Transcript emptage perspectives

Advanced addiction practice
module - introduction
Dr Emily Finch,
Clinical Director, Addictions Clinical
Academic Group, South London and
Maudsley NHS Foundation trust
Addictions in SLAM – why the
“CAG”
Clinical
Research
Education
Policy
What we do?
Borough focused clinical services across Lambeth,
Southwark, Greenwich, Bexley and Croydon
Variety of treatment models
Variable treatment populations
Provide services in partnership with the voluntary sector
Partnerships with primary care
Key worker model
Focus on training and research
Follow national standards and guidance (largely set by
PHE alcohol and drugs)
Services provided
Self referral
Assessment
Drug users – opiates but also increasingly non-opiate such as prescription
drugs and party drugs.
Opiate substitution treatment
Opiate detoxification
Alcohol detoxification
Alcohol “harm reduction”
Psychological interventions – MI and RP
Psychological interventions for co-morbid conditions - CBT
Family and carer interventions
Management of mental illness
Other recovery focused interventions such as mutual aid, housing,
Hepatitis B vaccinations, HCV testing and referral
Other health care interventions
Needles exchange
Plus many others…….
AAU
12 bedded inpatient unit
Highly complex referrals
Alcohol detoxification
Drug stabilisation
Crisis management
Referrals from wide area (SLAM area and beyond)
Referrals from Kings A&E.
Focus on medical and psychiatric problems
Therapeutic programme
Onward referral once stabilised
Lambeth
Loraine Hewitt House
Lambeth residents only (approx 1100)
Inner city borough – social deprivation, multicultural
Self referral
Alcohol and drugs
Run as a consortium – all Lambeth residents come through
the service or it’s staff
DRR service separate
Group programmes with BlenheimCDP, F66 and Addaction
Provides support to primary care
(Brixton tube – Victoria line, 45 bus from Camberwell)
Southwark
Blackfriars
Southwark residents only (approx 650)
Inner city borough – social deprivation, multicultural
Self referral
Alcohol and drugs
Most complex clients. Less complex in Kappa (Blenheim
CDP) and primary care
Criminal justice clients case managed by CRI (medical
management by BCDAT)
Day programmes provides by BCDP, CRI and F66 – strong
referral pathways
(Southwark or waterloo tube, 45 from Camberwell)
Greenwich
Beresford
Greenwich residents (approx 500)
Outer London borough – more socially mixed.
Alcohol greater than drugs.
Partnership with voluntary sector, CRI
Complex clients only. No self referral
Less primary care involvement
(BR to Woolwich)
Staffing
Medical staff – consultants, speciality doctors (and associate
specialists), GPs
Trainee medics – FY2, CT1-3, ST 4-6
Psychologists – assistants, consultants
Nursing staff – mainly band 6
Drug workers (senior and junior)
Service mangers (mainly nurses)
Borough leads
Partnership staff e.g. health care nurses, visiting doctors.
Reception and administrative staff
Other issues – nuts and bolts
PJS – electronic record system shared with mental health,
confidentially important.
No paper notes
Team meetings – important
Other team activities e.g. group supervision and
educational activities.
Duty workers, dispensing, self referral clinics and other
service activities
Getting the best out of the
placement
Email first
Arrive on time
Be willing – you may have to push yourself forward
Help if you can
Work with everybody – all staff
Show an interest – we all love our work and like others who
do.
Try to understand the systems
Talk to the clients