WHAT CHALLENGES MUST RECOVERY PROVIDERS PREPARE FOR IN 2013?
High hopes raised by the Drug Policy 2010 have been dashed in implementation, rehabs are closing – and commissioning is changing with localism, Public Health England, Health & Wellbeing Boards, GP commissioning, Police & Crime Commissioners, Payment by Results…
Tessa Corner and Patrick Gormley identify issues so you can defuse them.
Forecasts by Nick Barton
Action on Addiction
Forecasts by Deirdre Boyd
Addiction Recovery Foundation
Forecast by Laura Graham
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In April this year, the Tracer research into residential rehabilitation will start. For those of us who have opted in, all our clients will be monitored over the next two years or so using other government-held records to see how they do. In time, these results will probably supersede NTORS, the National Treatment Outcomes Research Survey. This is happening after the last couple of years in which we have been struggling to survive, so it is a bit like climbing Everest after a month of fasting.
But the next few months will be a good time to ‘check our kit’ or audit our services, check the pathways to external services, and ensure clear lines of communication with partner organisations to make sure we are performing at our best for this research. The figures this research produces could be those quoted for the next 10 or 20 years.
Addiction treatment is a multifaceted issue. The 2010 drug strategy and recovery capital are great in theory – but in practice there are far too many political and economical stumbling blocks getting in our way. Many commissioners and care coordinators still seem to miss the point.
The point is that the only way to ensure that a client will succeed in their treatment journey is (a) through meticulous preparation, which takes time and commitment from the care coordinator, and (b) the patient having an appropriate thorough-care plan, from the beginning through to the middle and to the end.
They need to realise that the beginning is not when the person is admitted into treatment and end is not when the person completes their treatment. The end is when the person has appropriate skills, good self efficacy, suitable accommodation and skills and motivation for employment.
If something does not change soon with the shortages of funding and lack of what we know as care, there is a high probability that the statistics relating to the latest drug strategy will reveal that it has failed miserably.
The outcome of the treatment journey will be measured by longitudinal studies which will influence future funding streams. So it is imperative that, at the start of treatment, we are mindful of the resources required, to ensure our clients can achieve and maintain their full potential, quality of life and, ultimately, abstinence.
A realistic, achievable and affordable plan needs to be considered before we place any expectation on a client, or ourselves. In order to achieve this goal, we must work collaboratively with other agencies, ensuring the outcomes are positive.