Transcript Suzie Kelly, Stoke-on-Trent

Service design: increasing capacity and effectiveness:
Treatment delivery and design in Stoke-on-Trent
Suzie Kelly, Alcohol Programme Lead,
Stoke-on-Trent Safer City Partnership
February 2009
August 2009
Expanded community alcohol
services
Written confirmation of City
Council Area Based Grant
money
Written confirmation of PCT/
Area Operational Plan
money
Alcohol Delivery Plan
approved City council Area
Based Grant money
approved
PCT agreed additional AOP
funding for alcohol
services
Service specifications
developed
Alcohol Delivery Plan
developed
Alcohol 2009 Needs
Assessment
Increasing capacity timeline
November 09 – March ‘10
Expansion of treatment services
5000
4500
4000
3500
3000
2500
2000
Tier 4
Tier 3
Tier 2
1500
1000
500
0
2008/09
2010/11
Existing alcohol services
Before:
Case study 1
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Attend drop-in at community alcohol service, city centre
Triage assessment
Placed on waiting list for structured psychosocial intervention
Referral to clinic for further assessment
Placed on waiting list (12 week wait)
Admitted in to inpatient service
Discharged
Limited onward referral to relapse prevention groups at community
alcohol service
Expanded treatment system
After:
Case study 2
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Screened for alcohol misuse in universal services and referred to
community alcohol services
Comprehensively assessed by community alcohol service at
neighbourhood centre (within 3 days)
Commence structured psychosocial intervention with named
keyworker (within 21 days)
Clinical/home assessment by community detoxification nurse
Aftercare plan developed by named caseworker
Community detoxification planned to enable smooth and timely
transition into structured relapse prevention
Discussion
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Improving treatment access
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Key issues to consider
Contact details
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E-mail: [email protected]
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Telephone: 01782 236317