Addiction services northeast


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Addiction services northeast

  1. 1. Addiction Services HSE North East Paula Loughran Drug Services Facilitator HSE Dublin North East October 2010
  2. 2. Overview <ul><li>Structure of service </li></ul><ul><li>Service provided to clients </li></ul><ul><li>Methadone programme </li></ul><ul><li>Statistics </li></ul><ul><li>Current developments </li></ul>
  3. 3. Addiction Services <ul><li>Addiction Service for Louth and Meath are managed by Louth Local Health Office (LHO) under the direction of the Drug Service Facilitator . </li></ul><ul><li>In addition Methadone Services for Louth , Meath and Cavan/Monaghan are managed through Louth LHO. </li></ul><ul><li>The service within Louth/Meath currently employs 13 staff including Counsellors and Outreach Workers . </li></ul><ul><li>In Cavan/Monaghan Addiction Services are managed and delivered through Mental Health Services. </li></ul>
  4. 4. Policy background <ul><li>National Drugs Strategy (Interim)2009-2016 provides the main policy background underpinning service delivery </li></ul><ul><li>Actions 28 to 47 inclusive to be led out by HSE </li></ul><ul><li>These actions come under the five pillars of the strategy namely </li></ul><ul><li> Supply reduction </li></ul><ul><li>Prevention (including education and awareness) </li></ul><ul><li>Treatment </li></ul><ul><li>Rehabilitation </li></ul><ul><li>Research </li></ul>
  5. 5. Aims of service <ul><li>To reduce substance misuse and the harm resulting from it. </li></ul><ul><li>To contribute to the improvement of the welfare of young people and their families affected by substance misuse. </li></ul><ul><li>To educate the general population around the issue of substance use and misuse </li></ul><ul><li>To offer a variety of treatment options to drug users. </li></ul>
  6. 6. Research <ul><li>The data on drug misuse in the North East is derived from several sources </li></ul><ul><ul><li>The Drug Misuse Division of the Health Research Board (National Drug Treatment Reporting System, NDTRS) </li></ul></ul><ul><ul><li>The National Advisory Committee on Drugs (NACD) </li></ul></ul><ul><ul><li>Central Treatment List </li></ul></ul><ul><ul><li>Drug Treatment Centre Board Drug Analysis Laboratory </li></ul></ul>
  7. 7. What services do we provide ? <ul><li>Education and prevention </li></ul><ul><li>Assessment </li></ul><ul><li>Support </li></ul><ul><li>Brief Intervention </li></ul><ul><li>Detoxification </li></ul><ul><li>Substitution Treatment </li></ul><ul><li>Counselling </li></ul><ul><li>Onward Referral as appropriate </li></ul><ul><li>Social and/or occupational reintegration </li></ul>
  8. 8. How to access services <ul><li>We operate an open referral system. Clients come to the service through </li></ul><ul><ul><li>Self referral </li></ul></ul><ul><ul><li>Parental referral </li></ul></ul><ul><ul><li>Referral from other HSE services </li></ul></ul><ul><ul><li>Referral from General Practitioners </li></ul></ul><ul><ul><li>Referral from the community and voluntary sector </li></ul></ul><ul><ul><li>Clients are normally seen within one week of referral </li></ul></ul>
  9. 9. Methadone Programme <ul><li>The Methadone Programme in the North East is delivered through Methadone clinics, facilitated by community G.P’s and pharmacies, with support from HSE Addiction Service staff. </li></ul><ul><li>As of 30 th September 2010 there were 7 General Practitioners (5 level 2, 2 level 1) and 58 Pharmacies involved in the Methadone Programme. </li></ul><ul><li>The number of clients accessing Methadone Treatment in the North East as of 30th September 2010 is as follows </li></ul><ul><li>Louth – 80, Meath - 48, Cavan/Monaghan – 54 </li></ul>
  10. 10. Methadone Clinics <ul><li>Each Local Health Office holds a number of Methadone Clinics each week. </li></ul><ul><li>There is no dispensing of medication at the Methadone Clinics. </li></ul><ul><li>Waiting times to access Methadone clinics vary throughout the region with the greatest demand and longest waiting times in the Louth area. </li></ul><ul><li>We are currently undertaking a recruitment campaign to source additional GPs to deliver the service. </li></ul>
  11. 11. Statistics 2009 (HRB) <ul><li>1111 clients from North East region received treatment for Drug and Alcohol use during 2009 </li></ul><ul><li>791 were treated by HSE services in the North East </li></ul><ul><li>630 had never previously received treatment </li></ul><ul><li>454 had previously received treatment </li></ul><ul><li>73 were assessed only </li></ul><ul><li>27 Treatment Status Unknown </li></ul>
  12. 12. Gender <ul><li>846 male </li></ul><ul><li>337 female </li></ul><ul><li>1 Not recorded </li></ul>
  13. 13. Grouped age for all cases, 2009 <ul><li>17 years or under 83 </li></ul><ul><li>18-19 54 </li></ul><ul><li>20-24 148 </li></ul><ul><li>25-29 197 </li></ul><ul><li>30-34 162 </li></ul><ul><li>35-39 147 </li></ul><ul><li>40-44 143 </li></ul><ul><li>45-49 83 </li></ul><ul><li>50 years or over 165 </li></ul><ul><li>Not recorded 2 </li></ul>
  14. 14. Main problem drug for all cases, 2009 <ul><li>Alcohol 638 </li></ul><ul><li>Opiates 243 </li></ul><ul><li>Cannabis 151 </li></ul><ul><li>Cocaine 48 </li></ul><ul><li>Benzodiazepines 13 </li></ul><ul><li>Ecstasy 5 </li></ul><ul><li>Volatile Inhalants 7 </li></ul>
  15. 15. Current developments <ul><li>Expansion of treatment services to include harm reduction services – Needle Syringe Exchange Programmes (NSP) </li></ul><ul><li>Establish additional Methadone Clinics by recruiting additional GPs to deliver the service. </li></ul><ul><li>Develop services and supports available to younger population from both a preventative and treatment perspective </li></ul><ul><li>Work in partnership with Statutory, voluntary and community sectors to develop services available. </li></ul>
  16. 16. Contacts Addiction Resource Centre Local Health Care Unit Rooskey Co. Monaghan Tel : (047) 72100 South Louth Addiction Service 11 Cord Road Drogheda Co. Louth Tel : (041) 9843531 North Louth Addiction Service Market St Health Centre, Market St Dundalk Co. Louth Tel : (042)9394000 Meath Addiction Service HSE Dublin North East Primary Care Building Railway Street Navan Co. Meath Tel : (046) 9076400