Professionals views on older drug use
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Professionals’ views on older drug use. Biba Brand National Quality Development Manager November 2009, Glasgow. Methodology:. 10 face –to-face interviews 71 self-completion questionnaires – Survey Monkey. Methodology:. Background of interviews Organisation Remit

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Professionals views on older drug use

Professionals’ views on older drug use

Biba Brand

National Quality Development Manager

November 2009, Glasgow


Methodology
Methodology:

  • 10 face –to-face interviews

  • 71 self-completion questionnaires – Survey Monkey


Methodology1
Methodology:

Background of interviews

OrganisationRemit

Academic 1 Researcher 1

Statutory 4 Manager 7

Voluntary 4 Direct client work 5

Private 1 Clinician 2

Specialisms

  • Addiction/criminal justice - community (1),

  • Addiction/research (1)

  • Addiction/general practice - community (1)

  • Addiction/specialist prescribing – community (1)

  • Addiction - residential (2)

  • Addiction - community (1)

  • Homelessness - community (2),

  • General home support and care – community (1)


Background of self completion questionnaires
Background of self-completion questionnaires

Background of self completions

OrganisationsSpecialisms

  • Statutory 54.9% (39) Specialist Community Based 70.4% (50)

  • Voluntary 42.3% (30) Specialist Residential/In-patient 11.3% (8)

  • Private 2.8% (2) Non-specialist Support Service 18.3% (13)

  • Policy Development Service 0% (0)

  • Other (DTTO, A&R, maternity, ETE (11)

    Remits

  • Manager 49.3% (35)

  • Working directly 47.9% (34)

  • Administrator 1.4% (1)

  • Policy/Planning/Commissioning 1.4% (1)

  • Other (manager with client work (5) or policy/planning (2), & 1 team response,) (8)




I challenges for services
I Challenges for services

  • Current support

  • Isolation

  • Physical/mental health

  • Overdose and suicide

  • Reviews

  • Continued drug use

  • Late onset injecting

  • Interagency work – elderly care, generic

  • Control over own care


Control over own care
Control over own care

‘Older drug users have a lot of life experiences. They know themselves and from their past, they understand what treatments work for them and when they are ready. They don’t always want to go through the care pathway we decide, but may want to skip some parts or stay longer or shorter in certain services.’


I vision
I Vision

  • Extend & Enhance Existing Provision

  • Practical/emotional home support

  • Recovery - Employability, legal, welfare services

  • Counselling, befriending

  • Social support networks

  • Staff – training, age, consistent, significant events, motivating (M/F)

    (cont’d…)


Motivation
Motivation…

‘It’s hard motivating older men to move from A to B; whereas for older women, they often want to jump from A to Z and we need to slow them down.’


Vision cont d
Vision cont’d

  • Health Improvement

  • Supported accommodation

  • Residential and crisis services

  • Early screening - chronic conditions

  • Improved pain management

  • Targeted work within existing drug services



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