Alcohol and Drug Outcome Measure (ADOM) Guide for addiction practitioners Version 4.0

Transcription

1 Alcohol and Drug Outcome Measure (ADOM) Guide for addiction practitioners Version 4.0 August 2015

2 2 ADOM guide for addiction practitioners, August 2015, v4.0.

3 Document control References Name Version control Version Date Status Description of changes ADOM guide for addiction practitioners, August 2015, v4.0. 3

4 Acknowledgements Sources Warning 4 ADOM guide for addiction practitioners, August 2015, v4.0.

5 About this guide ADOM guide for addiction practitioners, August 2015, v4.0. 5

6 Contents List of figures and tables 6 ADOM guide for addiction practitioners, August 2015, v4.0.

7 1. About ADOM 1.1 Potential future scope 1.2 Limitations ADOM guide for addiction practitioners, August 2015, v4.0. 7

8 2. Purpose of collecting ADOM outcome data 8 ADOM guide for addiction practitioners, August 2015, v4.0.

9 3. ADOM eligibility criteria 3.1 Which services are eligible to collect ADOM data or information? Eligible Exclusions 3.2 Which tāngata whai ora are eligible for ADOM collection? Eligible Exclusions ADOM guide for addiction practitioners, August 2015, v4.0. 9

10 4. Information collection protocol (ICP) and the practitioner role 4.1 The ADOM Information Collection Protocol (ICP) 4.2 Clinical pathways and ADOM collection points Figure 1: Clinical pathways aligned with ADOM collection occasions Treatment start ADOM 10 ADOM guide for addiction practitioners, August 2015, v4.0.

11 Review ADOM Discharge ADOM 4.3 ADOM collection occasions, collection reason and dates ADOM guide for addiction practitioners, August 2015, v

12 Table 1: Summary of ADOM collection occasions throughout the tangata whai ora treatment journey Treatment start ADOM Reason for collection/collection date Review ADOM Reason for collection/ collection date Discharge ADOM Reason for collection/ collection date 12 ADOM guide for addiction practitioners, August 2015, v4.0.

13 4.4 Administrative information to be recorded with the ADOM collection occasion information Table 2: Extra information to be collected with ADOM Information required Description Codes ADOM guide for addiction practitioners, August 2015, v

14 4.5 Facilitating ADOM collection the practitioner role ADOM form and structure ADOM question types 14 ADOM guide for addiction practitioners, August 2015, v4.0.

15 Specific drugs ADOM Section 1: questions 5, 6, 7 and 9 Injecting risk behaviour ADOM Section 1: questions 10 and 11 Lifestyle and wellbeing ADOM Section 2: questions 12 to 18 ADOM guide for addiction practitioners, August 2015, v

16 16 ADOM guide for addiction practitioners, August 2015, v4.0.

17 Criminal or illegal activity ADOM Section 2: question 18 Level of satisfaction with recovery ADOM Section 3: questions 19 and 20 ADOM guide for addiction practitioners, August 2015, v

18 4.6 Helping tāngata whai ora with timelines tips Introducing ADOM Having a calendar handy Deciding on a rating 18 ADOM guide for addiction practitioners, August 2015, v4.0.

19 5. ADOM information 5.1 Glossary ADOM ADOM collection Ratings Casemix CEP Practitioner Community-based outpatient addiction service Enrolled Episode of care (treatment start to treatment end) ADOM guide for addiction practitioners, August 2015, v

20 Focus of care Health of the Nation Outcome Scales (HoNOS) Outcome measure Period of care PRIMHD Recovery Tangata whai ora Treatment stages 20 ADOM guide for addiction practitioners, August 2015, v4.0.

21 5.2 Frequently asked questions Why use ADOM? How useful will ADOM be for tāngata whai ora? ADOM guide for addiction practitioners, August 2015, v

22 Why monitor clinical outcomes? Is ADOM a validated measure? Is ADOM anything like HoNOS to use? How does the collection of ADOM relate to PRIMHD? Are services working with people with co-existing mental health and substance use problems expected to collect HoNOS and ADOM? What if a tangata whai ora changes services? Who do I contact for further information or to provide feedback? 22 ADOM guide for addiction practitioners, August 2015, v4.0.

23 5.3 How ADOM relates to PRIMHD Table 3: Who receives what services, from whom, with what effect (outcome) Question Answer Will ADOM be reported to PRIMHD alongside mental health outcomes data? Will ADOM information be available for participating addiction services to analyse? Will data held in PRIMHD for addiction tāngata whai ora be accessible to allow comparison with ADOM data? ADOM guide for addiction practitioners, August 2015, v

24 Appendices: Example ADOM implementation documents Warning 24 ADOM guide for addiction practitioners, August 2015, v4.0.

25 Appendix 1.1(a): ADOM collection form 7 ADOM guide for addiction practitioners, August 2015, v

26 Appendix 1.1(b): ADOM practitioner prompt sheet 8 26 ADOM guide for addiction practitioners, August 2015, v4.0.

27 Appendix 1.2: Example ADOM feedback wheel 9 Example 1: Recovery progress Example 2: Additional ADOM information ADOM guide for addiction practitioners, August 2015, v

28 Appendix 1.3: Blank ADOM feedback wheel -example ADOM guide for addiction practitioners, August 2015, v4.0.

29 Appendix 1.4: ADOM calendar 11 Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday ADOM guide for addiction practitioners, August 2015, v

30 Appendix 1.5: ADOM information for tāngata whai ora, service users 12 What is ADOM? What you need to know 30 ADOM guide for addiction practitioners, August 2015, v4.0.

31 What happens to my information? ADOM guide for addiction practitioners, August 2015, v