The document summarizes addiction services in the Northern Area of Dublin, including historical development, current services, client pathways, and future challenges. It describes the development of services in response to HIV in the late 1980s/early 1990s and increasing numbers accessing services from 1994 to 2009. It outlines the current range of prevention, treatment, and rehabilitation services offered across four tiers and the client referral process. Future challenges discussed include developing comprehensive assessment, greater interagency collaboration, changing needs and philosophies, and financial pressures.

1. HSE Addiction Services Northern Area: LHO, Dublin Central. LHO, Dublin North West, LHO, Dublin North East Dr.Siobhan Rooney: Consultant Psychiatrist in Addictions Dr.Des Crowley: GP Co-Ordinator

4. Numbers registered on the Central Treatment List: 1994 - 2009 7107 6145 5433 5498 4215 2948 2238 1529 2001 2000 1999 1998 1997 1996 1995 1994 10668 10213 9760 9428 8962 8364 8155 7596 2009 2008 2007 2006 2005 2004 2003 2002

5. Numbers registered on the Central Treatment List: 1994 - 2009

7. Graph 1. Illustrates the number of Service Users attending the DTC’s (Drug Treatment Centres) in the different area HSE. Total: 1370

8. Graph 2. Illustrates the number of Service Users attending the Satellite Clinics. Total: 643

10. Numbers attending the DTCB, September 2010 2 229 249 Total 0 74 81 F 2 155 168 M Summary Total 0 39 43 Total North East 0 9 10 f LHO Dublin 0 30 33 M 8 1 104 114 Total Central 0 33 37 f LHO Dublin 1 71 77 M 7 1 86 92 Total North West 0 32 34 f LHO Dublin 1 54 58 m 6 New End of period During Period Gender CCA

14. Client Referral and Pathways: Drug Treatment Clinic in the community Service User: Opiate / Cocaine Initial Assessment: Nurse, Counsellor, GP, CWO, Urinalysis Discussion at clinical team meeting: Referrals to other members of the team and external referrals Referral to Other HSE Addiction Rehabilitation Services: Talbot Centre, Soilse. Residential Inpatient + Rehabilitation Services Referrals: Self, Family +Friends, GPs, Social Services, Statutory, Community Services, Outreach, Prisons, Hospitals, Psychiatric services, Maternity Services Referral to other services: i.e. SASSY Team, Addiction Psychiatry MDT Team: GPs, Nurse, Counsellors, Consultant Psychiatrist, Rehabilitation Integration Service, Outreach, CWO, Hepatitis C Nurse, Liaison Mid-wife, Sen.GA, Pharmacists

16. Client Referral and Pathway: Soilse: Rehabilitation Day Programme: Goals: Stabilisation of Drug Use and Detoxification. Service User Team + Activities: Keyworker, Educators, counsellors, Career Guidance, Literacy, Health+Fitness, Art, Drama, creative pursuits Comprehensive assessment: Appointed Key worker and development of Care-plan. Preparation for detoxification, Personal development. 1:1 and Group work Interagency Working Rehabilitation Integration Services, residential drug treatment units and residential rehabilitation Units. Partnership: Soilse: Rutland Referral: Self, rehabilitation Integration Services, Treating clinic team, Probation etc as per treatment clinic .

17. The Talbot Centre: is a dedicated Prevention service for children, young people and their families whose lives have been affected by drugs / alcohol in the North Inner City. Client / Service User/ Family Team: 1 Education Officer, Project Leaders x 2 (1WTE) 3 Project Workers Comprehensive assessment Allocated Keyworker and development of Care-Plan Collaboration, Interagency Working. Case -management Educational: Prevention Advocacy, Counselling, Family Therapy, Outreach Referrals: Family, community groups, SASSY Team, Social Workers, Crinian Project, JLOs. Courts, residential Care Centres, Family Support Network, LDTFs

20. Keltoi: HSE Residential Rehabilitation Unit: Drug Free, 8 Week Programme: Service User Comprehensive assessment process: Pre-admission group and urinalysis: Drug Free Team and Supports: Manager, Keyworkers, residential care workers, counsellors, family therapy, catering tutor (vacant),CWO, Educational supports: VEC, Literacy, Fitness, gardening. Allocated Keyworker and development of care-plan: Living Skills and capacity building Referrals: Self, Residential detoxification Units, Rehabilitation Day Programmes, Rehabilitation Integration Services and clinical teams, Community GPs Aftercare: 2 years, 1:1 counselling. Supportive housing / step down facilities, Day Programmes. Ongoing liaison with other services

24. National Drug Rehabilitation Implementation Committee: Framework Document Aftercare Transition Programmes (e.g. structured pre-induction) Budgeting & Money Management Family Support & Childcare Justice, Law and Criminal Issues Support Education & Training, Personal Development Housing & Tenancy Support & independent Living Community Integration, Social & Recreational Activities Employment (including community employment), Work Placements General Health Services, Health Promotion, Mental, Physical and Intellectual Disability etc Drug Specific Interventions Service User