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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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ndric and the framework
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.
how can it help
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
four tier system
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
six protocols
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
protocol 1 initial assessment and matching the service user to the most appropriate service
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
protocol 2 comprehensive assessment developing interagency care plans
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
protocol 3 referral between agencies
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
protocol 4 interagency care plan meetings
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
protocol 5 gaps and blocks
Protocol 5Gaps and Blocks
  • Identify and address gaps or blocks in the service user’s progression set out in the care plan
protocol 6 confidentiality and information sharing
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
key worker s tasks
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
case manager s tasks
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
care plan and review
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
gaps blocks
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
getting consent
Getting Consent
  • Standard form and policy
  • Consent must be given
  • Last 6 months only
  • Answer all queries
  • Can withdraw any time