Transcript 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
•Glasgow Drug Problem Service
•Social Work Addiction Services
•2 Pilot Teams
•2004 9 CATs established
•1 HAT (Homeless Addiction Team)
Bases
•North Quadrangle
•North Closeburn
•North Callander
•North Milton
•North Glenbarr
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
North Caseload
•Currently working with 3306 individuals
•57% have drug issues
•29% have alcohol issues
•14% have drug and alcohol issues
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
Single Shared Assessment
•Common Assessment Tool
•Baseline Completed on first contact
•Joint Allocation
•Comprehensive Assessment ongoing
CAT Service Provision
•Assessment
•One to One Support
•Groupwork
•Prescribing
•Shared Care
•Alcohol Home Detoxs
•Family Support
•Youth Addiction Services
CAT Service Provision
•Training/Awareness Sessions
•Assessment & Access to Community Rehabilitation Services
•Assessment & Access to Residential Rehabilitation Services
•Sexual Health Services
•Psychology
•Employability Services
CAT Prescribing
•Prescribing to 826 individuals
•Complex Needs
•Rapid Response
•Care managed by Social Care & Health
Shared Care Clinics
•Supporting 956 Service Users in Shared Care Clinics
•35 Shared Care Clinics
•Outstanding Requests from GPs for Clinics
•Capacity Issues
Medical Services
•CAT Medical Officers
•Prescribing
•Consultancy
•Care Planning & Review
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
Mental Health
•Role of RMN in CATs
•Mild to Moderate MH Symptoms
•Links to CMHT
•Co-Morbidity Service Redesign
Psychology
•Weekly Input
•Case Review
•Training
•Education
•Cognitive Behavioural Therapy (CBT)
The Impact of Parental Addiction
Key Guidance/Policy
•Getting Our Priorities Right 2002
•Hidden Harm 2003
•Hidden Harm Next Steps 2006
•Aberlour Thinktank 2006/2007
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
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
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
Hidden Harm Next Steps
Way Forward
•Early Identification
•Contracts including drug testing
•Work to Children’s timescales
•Further training for professionals
•Fostering Strategy
•Contraception
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