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LEAP

LEAP. Lothian and Edinburgh Abstinence Project. Lothians & Edinburgh Abstinence Programme. Patient centred Evidence-based Outcome evaluated Addresses social and medical aspects 3 month quasi-residential Intensive day programme Government pilot. Malta House. Patient Centred Treatment.

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LEAP

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  1. LEAP Lothian and Edinburgh Abstinence Project

  2. Lothians & Edinburgh Abstinence Programme • Patient centred • Evidence-based • Outcome evaluated • Addresses social and medical aspects • 3 month quasi-residential • Intensive day programme • Government pilot Malta House

  3. Patient Centred Treatment • NTORS Study • DORIS Study • Road to Recovery (Scottish Government) • Addicts want to get drug free!!! • Addicts want to live ‘normal lives’

  4. NHS Lothian Drug Treatment What was happening in 2007 • Excellent at harm reduction and maintenance services • Pathway to freedom from All Drugs not available • GAP in Services Which had potentially a large Market • NHS Lothian innovatively supported LEAP to complete treatment spectrum

  5. LEAP • Formulate treatment based on Patient needs • Evidence based Treatment with integrated data capture systems • Integrate what the EVIDENCE suggests works

  6. LEAP • 5 Evidenced PILLARS • Medical/Therapeutic • Housing • Prevocational/Vocational Training • Aftercare • Mutual Aid NA/AA/CA

  7. Vocational Training • Evidence based • Provided by ‘Transition’ • SQA qualification during LEAP • Encourage clients to go on to complete Transition programme

  8. Leap Stats • 16 Beds, 20 treatment places total, 12 week programme • Open 2.5 years and > 800 referrals • Assessing 87 clients in the here and now • 57 people on waiting list • 260 admissions (18 beds) • 47 different people attending aftercare • From the 2 year external evaluation report by Figure 8: • AllOpiate, Methadone and Cocaine users at intake…abstinent at 9 months! • The graduate group showed significant positive changes in satisfactions with work, alcohol use, drug use, legal situations, family relationships & other relationships (Normal Life??)

  9. Conclusions • NHS Lothian's Substance misuse directorate is using evidence based health/work interventions based on client need • NHS Lothian is leading by example in health/work partnership working • Integrating LEAP/Transition holistically results in high quality services for patients, resulting in measurable increased quality of life!!!

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