Innovative Stepped Care Model for Alcohol and Drug Services
"Discover how the Stepped Care model integrates various services to provide tailored support for individuals based on their needs and preferences. Pharmacy prescribing, specialist pharmacists, and Third Sector services play key roles in this collaborative approach, ensuring individuals receive appropriate interventions and support as their circumstances evolve." (298 characters)
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Presentation Transcript
Stepped Care describes the combined Alcohol and other Drugs services as a collective model, incorporating our CSMS, SMS, Pharmacy Prescribers, Third Sector and wider partners. The Stepped Care model ensures that everyone who uses services has the right support at the right time, based on their choice and needs. No service should be viewed as a forever support, but we all agree that people will transition and move between various services as their needs change.
Pharmacy prescribing is one of the interventions within the stepped care model. People within our services can be referred to this support if: They are stable on a ORT prescription For those on long term prescribing who don t want or need additional specialist support/intervention There is no statutory requirement for Clinical or Social Work support They need, or engage with minimal structured support, and may otherwise be closed from specialist services.
Pharmacy prescribing is a support model offered facilitated by Specialist Pharmacists and Third Sector commissioned services (ADA and TPS). Pharmacists provide prescription support, with additional wellbeing and general health support. This is reviewed regularly and changes to circumstances are monitored closely. Third sector services work along side the pharmacist to provide holistic psychosocial supports, and together with the pharmacists review the ongoing needs of those within the model. Where needs change, the case is reviewed at the hub and support changes are made to reflect the intervention required. For example, should their be a decline in mental health, a referral for SMS would be appropriate.
The Stepped Care approach has an additional intervention for those who may have previously been discharged from services, for non-engagement, to refer to. This means people who need services are kept within them. People who no longer need specialist services, but are long term stable ORT, can be support to move on from services. The flexibility in support offered fits well with those who are already working, in education, volunteering, and those who are actively seeking these opportunities. The communication between Third Sector and Pharmacists has been a key factor to developing the support.
Ensuring there is continuity in defining what stable on ORT means throughout all hubs. Defining pathways for those returning to statutory or clinical teams. To ensure that pharmacy prescribing does not become a forever service but forms part of a transitional model that when change happen can be reactive and supported by the wider stepped care model.
