SCOPE OF THIS CHAPTER

This procedure applies to all referrals made to the Drug and Alcohol Team for drug rehabilitation.

RELATED CHAPTER

Alcohol Rehabilitation Procedure.

1. Principles

All referrals must come via the Hull Multi Agency Review Meeting (MARM) using the tier 4 referral process. Prior to referral, people must have engaged with Treatment Services and demonstrated their commitment to recovery through compliance with the treatment plan developed by that service. This will be evidenced by full engagement with appointments and at least two screens showing an absence of drug use.

The referring agency retains the primary responsibility for the case management of the person being referred.

2. Procedural Steps

Step Action By Whom
1. When residential rehabilitation (rehab) is being considered, the service user and case manager will apply for Local Authority support and funding through the Multi Agency Review Meeting (MARM) and will begin to work through the Rehabilitation Preparation Pack. This has 12 modules and will take approximately 12 weeks to complete. Case Manager
2. If the attending Drug and Alcohol Social Worker believes the referral is appropriate and the service user is at the right stage in their recovery for rehab to be successful, the referral will be accepted. If (s)he does not believe rehab will be successful, (s)he should discuss with MARM and agree further work to be done prior to the referral being considered again. Drug and Alcohol Team Social Worker
3. If the Social Worker agrees that the referral is appropriate, (s)he will accept it and enter the service user’s details on Care First. A target date for admission to rehab will be agreed by MARM. Drug and Alcohol Team Social Worker/ Admin Officer
4.

The Social Worker will contact the Case Manager to set up a three way meeting with the service user in order to share information about what the person can expect from the Social Worker and gain consent to assessment.

The Social Worker will discuss data sharing, confidentiality and the limits to confidentiality, i.e. that information will be shared if:

  • A child or adult is at risk of harm;
  • A worker is at risk of harm;
  • A worker is summoned to court to give evidence;
  • The information relates to a pending or previous criminal offence;
  • The person lacks Capacity to consent to information sharing and it is in their best interest to do so;
  • It is required by law.
Drug and Alcohol Team Social Worker
5. The Social Worker will carry out the Overview Assessment and a Positive Risk Assessment. If these show the person is eligible for Local Authority support, a suitable placement should be identified to begin on the target date set by MARM. If the person is not eligible, s/he will be referred back to the Case Manager to explore other options. Drug and Alcohol Team Social Worker
6. Funding for the placement will be identified. Citysafe funding is available for one rehab placement per month and this should be accessed first. Further requests for funding should be made to the Adult Social Care Risk Enablement Panel. Drug and Alcohol Team Social Worker
7. The customer’s progress in working through the preparation pack will be monitored weekly by MARM. When the preparations have been successfully completed, detoxification will be undertaken in prison, the community or an inpatient unit, depending on need and circumstances. If the customer does not complete preparation or detoxification, the Case Manager will explore other options with them. Case Manager
8. The Social Worker will commission the residential rehab placement to begin immediately upon completion of detoxification. There should be no gap and if detoxification has taken place in an inpatient unit or prison, the customer should travel directly from there to the rehab placement. There can be some flexibility in exceptional cases, but these should be closely monitored and supervised. Drug and Alcohol Team Social Worker
9. The customer’s progress through rehab will be reviewed every six weeks by the customer, Social Worker and rehab staff and aftercare planning will take place. If the customer does not complete rehab, s/he will be referred back to the case manager to explore other options. Drug and Alcohol Team Social Worker/ customer/ rehab worker
10. Upon successful completion of rehab, the customer will access an intensive aftercare package to support their recovery prior to exiting the service completely. Case Manager

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