Hounslow Drug and Alcohol Team

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Hounslow Drug and Alcohol Action Team report
5-11-2009
Making Hounslow Healthier
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Hounslow DAAT Governance
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Funding for Drugs and Alcohol misuse
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Hounslow Substance Misuse Services

• CRi, providers of DIP, DAIS (open access service)
  and the Structured Day Programme (SDP) to drug
  clients
• CNWL, providers of specialist clinical services
  to drug and alcohol users.
• EACH, providers of counselling, SDP and volunteer
  programmes to drug and alcohol users.
• TASHA, providers of aftercare.

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VSB 14/NI 40

• Numbers of Problematic Drug Users in effective
  treatment
• PDU opiate or crack user aged 15 to 64.
• Effective having successfully completed more
  than 12 weeks of specialist treatment.
• Evidence shows that if a person can complete 12
  weeks of treatment they are more likely to have a
  positive outcome

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VSB14/NI 40

• Numbers of Problematic Drug Users in effective
  treatment.

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VSB 14/NI 40 trajectory 2008/9
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Main elements of performance

• Baseline starting the year after the wash through
  of unplanned discharges and successful outcomes
• Numbers of new starts which include
  self-referrals and referrals from DAIS, Police,
  Probation, GPs and others.
• Percentile effectiveness
• Revolving door unplanned discharges

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Performance management action plan

• Strengthening of reporting systems
• Local data proformas which match National Drug
  Treatment Monitoring System.
• Weekly Drug Intervention Programme (DIP)
  performance meetings
• Monthly DAAT performance management meetings
• Enabling of improved partnership working between
  treatment providers
• Action plans for treatment agencies
• Review commissioning arrangements

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Improvements to specialist treatment

• Direct access appointments
• Reduction of waiting times
• Motivational Interviewing training for staff
• Relapse prevention in phase 4
• Re-engagement project
• Outreach to mental health venues
• BBV active engagement
• Stimulant programme development

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Drug Intervention Programme KPIs 2008/9
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DAAT Partnership actions

• Improved joint case management between drug
  referral workers and clinical staff.
• Improved joint working between Police and drug
  referral workers.
• Improved joint working between Probation, drug
  referral workers and social workers.
• Considerable scope for more improvement.
• Weekly DIP data check and clean up.

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Drug Intervention Programme KPIs 2009/10
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Cost savings to the community

• The average DIP client commits 37 crimes p/a
  before engagement in treatment.
• Cost of each crime is calculated at 572
• Annual cost of crime is 21,164
• DIP costs 2,923 p/a, per client to implement.

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Client flow chart
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Managing patients who are ready to be referred
back to Primary Care

• Phase 4 of clinical treatment has been extended
  to manage greater numbers
• Relapse prevention group, run by the clinical
  psychologist is in place.
• GPs are being consulted on what the barriers to
  Drug Shared Care are.
• Proposal to the DAAT Board in December

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VSB 14/NI 40 trajectory 2009/10
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Fiona Dent Senior Joint Commissioner for Drug and
Alcohol Services Civic Centre Lampton
road Hounslow TW3 4DN 0208 583 3015 fiona.dent_at_hou
nslow.gov.uk