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National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

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Page 1: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

National Treatment Agency, West Midlands Regional OfficeStuart Haste, Chloe Baxter-Vickers, Lindsey Byrne6 July 2010

Care co-ordination workshop

Page 2: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Who is Swanswell

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Swanswell is a national charity that believes everyone deserves the chance to change and be happy

Page 3: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Birmingham Swanswell

• Commissioned to provide primary care or ‘shared care’ drug service• with over 100 surgeries currently on the scheme

• Provides drug treatment for Prolific and Priority Offenders

(PPOs)• treatment workers are based in the four local policing units

• Provides drug treatment for offenders post sentence, under supervision with Probation or as part of a community order• based in all eight Birmingham probation offices

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Page 4: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

The service

• Three specialist care co-ordiator’s• One Referrals and Allocations team• 10 treatment teams• Use of a 12 week structured model for offenders • Access to five community based DIP clinics • 17 locality GP’s

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Page 5: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

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The service

• PPO specific in-reach worker• Access to bridging prescriptions, BBV and housing clinics• Access to community based CPNs• Clear processes for the allocation of service users• Clear treatment pathways from prison to shared care setting

Page 6: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Referral criteria• All offenders that have had drugs identified as impacting

on their offending behavior via probation• All PPOs that have had drugs identified as impacting on

their offending behavior• A transfer of treatment from a tier 2/3 drug provider,

looking for low threshold interventions in a shared care setting.

• A service user who is granted a Restriction On Bail (ROB) which is current under Swanswell referral criteria

• A PPO granted a Required Assessment (RA) Swanswell follow up appointments (RAFU)

• A service user who requires an appointment on release from custody, who has served 28 days or under

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Page 7: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Referral pathways

• Responsive• to the service user need

• Clear• on what, when and why

• Effective• is this the best treatment

place for the service user

• Informed • all agencies are aware of

the pathways

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Page 8: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Process• Clear

• on what we require so we are able to process a referral effectively

• Concise• on information we require

• Timely• following agreed time scales on

information gathering and 1st appointments offered

• Feedback• on process and developments,

keeping all parties up-to-date

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Page 9: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Best practice

•Continuity of care by focusing on service user needs • Pro-actively exploring safe guarding issues • Pro-actively exploring possible vulnerable adults• Attendance at multi agency meetings• Use of clear effective time focused processes• Innovative methods of communication and allocation methods• The use of up-to-date technology

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Page 10: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Outcomes

• Active involvement with wrap-around services• Continuity of care between prison and community• 67% retention of probation offenders in treatment• 78% retention of PPO offenders being in treatment• 71% reduction in drug related crime• 27% DNA rate• Reduce fear in the community • Family support• Positive treatment outcomes

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Page 11: National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010 Care co-ordination workshop

Stuart Haste Criminal Justice Allocations Co-ordinator Chloe Baxter VickersShared Care Referrals Co-ordinator

Lindsey ByrnePPO Treatment Co-ordinator

SwanswellRuskin Chambers191 Corporation StreetBirminghamB4 6RPT 0121 233 7400F0121 233 7420 E [email protected] www.swanswell.org

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