Transcript Effective treatment. Changing lives

Treatment Outcomes Profile (TOP)
Level 3 TOP Outcomes Report
Important notes
November 2009
Effective treatment. Changing lives
Contents
 Performance management warning
 How to use these notes
 Examples of how to use these notes
 Eligibility criteria
 Eligible Partnerships
 Outcomes in Problematic Substances
 Outcomes in Substances Used
 Outcomes in Injecting behaviour
 Outcomes in Crime
 Outcomes in Health and Social Functioning
Effective treatment. Changing lives
This is the first level three outcomes report and it should not be used
for delivery assurance
Contents
 The information contained in the Level 3 Outcomes report should NOT
be used for the purpose of delivery assurance. This will begin quarter 1
in 2010/11.
 Therefore this data is provided for information purposes only because:
 There is only one quarters data
 There are some small numbers, especially at Provider level (this makes
percentage comparisons difficult)
 The information has not been adjusted for the differential case mix of client
profiles in different partnerships (to ensure like for like comparisons)
 No performance metrics have yet been established against which
performance could be said to be good or not
 All data is RESTRICTED and should not be disseminated beyond the
partnership or provider
Effective treatment. Changing lives
How to utilise these notes
Contents
 We have continued to receive requests from the field for guidance on the TOP reports
and what they mean
 Dense word documents have not proved to be the best way to communicate
information. People either don’t have time to read or find them confusing and difficult
to follow
 This PowerPoint pack aims to communicate the information in a simple, interactive and
effective format.
 To keep the number of slides needed to communicate all the information the following
slides have been animated. This makes the pack difficult to print and you will need to
view it in ‘slide show mode’.
 Each slide is linked to the contents page, so you can easily navigate through the
different sections – just click the contents button Contents in the top right hand
corner of any slide and it will take you back
 We suggest several ways that this information can be used – these are shown in the
slides to follow
Effective treatment. Changing lives
This format can be used in a variety of different ways. Two
of the most common ways are shown here
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Contents
=
 Print the actual Level 3 Outcomes report not the
notes.
Open the PowerPoint notes on your PC
 The Level 3 Outcome report notes can be used in
the ‘traditional format’ as an aid to a verbal
presentation.
Press ‘enter’ to move through the notes
 Or, several reports can be printed and all persons
can run through the reports & explanatory notes in a
group
You can then go through your report at your own
pace in combination with the PowerPoint notes
This might be useful if the information needs to be
communicated to a group of people.
 Select slide show mode
Effective treatment. Changing lives
There are five key eligibility criteria used to define the
clients included in the level 3 outcomes
Contents
 They started a treatment journey in Quarter 4 2008/09
 They were in treatment for at least 6 months
 They were to be aged 18 and over at triage
 They had a TOP reported within +/- two weeks of starting treatment
 They had a TOP reported between 5 and 26 weeks after starting treatment
Effective treatment. Changing lives
There are currently 46 Partnerships who have met the eligibility criteria
and can access the Level 3 Outcomes Report (all providers in the
partnership area also have access)
Contents
Eligible Partnerships
Barnet
Dudley
Lincolnshire
Stockton-on-Tees
Bath and North East
Somerset
Ealing
Medway towns
Telford and Wrekin
Bedfordshire
Enfield
Middlesbrough
Torbay
Birmingham
Essex
Milton Keynes
Tower Hamlets
Blackburn with Darwen
Hackney
Newham
Trafford
Bradford
Hammersmith and
Fulham
North East Lincolnshire
Wakefield
City of London
Hartlepool
North Lincolnshire
Waltham Forest
Coventry
Havering
Nottinghamshire
Warrington
Derby
Hertfordshire
Plymouth
Westminster
Devon
Isle of Wight
Salford
York
Doncaster
Kent
Solihull
Dorset
Kingston Upon Hull
Staffordshire
Effective treatment. Changing lives
The first section of the Outcomes report only considers clients who cited a
particular drug as problematic at triage
Are there large
Are these as expected?
differences here?
Contents
Are reductions better
How
or do abstinence levels
Are these levels as
worse than regional and
compare to regional
expected?
national levels? and national levels?
Average reduction in use
Cannabis use is lower in this
is less in this Partnership.
Partnership than Regional /
Isthe
there
a(Drug
reason?
National
These
These
figures
figures
show
represent
the
average
the
average
number
days
ofusing
days
using
awere
drug
users
– this
of
inusing
athose
drug
who
were
were
using
it
These
‘Number
Of
‘%those
Using
figures
These
using
who
at baseline’
provide
were
document
at
drugs
baseline’
using
were
aissummary
the
aLevels
iscited
substance
number
the number
by
of the
the
of
(%)
atpeople
client
difference
of
the
of people
people
Start
as
problematic
of
between
who
who
a
treatment,
substance
returned
the
not
average
adivided
valid
1,
percentage
2the
or
TOP
level
by
3)
drug
the
when
pair
ofconsuming
shows
when
number
use
who
atthey
were
the
the
of
‘Number of valid TOP pairs’ is the number of clients
(who
said
theydrugs?
had a problem with a
What
about
the
other
that
at the
drugStart
in the
of 28
treatment
days prior
– intothe
the28Start
daysofpreceding
treatment.their
Comparisons
Review in with
the 5-26
regional
weeks
and
proportion
entered
valid TOP
Start
of
treatment
using
the
pairs.
ofgroup
1treatment
tobut
It28
who
may
who
days
were
be
compared
subsequently
in
prudent
they
the
not month
using
started
to
to the
question
the
report
preceding
treatment
average
drug
using
why
in level
the
this
it by
28
Start
of
percentage
the
days
use
of
time
treatment
at
prior
Review
of the
is
to not
their
Review
100%
Review
particular substance) who gave a response on TOP at Start and Review that was between 0 & 28
national figures give an estimate
after treatment
of the relative
startedproblem in the Partnership
Effective treatment. Changing lives
Section 1 considers all drug use, reported using the TOP. This is not
dependent on it being cited as problematic at triage
Contents
Cited as problematic
Why the large difference?
Could some of the 157 be extra ‘crack
PDUs’ in this Partnership?
One
These
mightproportions
want to compare
give information
these figures
about the prevalence
againstofthe
substances
numbers reported
in clientswhen
accessing
a drugtreatment in the
is cited as problematic
Partnership
e.g. crack
or Provider.
‘Number
These
These
of
figures
figures
valid
show
TOP
represent
pairs’
the
average
the
is
the
average
number
number
number
of
days
of
days
using
(regardless
the
areturned
drug
users
of
– of
in
whether
athose
drug
who
they
were
were
had
ausing
problem
it
These
‘Number
‘%
These
Of
Using
those
figures
figures
using
at
who
baseline’
provide
were
at
document
baseline’
using
is
a summary
the
the
aisnumber
substance
the
number
of of
the
(%)
people
atof
difference
the
ofclients
people
people
Start
using
between
of
who
who
atreatment,
substance
were
the
not
average
this
ausing
valid
percentage
the
TOP
level
drug
pair
ofconsuming
shows
use
when
who
atwere
they
the
These drugs are not dependent on being cited as problematic at Triage
with
that
atentered
athe
drug
particular
Start
in
the
of substance)
28
treatment
days
prior
–who
in
to
the
gave
the
28
Start
days
a
response
of
preceding
treatment.
on
TOP
Comparisons
Review
and
inprior
with
the
Review
5-26
regional
weeks
that
and
was
proportion
divided
Start
of
treatment
using
the
of
by
group
1treatment
to
the
but
28
who
number
who
days
were
compared
subsequently
inof
the
not
valid
month
using
to
TOP
the
the
preceding
report
pairs.
average
drug
using
intheir
level
the
the
itat
Start
by
28
ofStart
the
use
days
oftime
treatment
at
Review
of to
the
their
Review
Review
Reported
national figures give an estimate
afterbetween
treatment
of the0relative
&started
28 problem
in as
theused
Partnership
Effective treatment. Changing lives
Section 2 reports on injecting risk behaviour and receptive sharing of
injecting paraphernalia as reported on the TOP
Contents
The final section reports the
number and % of those who
The number of pairs that can be analysed
have started to inject
The number reporting the behaviour
These two sections give the Partnership (or Provider)
% of injectors is This
the number
reporting
injecting
over
of
valid
pairs shows the proportion
section provides a summary
of the
the number
amount
This
section
Regional
and National
comparison figures
% who share is obtained
by dividing
numbers(above)
of sharers
injectors
of reduction
in thethe
frequency
andby baseline
of injectors
who were no longer
proportion (below) of injecting and sharing
injecting by the 6 month review
The report on injecting risk behaviour follows the same format as Section 1.
Effective treatment. Changing lives
Section 3 reports on the crime information that has been reported using
the TOP.
Are
How
these
do reductions
levels of reported
comparecrime
to Regional
as expected
and
for thisNational
Partnership
reductions?
or Provider?
Contents
Howthe
dolevels
the frequencies
proportions
compare
Are
of those noorlonger
reporting
to Regional
andselling
National
figures?
shoplifting
or drug
in line
with comparators?
Effective treatment. Changing lives
Section 4 reports on the health and social functioning that was reported by
Contents
clients on the TOP
•Consider
WORK
•BUTPAID
29 individuals
started work in the same period
Acute housing problems and
•11.1%
of those
enteringinto
this aPartnership
were
thethis
start
of treatment
•This
translates
net gain of
20 working
workersatin
Partnership
in 6 months –
a 60%just
increase
•Theynearly
were working
over 21 days on average in the previous 28
•At Review,
¼ werefigures
no longer
working
(~¼ of 35slowly
workers is 9)
•NB: these
must
be digested
housing risk decrease
Health and social functioning also
•This •Same
REDUCED
average
working
about
6 days – to education
pattern
applies
– inbythis
example
increase by 6 months
Effective treatment. Changing lives
Remember this information should not be used for delivery
assurance
Contents
 The information contained in the Level 3 Outcomes report should NOT
be used for the purpose of delivery assurance. This will begin quarter
2010/11.
 Therefore this data is provided for information purposes only because:
 There is only one quarters data
 There are some small numbers, especially at Provider level (this makes
percentage
comparisons difficult)
 The information has not been adjusted for the differential case mix of client
profiles in different partnerships (to ensure like for like comparisons)
 No performance metrics have yet been established against which
performance could be said to be good or not
 All data is RESTRICTED and should not be disseminated beyond the
partnership or provider
Effective treatment. Changing lives