MEDICATIONS IN RECOVERY APPLICATION IN PRIMARY CARE

10th April 2013

Alison Keating

PHE (London) Head of Drugs and Alcohol

The group’s final report

A lot done.

A lot more to do!

Some people recover fast, some don’t – all need recovery support.

2 Medication in Recovery – Application in Primary Care

Adaptive treatment Plan, review, optimise (measure) Phases:

Engagement and stabilisationPreparation for changeActive changeCompletion

Layers (of intensity):StandardEnhancedIntensive

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What works to improve recovery rates?

• Focus and detail, clear planning, local champions and leaders and aiming high

• Frequent care planning and review – is what we are doing still bringing benefits?

• Decent length key work sessions

• Psychosocial interventions as well as methadone

• Flexible prescribing

• Considering client strengths

• Recovery conversations

• Offers of detoxification and intensive support for detoxification

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What works to improve recovery rates?

• Getting abstinent in the first 6 months of treatment • Mixing with abstinent peers who have been through the system and

succeeded• Visible treatment exits and role models• Peer support and mutual aid and aftercare activity• Employment, Housing support – working at least 1 day a week• Family support• An expectation that clinical treatment will end• Different approach for those who represent to treatment

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Mutual Aid: A NICE Approved Asset

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Issue date: July 2007

NICE clinical guideline 51Developed by the National Collaborating Centre for Mental Health

Drug misuse

Psychosocial interventions

Avoid unintended consequences

Let’s be clear:

This is about increasing recovery-oriented ambition and progress for individuals and in systems where there is not currently enough of it

It is not about destabilising - to the point of unacceptable risk - individuals who are deriving benefit from OST.

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