Gloucestershire Partnership NHS Trust

1
Gloucestershire Partnership NHS Trust

• AGM
• 25TH September 2006

2
Working Age Adults and Substance Misuse
Directorate

• Linda Folley, Service Director
• Chris Fear Associate Medical Director Working Age
  Adults
• Karen Williams Associate Medical Director
  Substance Misuse
• Mike Folley Team Manager/Head of Nursing
  Substance Misuse

3
Substance Misuse Services

• Nationally recognised centre of Good Practise
  ,In-Patient Services.
• Only service in the Health Care Commission review
  to achieve the highest rating of 4.

4
Substance Misuse Services

• Treatment service for people over the age of 18
  who have problems with drugs, primarily Heroin.
• Treatment service for people over the age of 18
  who have problems with Alcohol

5
Substance Misuse Services

• Community Team bases in Gloucester, Cheltenham
  and Stroud
• Criminal Justice Team based in Gloucester
• 6 Inpatient beds in Cheltenham

6
Substance Misuse Services

• Main Treatments
• In -Patient Detoxification and Stabilization
• Heroin Substitution Clinics
• Specialist Treatments for Pregnant drug users
• Community Reinforcement Approach
• Therapy groups
• Maintenance Prescribing

7
Substance Misuse Services

• Main Development
• Increase numbers of beds from 6 to 10.
• Shared community team/inpatient base.

8
Substance Misuse Service

• Main Benefits
• Enhance the ward environment to meet National
  Standards
• Increase bed capacity to treat more local people
  and work with neighbouring services to generate
  income.
• Closer working relationship between community and
  ward teams

9
Working Age Adults

• Treatment Service to people with diagnosis of
  serious mental illness (16-65 )
• Treatment Service to people in primary care with
  minor mental illness (16-65 )

10
Working Age Adults

• Community Teams based in North Cotswolds,
  Cirencester, Stroud, Cheltenham, Tewksbury,
  Gloucester and Forest
• In-Patient beds in Cheltenham and Gloucester
• County wide Forensic Services

11
Working Age Adults

• Main Services
• Community Mental Health Teams
• Crisis Resolution and Home Treatment
• Assertive Community Treatment
• Eating Disorders
• Early Interventions
• Forensic
• In-patients (Acute, forensic and recovery)
• Day Care Services

12
Working Age Adults

• Main Developments
• Primary Care and Assessment Teams
• Recovery Teams
• Consolidation to one site of Acute In-Patients
• County wide Psychological Therapies Service
• Reviewed Care Programme Approach (CPA)

13
Working Age Adults

• Main Benefits
• Single point of entry to community and in-patient
  services.
• Create a focus for assessment and shorter
  treatments
• Create focus for longer term engagement and
  recovery treatments
• Increased emphasis on therapeutic and recovery
  based activity in In-patients
• Service model more closely reflects National
  Guidance

14
Working Age Adults and Substance Misuse

• Summary
• Services that meet national guidance
• Services that reflect feedback from service users
• Services that are consistent across the county