1. St Anne’s Alcohol Services Dual Diagnosis Practice Development Event

2. ‘Design-a-rehab’ What we do Break Case Studies

3. Design-a-rehab
Your task is to design a residential treatment service. There are some specific elements of the service to look at. The boundaries to the service are:
Alcohol treatment only – not other substance use
Provide detoxification and rehabilitation
Service is for adults

4. Use the following questions to help design the service:
Who would the service be for?
What admission criteria would you set?
What exclusion criteria would you set?
What services / interventions / therapies would it provide?
What staff or roles might work there?
What style or model of programme would you use?

5. Quiz

6. 1) How many years has St Anne’s Alcohol Services been in existence?
40 years – we celebrated 40 years in June It was the country’s first community-based alcohol detoxification service
2) How many bed spaces does the service have?
23 altogether – 5 detox spaces and 18 rehab spaces

7. 3) How many referrals per year does the service receive?
400
4) Who can refer to the service?
Forward Leeds
5) What percentage of clients who are referred to the service are described as having symptoms of heightened anxiety and lowered mood?
90%
6) What percentage of clients, at the time of being admitted to the service, are in contact with a mental health professional, other than for substance use treatment – a CPN, CMHT etc.
10%

8. 7) What percentage of clients admitted to the service are women?
33%
8) What percentage of clients admitted are experiencing domestic abuse issues?
12%
9) What percentage of clients admitted are experiencing homelessness or significant housing issues?
18%
10) What percentage of clients referred to the service are from a non White British background? 6%

9. 11) What percentage of people complete the detoxification programme?
90%
12) What percentage of people complete the rehabilitation programme?65%

10. The rehabilitation programme provides the following:
Access to education and training
Anger Management
Anxiety Management
Assertiveness
Benefits Advice
CBT
Confidence Building
Daily Living Skills training

11. Facilitated access to Mutual Aid
Healthy Living Programme
Housing & Resettlement support
Music Therapy
One-to-one key working sessions
Problem Solving skills
Relapse Prevention skills training

12. Relapse Prevention Prescribing
Relaxation Sessions
Social & Behavioural Network Therapy

13. Residential Alcohol Detoxification
Referral from Forward Leeds
Partnership with St Martin’s GP service
5-bed service
7-day reducing regime of Chlordiazepoxide
Pabrinex injections, if required
24 hour supervision – including nursing staff
Maintain substitute prescribing during alcohol detoxification
Structured therapeutic programme
Seamless transition to rehabilitation or transfer to community interventions
Commencement of relapse prevention medication

14. Residential Alcohol Detoxification who…?
Alcohol Dependent
Requiring residential service (is community detox an option?)
Motivated to make changes
Committed to plan
Longer term support needs identified

15. Residential Alcohol Rehabilitation
Referral from Forward Leeds
18-bed service
13-week structured therapeutic group work programme based on CBT
24 hour staffing support
Promote abstinence - Relapse Prevention
Personal Development
Lifestyle change
Integrated transfer to aftercare services
Commencement of relapse prevention medication

16. Alcohol as primary substance use problem
Free from alcohol and illicit drugs at point of entry to programme
Severity of alcohol use indicates need for intensive support
Motivated to make changes
Committed to plan
Longer term support needs identified

17. Break

18. Case Study 1
Case Study 2
Case Studies

19. Questions