HARBOUR DRUG

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HARBOUR DRUG ALCOHOL SERVICES

• Christine Little
• Head of Client Services
• 22nd January 2009

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Redesign Guiding Principles

• Putting the service user at the centre of all
  that we do.
• Getting the right people in the right place at
  the right cost.

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Harbour Drug Alcohol Services (Provider
Partnership) Tier 3
HARBOUR CENTRE Community Access Criminal
Justice Alcohol
Adult Mental Health Directorate Primary
Care Secondary Care
PCC Substance Misuse Assessment Team
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Organisation Structure

• Executive Management Team
• Jeremy Prichard, Chief Executive
• Christine Little, Head of Client Services
• Geoff Leeming, Head of Business Services
• Jane Turner, Finance Manager

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Operational Management

• 4 Service Managers (reporting to Head of Client
  Services)
• Mike Hyslop Drugs Community Tier 3
• Andy Maguire Drugs Community Tier 2
• Alcohol Tiers 2 3
• Safer Injecting Needle Ex.
• Kate Bowden Criminal Justice Tier 3
• Drug Intervention Programme
• Shirley Sinclair Young Peoples Service
• Health Social Care Manager
• Kathy Parker SMAT
• Dual Diagnosis

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Staffing

• Practice Supervisor for each team
• Substance Misuse Practitioners and Substance
  Misuse Specialists
• Community Psychiatric Nurses
• SMAT Team (PCC)
• Team Administrators
• Trainers

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DRUG TREATMENT TARGETS 2008/09

• Community Tier 3 1,348
• Young People 165
• Criminal Justice
• DIP 216
• PPO/TPR 125
• DRR 119
• CURRENTLY NO WAIT FOR DRUG TREATMENT

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ALCOHOL TREATMENT TARGETS 2008/09

• Referrals/Brief Interventions 1100
• Comprehensive Assessments 450
• Commencements 380
• CURRENTLY NO WAIT FOR ALCOHOL TREATMENT WITH
  THE EXCEPTION OF MENTAL HEALTH

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Education Programme

• Safer Sex
• Contraception
• Nutrition
• Preventing harm to children young people
• Relapse Prevention
• Cycle of Change

• Overdose Prevention
• Overdose Management
• Drug Interactions
• FAQs Prescribed Drugs
• Safer Injecting
• Blood borne virus

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Service Developments

• Community Drug Treatment
• Monitoring Response Service (MARS)
• Walk-In Service (due to commence 01/02/09)
• Outsourced Needle Exchange (due to commence
  01/09)
• Harm Reduction Education Programme
• Housing Support co-located
• Criminal Justice Drug Treatment
• Police, Probation Housing Support co-located

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Service Developments

• Alcohol Service
• Derriford Liaison Practitioner
• Probation Co-located Practitioner
• 17-25 Development Worker
• Screening Brief Intervention Project
• Young Peoples Service
• Transitional Worker
• Youth Offending Service Worker
• Streetwise Project Worker (advertised)

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Service Developments

• Peripatetic Hostel Worker
• Alcohol, Drugs Social Care
• Commence January 2009 timetable being
  established
• Developing uniform drug policies

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BARRIERS

• Whole System Implementation Plan
• No concordance between providers re roles that
  align with each other
• Insufficient prescribing capacity
• Service Pattern and Practice
• Conflict between some providers the DAAT vision
  and practitioners within provider agencies on the
  efficacy of the new service.
• Lack of housing provision within Plymouth

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SUMMARY

• Number of people in treatment increased by 45.7
• Unit cost reduced by 17.5
• Public Health Treatment Programme
• Complies with Models of Care
• Comprehensive, engaging, consistent and safe
• Responds to service user needs