“The whole is greater than the sum of its parts”
Dr Mark LawtonMedical Lead Coventry
Rachel AbbottVolunteer and Training Co-ordinator
Recovery Who?
Formed from two existing charities working together for a single goal
THE CONTRACTTo provide a comprehensive range of integrated drug and alcohol services for adults across Coventry and Warwickshire, from 1 December 2011, to include:
Open access, advice and informationHarm reductionBrief interventionsTreatment interventionsIn-patient detox and access to rehabCriminal justice servicesAftercare
KEY PRINCIPLESRecovery involves:
•Voluntary, sustained control of substance use•Health and well being•Participation in rights, roles and responsibilities•Coordinated care•Personalisation•Service user voice•Joint working and information sharing•Integrated substance misuse services
PLAIN SAILING?
CHALLENGESWe have had to overcome a number of challenges so far:
Having to replace lost staffNew ways of workingAdapting policiesStill more work to doClear pathways and working relationships with other services (e.g. dual diagnosis with mental health services )
CLINICAL INPUTSubstitute prescribing by both Doctors and Nurses and Specially trained NMP’s
Addressing physical issues and illnesses
Helping to address Mental illnesses
BBV checks and Vaccination
Screening
SUBSTITUTE PRESCRIBING•Main Medical intervention
•Replaces street opiates with controlled prescribed opiates
•Allows a person to stabilise giving space to address the other issues in their lives
•Allows controlled detoxification (although not always necessary for this)
•Reduces Mortality in the population from 10-20 times normal to some 4-8 times normal
NON-MEDICAL PRESCRIBERS (NMP’S)
Senior nurses who have undergone additional trainingOffer community detoxification from opiates and alcoholRun community clinics Available in Coventry and Warwickshire
MEDICAL PRESCRIBERS
Offer clinics both within the locality base and via Shared Care arrangements in General Practice
Initiate medication and stabilise clients who may then move to the NMP clinic
Maintain those client’s with more complex medical or Psychiatric issues within the locality.
Offer alcohol clinics involving detoxification support for planned in-patient admission
WHY DO THIS?No one uses drugs to become an addict
Significant numbers with mental illness (up to 80%)
Massive social ,educational, housing ,financial issues
It not only affects the individual –they are part of a family and society as a whole
It is estimated that each £1 spent on treatment services saves £4 in other costs
There but for the Grace of God go I
WHAT ELSE DO WE DO?None Clinical aspects of the service
Social
Personal
Comm
unity
Chaos
Service User
Service User Engagement
(SUE)
Recovery Champions
Volunteers
Those whose lives are currently affected by their substances and problematic use and not currently
engaged in services
Someone who makes the choice to engage in services and engages with various interventions and programs. Focused
on meeting their own needs at this point.
An opportunity for a service user who is engaged in services and made progress. May be involved with basic, information, unstructured
assisting/supportive helping in conjunction with other SUE’s, RC’s, Volunteers and/or staff which forms part of their own recovery plan.
Not volunteers but more formal and structured than SUE. Remit is to promote recovery, internally and externally. They are there to listen, identify, inform, discuss and support current service users in terms of their recovery. The focus is not on the RC’s needs but on the needs of
the service user.
Formal and structured with recruitment process and comprehensive training. Involved in all levels, including basic and essential duties, as
well as being involved with respect to new ideas and projects. Volunteering can be the next step on from being a Recovery
Champion.
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