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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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National drug rehabilitation framework

National Drug Rehabilitation Framework

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