Integrated Care for Lambeth

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Integrated Care for Lambeth

• Dr Michael Kelleher
• Consultant in Addictions
• Lambeth Community Drug and Alcohol Team
• South London Maudsley NHS Trust
• 29th June 2005

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Current Services

• Treatment for
• Opioids- Heroin, Methadone DF 118, etc
• Alcohol
• Cannabis
• Stimulants- Cocaine, Crack, Amphetamine etc
• Benzodiazepines- Valium

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Interventions

• Engagement
• Substitute prescribing
• Harm minimisation including needle exchange
• Community Detoxification
• Referral to inpatient detox rehabilitation
• Psychological interventions counselling

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Interventions

• Vaccinations
• Psychiatric interventions
• Physical health
• Social interventions- housing, benefits,
  employment and training
• Aftercare Team

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Why better integrated care for drug and alcohol
treatment?

• Two major changes
• SlaM Integration of Stockwell project and Lambeth
  Marina House
• Enhanced GP contracts and community supervised
  dispensing

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A. Fragmented service
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B. Asymmetry
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Integrated Service

• Integrating SLaM services and improving links
  with all enhanced GP surgeries will raise the
  quality and increase the amount of care given to
  our patient group.

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An Integrated Treatment System for Drug and
Alcohol users
GPs
Lambeth SLaM
Community Pharmacy
Voluntary Sector Social Services
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GP
GP
GP
GP
GP
SLaM Lambeth
GP
GP
GP
GP
GP
GP
GP
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Integrated Care GPs on Enhanced Contracts

• All GP surgeries are linked in- named worker for
  each surgery- who attends.
• Most patients are treated by GPs- 80
• There is easy flow between GPs and SLaM
  addictions for patients-less hurdles, no waiting
  times.
• Social, psychological and psychiatric
  interventions available
• Advice and support
• Symmetry

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DRR Criminal Justice
Portuguese clinic
Prisons
Cedars road
Dual Diagnosis Mental Health
Homeless clinic
Lambeth SLaM Building
Aftercare Team
St Thomass Kings College Hospitals
Harbour Project
SMART Clinic
Cannabis Clinic
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Integrated Service

• Integrating SLaM services and improving links
  with all enhanced GP surgeries will raise the
  quality and increase the amount of care given to
  our patient group.
• Monitored by the Shared Care Monitoring Group