Transcript Slide Presentation Drug Treatment Workforce

The Drug Treatment
Workforce:
Ian Wardle January 2013
2001-2005 HARM REDUCTION
• Building a workforce quickly
2005-2008 TREATMENT EFFECTIVENESS STRATEGY
• A focus on psychosocial competence and quality
• The treatment journey and the role of key-working
2007-2013 AN INSPIRED RECOVERY-ORIENTED
WORKFORCE
• Four key roles in the new recovery workforce
• Recovery as a bridge between the old world and the new
Three different phases of workforce
development
P2 Treatment Effectiveness
• A clear and coherent vision and for
…maintained by strong clinical
leadership
• OST has legitimate and important
place
• Case management and psychosocial
interventions that keyworkers are
competent to provide
• Recovery care plans for those
receiving substitution treatments
should not differ in any substantial
way from those pursuing
abstinence-based pathways
Phase 3 Recovery-oriented
• Audit the balance in your service
between overcoming dependence
and reducing harm
• Ensure patients have achieved
abstinence from their identified
problem drug(s)
• Assessment to consider recovery
capital
• Build communities of recovery
• Advocate for mutual aid
• Utilise peer supporters
• Ensure recovery is visible
The balance struck by
Medications in Recovery
• Is Recovery more than an incremental step forward? Is it
a paradigm shift?
• Is Recovery an significant incremental step forward from
Treatment Effectiveness?
• Is Medications in Recovery the end point in our thinking
about drug treatment?
• Or is Recovery a transitional phase: a bridge between the
old world and the new?
Three further questions on recovery:
present and future
CLINICIANS
• Integration and close cooperation
• Medications in Recovery
PRACTITIONERS
• The new skill requirements
• NICE; plus the therapeutic alliance
• Addiction as a social paradigm
MANAGERS
• The key developmental role
• Key integrations: prevention and treatment; alcohol, drugs and multi-risk
behaviours, elites and non-salaried
PEER MENTORS AND RECOVERY SUPPORT STAFF
• In-service professionalism with a community focus
• Sophisticated local workforce strategies for different segments
Four key roles in the recovery
workforce
• Is recovery only the first of a series of convulsions and
accompanying shifts in perspective and practice?
• Are we able to describe these changes in a way which
enables us to 'think' the key integrations for our sector?
• Prevention, treatment and recovery.
• Alcohol and drugs as factors in a multi-risk lifestyle.
• Shift away from an individualised approach to a social
paradigm with a stronger emphasis on social networks
and a focus on broader health determinants.
Is recovery a transitional phase: a
bridge between the old world and the
new?
DYNAMIC
• We have not arrived anywhere permanent, or even semi-permanent
HYBRID
• We are neither top-down, or localist
FRAGMENTARY
• Difficult to get an overall view
COMBINED
• 3 ‘current phases: i. Recent Past; ii, Present; iii) imminent future.
• Each crowds in on, overlaps with and obscures the others
UNDER DESCRIBED
• Transition from present to future is under-described
UNEVEN
• Latest practice developments go beyond ‘best-practice’ guidance of
Medications in Recovery.
Challenging current context
• The truth of the matter is the modern age of treatment,
although it's got fuzzy edges, the modern age of treatment for
drug and alcohol and tobacco problems is probably something
like 50 years old.
• But if I were asked for evidence on efficacy after 50 years, it is
still far too slender.
• Our science is under question, our treatment is under question,
our cost efficiency is under question. And I think the challenge
today is to do better before time runs out. I don't want people
turned away and told they can rot.
Griffith Edwardsthe modern age of
treatment