Substance misuse and behavioural addictions Information about our services for primary healthcare professionals PROVIDING QUALITY INSPIRING INNOVATION DELIVERING VALUE
Our substance misuse and behavioural addiction service at a glance Rapid access to on site psychotherapists, consultant psychiatrists and psychologists Free initial assessment with an experienced therapist 12 months free aftercare as part of the addiction treatment programme Family support groups and specialist therapeutic interventions available 86% of our service users are abstinent or improved after a year 93% of our service users have improved psychological wellbeing 98% of our service users rate their quality of care as good, very good or excellent 2
Redefining standards in addiction treatment Priory hospitals offer rapid access to treatment for service users with a range of substance misuse and behavioural addictions, including those who may have poly addictions or dual diagnosis. We aim to promote the restoration of the individual s physical and psychological wellbeing using NICE approved clinical interventions which underpin our abstinence-based model of care. Our calming surroundings and on site multidisciplinary teams provide a safe and supportive environment in which service users are able to detoxify and stabilise their emotional wellbeing in order to optimise their engagement with their treatment programme. Flexible stepped care pathways are tailored to suit changing needs of the service user as they progress towards recovery and rehabilitation. Our highly experienced psychiatrists, psychologists, psychotherapists and support staff enable the individual to understand and manage their addiction, using evidence based strategies that help to recognise and prevent triggers for relapse. We strive to deliver a service that demonstrates positive change for every service user in our care. Our commitment to this philosophy is demonstrated in excellent clinical outcomes and high levels of service user satisfaction with the quality of treatment that we deliver. Individual programmes to treat the unique needs of every service user Service user profile Male or female Aged 18 and above Primary presentation of an addiction May have dual diagnosis or complex needs May require treatment for poly substance misuse or poly addictions Referral from GP or self Occupational health physician Clinical commissioning groups Drug and alcohol action teams Local Health Boards in Wales NHS Boards in Scotland NHS England and other NHS or third sector services Making a referral into a Priory hospital GP assessment and referral Free assessment with Priory therapist Personalised treatment programme undertaken Multidisciplinary discharge process carried out 3
Quality at the heart of what we do Priory outcomes: the success of our service users Our multidisciplinary teams work hard to ensure that service users are equipped with the necessary coping strategies and therapeutic techniques to help recognise triggers and prevent relapse, which is reflected in excellent post-discharge outcomes 1. 93% 82% 86% of those staying longer than seven days have improved psychological wellbeing are abstinent or show improvement after six months are abstinent or show improvement after 12 months Service user satisfaction: delivering value for those who use our services We know that service users who are engaged with the care that they receive from healthcare professionals they trust is a fundamental driving force to ensure the best possible outcomes, and for this reason service user satisfaction provides a key stimulus to service development across every Priory hospital and clinic. 98% 98% 99% of Priory service users rate their quality of care as good, very good or excellent of Priory service users would recommend our services to a friend of Priory service users feel treated with dignity and respect Investing in our staff and facilities: inspiring innovation through clinical excellence Continually investing in our facilities and staff enables us to deliver the most effective and high quality service for those who use and commission our services. In 2012-13, Priory Healthcare once again excelled in the delivery of safe and effective treatment across the broad spectrum of services that we deliver. Safety Quality Compliance 0 never events 100% of CQUIN indicators were met 96% of outcomes inspected by our regulators were met Priory investment in millions 30 27 24 21 18 15 12 9 6 3 0 Investing in our facilities 2007 2008 2009 2010 2011 2012 4 1 Outcomes based on standard metrics used across all Priory hospitals for service users with an addiction who could be contacted after six and 12 months, 2012-13. Satisfaction results based on opinion surveys 2012-13. All service users' quotes retrieved from anonymous comments within these surveys. Consultant quotes are their own.
First choice in treatment every step of the way Our stepped care pathway provides seamless access into higher or lower acuity treatment to reflect the service user's changing needs as they progress towards abstinence. Programmes are overseen by a specialist consultant psychiatrist or senior therapist, and discharge planning is undertaken in collaboration with the service user and their GP or community healthcare professional, with family or carer involvement when appropriate. Addiction treatment programme (residential) What does the service do? Provides 24 hour care and support Enables intensive assessment and stabilisation period to be undertaken Identifies and addresses underlying issues which may otherwise trigger relapse Carries out relapse prevention support and planning Develops individually tailored treatment programmes with the individual Key service features: 24 hour accessibility, referral and admission, 365 days per year Delivers more intensive step up treatment from day therapy Offers family support and guidance Detoxification treatment and medically-assisted withdrawal available Intensive day therapy options What does the service do? Continues to identify and address underlying issues which may otherwise trigger relapse Provides intensive care packages Provides full medical and therapeutic assessments Considers levels of insight, motivation, abstinence and geographical distance from the Priory hospital when determining the treatment programme Key service features: Suitable for step down from residential treatment or step up into more intensive environment Accessible and flexible around work and personal commitments Extended day therapy options available Flexible outpatient options What does the service do? Provides individualised consultant and therapist assessment and treatment plan Initiates Care Programme Approach (CPA) process for patients with complex treatment needs Considers levels of insight, motivation, abstinence and geographical distance from the Priory hospital when determining the treatment programme Key service features: Flexibility in appointment times Provides step down from day therapy treatment 12 months free aftercare Personalised discharge plan 5
Addiction treatment programme The abstinence-based addiction treatment programme provides a supportive environment for individuals with single or poly-substance and behavioural addictions, including those with dual diagnosis. Free initial assessment The free initial assessment provides the opportunity for the individual to discuss their addiction in confidence with an experienced therapist. Aftercare Everyone who has successfully completed the addiction treatment programme receives 12 months of free aftercare. This detailed, post-treatment care plan can significantly help prevent relapse and will promote the individual s long-term ability to successfully remain in recovery 2. Aftercare is also available to purchase separately for individuals who have not completed the addiction treatment programme but who wish to benefit from the ongoing support that the weekly group sessions provide. Family support Family support is offered on a weekly basis to enable families to understand more about their loved one's addiction, gain support from the shared experience of others, and help the individual receiving treatment to successfully reintegrate into family and social life when they return home. 6 2 Ouimette PC, Moos R, Finney J. Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes. Journal of Studies on Alcohol. 1998; 59: 513-522
Flexible and affordable psychotherapy options Our broad range of therapies aim to address, express and explore individuals' feelings in a supportive and safe environment. All of our experienced therapists are accredited or working towards their accreditation, and receive regular and ongoing supervision. We also supplement treatment programmes with a number of supervised exercise classes and activities to reflect the interests and skills of our service users. Therapeutic intervention Aim of therapy Cognition Provides skills that enable the individual to identify and challenge the links between dysfunctional thoughts, feelings and actions Awareness Encourages individuals to gain insight into their own behaviour and understand responses from other people, with a focus on personal responsibility Psychoeducational Enables the individual to improve their understanding of their condition in order to develop effective coping strategies which are can address a range of underlying issues, including: self esteem, anger, sleep difficulties or diet issues Creative and experiential Encourages different forms of expression through a range of mediums that may include: art therapy, craft workshops, psychodrama classes and mindfulness groups Specialist treatment programmes Embarking on recovery can be an emotionally turbulent time, so our multidisciplinary team of addiction clinicians have developed specialist programmes to address specific issues that may have arisen during the individual s treatment. Trauma reduction* This programme enables individuals to address emotional and psychological issues which may significantly affect their wellbeing and longer-term recovery. The week-long intensive therapy programme is run on a residential or day patient basis, and has been shown to prevent relapse and significantly reduce episodes of depression. Second-stage residential rehabilitation* This service focuses on social reintegration as well as completion of the full 12-step programme. Therapists work with individuals to address underlying emotional issues which can often trigger relapse if left unresolved. Individually tailored treatment programmes may include volunteer placements, training and life skills workshops. Renewal retreat Designed to enable the service user to enhance their recovery, our renewal retreat offers individuals who have completed the addiction treatment programme the opportunity to revisit the tools for relapse prevention learnt during their treatment, in order to remain abstinent. * Currently available at selected sites 7
Your first call in mental healthcare Convenient access to treatment Our rapid medical, nursing and therapy assessments provide recommendations for treatment to both the service user and their referring healthcare professional. We offer swift and convenient access to treatment at a GP surgery, via communitybased clinics and within employers' occupational health facilities. Improving access to psychological therapy (IAPT) Plus service For service users who have received treatment from the local IAPT service and require additional therapeutic support, we are able to supplement any ongoing treatment with our IAPT Plus service. IAPT Plus offers high intensity cognitive behavioural therapy as well as advice, guidance and support for individuals on antidepressant medication. Treatment is available via some clinical commissioning groups or may be selffunded. For more information, please contact your local Priory hospital. 8
Payment options: rapid access to the right help when it is needed most Choosing to self-fund treatment Treatment at a Priory hospital means that individuals will have the convenience of being able to book an appointment at a time to suit them, and the assurance that our specialist clinical teams will be able to deliver the right care with the best possible outcomes. A GP referral will usually be required prior to commencing treatment. Using private medical insurance The Priory Group are registered and approved providers for all of the UK s leading private medical insurance schemes. A GP referral will be required prior to commencing treatment. Different policies cover different levels of care, so for any queries, individuals should contact their private medical insurer or their local Priory hospital s admissions team. Corporate funding arrangements Since mental health illnesses are one of the leading causes of long-term absence from the workplace 3, Priory hospitals work with employers to facilitate treatment solutions for employees. Funding may be agreed directly from the employer or through a private medical insurer (individuals should contact their employer for more information). Working in partnership with the NHS We work in partnership with the NHS and other public bodies to deliver a range of mental health services, including emergency and out-of-hours placements, as well as long-term contractual arrangements. We provide a flexible range of treatment options for drug and alcohol action teams, clinical commissioning groups and other NHS service providers both within our hospitals and in primary care across the country. Personalised care pathways: John s story John* suffered from a form of obsessive-compulsive disorder that was exacerbating his alcoholism. Without proper therapeutic intervention that would enable him to manage his dual diagnosis, he had exhausted his local services and had relapsed after each detoxification programme. John s drug and alcohol action team contacted his local Priory hospital to provide a tailored package of care which would treat both the alcohol misuse as well as the underlying factors contributing towards his OCD. John was provided with intensive level of one-to-one psychological support to help him as he settled into his active substance misuse programme. As treatment progressed, he was then able to undertake a therapy programme that would provide him with the coping strategies to help overcome his OCD. Once his condition began to stabilise, John s clinical team were able to begin a comprehensive review of his discharge plan back into the community. He began to spend increased time away from the ward with support from his Priory team, which focused on leisure and domestic activities that would help him successfully reintegrate into community life. During this period of rehabilitation, it became apparent that John wanted to live independently upon discharge, rather than with his family. As a result, John s Priory hospital worked with his local community team to find a suitable residence for him and after three months he moved into his own flat. John is still living independently and has remained abstinent since. * Name changed to protect identity of service user admitted into the Priory Hospital Altrincham in 2013 3 National Institute for Clinical Excellence. Managing long term sickness absence and incapacity for work. March 2009. 9
Our integrated approach to treatment P A T H W A Y S Priory Healthcare is part of the Priory Group of Companies, the UK s leading integrated provider of health and social care services. By providing a seamless transition for service users as they progress between higher and lower dependency treatment, we ensure continuity of care that underpins the delivery of successful outcomes. We work in partnership with our service users and their families, as well as commissioners, regulators and other stakeholders, to provide the best possible outcomes at every stage of an individual s care pathway. Priory Pathways provide sustainable placements to support each service user s progression and, where appropriate, their return to a community setting. The integration of Craegmoor and Amore Care, along with our existing specialist education division, provides us with the opportunity to further develop service user pathways that cross each division, as we strive to deliver the most flexible and effective treatment programmes for both our service users and those who commission our services. Acute mental healthcare Addictions Eating disorders Child and adolescent mental health services Secure Personality disorder Complex care Autism including Asperger s syndrome Neuro-disabilities Learning disabilities Mental health Learning disabilities Autism Positive Behaviour Support Community and domiciliary options ( Supporting You ) Healthcare Craegmoor Our integrated approach to treatment Education Amore Care Behavioural, emotional and social difficulties Autism including Asperger s syndrome Specialist further education Fostering Residential care Nursing care Dementia care Day care Respite care Reablement and convalescence care End of life care Protecting and safeguarding our service users The Priory Group is committed to protecting all our service users and ensuring safeguarding best practice is followed at all times. We strive to maintain a transparent and open culture where everyone feels safe and able to share any issues. Concerns relating to safeguarding are always listened to and taken seriously, and we work in partnership with the relevant agencies across our full range of services. The Group has robust national and local structures in place to manage safeguarding, and our clear policies and procedures are supported by the delivery of high quality safeguarding training for all staff. 10
With over 30 years of experience, the Priory Group treats over 70 conditions through a nationwide network of more than 275 facilities including: mental healthcare hospitals and clinics complex care and neuro-rehabilitation facilities medium and low secure facilities specialist schools and colleges supported residential facilities and homes care homes for older people Quality and assurance statement Priory Healthcare aspires to deliver the highest quality of care across our range of services, which include acute and complex mental healthcare, addiction treatment and low and medium secure facilities. Our clinical teams within the Priory Group are supported by an arms-length Corporate Assurance function that includes an internal inspection team. This enables our services to be safe and effectively regulated and enhances the effectiveness of services and care provided. This approach ensures that the high levels of treatment, care, intervention and education that we expect are delivered. Achieving positive outcomes, coupled with the experience of our service users and staff, defines the quality of our service and is at the heart of everything we do. This approach is also reflective of the national agenda for quality. Our priorities for driving quality within the Priory Group are to: Exceed national standards of care Improve outcomes for both our adult and adolescent service users Deliver safe and secure services Ensure a positive experience of care from all who use our services Invest in our staff through education and training We will measure our success by providing objective, quantitative and auditable data that measures outcomes, effectiveness and user experience to continuously drive improvement. The Priory Group fosters an open and transparent culture that promotes evidence-based practice, continuous learning and improvement. We aspire to be world class and a beacon of good practice for other health and social care providers. 11
About our Group From education to hospitals, care homes and secure facilities, the Priory Group of Companies offers individually tailored, multidisciplinary treatment programmes for those with complex educational needs or requiring acute, long-term and respite mental healthcare. The integrated strength of each service provides a seamless transition for the individual as they progress between higher and lower dependency care and across services. This unique approach ensures that every individual has the opportunity to achieve the best possible outcomes and quality of life with the Priory Group. For more information on our services or to discuss treatment options call us on 0845 277 4679 send an email to info@priorygroup.com or visit our website at www.priorygroup.com Like us on Facebook and follow us on Twitter As 85% of our services are publicly funded and delivered in partnership with commissioners, our teams work with commissioning bodies across the country to provide transparent pricing models and evidence-based care programmes. Priory Group, 80 Hammersmith Road, London, W14 8UD PG04151/Sep13