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National Drug Rehabilitation Framework

National Drug Rehabilitation Framework. NDRIC and the Framework. The National Drugs Rehabilitation Implementation Committee (NDRIC) was set up to develop a national drugs rehabilitation framework.

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National Drug Rehabilitation Framework

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  1. National Drug Rehabilitation Framework

  2. NDRICand the Framework • The National Drugs Rehabilitation Implementation Committee (NDRIC) was set up to develop a national drugs rehabilitation framework. • This new Rehabilitation Framework is a collection of policies and procedures designed to help agencies work together to form effective integrated care pathways for service users.

  3. How can it help? • Providing standardised approaches to • Identifying service users’ needs • Effective Care Plan development and on-going support • Working with other agencies and resolving gaps and blocks • Establishing an integrated care pathway for Service Users • How the continuum of care works and how we’re all involved in it

  4. Integrated model of rehabilitation provision

  5. Four Tier System • Tier 1 interventions drug-related information and advice, screening and referral to specialised services. • Tier 2 interventions through outreach, primary care, pharmacies, criminal justice settings, drug treatment services, community- or hospital-based brief interventions and harm reduction e.g. needle exchange. • Tier 3 interventions Typically includes psychotherapeutic interventions, methadone maintenance, detoxification and day care. • Tier 4 interventions Acute hospital provision with specialist “addiction” support for complex needs e.g. pregnancy, liver and HIV-related problems, residential rehabilitation units

  6. Six Protocols The Rehab Framework is divided into six main headings called Protocols. Protocols give us a detailed guide in how to approach our work with service users and includes a number of agreed policies & procedures, and templates. The six protocols are: • Initial Assessment • Comprehensive Assessment • Referrals • Interagency Care Plan Meetings • Gaps and Blocks • Confidentiality

  7. Protocol 1 Initial Assessment and Matching the Service User to the Most Appropriate Service • How to conduct the brief assessment of the service user’s presenting issues • Determine whether a more comprehensive assessment is necessary • How to refer (if necessary) the service user to another more appropriate service

  8. Protocol 2 Comprehensive Assessment & Developing Interagency Care Plans • How to complete the comprehensive assessment • How to develop and put the care plan into action • Identifying a case manager • Continually review and update care plans

  9. Protocol 3Referral between Agencies • How to support service users access to relevant services set out in the care plan • Establish a clear understanding for service users and providers of each step in any referrals process • Support service users at each step of the referral process and follow-up

  10. Protocol 4Interagency Care Plan Meetings • Updating the care plan according to the service user’s current needs • Keeping the service user motivated and involved • Enhancing interagency work and involvement in the care plan

  11. Protocol 5Gaps and Blocks • Identify and address gaps or blocks in the service user’s progression set out in the care plan

  12. Protocol 6Confidentiality and Information Sharing • How to ensure the service user’s confidentiality and right to privacy • How to fully inform and get consent from the service user about using and sharing care plan information • How to confidentially share info with other service providers in accordance with national legislation • Agree interagency care plan roles and responsibilities • Agree ways to resolve disagreements • Rehab coordinator is given these agreements to be assessed for Data Protection Compliance

  13. Key Worker’s Tasks • Engaging with the service user • Ensuring consent • Completing assessment and developing a care plans • Advocating on behalf of service user • Fulfil care plan actions • Work & sharing info with other agencies as required • Keeping relevant case notes/records • Use SMART Objectives

  14. Case Manager’s Tasks The case manager is the person who has a formal role to manage inter-agency communication and the provision of co-ordinated care. • Ensuring a care plan SMART goals in place • Arranging regular care plan & progression reviews • Coordinate with key workers/agencies involved • And where appropriate with the service user’s family

  15. Care Plan and Review • Standardised approach • Care plans are developed with the service user after assessment is done • Service user is in agreement with needs & goals • Regular Care plan reviews

  16. There are 5 steps to be followed in the case of any barriers Keyworker (Brings issue to)  Case Manager  Case Conference (Try to resolve issue with relevant services)  Treatment & Rehab Sub Group (Case manager completes Gaps & Blocks form and brings to T&R sub group)  NDRIC (When T&R sub group can not resolve issue, matter gets referred to the National Rehabilitation Coordinator by the CCLDTF Rehab Coordinator. Gaps & Blocks

  17. Getting Consent • Standard form and policy • Consent must be given • Last 6 months only • Answer all queries • Can withdraw any time

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