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Annex 1 - Additional background
Review of Drug Treatment and Rehabilitation Services
One of the major issues to emerge from the Scottish Executive's Review of Drug Treatment and Rehabilitation Services was that there has been no overarching agreed framework which describes the quality of provision and delivery required by these services. The Action Plan published in October 2004 4 recommended development of national standards with an emphasis on outcomes for service users, together with systems for monitoring and evaluation. Informed by earlier work on quality standards by the Scottish Drugs Forum ( SDF), the National Quality Standards for Substance Misuse Services is a first step in establishing the framework.
The consultation paper containing the draft quality standards can be viewed at
http://www.scotland.gov.uk/Publications/2006/02/01091717/0
The full consultation report can be viewed at
http://www.scotland.gov.uk/Publications/2006/consultationreport
The report on pilot projects can be viewed at
http://www.scotland.gov.uk/Publications/2006/pilotreport
A report on the workshops conducted during the consultation can be viewed at
http://www.scotland.gov.uk/Publications/2006/workshopreport
Plan for Action on Alcohol Problems
The Plan for Action on Alcohol Problems5 published in 2002 - and its update that will be launched later in 2006 - sets the strategic framework for local and national action in the areas of culture change, prevention and education, provision of services and protection and controls. The overarching aim of these policy documents is to promote a cultural shift away from excessive drinking and ensure that people who need it have access to treatment and support.
Alcohol Problems Support and Treatment Services Framework6
Published in 2002, this framework was published for use by those in the statutory, voluntary and independent sectors who plan, commission and manage support and treatment services for people with alcohol problems. The framework adopts a four-tier service model and provides a template to help assess local needs and provides a guide to the delivery of effective services.
Hidden Harm - Next Steps
In 2003 the UK Advisory Council on the Misuse of Drugs ( ACMD) published Hidden Harm7 which highlighted the plight of children affected by parental drug misuse. Hidden Harm - Next Steps published in May 2006 sets out what the Scottish Executive is doing with its local partners - in education, health, social work, police and criminal justice to identify, protect and support children and young people living with parental substance misuse - to bring about improvements needed. It also identifies further action to be taken. The priority of the Scottish Executive and the priority of every local agency must be to protect and safeguard children. The key actions identified in Hidden Harm - Next Steps, should be integrated into the implementation of the National Quality Standards for Substance Misuse Services.
Integrated Care for Drug Users
The Effective Interventions Unit ( EIU) published Integrated Care for Drug Misusers: Principles and Practice in 2002 8, which sets out the evidence base and best practice guidance on service integration. A subsequent series of Integrated Care Pathways Guides developed an operational tool to support the delivery of those principles. Adoption of the integrated care pathway approach is an essential element of the good practice set out in the National Quality Standards for Substance Misuse Services.
National Care Standards
The Regulation of Care (Scotland) Act 2001 established a system of care regulation in Scotland. The Act's purpose is to provide greater protection for people in need of care services. The Act empowers Scottish Ministers to make regulations and orders to meet the Act's requirements. In order to raise the level of care in Scotland, and ensure that service users receive the same quality of care no matter where they live, Scottish Ministers have developed national care standards for a wide range of care services.
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