“The whole is greater than the sum of its parts”

Dr Mark LawtonMedical Lead Coventry

Rachel AbbottVolunteer and Training Co-ordinator

Recovery Who?Formed from two existing charities working together for a single goal

THE CONTRACTTo provide a comprehensive range of integrated drug and alcohol services for adults across Coventry and Warwickshire, from 1 December 2011, to include:

Open access, advice and informationHarm reductionBrief interventionsTreatment interventionsIn-patient detox and access to rehabCriminal justice servicesAftercare

KEY PRINCIPLESRecovery involves:

•Voluntary, sustained control of substance use•Health and well being•Participation in rights, roles and responsibilities•Coordinated care•Personalisation•Service user voice•Joint working and information sharing•Integrated substance misuse services

PLAIN SAILING?

CHALLENGESWe have had to overcome a number of challenges so far:

Having to replace lost staffNew ways of workingAdapting policiesStill more work to doClear pathways and working relationships with other services (e.g. dual diagnosis with mental health services )

CLINICAL INPUTSubstitute prescribing by both Doctors and Nurses and Specially trained NMP’s

Addressing physical issues and illnesses

Helping to address Mental illnesses

BBV checks and Vaccination

Screening

SUBSTITUTE PRESCRIBING•Main Medical intervention

•Replaces street opiates with controlled prescribed opiates

•Allows a person to stabilise giving space to address the other issues in their lives

•Allows controlled detoxification (although not always necessary for this)

•Reduces Mortality in the population from 10-20 times normal to some 4-8 times normal

NON-MEDICAL PRESCRIBERS (NMP’S)

Senior nurses who have undergone additional trainingOffer community detoxification from opiates and alcoholRun community clinics Available in Coventry and Warwickshire

MEDICAL PRESCRIBERSOffer clinics both within the locality base and via Shared Care arrangements in General Practice

Initiate medication and stabilise clients who may then move to the NMP clinic

Maintain those client’s with more complex medical or Psychiatric issues within the locality.

Offer alcohol clinics involving detoxification support for planned in-patient admission

WHY DO THIS?No one uses drugs to become an addict

Significant numbers with mental illness (up to 80%)

Massive social ,educational, housing ,financial issues

It not only affects the individual –they are part of a family and society as a whole

It is estimated that each £1 spent on treatment services saves £4 in other costs

There but for the Grace of God go I

WHAT ELSE DO WE DO?None Clinical aspects of the service

Social

Personal

Commun

ity

Chaos

Service User

Service User Engagement

(SUE)

Recovery Champions

Volunteers

Those whose lives are currently affected by their substances and problematic use and not currently

engaged in services

Someone who makes the choice to engage in services and engages with various interventions and programs. Focused

on meeting their own needs at this point.

An opportunity for a service user who is engaged in services and made progress. May be involved with basic, information, unstructured

assisting/supportive helping in conjunction with other SUE’s, RC’s, Volunteers and/or staff which forms part of their own recovery plan.

Not volunteers but more formal and structured than SUE. Remit is to promote recovery, internally and externally. They are there to listen, identify, inform, discuss and support current service users in terms of their recovery. The focus is not on the RC’s needs but on the needs of

the service user.

Formal and structured with recruitment process and comprehensive training. Involved in all levels, including basic and essential duties, as

well as being involved with respect to new ideas and projects. Volunteering can be the next step on from being a Recovery

Champion.