1 / 11

Enhancing Crack Services in Lambeth: A Comprehensive Approach to Drug Treatment

This document outlines the current state of drug treatment services in Lambeth, South-West London, with a focus on the significant prevalence of crack cocaine use among the population. It highlights the partnership approach involving key providers, including NHS Trust (SLAM), to diversify services and develop crack-specific expertise. A needs assessment reveals that nearly 93% of problem drug users in the area report crack use. The document discusses service specifications, operational management, and strategies for improving treatment outcomes, emphasizing holistic care and user involvement.

orde
Télécharger la présentation

Enhancing Crack Services in Lambeth: A Comprehensive Approach to Drug Treatment

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. Commissioning A Crack Service Megan Jones Lambeth DAT Manager

  2. Lambeth • South-west inner London Borough • Brixton, Clapham, Streatham • Population ~270,000 • 62% white • 26% Black • 5% Asian • 5% mixed • 3,000 – 5,000 problem drug users • ~2000 drug users in treatment per year

  3. Key providers in DAT/Borough • NHS Trust (SLAM) • Prescribing service – specialist and GP shared care • Psychology services • CDP • Arrest referral • Assessment for access to structured drug treatment • Day care • Mainliners • Open access • Harm reduction

  4. Commissioning Lambeth Harbour • Needs assessment 2002 • Current services – specialist and general • Users • Criminal justice agencies • Lambeth DIP positive testers 2005/6: • Cocaine 51% • Cocaine & opiates 42% • Opiates 7% • 2005/6 Treatment data (primary and secondary drug use) • 58% report heroin use • 50% report crack/cocaine use } 93%

  5. Crack-specific Service? • Funding available • Lambeth: • 93% problem drug users use crack • ~70% budget funds “opiate" services • Diversify existing services? • Develop crack expertise?

  6. Lambeth Harbour Tier 2/3 stimulant service • Partnership approach • Staff seconded from all key providers • Development of specialist expertise • Opportunities for learning to be absorbed back into host agencies

  7. Partnership Approach CDP as Lead Provider • Premises • Operational management • Staffing of direct access services • Key working within tiers 2 and 3 provision • Group work SLAM as key provider • Psychological treatments • Dual diagnosis • Clinical practice Mainliners • Recruit, train and support volunteers • Support all project activities

  8. Service Specification • Strong management • The “hook” • Crisis intervention • Complementary therapies • Shower/laundry provision • Food • Assessment , referral and care planning • Psychological interventions • Motivational interviewing • CBT • Relapse prevention • Life skills • Housing

  9. Considerations • Staffing capacity • Location • Opening hours • Physical space – day service • User involvement • Methamphetamine

  10. Where are we now • Up to 93% PDUs use crack • Two year review • Staff capacity issues • Re-think volunteering • More in-reach into other services • User involvement • Crack Needs Assessment

  11. Wish List • Loads more money! • Safe house • Dual diagnosis Email: mjones2@lambeth.gov.uk

More Related