Transcript Commissioning Crack Services

Commissioning A Crack
Service
Megan Jones
Lambeth DAT Manager
Lambeth
 South-west inner London Borough
 Brixton, Clapham, Streatham
 Population ~270,000




62% white
26% Black
5% Asian
5% mixed
 3,000 – 5,000 problem drug users
 ~2000 drug users in treatment per year
Key providers in DAT/Borough
 NHS Trust (SLAM)
Prescribing service – specialist and GP shared care
Psychology services
 CDP
Arrest referral
Assessment for access to structured drug treatment
Day care
 Mainliners
Open access
Harm reduction
Commissioning Lambeth Harbour
 Needs assessment 2002
 Current services – specialist and general
 Users
 Criminal justice agencies
 Lambeth DIP positive testers 2005/6:
 Cocaine 51%
 Cocaine & opiates 42%
 Opiates 7%
}
93%
 2005/6 Treatment data (primary and secondary drug use)
 58% report heroin use
 50% report crack/cocaine use
Crack-specific Service?
 Funding available
 Lambeth:
93% problem drug users use crack
~70% budget funds “opiate" services
 Diversify existing services?
 Develop crack expertise?
Lambeth Harbour
Tier 2/3 stimulant service
 Partnership approach
 Staff seconded from all key providers
 Development of specialist expertise
 Opportunities for learning to be absorbed
back into host agencies
Partnership Approach
CDP as Lead Provider
 Premises
 Operational management
 Staffing of direct access services
 Key working within tiers 2 and 3 provision
 Group work
SLAM as key provider
 Psychological treatments
 Dual diagnosis
 Clinical practice
Mainliners
 Recruit, train and support volunteers
 Support all project activities
Service Specification
 Strong management
 The “hook”




Crisis intervention
Complementary therapies
Shower/laundry provision
Food
 Assessment , referral and care planning
 Psychological interventions
 Motivational interviewing
 CBT
 Relapse prevention
 Life skills
 Housing
Considerations
 Staffing capacity
 Location
 Opening hours
 Physical space – day service
 User involvement
 Methamphetamine
Where are we now
 Up to 93% PDUs use crack
 Two year review
Staff capacity issues
Re-think volunteering
More in-reach into other services
 User involvement
 Crack Needs Assessment
Wish List
 Loads more money!
 Safe house
 Dual diagnosis
Email: [email protected]