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North Community Addiction Team ( N CAT) Christine Laverty Head of Service

North Community Addiction Team ( N CAT) Christine Laverty Head of Service. Addiction Services Background Variety of Services across City Short-term Funding Postcode Lottery Duplication/Gaps Confusion for Service Users & Referrers. Integration Alcohol & Drug Directorate

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North Community Addiction Team ( N CAT) Christine Laverty Head of Service

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  1. North Community Addiction Team ( N CAT) Christine Laverty Head of Service

  2. Addiction Services Background • Variety of Services across City • Short-term Funding • Postcode Lottery • Duplication/Gaps • Confusion for Service Users & Referrers

  3. Integration • Alcohol & Drug Directorate • Glasgow Drug Problem Service • Social Work Addiction Services • 2 Pilot Teams • 2004 9 CATs established • 1 HAT (Homeless Addiction Team)

  4. Bases • North Quadrangle • North Closeburn • North Callander • North Milton • North Glenbarr

  5. The Team • Head of Addiction • Community Addiction Manager • Nurse Team Leaders • Practice Team Leaders • Medical Officers • Senior Addiction Workers • Senior Addiction Nurses • Social Care Workers • Addiction Nurses • Health Care Assistants • Admin

  6. North Caseload • Currently working with 3306 individuals • 57% have drug issues • 29% have alcohol issues • 14% have drug and alcohol issues

  7. Referral Process Referral Screen for Priority Appointment/ Assessment (S.S.A.) Baseline/ Identity of needs & Care plan Allocation Health Social Care Implementation of Care Plan Review

  8. Single Shared Assessment • Common Assessment Tool • Baseline Completed on first contact • Joint Allocation • Comprehensive Assessment ongoing

  9. CAT Service Provision • Assessment • One to One Support • Groupwork • Prescribing • Shared Care • Alcohol Home Detoxs • Family Support • Youth Addiction Services

  10. CAT Service Provision • Training/Awareness Sessions • Assessment & Access to Community Rehabilitation Services • Assessment & Access to Residential Rehabilitation Services • Sexual Health Services • Psychology • Employability Services

  11. CAT Prescribing • Prescribing to 826 individuals • Complex Needs • Rapid Response • Care managed by Social Care & Health

  12. Shared Care Clinics • Supporting 956 Service Users in Shared Care Clinics • 35 Shared Care Clinics • Outstanding Requests from GPs for Clinics • Capacity Issues

  13. Medical Services • CAT Medical Officers • Prescribing • Consultancy • Care Planning & Review

  14. Alcohol • 959 individuals with Alcohol Issues • 463 individuals with Alcohol & Drug Issues • One to One Support • Groupwork • Home Detox • Community Alcohol Support Services • Eriskay Partial Hospitalisation and Inpatient • Residential Rehabilitation

  15. Mental Health • Role of RMN in CATs • Mild to Moderate MH Symptoms • Links to CMHT • Co-Morbidity Service Redesign

  16. Psychology • Weekly Input • Case Review • Training • Education • Cognitive Behavioural Therapy (CBT)

  17. The Impact of Parental Addiction

  18. Key Guidance/Policy • Getting Our Priorities Right 2002 • Hidden Harm 2003 • Hidden Harm Next Steps 2006 • Aberlour Thinktank 2006/2007

  19. Getting Our Priorities Right & Hidden Harm • Key Guidance in working with families affected by addiction • Shift away from adult focused services • Addiction Services task is two fold • -To support adults with parenting responsibilities to stabilise • -Alongside protecting children from the impact of parental addiction

  20. Impact on Children • Parents emotionally/physically unavailable • Feelings of loss • Fear of parental death • Protectiveness of parents • Feelings of rejection/secondary to substance • Shame, Anger, Stigma • Fear of separation if drug use ‘discovered’ • Isolation

  21. Protective/Resilience Factors • Adult in effective treatment/support • Presence of non drug/alcohol using adult • Stable Home • Financial stability • Routines • Attendance at supportive school/nursery • After School Activities

  22. Hidden Harm Next Steps • Way Forward • Early Identification • Contracts including drug testing • Work to Children’s timescales • Further training for professionals • Fostering Strategy • Contraception

  23. Service Developments • What Next? • Strengthen services to families jointly with Children & Families & Voluntary Sector/Community Regeneration Funding • Accommodation & Satellite Services (Closeburn St refurbishment & Heath/Community Centres) • Establish Prescribers Forum • Psychiatry Interface • Methadone Home Visit Pilot • Strengthen Service User involvement

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