1 / 23

North Community Addiction Team ( N CAT) Christine Laverty Head of Service

North Community Addiction Team ( N CAT) Christine Laverty Head of Service. Addiction Services Background Variety of Services across City Short-term Funding Postcode Lottery Duplication/Gaps Confusion for Service Users & Referrers. Integration Alcohol & Drug Directorate

gjane
Télécharger la présentation

North Community Addiction Team ( N CAT) Christine Laverty Head of Service

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. North Community Addiction Team ( N CAT) Christine Laverty Head of Service

  2. Addiction Services Background • Variety of Services across City • Short-term Funding • Postcode Lottery • Duplication/Gaps • Confusion for Service Users & Referrers

  3. Integration • Alcohol & Drug Directorate • Glasgow Drug Problem Service • Social Work Addiction Services • 2 Pilot Teams • 2004 9 CATs established • 1 HAT (Homeless Addiction Team)

  4. Bases • North Quadrangle • North Closeburn • North Callander • North Milton • North Glenbarr

  5. The Team • Head of Addiction • Community Addiction Manager • Nurse Team Leaders • Practice Team Leaders • Medical Officers • Senior Addiction Workers • Senior Addiction Nurses • Social Care Workers • Addiction Nurses • Health Care Assistants • Admin

  6. North Caseload • Currently working with 3306 individuals • 57% have drug issues • 29% have alcohol issues • 14% have drug and alcohol issues

  7. Referral Process Referral Screen for Priority Appointment/ Assessment (S.S.A.) Baseline/ Identity of needs & Care plan Allocation Health Social Care Implementation of Care Plan Review

  8. Single Shared Assessment • Common Assessment Tool • Baseline Completed on first contact • Joint Allocation • Comprehensive Assessment ongoing

  9. CAT Service Provision • Assessment • One to One Support • Groupwork • Prescribing • Shared Care • Alcohol Home Detoxs • Family Support • Youth Addiction Services

  10. CAT Service Provision • Training/Awareness Sessions • Assessment & Access to Community Rehabilitation Services • Assessment & Access to Residential Rehabilitation Services • Sexual Health Services • Psychology • Employability Services

  11. CAT Prescribing • Prescribing to 826 individuals • Complex Needs • Rapid Response • Care managed by Social Care & Health

  12. Shared Care Clinics • Supporting 956 Service Users in Shared Care Clinics • 35 Shared Care Clinics • Outstanding Requests from GPs for Clinics • Capacity Issues

  13. Medical Services • CAT Medical Officers • Prescribing • Consultancy • Care Planning & Review

  14. Alcohol • 959 individuals with Alcohol Issues • 463 individuals with Alcohol & Drug Issues • One to One Support • Groupwork • Home Detox • Community Alcohol Support Services • Eriskay Partial Hospitalisation and Inpatient • Residential Rehabilitation

  15. Mental Health • Role of RMN in CATs • Mild to Moderate MH Symptoms • Links to CMHT • Co-Morbidity Service Redesign

  16. Psychology • Weekly Input • Case Review • Training • Education • Cognitive Behavioural Therapy (CBT)

  17. The Impact of Parental Addiction

  18. Key Guidance/Policy • Getting Our Priorities Right 2002 • Hidden Harm 2003 • Hidden Harm Next Steps 2006 • Aberlour Thinktank 2006/2007

  19. Getting Our Priorities Right & Hidden Harm • Key Guidance in working with families affected by addiction • Shift away from adult focused services • Addiction Services task is two fold • -To support adults with parenting responsibilities to stabilise • -Alongside protecting children from the impact of parental addiction

  20. Impact on Children • Parents emotionally/physically unavailable • Feelings of loss • Fear of parental death • Protectiveness of parents • Feelings of rejection/secondary to substance • Shame, Anger, Stigma • Fear of separation if drug use ‘discovered’ • Isolation

  21. Protective/Resilience Factors • Adult in effective treatment/support • Presence of non drug/alcohol using adult • Stable Home • Financial stability • Routines • Attendance at supportive school/nursery • After School Activities

  22. Hidden Harm Next Steps • Way Forward • Early Identification • Contracts including drug testing • Work to Children’s timescales • Further training for professionals • Fostering Strategy • Contraception

  23. Service Developments • What Next? • Strengthen services to families jointly with Children & Families & Voluntary Sector/Community Regeneration Funding • Accommodation & Satellite Services (Closeburn St refurbishment & Heath/Community Centres) • Establish Prescribers Forum • Psychiatry Interface • Methadone Home Visit Pilot • Strengthen Service User involvement

More Related