NDTMS Core Dataset G Training for Young People’s Treatment Providers and Commissioners

1. NDTMS Core Dataset G Training for Young People’s Treatment Providers and Commissioners Michael Wallington & Dami Omole Drug Treatment Monitoring Unit August 7, 2014

2. Ground Rules • Please respect those around you by not holding individual conversations whilst the sessions are in progress • Please put mobiles on silent/vibrate • Please take any calls outside of the meeting

3. Aims • Clarify the changes to YP items in Core Data Set ‘G’ • Clarify consent and confidentiality • Review Data Quality and TOP compliance • Provide information around current reporting and monitoring • Clarify performance measurements and waiting times calculations

4. Why is information needed for NDTMS? • The treatment information that you provide to the NDTMS is used for several purposes. Primarily: • Provide information to local, regional and national PSA 14 boards on how the treatment system is helping to reduce harm arising from drug use; • Inform Children’s Services, Children and Young People’s Plans and Joint Strategic Needs Assessments; • Provide evidence on how the young person’s treatment system is meeting local treatment need and also ensure a more outcome focused approach to the understanding of the treatment system; • Monitor the use of resources. This helps ensure equitable funding of drug and alcohol services nationally; • Produce statistics and to support research on drug and alcohol use.

5. YP DAAT Profiles: 2008-09 • Available on DTMU website • http://www.dtmu.org.uk/DAT Profiles 2008-09.html

6. Tier 2 YP Non-structured intervention Tier 4 YP Access to residential treatment for substance misuse Young People Modalities • Tier 3 • YP Psychosocial Intervention • YP Harm Reduction Services • YP Family Work • YP Specialist Pharmacological Interventions Young People receiving these Tier 3 or 4 interventions will count towards performance targets

7. Question: Are you all reporting treatment modalities against individual clients’ episode of treatment?

8. CDS ‘G’ Young People Changes to YP data set

9. Changes with Core Data Set G • One new data item (Local agency details) • One new YP data item (CLA Location) • YP outcomes updated • YP reference data updated

10. New data item: Local agency details • Field to be reviewed by regional team • Collected at Modality start • Intended to be used to report prescribing on behalf of another agency • Possible values: • GP, Pharmacist, • NDTMS agency code, • GP practice code

11. Changes to YP data setNew field CLA locationReference data updates Accommodation Need Referral SourceYP outcomes updated

12. Children Looked After “Children looked after includes all children being looked after by a local authority including those subject to care orders under section 31 of the Children Act 1989 and those looked after on a voluntary basis through an agreement with their parents under section 20 of the Children Act 1989”

13. New data item • Data Item: Location of CLA • CLA living in care • CLA living in childrens home • CLA living in residential school • CLA living in educational behavioural unit • CLA living in secure childrens home • CLA living out of borough • CLA placed out of borough • CLA living independently in settled accommodation • CLA living independently in unsettled accommodation • CLA living in supported housing • CLA living with Kin Carers • Should only be completed if Accommodation Need is CLA

14. Accommodation Need • Two old values removed • CLA living in care • CLA out of LA • Introduction of one new value • CLA • If Accommodation Need value is ‘CLA’, the ‘CLA location’ field needs to be populated

15. Referral Source • One old value removed • YP Custody • Introduction of new values • Secure Children’s Home • Secure Training Centre • Youth Offender Institute • YP Housing

16. CDS ‘G’ Reference DataChanges to reference values in line with NHS Data Dictionary

17. Employment status Unemployed and seeking work Not receiving benefits Unpaid voluntary work Retired from paid work Not stated Other Not known • Regular Employment • Pupil/Student • Long term sick or disabled • Homemaker • Retired from work

18. Sexuality • Gay: renamed toHomosexual • Not Disclosed: renamed to Not Recorded

19. Consent • Yes the person consented • No the person has not consented

20. Previously Hep B Infected • Yes has had a previous Hepatitis B infection diagnosed; • No has never had a previous Hepatitis B infection diagnosed; • Not Known

21. Hepatitis C Positive • Yes is Hepatitis C Positive • No is not Hepatitis C Positive • Not Known

22. Injecting Status • Previously Injected (but not currently) • Currently Injecting • Never Injected • Client Declined to Answer

23. Drug Codes • Methylone • Mephedrone • No Second Drug • No Third Drug

24. CDS ‘G’ Young People Changes to YP Outcomes

25. Changes to YP outcomes • There are some changes to the YP outcomes. • These apply to all young people seen at a Young People’s treatment provider and should only be completed by these agencies. • YP outcomes have been collected since April 2009.

26. Treatment Start Data Item: YP registered with GP at Treatment Start? Yes No Not Known

27. Treatment Start Data Item: YP has CAF at Treatment Start? Yes No

28. Treatment Start Data Item: YP in contact with Learning difficulty services at Treatment Start? Yes No Not known

29. Treatment Start • Data Item: YP Lead Professional at Treatment Start? • Yes • No • ‘Not known’ is no longer a valid option

30. Treatment Start • Data Item: YP in contact with Mental Health Services at Treatment Start? • Yes • No • Not Known

31. Treatment Start • Data Item: YP in contact with YOT at Treatment Start • Yes • No • Not Known

32. Treatment Start • Data Item: YP involved in Sexual Exploitation at Treatment Start • Yes • No

33. Treatment Start • Data Item: YP involved in Self-Harm at Treatment Start? • Yes • No • Not Known

34. Treatment Start • Data Item: YP involved in Unsafe Drug Use at Treatment Start? • Yes • No

35. Treatment Start • Data Item: YP involved in offending at Treatment Start? • Yes • No • Not Known

36. Treatment Start • Data Item: YP education status at Treatment Start? • Mainstream Education • Alternative Education • Temporarily Excluded • Permanently Excluded • Persistent Absentee • Apprenticeship or training • Employed • Not in employment or education • Economically Inactive Caring Role • Economically Inactive Health Issue

37. YP Sexually active at Treatment Start? • “The point of the question is to identify where YP are involved in risky sexual practices, as there are specific interventions these clients should receive. We are however wary of having information on record about how many young people are sexually active, when we do not need to know this information. • We think there could be unwelcome media initiated FOI’s, and therefore think that holding such information constitutes a risk. The naming of the field is perhaps unfortunately euphemised, but the definitions do make its meaning and purpose clear.” • Feedback from Young People’s team at NTA HQ.

38. Treatment Start • Data Item: YP Sexually active at Treatment Start? • Yes – unsafe sex • Not asked • At the start of the current treatment episode, is the client sexually active AND engaged in unsafe sex

39. Treatment Start • Data Item: YP parent in Substance Misuse treatment at Treatment Start? • Data Item: YP parent in Mental Health Treatment at Treatment Start • REMOVED FROM DATASET • DO NOT POPULATE

40. Treatment Exit • Data Item: YP lead professional at Treatment Exit? • Yes – LP at Drug Agency • Yes – LP not at Drug Agency • No • ‘Not Known’ is no longer an option

41. Treatment Exit • Data Item: YP in contact with Mental Health Services at Treatment Exit? • Yes • No • Not Known

42. Treatment Exit • Data Item: YP in contact with Learning difficulty services at Treatment Exit? • Yes • No • Not Known

43. Treatment Exit • Data Item: YP in contact with YOT at Treatment Exit? • Yes • No • Not Known

44. YP Sexually active at Treatment Exit? • “The point of the question is to identify where YP are involved in risky sexual practices, as there are specific interventions these clients should receive. We are however wary of having information on record about how many young people are sexually active, when we do not need to know this information. • We think there could be unwelcome media initiated FOI’s, and therefore think that holding such information constitutes a risk. The naming of the field is perhaps unfortunately euphemised, but the definitions do make its meaning and purpose clear.” • Feedback from Young People’s team at NTA HQ.

45. Treatment Exit • Data Item: YP Sexually active at Treatment Exit? • Yes – unsafe sex • Not asked • At the start of the current treatment episode, is the client sexually active AND engaged in unsafe sex

46. Treatment Exit • Data Item: YP involved in Sexual Exploitation at Treatment Exit? • Yes • No

47. Treatment Exit Data Item: YP involved in Self-Harm at Treatment Exit? Yes No Not Known

48. Treatment Exit Data Item: YP involved in unsafe drug use at Treatment Exit? Yes No

49. Treatment Exit Data Item: YP involved in offending at Treatment Exit? Yes No Not Known

50. Treatment Exit Data Item: YP has CAF at Treatment Exit? Yes No