Transcript Effective treatment. Changing lives Prevalence and unmet need

Needs Assessment Tools
Past, Present and Future
Data and methods available for carrying out
needs assessment
25th October 2010
Effective treatment. Changing lives
Content
An overview of the data and tools
Prevalence and unmet need
Treatment Maps
TOP data
Needle Exchange information
ViewIt and DAT families
Unit Costs and Value for Money
Effective treatment. Changing lives
The NDTMS and needs assessment
Adult Drug Users
Young People
Alcohol
Effective treatment. Changing lives
Prevalence and unmet need
Estimates of the number
of opiate and crack users (PDUs)
Local Partnership
3500 PDUs
Effective treatment. Changing lives
Prevalence and unmet need
NDTMS can provide the
numbers of PDUs in treatment
1200 PDUs
Effective treatment. Changing lives
Prevalence and unmet need
NDTMS can be matched
to other data sources
A&E
1200 PDUs
hostel
NEX
DIP
Effective treatment. Changing lives
Or surveys can
be carried out
Prevalence and unmet need
NDTMS can be matched
to other data sources
A&E
1200 PDUs
NEX
DIP
Effective treatment. Changing lives
Prevalence and unmet need
NDTMS can be matched
to other data sources
A&E
1200 PDUs
NEX
400
Effective treatment. Changing lives
Prevalence and unmet need
Data can be segmented by age
(15 – 25)
100 PDUs
Effective treatment. Changing lives
Prevalence and unmet need
NDTMS can be matched
to other data sources
A&E
1200 PDUs
hostel
NEX
400
Effective treatment. Changing lives
Or surveys can
be carried out
The treatment map data
Purpose to map the flow and profile of clients into,
through and out of treatment
Helps identify gaps in provision, issues and blockages
Four stages
Treatment Entry
In Treatment
Transfers
Treatment Exit
Effective treatment. Changing lives
Treatment map - treatment entry
CJS
Agency A
GPs
Agency B
Effective treatment. Changing lives
Self
Agency C
Prison
Treatment map - treatment entry
CJS
Agency A
GPs
Agency B
Effective treatment. Changing lives
Self
Agency C
Prison
Treatment map - treatment entry
GPs
CJS
Self
Client Profile
Substances Used
Age Ranges
Agency A Number
Agency
B
Agency C
Treatment
Naive
Parents
Effective treatment. Changing lives
Prison
The treatment map data
CJS
Agency A
GPs
Self
Agency B
Agency C
Effective treatment. Changing lives
Prison
Data from the treatment outcomes profile (TOP)
TOP collects data across four domains
Drug use
Injecting and sharing
Criminal activity
Physical and social functioning (including housing and
employment)
Effective treatment. Changing lives
Two TOP reports available for Needs Assessment
• All
• 18-24
• 25+
• All
• CJS
• Non-CJS
• All
• PDU
• Non-PDU
• All
• Previous
• New
Effective treatment. Changing lives
Nationality Data
Agency Name
United
Kingdom Portugal
Ireland
Italy
Poland
Agency A
48%
18%
8%
4%
4%
Agency B
69%
6%
3%
5%
2%
Agency C
92%
0%
0%
1%
0%
Agency D
82%
3%
1%
0%
3%
United
Kingdom Portugal
Ireland
Italy
Poland
London
69%
1%
2%
1%
1%
England
82%
1%
1%
0%
0%
Effective treatment. Changing lives
Needle Exchange Report (NEXMS)
Provides a report on needle exchange activity within
a partnership that contains information on
The equipment that is dispensed and returned
An estimate on the number of people using the exchanges
The substances that are being used
An estimate on the numbers that are in treatment
130K needles
92% returned
90% 2ML
Effective treatment. Changing lives
400 users
100 in Tx
Viewit and DAT families
Effective treatment. Changing lives
Viewit and DAT families
Effective treatment. Changing lives
Viewit and DAT families
London and surrounding area – PDU Prevalence
Effective treatment. Changing lives
Viewit and DAT families
Effective treatment. Changing lives
Value for Money Tool
Developed to demonstrate the local value for money
Reports the cost and benefits of drug treatment
Savings in health and crime costs
Allow scenario planning for changes in outcomes and
spending
Effective treatment. Changing lives
Value for Money
Cost of treatment
Benefit of
treatment
Cost of treatment
Past: 2005-06 - 2010-11 (Tab 2)
Effective treatment. Changing lives
Benefit of
treatment
Forecast: 2011-12 - 2014-15 (Tab 3)
Value Improvement Tool
Segmented client
groups by substance
type
Effective treatment. Changing lives
Value Improvement Tool
Cost (£)
Treatment pathway 1
Segmented client
groups by substance
type
Treatment pathway 2
Treatment pathway …11
Workforce
Effective treatment. Changing lives
Days in
treatment
Value Improvement Tool
Cost (£)
Treatment pathway 1
Segmented client
groups by substance
type
Outputs
Treatment pathway 2
Treatment pathway …11
Workforce
Effective treatment. Changing lives
Days in
treatment
(NDTMS)
&
Outcomes
(TOP)
DAT family, regional
and national
benchmarks
Thank you for listening…
Effective treatment. Changing lives