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Alcohol Relapse Prevention Project
Bolton NHS
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
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.
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.
Engagement process
Engagement process
Engagement process
Web based monitoring system
Web based monitoring system
Web based monitoring system
Results- engagement rates
Indicator Measure Target Baseline Annual Totals
Number of people recruited for Shine
Project Dashboard (web database) 118 N/A 89
Number of people recruited NON-Shine
Alcohol Service Outcome monitoring tool N/A N/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 tool N/A N/A 57% (48)
Transfer CAT to ADSProject Dashboard (web database) 50% 17% 100% (64)
Period – April 2011 to end Feb 2012
Results- re-referral rates*
Total Re-referrals
SHINE Clients 89 2
Non SHINE Clients 84 8
98%
2%
Shine Clients
Non Re - Referrals Re - Referrals
91%
9%
Non Shine Clients
Non Re - Referrals Re - Referrals
*Using chi square test p<0.05 the re-referral rate counts as significant.
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
Results- cost savings
Step 1 173 9.5% 16.5 A Step 2 173 2.2% 3.9 B Step 3 12.6 C
Numbers Re-referrals
All 173
10 5.8%
Shine cohort 89
2 2.2%
Non Shine cohort 84
8 9.5%
Results- cost savings
10 Re-referrals
Worst case history £474,150
Likely case history £199,120
Best case history £143,260 Detox £500 £5,000Detox £15,000 £150,000
The most important…
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
Thank you
Graham Mallinson- [email protected]
Renate Kalnina- [email protected]
Debra Malone- [email protected]
Julie Aulton- [email protected]
