1. Alcohol Relapse Prevention Project Bolton NHS

2. How we got off the ground? Over 16 years working relationship between d2 Digital and Bolton Drugs and Alcohol Commissioners Issues faced in the alcohol sector Opportunity from the Health Foundation to participate in Shine 2011

3. Idea proposed- Alcohol Relapse Prevention using mobile Behaviour change + Persuasive Technologies The choice of mobile phone technology as an engagement medium to monitor and help prevent relapse is fairly radical and to our knowledge no similar study has been presented in the alcohol field worldwide.

4. Project objectives 1.Increase client engagement and retention with the aftercare programmes from 42% to 75% during the 12 month of the pilot project scheme. 2.Decrease re-referral rates within 12 months by 4% 3.Reduce costs to healthcare services due to avoidance of repeated detoxification and service costs.

5. Engagement process

8. Web based monitoring system

11. Results- engagement rates IndicatorMeasureTargetBaselineAnnual Totals Number of people recruited for Shine Project Dashboard (web database)118N/A89 Number of people recruited NON-Shine Alcohol Service Outcome monitoring toolN/A 84 Engagement rates with CAT (Shine clients) Project Dashboard (web database)75%42%72% (64) Engagement rates with CAT (non-shine) Alcohol Service Outcome monitoring toolN/A 57% (48) Transfer CAT to ADS Project Dashboard (web database)50%17%100% (64) Period – April 2011 to end Feb 2012

12. Results- re-referral rates* TotalRe-referrals SHINE Clients892 Non SHINE Clients848 *Using chi square test p<0.05 the re-referral rate counts as significant.

13. Results- cost savings The Category 3 (worst) case cost £47,415 * The Category 2 (likely) case cost £19,912 * The Category 1 (best) case cost £14,326 * *We based our cost analysis on client data that is available to the CAT. We identified 3 broad categories of client based on complexity of need

14. Results- cost savings Step 1 1739.5%16.5A Step 2 1732.2%3.9B Step 3 12.6C NumbersRe-referrals All173 105.8% Shine cohort89 22.2% Non Shine cohort84 89.5%

15. Results- cost savings 10 Re-referrals Worst case history £474,150 Likely case history £199,120 Best case history £143,260 Detox £500 £5,000 Detox £15,000£150,000

16. The most important…

17. Future Extended pilot in Bolton till December 2012 Further investment in the system development to enhance the personalisation and adaptability for other health sectors Plans to expand in – Drugs field – Obesity and Diabetes

18. Thank you Graham Mallinson- graham.mallinson@d2digital.co.ukgraham.mallinson@d2digital.co.uk Renate Kalnina- renate.kalnina@d2digital.co.ukrenate.kalnina@d2digital.co.uk Debra Malone- Debra.Malone@BOLTON.NHS.UKDebra.Malone@BOLTON.NHS.UK Julie Aulton- Julie.Aulton@gmw.nhs.ukJulie.Aulton@gmw.nhs.uk