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Substance Misuse Services: “Commissioning Effective A lcohol S ervices in Kent”

Substance Misuse Services: “Commissioning Effective A lcohol S ervices in Kent” 19th November 2013. The Kent Drug and Alcohol Action Team. Liz Osbourne Commissioning Officer 19 November 2013. 1. What is an effective outcome?. Depends on who you are Depends on your organization. 2.

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Substance Misuse Services: “Commissioning Effective A lcohol S ervices in Kent”

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  1. Substance Misuse Services: “Commissioning Effective Alcohol Services in Kent” 19th November 2013 • The Kent Drug and Alcohol Action Team Liz Osbourne Commissioning Officer 19 November 2013 1

  2. What is an effective outcome? • Depends on who you are • Depends on your organization 2 19/11/2013 Liz Osbourne

  3. 2010 • Hallelujah! A focus on recovery 3 19/11/2013 Liz Osbourne

  4. The Redesign • Commissioned Integrated Substance Misuse Services (CRI and Turning Point) • Efficiency Savings • Equity of provision across county and substance • Recovery focused 4 19/11/2013 Liz Osbourne

  5. West Kent PbR Pilot - 2012 • Substance (alcohol) use • Health and wellbeing • Mental health • Physical health • Housing • Children • Risk of harm • 12 month non-representation payment • Reduction in re-offending payment 5 19/11/2013 Liz Osbourne

  6. West Kent PbR Pilot – (some) findings year one • More clients were assessed as critical in regards to risk of harm than any other sub domain; risk of harm is proportionately greater for alcohol users (37.1%) than for drug users (19%); • alcohol clients are almost three times more likely to have a critical ‘risk of harm’ (life is or will be threatened) • more alcohol clients (49.2%) than drug users (38.4%) were considered to have mental health problems 6 19/11/2013 Liz Osbourne

  7. East kent 2013 • Performance incentivisation • Number of adult primary drug users accessing structured treatment • Number of adult primary alcohol users accessing structured treatment • Number of adult primary drug users completing treatment successfully • Number of adult primary alcohol users completing treatment successfully • Proportion of drug users successfully completing treatment who did not re-present to treatment within 6 months 7 23/10/2013 Liz Osbourne

  8. More than treatment (pilots) • Alcohol and drug hospital liaison nurses EK • Community in-reach • Alcohol and drug hospital liaison nurses WK • Community in-reach • Pharmacy IBA’s • Alcohol and Cannabis Diversion Scheme 8 19/11/2013 Liz Osbourne

  9. Still to Conquer • GP Pathways! 9 19/11/2013 Liz Osbourne

  10. Next steps • Evaluations - happy to share • S/east events to share learning 10 19/11/2013 Liz Osbourne

  11. Thank you for listening 11 19/11/2013 Liz Osbourne

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