittsburgh and

More information

Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie

Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie Impact of Financial Crisis on Mental Health- An Irish Dual Diagnosis perspective June 2013 Carol Moore info@dualdiagnosis.ie What is Dual Diagnosis? A person who has both an alcohol or drug problem and

More information

Taking Care of Yourself and Your Family After Self-Harm or Suicidal Thoughts A Family Guide

Taking Care of Yourself and Your Family After Self-Harm or Suicidal Thoughts A Family Guide It is devastating to have a suicidal family member and to live with the feelings that go with this kind of traumatic anxiety. That is why this guide is developed for you. It will give you some important

More information

AUDIT. The Alcohol Use Disorders Identification Test: Interview Version

AUDIT. The Alcohol Use Disorders Identification Test: Interview Version AUDIT The Alcohol Use Disorders Identification Test: Interview Version Read questions as written and record answers carefully. Begin the AUDIT by saying Now I am going to ask you some questions about your

More information

The extent of the problem

The extent of the problem the voice of NHS leadership briefing January 2010 ISSUE 193 Too much of the hard stuff: what alcohol costs the NHS Key points Over a quarter of the population in England is drinking at hazardous levels.

More information

IAPT OUTLINE SERVICE SPECIFICATION

IAPT OUTLINE SERVICE SPECIFICATION IAPT OUTLINE SERVICE SPECIFICATION Improving Access to Psychological Therapies Programme (IAPT) The IAPT Programme is a Department of Health initiative to improve access to psychological therapies. It

More information

. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland

. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland . Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland Introduction Problem drinking and social groupings. Alcohol prob.lems affect people from all social groups.

More information

Alcohol Treatment Systems and Services. Position Paper

Alcohol Treatment Systems and Services. Position Paper Alcohol Treatment Systems and Services Position Paper 2 Alcohol Treatment Systems and Services Foreword...4 Acknowledgements...6 Introduction...7 Policy Context...8 Service Provision...11 Consultations...13

More information

Alcohol Identification and Brief Advice (IBA) in Buckinghamshire

Alcohol Identification and Brief Advice (IBA) in Buckinghamshire Alcohol Identification and Brief Advice (IBA) in Buckinghamshire A resource for frontline health and multi-agency professionals to identify and respond to alcohol consumption above recommended levels This

More information

Report to: Health Overview & Scrutiny Panel Date:

Report to: Health Overview & Scrutiny Panel Date: Report to: Health Overview & Scrutiny Panel Date: 3 rd November 2011 Report by: Barry Dickinson, Senior Programme Manager, Integrated Commissioning Unit Subject: Re-commissioning a new pathway for drug

More information

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements Provider Training Behavioral Health Screening, Referral, and Coding Requirements Training Outline I. Behavioral Health Screening Requirements and Referrals II. Healthy Behaviors Substance and Alcohol Abuse

More information

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1 Medicines reconciliation on admission and discharge from hospital policy April 2013 WHSCT medicines reconciliation policy 1 Policy Title Policy Reference Number Medicines reconciliation on admission and

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance

Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance Naltrexone Shared Care Guideline for the treatment of alcohol dependence and opioid dependance Introduction Indication/Licensing information: Naltrexone is licensed for use as an additional therapy, within

More information

Exercise therapy and the treatment of mild or moderate depression in primary care

Exercise therapy and the treatment of mild or moderate depression in primary care Exercise therapy and the treatment of mild or moderate depression in primary care Up and running? Executive summary Why isn t exercise referral offered by GPs? According to our research, only 42% of GPs

More information

Milton Keynes Drug and Alcohol Strategy 2014-17

Milton Keynes Drug and Alcohol Strategy 2014-17 Health and Wellbeing Board Milton Keynes Drug and Alcohol Strategy 2014-17 www.milton-keynes.gov.uk 2 Contents Foreword 4 Introduction 5 National context 6 Local context 7 Values and principles 9 Priorities

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

SUBJECT: Procurement Strategy for Substance Misuse Residential Detox and Rehabilitation Services

SUBJECT: Procurement Strategy for Substance Misuse Residential Detox and Rehabilitation Services Housing and Adult Social Services 7 Newington Barrow Way, London, N7 7EP Report of: Executive Member for Health and Well-Being Meeting of: Date Ward(s) Executive 16 July 2015 All Delete as appropriate

More information

Phoenix Futures Prison Treatment programmes

Phoenix Futures Prison Treatment programmes Phoenix Futures Prison Treatment programmes Karen Biggs Chief Executive, Phoenix Futures Overview of Presentation Political and Strategic context in England Overview of some of our programmes. Outcomes

More information

Principles for commissioning a substance misuse treatment system

Principles for commissioning a substance misuse treatment system Developing Recovery Communities: Treatment Plan Strategic Summary 2013/14 East Sussex Drug and Alcohol Action Team 1. The East Sussex Drug and Alcohol Action Team (DAAT) is the multi-agency partnership

More information

Alcohol Statistics from the National Drug Treatment Monitoring System (NDTMS)! 1 April 2012 to 31 March 2013

Alcohol Statistics from the National Drug Treatment Monitoring System (NDTMS)! 1 April 2012 to 31 March 2013 Alcohol Statistics from the National Drug Treatment Monitoring System (NDTMS)! 1 April 2012 to 31 March 2013 Published 16 October 2013 About Public Health England Public Health England s mission is to

More information

3.1 TWELVE CORE FUNCTIONS OF THE CERTIFIED COUNSELLOR

3.1 TWELVE CORE FUNCTIONS OF THE CERTIFIED COUNSELLOR 3.1 TWELVE CORE FUNCTIONS OF THE CERTIFIED COUNSELLOR The Case Presentation Method is based on the Twelve Core Functions. Scores on the CPM are based on the for each core function. The counsellor must

More information

APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM

APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM Community Mental Health Teams (CMHTs)- five teams operate across RBKC offering assessment and care management services to people with severe and enduring

More information