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Integrated Care for drug users: Principles and practice

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Integrated Care for drug users: Principles and practice

ANNEX 2A
Outline of possible roles of service providers in integrated care.

Agencies

Possible roles

General practitioners / primary care team

  • General medical services to all people with drug problems

  • Ongoing management of the care and treatment to the majority of individuals stabilised on substitute prescribing programmes and those maintaining abstinence

Community & hospital pharmacies

  • Providing services related to needle exchange

  • Dispensing, and supervision, of methadone

  • Dispensing other medicines used in the treatment of drug use, e.g. lofexidine, naltrexone, buprenorphine

  • Advice and health education, including advice on secure handling and storage of medicines

  • Promotion of healthy lifestyles

  • Referral to appropriate agencies

  • Advising on safe sex and supplying condoms

Community based specialist drug services (statutory and voluntary)

  • Overall treatment and care of people with drug problems

  • Assessment

  • Care planning

  • Substitute prescribing

  • Community / home detoxification

  • Social skills training

  • Counselling

  • Advice & information

  • Education

  • Monitoring & evaluation of planned care

  • Primary care liaison

  • Links to hospital & community services

Providers of residential detoxification or rehabilitation services

  • Range of services for people with drug problems including detoxification and rehabilitation

Scottish Prison Service

  • Providing range of treatment options within the prisons

Providers of SPS transitional care arrangements

  • Providing appropriate transitional care arrangements between prisons and the community

Health specialties such as A&E departments, Ante-natal and hepatology services

  • Specialist input to (and management of) pregnancy and specific, identified conditions such as Hepatitis C or mental health problems

Criminal Justice services such as Drugs Courts, DTTOs and Arrest Referral Schemes

  • Referral to appropriate treatment, care and support services

Social work community care, children and families teams and criminal justice teams

  • Range of services including comprehensive assessments, carer assessment, family support, child protection services

Housing services

  • Providing service, advice and information including support in Homelessness

Employment, Education and Training providers

  • Specific services to promote re-integration into employment and education

  • Further education colleges and the enterprise networks

After care services such as those provided through New Futures Projects

  • Range of services and interventions to support stablilised and former users into employment, education and training.

Business organisations (including small business forums as well as national companies and public sector employers)

  • Managerial experience, advice and support to new projects or provide opportunities for employment through a range of 'work taster schemes'

Wider community services

  • Services to drug users could be seen as an extension to mainstream services, e.g. Police, Churches, Leisure Services

Other support organisations

  • Specifically aimed to deal with drug use issues, for example, family support groups, drug awareness groups, recovery groups

  • Main remit targets other presenting issues but among whose clients there is an incidence of problem drug use, such as services to the homeless.

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Page updated: Friday, June 24, 2005