Overview of the Breaking Free research and evaluation programme. Based on the MRC framework for developing and evaluating complex interventions
|
|
|
- Jemima Hortense Lindsey
- 10 years ago
- Views:
Transcription
1 Overview of the Breaking Free research and evaluation programme Based on the MRC framework for developing and evaluating complex interventions June
2 Overview of the Breaking Free research and evaluation programme The ongoing programme of research into the effectiveness of Breaking Free Online and Breaking Free Pillars of Recovery, outlined below, is following the Medical Research Council framework for the development and evaluation of complex healthcare interventions (Craig et al., 2008), and the Royal Society guidelines for evaluating novel interventions (Wallach et al., 2006; Wallach, 2011). Completed studies Breaking Free Online Version 1.0 A quantitative outcomes evaluation of version 1.0 of Breaking Free Online. This study has been published in the Journal of Substance Use. Key findings: Using Breaking Free Online led to significant reductions in substance use, as well as significant improvements in mental health, quality of life, severity of dependence and perceived ability to abstain from using substances. St Mungo s Homeless hostels A qualitative outcomes evaluation of the use of Breaking Free Online by homeless drug users living in St Mungo s hostels in London. Usage of the programme was facilitated by mentors (i.e. hostel staff). This study, which was authored by Dr Joanne Neale (National Addiction Centre, King s College London) and Dr Caral Stevenson (Oxford Brookes University), has been published in Drugs Education Prevention and Policy. Key findings: Almost all service users expressed positive feelings about Breaking Free Online when interviewed after both their first and last session. They highlighted the programme s accessibility, flexibility, interactive capabilities and user-friendly interface. In addition to reduced substance use in some service users, a wide range of other personal, psychological, educational and social benefits were identified across the cohort. 2
3 Self-Help Services Dual diagnosis services A quantitative outcomes evaluation of the use of Breaking Free Online by service users at Self-Help Services in Manchester and Stockport who had a dual diagnosis of substance misuse and mild-tomoderate mental health difficulties. This study has been published in Advances in Dual Diagnosis. Key findings: Implementation of Breaking Free Online as part of the e-therapy service led to significant reductions in alcohol and drug use, as well as significant improvements in social functioning, depression, anxiety and social anxiety. Clinically relevant gains were also identified, with fewer service users reaching threshold scores for depression and anxiety at post-treatment compared to baseline. Effect sizes also indicated that the identified improvements across the psychometric measures were robust and significant. CRI Recovery services A qualitative outcomes evaluation of Breaking Free Online when delivered as computer-assisted therapy (CAT) by peer mentors and practitioners at four CRI recovery services in Lancashire, Staffordshire, Yorkshire and the West Midlands. This study has been published in Drugs and Alcohol Today. Key findings: Implementation of computer-assisted therapy for substance misuse had significant benefits in terms of both the recovery of the service users and the working practices of the staff and peer mentors. Feedback on Breaking Free Online was overwhelmingly positive. All individuals interviewed perceived the programme as being highly beneficial, and highlighted different ways in which specific strategies within it contributed to successful recovery. Data also provided valuable insights into the process by which technological innovation is diffused throughout a large organisation such as CRI. Breaking Free Online Theoretical basis for underpinning model A detailed overview and discussion of the current evidence base for the components and structure of the Lifestyle Balance Model, which underpins the Breaking Free Online and Breaking Free Pillars of Recovery programmes. The study draws on literature around node-link mapping techniques, cognitive-behavioural case formulation, and the growing evidence around the importance of lifestyle to substance use, relapse and recovery. This study, which was co-authored by Dr Alexandre Laudet (Director of the Center for the Study of Addictions and Recovery, National Development and Research Institutes, New York), has been published in Substance Abuse Treatment Prevention and Policy. Key findings: This literature review demonstrated strong theoretical support for the Lifestyle Balance Model, the six domains of biopsychosocial functioning it contains, and its emphasis on the role of lifestyle in both perpetuating substance dependence and influencing recovery progression. 3
4 Breaking Free Online Validity of full assessment A statistical standardisation and validation study of the psychometric assessment that is contained in Breaking Free Online. This structured assessment measures the aspects of biopsychosocial functioning that comprise the Lifestyle Balance Model and changes in these areas of functioning, which is conceptualised as recovery progression. This study of data from 2,218 service users has been accepted for publication in Substance Use and Misuse. Key findings: The structured assessment, which is used to populate the Lifestyle Balance Model that underpins Breaking Free Online, was found to have excellent psychometric properties in the form of very strong internal reliability and convergent validity. In addition, exploratory factor analyses revealed the assessment to provide a foundation for the programme that is statistically and theoretically sound. Breaking Free Online Validity of abbreviated assessment A psychometric assessment standardisation and validation study of 2,712 users of Breaking Free Online. This assessment is an abbreviated version of the structured assessment that is included in Breaking Free Online. Named the Recovery Progression Measure (RPM), this 7-item scale is designed to be used as a rapid measure of recovery progression in substance misuse treatment settings. This study will be submitted for peer review shortly. Key findings: The Recovery Progression Measure was found to have excellent internal and test-retest reliability. In addition, concurrent and predictive validity were found to be excellent, and the measure was demonstrated to have high sensitivity and specificity. St Mungo s Homeless hostels A qualitative exploration of Breaking Free Online delivered as computer-assisted therapy by mentors to homeless drug users. This study, which was authored by Dr Joanne Neale (National Addiction Centre, King s College London) and Dr Caral Stevenson (Oxford Brookes University), has been published in the Journal of Substance Abuse Treatment. Key findings: Successful delivery of Breaking Free Online as computer-assisted therapy in the context of homeless hostels related to intrinsic features of the programme, including its accessibility, flexibility and user-friendly interface; delivery context, such as privacy and the availability of computers; the extent to which clients were focused on their recovery; and the attitude of the mentors. 4
5 Breaking Free Online Alcohol A quantitative outcomes evaluation of the use of Breaking Free Online by 300 service users to address their problem drinking. This paper has been published in Alcoholism Treatment Quarterly. Key findings: Using Breaking Free Online led to significant reductions in the average weekly units of alcohol consumed (from 76 pre-treatment to 26 post-treatment) and severity of alcohol dependence. In addition, 48% of service users achieved complete abstinence following treatment, with the remainder showing significant reductions in alcohol consumption. Significant improvements in mental health and quality of life were also found. Helping Groups to Grow Dual diagnosis service A quantitative outcome study of the implementation of the Breaking Free Pillars of Recovery group and one-to-one keyworking programme by Helping Groups to Grow, a community service in Dyfed- Powys for people with substance misuse and mild-to-moderate mental health difficulties. This paper, which was co-authored by Dr Lee Hogan (University of Bangor), has been accepted for publication in the Journal of Groups in Addiction and Recovery. Key findings: Delivering the Breaking Free Pillars of Recovery programme led to significant reductions, immediately post-treatment, in levels of substance use and severity of dependence. In addition, significant improvements in mental health, social functioning, quality of life and selfefficacy were found. Breaking Free Online Version 2.0 A quantitative outcomes evaluation of the use of version 2.0 of Breaking Free Online by 393 service users to address their alcohol and drug dependence in the context of substance misuse treatment services. This paper has been published in the Journal of Medical Internet Research Mental Health. Key findings: Using Breaking Free Online led to significant reductions in levels of substance use and severity of dependence (across different types of substances). Significant improvements in mental health and quality of life were also found. Additional analysis showed that these therapeutic gains were even more significant when individuals used the programme with the support of a relative or friend, suggesting that psychosocial support can play an important role in maximising outcomes. 5
6 Ongoing studies Chapman-Barker Unit Inpatient detox unit Qualitative outcomes evaluation data are currently being collected and analysed. The service users included in this study have highly complex needs. The Chapman-Barker Unit is using Breaking Free Online to structure people s time immediately post-detox, and also to help them transition safely back to the community as part of the aftercare provision. Preliminary findings: Specific intervention strategies within Breaking Free Online are particularly effective at different points of the recovery journey. The service users interviewed have provided many concrete examples of how specific strategies within Breaking Free Online have benefited them in different ways e.g. to use their time positively and constructively, manage their anxiety, and cope with their cravings and urges while they are still inpatients; and to avoid relapse and address their lifestyle issues following their discharge from the unit. Pillars of Recovery Group and keyworking programme A quantitative outcomes evaluation of the 6-month follow-up data for the service users who participated in the initial outcomes evaluation at Helping Groups to Grow in Dyfed-Powys is currently underway. Preliminary findings: The therapeutic gains from the Breaking Free Pillars of Recovery group and one-to-one keyworking programme, in terms of reductions in levels of substance use and severity of dependence, and improvements in mental health, social functioning, quality of life and self-efficacy, were maintained at 6 months post-treatment. CRI Recovery services Three studies of the use of Breaking Free Online throughout CRI s recovery services are currently being undertaken: 1) A controlled, longitudinal quantitative study comparing outcomes of service users accessing Breaking Free Online with those receiving treatment as usual. 2) A follow-up qualitative study of the diffusion and implementation of Breaking Free Online across the organisation. 3) A qualitative study of the role of Breaking Free Online in supporting peer mentors in maintaining abstinence and building recovery capital. 6
7 Turning Point Recovery services Two studies are currently being undertaken in collaboration with the Clinical Psychology team at Turning Point: 1) A controlled, longitudinal quantitative study comparing outcomes of service users accessing Breaking Free Online with those receiving treatment as usual. 2) A qualitative study exploring the role of Breaking Free Online in providing continued care to service users recently discharged from in-patient detoxification facilities. Addaction Recovery services An outcomes evaluation of different methods of implementing Breaking Free Online in four regions (Lancashire, Cornwall, Devon and Dumfries & Galloway) in which Addaction provide substance misuse services is now underway. These delivery methods are one-to-one support for service users receiving substitute medication for opiate addiction; group and one-to-one work with non-opiate and crack users (predominantly people using cannabis, amphetamines and novel psychoactive substances); and outreach support for service users living in rural locations. This study is based on a mixed methodology (i.e. quantitative and qualitative) design. Alberta Health Services, Canada Young people s services An outcomes evaluation of the use of Breaking Free Online and other online resources to support young people with substance misuse and mental health difficulties is currently underway. This study is being conducted by the Addiction and Mental Health Strategic Clinical Network at Alberta Health Services. 7
8 Prisons Programme of research Breaking Free Online and Breaking Free Pillars of Recovery have been included in Gateways. This is an NHS England and Ministry of Justice pathfinder in ten prisons in North-West England that aims to break the cycle of substance misuse, offending and imprisonment by strengthening support for people when they transition from custody back to the community. In partnership with Dr Sam Weston at Keele University Department of Criminology, a comprehensive programme of research into the effectiveness of Breaking Free Online and Breaking Free Pillars of Recovery within prison settings is currently being undertaken. This research programme includes an initial mixed-methods pilot evaluation, which has been accepted for publication in Drugs Education Prevention and Policy. This study found that offenders using Breaking Free Online in prisons demonstrated highly significant reductions in substance consumption and substance dependence and improvements in quality of life, and significant improvements on most dimensions of recovery progression. The qualitative component of the study found that even offenders with low levels of digital literacy were able to use the online programme effectively, and consequently found it helpful to their recovery. Several stated that they intended to continue using the programme in the community following their release. Offenders accessing the Pillars of Recovery group and key working programme also reported multiple therapeutic benefits and identified the peer support and mutual aid facilitation elements to be particularly beneficial. This study is now being followed up with a comprehensive mixed-methods evaluation of the role of the Breaking Free Health and Justice programmes in providing continuity of care between custodial and community settings. In addition, ethical approval has been granted by the National Offender Management Service at the Ministry of Justice for a randomised controlled trial (RCT) with offenders in the prison estate. This will compare the effectiveness of Breaking Free Online and Breaking Free Pillars of Recovery with standard treatment (i.e. treatment as usual). Prisoners who participate in the RCT will be followed up post-release. A mixed-methodology (i.e. quantitative and qualitative) design will be used to examine the longer-term impact of Breaking Free Online and Breaking Free Pillars of Recovery on substance use, mental health and reoffending behaviour. For more information on the Breaking Free research programme, or to request PDFs of published articles, please contact Dr Sarah Elison (Head of Research): [email protected] Tel: +44 (0)
Dual Diagnosis: Models of Care and Local Pathways AGENDA. Part one: Part two:
Slide 1 Dual Diagnosis: Models of Care and Local Pathways St. Anne s Community Services Dual Diagnosis Project Slide 2 AGENDA Part one: Models of Care. Clinical Guidelines & Evidence Base Local Care Pathways
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
Substance Misuse Treatment Framework (SMTF) Guidance for Evidence Based Psychosocial Interventions in the Treatment of Substance Misuse
Substance Misuse Treatment Framework (SMTF) Guidance for Evidence Based Psychosocial Interventions in the Treatment of Substance Misuse ISBN 978 0 7504 6272 3 Crown copyright 2011 WG-12567 F9161011 Contents
Aquarius An Overview
Aquarius An Overview Aquarius 2nd Floor 16 Kent Street Birmingham B5 6RD Tel: 0121 622 8181 Fax: 0121 285 2190 [email protected] www.aquarius.org.uk February 2015 1 Who we are Aquarius was established
POWDER COCAINE: HOW THE TREATMENT SYSTEM IS RESPONDING TO A GROWING PROBLEM
Effective treatment is available for people who have a powder-cocaine problem seven in ten of those who come into treatment either stop using or reduce their use substantially within six months POWDER
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
Effectiveness of Treatment The Evidence
Effectiveness of Treatment The Evidence The treatment programme at Castle Craig is based on the 12 Step abstinence model. This document describes the evidence for residential and 12 Step treatment programmes.
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
Structured intervention in preparing dependent drinkers towards abstinence Windmill Team Alcohol Care Pathway evaluation. May 2014
45 Structured intervention in preparing dependent drinkers towards abstinence Windmill Team Alcohol Care Pathway evaluation. May 2014 E. Sharma, A. Smith, K.J. Charge and C. Kouimtsidis Windmill Drug &
THE STORY OF DRUG TREATMENT
THE STORY OF DRUG TREATMENT EFFECTIVE TREATMENT CHANGING LIVES The story of drug treatment The goal of all treatment is for drug users to achieve abstinence from their drug or drugs of dependency. For
FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment
FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse
The Recovery Pathway Service forms a key component of the Sunderland Integrated Substance Misuse Service, as illustrated below:
SERVICE SPECIFICATION LOT 1 RECOVERY PATHWAY 1.0 SERVICE MODEL The Recovery Pathway Service forms a key component of the Sunderland Integrated Substance Misuse Service, as illustrated below: Recovery Outcomes
TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust
TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust Treating the untreatable? Lack of evidence base for ASPD Only
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
Croydon Drug and Alcohol Services. Directory of drug and alcohol services available in Croydon
Croydon Drug and Alcohol Services Directory of drug and alcohol services available in Croydon April 2012 Croydon Treatment & Recovery Partnership Contact details Lantern Hall 190 Church Road Croydon CR0
Course Description. SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES
Course Description SEMESTER I Fundamental Concepts of Substance Abuse MODULE OBJECTIVES At the end of this course participants will be able to: Define and distinguish between substance use, abuse and dependence
DMRI Drug Misuse Research Initiative
DMRI Drug Misuse Research Initiative Executive Summary Dexamphetamine Substitution as a Treatment of Amphetamine Dependence: a Two-Centre Randomised Controlled Trial Final Report submitted to the Department
Consultation Paper on Commissioning Adults and Young People s Drug and Alcohol Services in Somerset
Consultation Paper on Commissioning Adults and Young People s Drug and Alcohol Services in Somerset Date: September 2012 Authors: SDAP Staff Team Closing Date for Consultation Submissions: Friday 2 nd
YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT
YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT Siobhan A. Morse, MHSA, CRC, CAI, MAC Director of Fidelity and Research Foundations Recovery Network YOUNG
The story of drug treatment
EFFECTIVE TREATMENT CHANGING LIVES www.nta.nhs.uk www.nta.nhs.uk 1 The story of drug treatment The use of illicit drugs is declining in England; more and more people who need help with drug dependency
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
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
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
Safer Stronger Communities Select Committee
Safer Stronger Communities Select Committee Title Reduction in funding available for residential rehabilitation regarding drugs and alcohol: savings proposal COM 09 Author Date of meeting 22 January 2013
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
TITLE: REVIEW OF DRUG USE IN HARLOW (PART 2 OF 2) LYNN SEWARD, HEAD OF COMMUNITY WELLBEING (01279) 446119 TEAM MANAGER (01279) 446115
REPORT TO: SCRUTINY COMMITTEE DATE: 22JANUARY 2014 TITLE: REVIEW OF DRUG USE IN (PART 2 OF 2) LEAD OFFICER: CONTRIBUTING OFFICER: LYNN SEWARD, HEAD OF COMMUNITY WELLBEING (01279) 446119 MARYSIA RUDGLEY,
Treatments for drug misuse
Understanding NICE guidance Information for people who use NHS services Treatments for drug misuse NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and
a five-day medically supervised residential detoxification programme
Substance PICU and Acute Misuse and Services Detox Services Psychiatric Cygnet Hospital Intensive Harrogate Care and Acute services a five-day medically supervised residential detoxification programme
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
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
!!!!!!!!!!!! Liaison Psychiatry Services - Guidance
Liaison Psychiatry Services - Guidance 1st edition, February 2014 Title: Edition: 1st edition Date: February 2014 URL: Liaison Psychiatry Services - Guidance http://mentalhealthpartnerships.com/resource/liaison-psychiatry-servicesguidance/
No.1 Why reducing drug-related crime is important, and why the new government needs to act
RAPt RESEARCH AND POLICY BRIEFING SERIES No.1 Why reducing drug-related crime is important, and why the new government needs to act 12th May 2015 FOREWORD This series of RAPt Research and Policy Briefings
Directory for Substance Misuse Services in Caerphilly
Directory for Substance Misuse s in Caerphilly Background Substance Misuse services use a tiered approach in their approach and delivering of drug/alcohol services. These are as follows: Tier 1 Interventions
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,
Improving smoking cessation in drug and alcohol treatment
Improving smoking cessation in drug and alcohol treatment Interim briefing on Turning Point s PHE-supported smoking cessation pilots Tobacco smoking is prevalent among drug and alcohol users, and contributes
drug treatment in england: the road to recovery
The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:
MSc International Programme in Addiction Studies. Prospectus 2015-2016
MSc International Programme in Addiction Studies Prospectus 2015-2016 The Institute of Psychiatry, Psychology and Neuroscience www.kcl.ac.uk/ioppn The Institute of Psychiatry, Psychology and Neuroscience
Adult drug treatment plan 2009/10. Part 1: Strategic summary, needs assessment and key priorities
Birmingham Drug and Alcohol Action Team Adult drug treatment plan 2009/10 Part 1: Strategic summary, needs assessment and key priorities The strategic summary incorporating the findings of the needs assessment,
Tauto-Mod. Homeopathy for Addictions
Homeopathy for Addictions Tauto-Mod Methods and outcomes of the Tauto-Mod prescribing system and an analysis of the addictions homeopathic medication pilot project in 2012. Based on a newly developed prescribing
London Borough of Richmond upon Thames Substance Misuse Service Directory 2011 2012
London Borough of Richmond upon Thames Substance Misuse Service Directory 2011 2012 Locally Commissioned Adult Substance Misuse Services: CRI REACH Structured Day Programme CRI REACH Structured Day Programme
National Offender Management Service NOMS Reducing Re-offending: Drug and Alcohol Treatment Strategy
National Offender Management Service NOMS Reducing Re-offending: Drug and Alcohol Treatment Strategy Danny Clark, Head of Substance Misuse interventions Reducing Re-offending Policy Group Directorate of
Probation in England and Wales Systems for Delivering Effective Practice
Probation in England and Wales Systems for Delivering Effective Practice Workshop on Adult Intervention Programmes in Probation Services Antakya 17-18 th May 2011 Agenda Introduction: The National Offender
Key Considerations in Psychological Interventions for Offenders with Substance Abuse Problems
Key Considerations in Psychological Interventions for Offenders with Substance Abuse Problems Lu Chan Ching-chuen Senior Clinical Psychologist Charles Pau Wai-ho Clinical Psychologist Correctional Services
Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002);
Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at an increased
Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations
Frequently Asked Questions (FAQs) of Drug Abuse Treatment for Criminal Justice Populations From The National Institute on Drug Abuse (NIDA) 2. Why should drug abuse treatment be provided to offenders?
PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment
UPDATED 31.5.2016 PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment Psychosocial interventions are structured psychological or social interventions used to address substance-related
Supporting families affected by drug and alcohol use: Adfam evidence pack
Supporting families affected by drug and alcohol use: Adfam evidence pack For many years, support for the families of substance users has operated on an often unstructured basis and has not tended to put
Wairarapa Wellness. A brief overview of mental health and addiction services in Wairarapa.
Wairarapa Wellness A brief overview of mental health and addiction services in Wairarapa. This brochure provides a general overview of the services Pathways, CareNZ and Workwise offer in the Wairarapa
Substance misuse and behavioural addictions
Substance misuse and behavioural addictions Information about our services for primary healthcare professionals PROVIDING QUALITY INSPIRING INNOVATION DELIVERING VALUE Our substance misuse and behavioural
The National Community Detoxification Pilot
The National Community Detoxification Pilot Aoife Dermody, Progression Routes Initiative NDCI, 2011 Community Detoxification Protocols Guidelines for outpatient detoxification from methadone or benzodiazepines
Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention
Concurrent Disorder Comprehensive Assessment: Every Interaction is an Intervention Presented by: Kristin Falconer, Gillian Hutton & Stacey Whitman November 12, 2015 Disclosure Statement We have not received
Leeds Drug and Alcohol Strategy and Action Plan (2013 2016)
1 Leeds Drug and Alcohol Strategy and Action Plan (2013 2016) Leeds is a city that promotes a responsible attitude to alcohol and where individuals, families and communities affected by the use of drugs
Addressing Alcohol and Drugs in the Community. Cabinet member: Cllr Keith Humphries - Public Health and Protection Services
Wiltshire Council Cabinet 17 April 2012 Subject: Addressing Alcohol and Drugs in the Community Cabinet member: Cllr Keith Humphries - Public Health and Protection Services Key Decision: Yes Executive Summary
Topic Area - Dual Diagnosis
Topic Area - Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at
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
HIGH SUCCESS RATE OF BUTTERY REHABILITATION PROGRAMS
HIGH SUCCESS RATE OF BUTTERY REHABILITATION PROGRAMS By treating addiction and helping people live productive, fulfilling lives, The Buttery addresses a major social and economic problem facing our society.
Care planning practice guide
National Treatment Agency for Substance Misuse August 2006 2 The National Treatment Agency for Substance Misuse The National Treatment Agency for Substance Misuse (NTA) is a special health authority within
HEAT A11: Updated Drug and Alcohol Treatment Types
HEAT A11: Updated Drug and Alcohol Treatment Types 2010 Authored by: Hilary Smith and Mike Massaro-Mallinson HEAT A11: Updated Drug and Alcohol Treatment Types Contents INTRODUCTION 2 PRIOR TO STAGE (1)
Bsafe Blackpool Community Safety and Drugs Partnership. Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13
Bsafe Blackpool Community Safety and Drugs Partnership Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13 Planning Framework Treatment plan Planning Framework Bsafe
WEST LOTHIAN ADDICTION SERVICES DIRECTORY INFORMATION
WEST LOTHIAN ADDICTION SERVICES DIRECTORY INFORMATION PARENTING SUPPORT FOR FAMILIES WITH SUBSTANCE USING PARENTS Circle West Lothian Circle West Lothian, c/o Blackburn Homeless Unit, Blackburn, West Lothian
Seeing double: meeting the challenge of dual diagnosis. Introduction
briefing september 2009 ISSUE 189 Seeing double: meeting the challenge of dual diagnosis Key points Dual diagnosis affects a third of mental health service users, half of substance misuse service users
NHS FORTH VALLEY. Substance Misuse Residential Rehabilitation Pathway
NHS FORTH VALLEY Substance Misuse Residential Rehabilitation Pathway Date of First Issue 19 / 06 / 2014 Approved 19 / 06 / 2014 Current Issue Date 19 / 06 / 2014 Review Date 19 / 06 / 2016 Version 1.0
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
Information for families, friends and carers of substance users
South London and Maudsley NHS Foundation Trust Information for families, friends and carers of substance users Drug and Alcohol Service (Lambeth) Page Drug and Alcohol service (Lambeth) The Drug and Alcohol
DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES
01736 850006 www.bosencefarm.co.uk DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES An environment for change Boswyns provides medically-led drug and alcohol assessment, detoxification and stabilisation.
National Drug Treatment Monitoring System (NDTMS) NDTMS DATA SET H
National Drug Treatment Monitoring System (NDTMS) NDTMS DATA SET H BUSINESS DEFINITION FOR ADULT DRUG TREATMENT PROVIDERS Author M. Hinchcliffe Approver M. Roxburgh Date 01/03/2011 Version 8.03 REVISION
Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Kenny Laing Deputy Director of Nursing
Clinical Dual Diagnosis Policy Document Control Summary Status: Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Version: v1.0 Date: March 2016 Author/Owner/Title: Kenny Laing Deputy Director
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
Minnesota Co-occurring Mental Health & Substance Disorders Competencies:
Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held
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
DAYS Drug & Alcohol Youth Support Caerphilly & Blaenau Gwent
DAYS Drug & Alcohol Youth Support Caerphilly & Blaenau Gwent CRi have been commissioned to provide a Young Persons Substance Misuse Service across both localities to support service users in the recovery
DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED
DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center
Sheffield Future Commissioning of Drug & Alcohol Community Treatment
Sheffield Future Commissioning of Drug & Alcohol Community Treatment Magdalena Boo, Joint Commissioning Manager Scope of the Plan IN SCOPE Adults 18+ (young people s services are separately commissioned)
Oxfordshire Drug and Alcohol Treatment System
Oxfordshire Drug and Alcohol Treatment System Overarching Principles Two overarching principles driving the change in drug and alcohol commissioning The best value for money for the tax payer. The best